2020
DOI: 10.3390/antiox9121279
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Molecular Mechanisms That Link Oxidative Stress, Inflammation, and Fibrosis in the Liver

Abstract: Activated hepatic stellate cells (HSCs) and myofibroblasts are the main producers of extracellular matrix (ECM) proteins that form the fibrotic tissue that leads to hepatic fibrosis. Reactive oxygen species (ROS) can directly activate HSCs or induce inflammation or programmed cell death, especially pyroptosis, in hepatocytes, which in turn activates HSCs and fibroblasts to produce ECM proteins. Therefore, antioxidants and the nuclear factor E2-related factor-2 signaling pathway play critical roles in modulatin… Show more

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Cited by 179 publications
(122 citation statements)
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References 183 publications
(237 reference statements)
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“…In contrast, inflammatory cells, such as monocytes and lymphocytes, also produce additional ROS after activation. 36 , 37 PPAR-γ is a regulator of cell proliferation and immune responses, and can regulate the expression of related genes and participate in the inflammatory response. It has also been confirmed that PPAR-γ plays a strong role in inhibiting liver fibrosis by cross-talk with inflammatory-related factors, such as NF-κB and AP-1, inhibiting T cell activation and macrophage proliferation and secretion.…”
Section: Mechanisms Underlying Hepatic Fibrosis and Ppar-γmentioning
confidence: 99%
“…In contrast, inflammatory cells, such as monocytes and lymphocytes, also produce additional ROS after activation. 36 , 37 PPAR-γ is a regulator of cell proliferation and immune responses, and can regulate the expression of related genes and participate in the inflammatory response. It has also been confirmed that PPAR-γ plays a strong role in inhibiting liver fibrosis by cross-talk with inflammatory-related factors, such as NF-κB and AP-1, inhibiting T cell activation and macrophage proliferation and secretion.…”
Section: Mechanisms Underlying Hepatic Fibrosis and Ppar-γmentioning
confidence: 99%
“…There is an increased interest of using antioxidants for medicinal purposes in the recent years, as it is widely accepted that free radicals play a crucial role in many pathological conditions such as inflammation, cancer, and neurodegenerative disorders [ 55 , 56 , 57 , 58 ]. Moreover, several nonsteroidal anti-inflammatory agents have been reported to act either as inhibitors of free radical production or as radical scavengers [ 59 ].…”
Section: Results and Dicussionmentioning
confidence: 99%
“…The mechanism of oxidative stress promotion of liver diseases involves the activation of stellate cells by the free radicals leading to the synthesis of collagen and the extracellular matrix [34]. These are complications associated with liver diseases such as non-alcoholic fatty liver diseases, fibrosis, and encephalopathy.…”
Section: Discussionmentioning
confidence: 99%