How immune cells drive liver scarring (IMAGE)

Osaka Metropolitan University

How immune cells drive liver scarring

Caption

Various liver cell types interact to drive fibrosis during chronic liver disease. Kupffer cells (KC1) undergo phenotypic changes, transitioning to an activated state (KC2), accompanied by the accumulation of monocyte-derived macrophages. These macrophages promote hepatic stellate cell (HSC) activation through two distinct signaling pathways. One pathway operates via TGF-β1 and the transcription factor LMCD1, keeping HSCs locked in a fibrogenic state. A second pathway involves SEMA4D binding to its receptor PLXNB2 on HSCs. Blocking SEMA4D with an experimental antibody (VX15/2503) disrupts this signaling, reducing collagen production and scar formation.

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Osaka Metropolitan University

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