Liver fibrosis is a very common condition seen in millions of patients with various liver diseases, and yet no effective treatments are available owing to poorly characterized molecular pathogenesis. Here, we show that leukocyte cell-derived chemotaxin 2 (LECT2) is a functional ligand of Tie1, a poorly characterized endothelial cell (EC)-specific orphan receptor. Upon binding to Tie1, LECT2 interrupts Tie1/Tie2 heterodimerization, facilitates Tie2/Tie2 homodimerization, activates PPAR signaling, and inhibits the migration and tube formations of EC. In vivo studies showed that LECT2 overexpression inhibits portal angiogenesis, promotes sinusoid capillarization, and worsens fibrosis, whereas these changes were reversed in Lect2-KO mice. Adeno-associated viral vector serotype 9 (AAV9)-LECT2 small hairpin RNA (shRNA) treatment significantly attenuates fibrosis. Upregulation of LECT2 is associated with advanced human liver fibrosis staging. We concluded that targeting LECT2/Tie1 signaling may represent a potential therapeutic target for liver fibrosis, and serum LECT2 level may be a potential biomarker for the screening and diagnosis of liver fibrosis. (A) LECT2 inhibited the migration of EA.hy926 cell. Scale bar, 100 mm. (B) LECT2 inhibited tube formation of EA.hy926 cell. Scale bar, 200 mm. (C) Inhibition of LECT2 enhanced migration of EA.hy926 cell. Scale bar, 100 mm. (D) Inhibition of LECT2 enhanced tube formation of EA.hy926 cell. Scale bar, 200 mm. (E) LECT2 inhibited the migration of primary liver sinusoid endothelial cell (LSEC). Scale bar, 100 mm. (F) LECT2 inhibited tube formation of primary LSEC. Scale bar, 200 mm. (G) Liver tissues were immunohistochemically stained for CD31. Arrows indicate portal vessels, and arrowheads indicate capillarization of liver sinusoids. Scale bar, 200 mm. (H) The number of CD31-positive vessels surrounding the portal area was measured. (I) The CD31-positive capillarization of liver sinusoids was measured. (J) Liver tissues were immunohistochemically stained for CD31. Arrows indicate portal vessels, and arrowheads indicate capillarization of liver sinusoids. Scale bar, 200 mm. (K) The number of CD31-positive vessels surrounding the portal area was measured. (L) The CD31-positive capillarization of liver sinusoids was measured.

Based on this meta-analysis, statistically significant differences were determined in terms of the incidences of total and transient recurrent laryngeal nerve palsy after using IONM versus recurrent laryngeal nerve identification alone during thyroidectomy. However, no statistically significant differences were identified regarding the incidence of persistent recurrent laryngeal nerve palsy between groups.

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