a Cardiovascular and Gastroenterological Surgery, Graduate School of Medical and Dental Sciences , Kagoshima University , Kagoshima , Japan.
b Department of Laboratory and Vascular Medicine, Graduate School of Medical and Dental Sciences , Kagoshima University , Kagoshima , Japan.
Expert Rev Gastroenterol Hepatol. 2018 Dec;12(12):1219-1228. doi: 10.1080/17474124.2018.1533813. Epub 2018 Oct 11.
Mounting evidence highlights platelet involvement in liver regeneration via interaction with liver cells, growth factors release, and signaling contributions. Existing research suggests a compelling biological rationale for utilizing platelet biology, with the goal of improving liver function and accelerating its regenerative potential. Despite its expanding application in several clinical areas, the contribution of the platelet and its therapeutic implementation in liver regeneration so far has not yet fulfilled the initial high expectations. Areas covered: This review scrutinizes the progress, current updates, and discusses how recent understanding - particularly in the clinical implications of platelet-based therapy - may enable strategies to introduce and harness the therapeutic potential of the platelet during liver regeneration. Expert commentary: Several clinical and translational studies have facilitated a platform for the development of platelet-based therapy to enhance liver regeneration. While some of these therapies are effective to augment liver regeneration, the others have had some detrimental outcomes. The existing evidence represents a challenge for future projects that are focused on directly incorporating platelet-based therapies to induce liver regeneration.
越来越多的证据表明,血小板通过与肝细胞的相互作用、生长因子的释放和信号转导的贡献,参与肝脏再生。现有研究为利用血小板生物学提供了强有力的生物学依据,其目的是改善肝功能并加速其再生潜能。尽管它在多个临床领域的应用不断扩大,但血小板的作用及其在肝脏再生中的治疗应用迄今为止尚未达到最初的高期望。涵盖领域:本文综述了血小板在肝脏再生中的作用的研究进展、最新进展,并讨论了最近的认识,特别是血小板治疗的临床意义,如何为在肝脏再生过程中引入和利用血小板的治疗潜力提供策略。专家评论:几项临床和转化研究为基于血小板的治疗以增强肝脏再生的发展提供了一个平台。虽然这些治疗方法中的一些可有效促进肝脏再生,但其他方法则产生了一些不利的结果。现有的证据对未来的项目构成了挑战,这些项目的重点是直接采用基于血小板的治疗方法来诱导肝脏再生。