1. Role of Innate Immunity in Pediatric Post-transplant Idiopathic Liver Fibrosis
- Author
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Mingzhu Huang, Xiying Zhou, Ruoqiao Zhou, Haojie Sun, Guangxiang Gu, Qiang Xia, and Yue Wu
- Subjects
Liver Cirrhosis ,lcsh:Immunologic diseases. Allergy ,0301 basic medicine ,Opportunistic infection ,Liver fibrosis ,Immunology ,Review ,NK cells activity ,03 medical and health sciences ,0302 clinical medicine ,Fibrosis ,medicine ,Humans ,Immunology and Allergy ,Child ,Receptor ,innate immunity ,liver fibrosis ,Innate immune system ,business.industry ,Toll-Like Receptors ,Dendritic Cells ,medicine.disease ,Natural killer T cell ,Immunity, Innate ,Post transplant ,Liver Transplantation ,Killer Cells, Natural ,pediatric liver transplantation ,030104 developmental biology ,Liver ,Natural Killer T-Cells ,Interferons ,dendritic cell (DC) ,lcsh:RC581-607 ,Viral hepatitis ,business ,030215 immunology - Abstract
Pediatric post-transplant idiopathic liver fibrosis is an unexplained graft fibrosis that occurs in symptom-free children without acute rejection and surgical complications. Despite a lack of consensus on the subject, the development of pediatric post-transplant idiopathic liver fibrosis is believed to be the result of multiple potential factors, including ischemia-reperfusion injury, allogeneic acute and chronic rejection, viral hepatitis recurrence, opportunistic infection, and drug-induced liver damage. Among them, there is growing evidence that innate immunity may also have a unique role in this progression. This study reviews the features of pediatric post-transplant idiopathic liver fibrosis and discusses current studies illustrating the potential mechanisms of liver allograft tolerance induced by intrahepatic innate immunity, the role of components including Toll-like receptors (TLRs), interferons (IFN), dendritic cells (DC), natural killer cells (NK cells), NKT cells, neutrophils, and Kupffer cells, as well as their possibly relevant role in the development of pediatric post-transplant idiopathic liver fibrosis.
- Published
- 2020