NLRP3炎症小体在肝病疾病中的研究进展

Research advances in NLRP3 inflammasome in liver disease disorders

  • 摘要: NLRP3炎症小体是一种重要的先天免疫信号复合体,通过激活caspase-1促进IL-1β和IL-18 的释放,触发炎症反 应与细胞焦亡。随着对NLRP3炎症小体的深入研究,其异常激活在多种肝病的发生、发展中起关键作用。本文系统阐释了 NLRP3炎症小体的调控机制及其在病毒性肝炎、非酒精性脂肪性肝病、酒精性肝病、自身免疫性肝病、药物性肝损伤、肝 纤维化和肝癌中的研究进展,整合NLRP3炎症小体通过“肠道-肝脏轴”、多通路交互(如TLR4/NF-κB、SIRT1/Nrf2、FLI1/ TGF-β/Smad与NLRP3)等在肝病中的作用,并全面梳理了靶向NLRP3的治疗策略,为开发协同疗法提供了新的理论依据和 研究方向。

     

    Abstract: The Nucleotide‐ binding oligomerization domain‐ like receptor‐ family pyrin domain‐ containing 3 (NLRP3) inflammasome is a crucial innate immune signaling complex that facilitates the release of IL-1β and IL-18 through the activation of caspase-1, thereby triggering inflammatory responses and pyroptosis. With extensive studies on the NLRP3 inflammasome, its aberrant activation has been identified as a key driver of the onset and progression of various liver diseases. Consequently, this review primarily focuses on the regulatory mechanisms of the NLRP3 inflammasome and summarizes recent research advances in viral hepatitis, non-alcoholic fatty liver disease, alcoholic liver disease, autoimmune liver disease, drug-induced liver injury, liver fibrosis, and hepatocellular carcinoma. Furthermore, it highlights the role of the NLRP3 inflammasome in liver diseases via the "gut liver axis" and its crosstalk with multiple signaling pathways, including TLR4/NF-κB, SIRT1/Nrf2, and FLI1/TGF-β/Smad. This review also systematically discusses therapeutic strategies targeting the NLRP3 inflammasome, providing novel insights into the development of synergistic therapies.

     

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