Liver sinusoidal endothelial cells in hepatic fibrosis
Open accessAbstract
Capillarization, lack of liver sinusoidal endothelial cell (LSEC) fenestration, and formation of an organized basement membrane not only precedes fibrosis, but is also permissive for hepatic stellate cell activation and fibrosis. Thus, dysregulation of the LSEC phenotype is a critical step in the fibrotic process. Both a vascular endothelial growth factor (VEGF)‐stimulated, nitric oxide (NO)‐independent pathway and a VEGF‐stimulated NO‐dependent pathway are necessary to maintain the differentiated LSEC phenotype. The NO‐dependent pathway is impaired in capillarization and activation of this pathway downstream from NO restores LSEC differentiation in vivo . Restoration of LSEC differentiation in vivo promotes HSC quiescence, enhances regression of fibrosis, and prevents progression of cirrhosis. (H epatology 2015;61:1740–1746)
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In healthy livers, LSECs prevent HSC activation.
“In healthy livers, LSECs prevent HSC activation [304].”
From Inflammation and immunity in liver homeostasis and disease: a nexus of hepatocytes, nonparenchymal cells and immune cells (2025) · cites this paper as [304]
Capillarized LSECs lose their HSC-suppressive properties and contribute to an environment that favors HSC activation and fibrosis.
“Capillarized LSECs (Fig. 4), characterized by high nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB)-dependent collagen IV release [305], lose their HSC-suppressive properties and thereby contribute to an environment that favors HSC activation and fibrosis [304].”
From Inflammation and immunity in liver homeostasis and disease: a nexus of hepatocytes, nonparenchymal cells and immune cells (2025) · cites this paper as [304]
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“Note that periportal LSECs (top panel) have fewer fenestrae per sieve plate (average 8 fenestrae per sieve plate), but larger fenestrae than centrilobular LSECs (average 24 fenestrae per sieve plate; middle panel).(2) Smaller, nonclustered holes are endocytic vesicles.”
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“The hyaluronan/scavenger receptor clears hyaluronan, chondroitin sulphate, formaldehyde treated serum albumin (FSA, used as a test ligand for scavenger receptor-mediated endocytosis (9-11)), procollagen type I and III N-terminal peptides, nidogen, acetylated and oxidized low density lipoprotein (12-14), plasma coagula…”
May, D., Djonov, V., Zamir, G. A., Bala, M., Safadi, R., Sklair‐Levy, M., & Keshet, E. (2011) · PLoS ONE · doi:10.1371/journal.pone.0021478 · Cited by 54 · cited 1× · see citing works
“Similarly, conditional induction of a VEGF decoy receptor that sequesters VEGF and precludes VEGF signaling leads to loss of LSEC fenestration.(29) After early cirrhosis is induced in an experimental model of toxin-induced parenchymal fibrosis, the thioacetamide model, a 1-week treatment with sGC activator, normalizes…”
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“However, recent studies suggest that EIIIA fibronectin does not play an essential role in HSC activation in vitro or in vivo, but does contribute to HSC motility.(43) The effect on HSC may contribute to a modest profibrotic effect of EIIIA in a toxin-induced model of parenchymal fibrosis, but EIIIA does not appear to…”
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“VEGF is upregulated in cirrhosis (33, 34), so that total VEGF is not rate limiting in this process.”
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Single cell RNA sequencing of human liver reveals distinct intrahepatic macrophage populations
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“Many studies have implicated vascular endothelial growth factor (VEGF) as an essential factor for regulation of fenestrations 21 , but dynamic changes in hepatic fenestration number and size can occur rapidly in response to agents such as alcohol 22 , diet ary constituents 23 and fasting 24 or calorie restriction 25 .”
BackgroundInfluentialThe Power of Plasticity—Metabolic Regulation of Hepatic Stellate Cells
Trivedi, P., Wang, S., & Friedman, S. L. (2021) · Cell Metabolism · doi:10.1016/j.cmet.2020.10.026 · Cited by 427 · see citing works
“They also support sinusoidal endothelial cell integrity through paracrine interactions, which in turn are critical for angiogenesis during repair and regeneration (DeLeve, 2013, 2015; Desroches-Castan et al., 2019).”
BackgroundHepatic fibrosis 2022: Unmet needs and a blueprint for the future
Friedman, S. L., & Pinzani, M. (2022) · Hepatology · doi:10.1002/hep.32285 · Cited by 430 · see citing works
Bhattacharjee, S., Hamberger, F., Ravichandra, A., Miller, M., Nair, A., Affo, S., Filliol, A., Chin, L., Savage, T. M., Yin, D., et al. (2021) · Journal of Clinical Investigation · doi:10.1172/jci146987 · Cited by 367 · see citing works
“The strong interaction between HSC and endothelial cells, as observed in our CellPhoneDB analysis, is well recognized for normal and diseased liver (37).”
BackgroundAutophagy in liver diseases: A review
Qian, H., Chao, X., Williams, J. A. R., Fulte, S., Li, T., Yang, L., & Ding, W. (2021) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2021.100973 · Cited by 377 · see citing works
Role of liver sinusoidal endothelial cells in non-alcoholic fatty liver disease
Hammoutene, A., & Rautou, P.-E. (2019) · Journal of Hepatology · doi:10.1016/j.jhep.2019.02.012 · Cited by 364 · see citing works
An, P., Wei, L.-L., Zhao, S., Sverdlov, D. Y., Vaid, K. A., Miyamoto, M., Kuramitsu, K., Lai, M., & Popov, Y. V. (2020) · Nature Communications · doi:10.1038/s41467-020-16092-0 · Cited by 319 · see citing works
Hallmarks of Aging in the Liver
Hunt, N. J., Kang, S. W., Lockwood, G. P., Couteur, D. G. L., & Cogger, V. C. (2019) · Computational and Structural Biotechnology Journal · doi:10.1016/j.csbj.2019.07.021 · Cited by 315 · see citing works
Recent Advances in Understanding of Pathogenesis of Alcohol-Associated Liver Disease
Wu, X., Fan, X., Miyata, T., Kim, A., Cajigas-Du Ross, C. K., Ray, S., Huang, E., Taiwo, M., Arya, R., Wu, J., et al. (2023) · Annual Review of Pathology: Mechanisms of Disease · doi:10.1146/annurev-pathmechdis-031521-030435 · Cited by 289 · see citing works
“The lack of a basement membrane contributes to the permissive nature of sinusoidal endothelium (96), allowing the LSECs and KCs to endocytically take up and eliminate invading pathogens (97).”
BackgroundRuart, M., Chavarria, L., Campreciós, G., Suárez-Herrera, N., Montironi, C., Guixé‐Muntet, S., Bosch, J., Friedman, S. L., García‐Pagán, J. C., & Hernández–Gea, V. (2018) · Journal of Hepatology · doi:10.1016/j.jhep.2018.10.015 · Cited by 286 · see citing works
Liver fibrosis: Pathophysiology and clinical implications
Berumen, J. A., Baglieri, J., Kisseleva, T., & Mekeel, K. L. (2020) · WIREs Mechanisms of Disease · doi:10.1002/wsbm.1499 · Cited by 262 · see citing works
“Moreover, following disruption of the endothelium, LSECs will secrete profibrogenic cytokines like TGF-β1, PDGF, interleukins, tumor necrosis factor α (TNFα), and VEGF, which will recruit inflammatory cells to the site of injury and activate HSCs (DeLeve, 2015).”
BackgroundLiver Sinusoidal Endothelial Cells
Sørensen, K. K., Simón-Santamaría, J., McCuskey, R. S., & Smedsrød, B. H. (2015) · Comprehensive physiology · doi:10.1002/cphy.c140078 · Cited by 257 · see citing works
Bosch, J., Groszmann, R. J., & Shah, V. H. (2015) · Journal of Hepatology · doi:10.1016/j.jhep.2015.01.003 · Cited by 252 · see citing works
“Recent work suggests that these changes may play a very important pathogenic role in the subsequent steps of liver fibrosis and highlight the potential role of the sinusoidal endothelial cell as a very early player, not only in increased intrahepatic resistance, but in liver injury and fibrosis itself [28,46].”
Teschke, R. (2018) · Biomedicines · doi:10.3390/biomedicines6040106 · Cited by 244 · see citing works
“LSECs are continuously exposed to the blood of the liver sinusoids, since they form their walls [276].”
BackgroundDi, J., Gao, X., Du, Y. L., Zhang, H., Gao, J., & Zheng, A. (2020) · Asian Journal of Pharmaceutical Sciences · doi:10.1016/j.ajps.2020.07.005 · Cited by 231 · see citing works
Diabetes mellitus in patients with cirrhosis: clinical implications and management
Elkrief, L., Rautou, P., Sarin, S. K., Valla, D. C., Paradis, V., & Moreau, R. (2016) · Liver International · doi:10.1111/liv.13115 · Cited by 222 · see citing works
“This mechanism is implicated in the progression of liver fibrosis (30).”
BackgroundSu, T., Yang, Y., Lai, S., Jeong, J., Jung, Y., McConnell, M., Utsumi, T., & Iwakiri, Y. (2021) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2020.12.007 · Cited by 220 · see citing works
“We also re-evaluated representative markers associated with these phenotypic alterations of LSECs.”
BackgroundInfluentialBábíčková, J., Klinkhammer, B. M., Buhl, E. M., Djudjaj, S., Hoß, M., Heymann, F., Tacke, F., Floege, J., Becker, J. U., & Boor, P. (2016) · Kidney International · doi:10.1016/j.kint.2016.07.038 · Cited by 195 · see citing works
Akkız, H., Gieseler, R. K., & Canbay, A. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25147873 · Cited by 191 · see citing works
“They play an important role in the secretion of vasoactive molecules, such as nitric oxide (NO) [113].”
BackgroundHammoutene, A., Biquard, L., Lasselin, J., Kheloufi, M., Tanguy, M., Vion, A.-C., Mérian, J., Colnot, N., Loyer, X., Tedgui, A., et al. (2020) · Journal of Hepatology · doi:10.1016/j.jhep.2019.10.028 · Cited by 188 · see citing works
The evolving role of liver sinusoidal endothelial cells in liver health and disease
McConnell, M. J., Kostallari, E., Ibrahim, S. H., & Iwakiri, Y. (2023) · Hepatology · doi:10.1097/hep.0000000000000207 · Cited by 189 · see citing works
“These changes are thought to cause activation of HSCs, and thereby liver fibrosis/cirrhosis progression(6, 7).”
Pathological angiogenesis and inflammation in tissues
Jeong, J.-H., Ojha, U., & Lee, Y. M. (2020) · Archives of Pharmacal Research · doi:10.1007/s12272-020-01287-2 · Cited by 176 · see citing works
“However, in pathological conditions, they become capillarized (loss of fenestration), promote angiogenesis, and are unable to maintain the hepatic stellate cells in a quiescent state that contributes to fibrosis, inflammation and other chronic liver diseases (DeLeve 2015; Poisson et al.”
BackgroundLiu, L., You, Z., Yu, H., Zhou, L., Zhao, H., Yan, X., Li, D., Wang, B., Zhu, L., Xu, Y., et al. (2017) · Nature Materials · doi:10.1038/nmat5024 · Cited by 163 · see citing works
Géraud, C., Reiners-Koch, P.-S., Zierow, J., Klapproth, K., Busch, K., Olsavszky, V., Leibing, T., Demory, A., Ulbrich, F., Diett, M., et al. (2017) · Journal of Clinical Investigation · doi:10.1172/jci90086 · Cited by 163 · see citing works
“, transdifferentiation of the liver microvasculature, is involved in metabolic and cirrhotic liver diseases as well as liver cancer and metastases (20, 21).”
BackgroundDuan, J., Ruan, B., Yan, X., Liang, L., Song, P., Yang, Z., Liu, Y., Dou, K., Han, H., & Wang, L. (2018) · Hepatology · doi:10.1002/hep.29834 · Cited by 153 · see citing works
“HEPATOLOGY, Vol. , No. 2, 201868 damage, LSEC dedifferentiation promotes liver fibrogenesis, as demonstrated by many studies, likely through increased HSC activation attributed to upregulation of TGF-b and PDGFb.(10-13) Notch activation-induced LSEC dedifferentiation could be attributed to attenuated eNOS-sGC signalin…”
BackgroundBMP-9 interferes with liver regeneration and promotes liver fibrosis
Breitkopf‐Heinlein, K., Meyer, C., König, C., Gaitantzi, H., Addante, A., Thomas, M., Wiercinska, E., Cai, C., Li, Q., Wan, F., et al. (2017) · Gut · doi:10.1136/gutjnl-2016-313314 · Cited by 150 · see citing works
The Endothelium as a Driver of Liver Fibrosis and Regeneration
Lafoz, E., Ruart, M., Anton, A., Oncins, A., & Hernández–Gea, V. (2020) · Cells · doi:10.3390/cells9040929 · Cited by 147 · see citing works
“Therefore VEGF may have a dual role in fibrosis; it is essential in maintaining LSEC physiological phenotype through NO regulation [250] during fibrosis onset and promote reversion of HSC activated phenotype, ameliorating LSEC dysfunction during fibrosis resolution [12].”
BackgroundImmunofluorescence identifies distinct subsets of endothelial cells in the human liver
Strauss, O., Phillips, A., Ruggiero, K., Bartlett, A., & Dunbar, P. (2017) · Scientific Reports · doi:10.1038/srep44356 · Cited by 134 · see citing works
“A further investigation of the microanatomy of the liver lobule using vascular reconstruction in mice by Matsumoto and Kawakami 23 revealed a more accurate vascular distribution of zones that closely represents the staining patterns of Type 1 and Type 2 LSEC (see Figs 2 and 3).”
Mechanisms of organ fibrosis: Emerging concepts and implications for novel treatment strategies
Lurje, I., Gaisa, N. T., Weiskirchen, R., & Tacke, F. (2023) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2023.101191 · Cited by 147 · see citing works
Yahoo, N., Dudek, M., Knolle, P. A., & Heikenwälder, M. F. (2023) · Journal of Hepatology · doi:10.1016/j.jhep.2023.02.033 · Cited by 145 · see citing works
Hepatic sinusoids in liver injury, inflammation, and fibrosis: new pathophysiological insights
Greuter, T., & Shah, V. H. (2016) · Journal of Gastroenterology · doi:10.1007/s00535-016-1190-4 · Cited by 139 · see citing works
“Besides the canonical pathway of constitutive expression of NO in SEC and its role in the quiescence of HSC [1, 19], numerous paracrine and autocrine factors and SEC/HSC crosstalk mechanisms have been identified and discussed in other reviews [1, 9, 20, 21].”
BackgroundInfluentialEndothelial Cell Dysfunction and Nonalcoholic Fatty Liver Disease (NAFLD): A Concise Review
Ansari, N. N., Ανδρουτσάκος, Θ., Flessa, C., Kyrou, I., Siasos, G., Randeva, H. S., Kassi, E. N., & Papavassiliou, A. G. (2022) · Cells · doi:10.3390/cells11162511 · Cited by 134 · see citing works
“LSEC capillarization occurs before KC activation and is permissive of hepatic stellate cell activation and the progression of inflammation and fibrosis [8,79,84].”
BackgroundWan, L., Xia, T., Du, Y.-Q., Liu, J., Xie, Y.-Y., Zhang, Y.-J., Guan, F., Wu, J., Wang, X.-C., & Shi, C.-W. (2019) · The FASEB Journal · doi:10.1096/fj.201802675r · Cited by 118 · see citing works
Desroches‐Castan, A., Tillet, E., Ricard, N., Ouarné, M., Mallet, C., Belmudes, L., Couté, Y., Boillot, O., Scoazec, J., Bailly, S., et al. (2019) · Hepatology · doi:10.1002/hep.30655 · Cited by 128 · see citing works
“”(27) These highly differentiated endothelial cells lose their characteristic fenestrae and display a marked decrease in their endocytic capacity.(30,41,45) This is accompanied by the production and release of paracrine factors as well as cellular microparticles and exosomes, which all affect the phenotype of neighbor…”
BackgroundResultLiver fibrosis resolution: from molecular mechanisms to therapeutic opportunities
Pei, Q., Yi, Q., & Tang, L. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24119671 · Cited by 121 · see citing works
“Studies have demonstrated that LSECs can maintain HSCs quiescence through a vascular endothelial growth factor (VEGF)-stimulated pathway [42].”
BackgroundAngiocrine Wnt signaling controls liver growth and metabolic maturation in mice
Leibing, T., Géraud, C., Augustin, I., Boutros, M., Augustin, H. G., Okun, J. G., Langhans, C., Zierow, J., Wohlfeil, S. A., Olsavszky, V., et al. (2018) · Hepatology · doi:10.1002/hep.29613 · Cited by 116 · see citing works
“Dysfunctional HECs have been reported to be involved in metabolic and cirrhotic liver disease as well as cancer.((49,50)) Through altered LEIBING, G ERAUD, ET AL.”
BackgroundHedgehog regulates yes‐associated protein 1 in regenerating mouse liver
Swiderska‐Syn, M., Xie, G., Michelotti, G. A., Jewell, M. L., Premont, R. T., Syn, W., & Diehl, A. M. (2016) · Hepatology · doi:10.1002/hep.28542 · Cited by 121 · see citing works
“Quiescent (Q)-HSCs are stimulated to become proliferative and myofibroblastic by various soluble factors that accumulate in injured livers,((1)) as well as injuryrelated alterations in liver blood flow((3)) and the physical characteristics of the liver matrix.”
Biology of portal hypertension
McConnell, M. J., & Iwakiri, Y. (2017) · Hepatology International · doi:10.1007/s12072-017-9826-x · Cited by 121 · see citing works
“The communication between LSECs and HSCs is important in the pathogenesis of portal hypertension, as evidenced by the fact that loss of LSEC phenotype can be permissive for HSC activation [40].”
BackgroundThe roles and mechanisms of hypoxia in liver fibrosis
Cai, J., Hu, M., Chen, Z., & Ling, Z. (2021) · Journal of Translational Medicine · doi:10.1186/s12967-021-02854-x · Cited by 122 · see citing works
“ET-1 It is abundant in vascular smooth muscle cells, and its main task is to promote cell proliferation and mediate vascular contraction Promotes the HSC contraction and the secretion of cell matrix by HSC [27]”
BackgroundFunctional Immune Anatomy of the Liver—As an Allograft
Demetris, A. J., Bellamy, C. O. C., Gandhi, C. R., Prost, S., Nakanuma, Y., & Stolz, D. B. (2016) · American Journal of Transplantation · doi:10.1111/ajt.13749 · Cited by 115 · see citing works
“3) Sinusoids are the majority microvasculature, lined by LSEC and KC (2, 5, 12, 16-19), which scavenge particulates/antigens, and regulate immune responses (2, 5, 12, 16-18, 20-22), liver regeneration(23-25), and fibrogenesis(25, 26).”
BackgroundInfluentialTurco, L., & García–Tsao, G. (2019) · Clinics in Liver Disease · doi:10.1016/j.cld.2019.07.007 · Cited by 115 · see citing works
Nowak, A. J., & Relja, B. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21249407 · Cited by 107 · see citing works
“, the initial loss of liver endothelial cells fenestrae in ALD [67] that increases during chronic fibrosis and concludes in the strengthening of the LSECs defenestration effect [68].”
BackgroundNanodrug with ROS and pH Dual‐Sensitivity Ameliorates Liver Fibrosis via Multicellular Regulation
Lin, L., Gong, H., Li, R., Huang, J., Cai, M., Lan, T., Huang, W., Guo, Y., Zhou, Z., An, Y., et al. (2020) · Advanced Science · doi:10.1002/advs.201903138 · Cited by 101 · see citing works
Feng, S., Demetris, A. J., Spain, K. M., Kanaparthi, S., Burrell, B. E., Ekong, U. D., Alonso, E. M., Rosenthal, P. J., Turka, L. A., Iklé, D. N., et al. (2016) · Hepatology · doi:10.1002/hep.28681 · Cited by 101 · see citing works
“Whether undetectable arterial intimal LSEC injury or microvascular endothelial cell alterations (e.g., upregulation of complement regulatory proteins or cytoprotective molecules) are occurring is currently being investigated.”
InfluentialAkcora, B. Ö., Storm, G., & Bansal, R. (2017) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2017.12.001 · Cited by 98 · see citing works
“Furthermore, liver sinusoidal endothelial cells (LSECs) are required to maintain HSCs quiescence, and upon activation, partially via HSCs, become pro-inflammatory and therefore also play a critical role in intrahepatic inflammation [13-15].”
BackgroundTurco, L., Reiberger, T., Vitale, G., & Mura, V. L. (2023) · Liver International · doi:10.1111/liv.15559 · Cited by 98 · see citing works
Musolino, V., Gliozzi, M., Scarano, F., Bosco, F., Scicchitano, M., Nucera, S., Carresi, C., Ruga, S., Zito, M. C., Maiuolo, J., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-59485-3 · Cited by 97 · see citing works
The wHole Story About Fenestrations in LSEC
Szafranska, K., Kruse, L. D., Holte, C. F., McCourt, P., & Zapotoczny, B. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.735573 · Cited by 95 · see citing works
“Downregulation of VEGF signaling has been associated with LSEC defenestration, capillarization of sinusoids, and abnormal liver physiology (Carpenter et al., 2005; DeLeve, 2015).”
BackgroundInfluentialCao, Y., Mai, W., Li, R., Deng, S., Li, L.-J., Zhou, Y.-X., Qin, Q.-S., Zhang, Y., Zhou, X.-G., Han, M., et al. (2022) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-022-04319-w · Cited by 82 · see citing works
PPARs as Metabolic Sensors and Therapeutic Targets in Liver Diseases
Monroy-Ramírez, H. C., Galicia‐Moreno, M., Sandoval-Rodriguez, A. S., Meza-Ríos, A., Santos, A., & Armendáriz‐Borunda, J. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22158298 · Cited by 86 · see citing works
“Capillarization is a term used to describe when liver sinusoidal endothelial cells (LSECs) lack fenestration and develop an organized basement membrane, which is permissive for HSC activation and is a preamble to fibrosis [91].”
BackgroundAlhomrani, M., Correia, J., Zavou, M. J., Leaw, B., Kuk, N., Xu, R., Saad, M. I., Hodge, A. D., Greening, D. W., Lim, R., et al. (2017) · Frontiers in Pharmacology · doi:10.3389/fphar.2017.00748 · Cited by 86 · see citing works
“However, CD206 is expressed in M2 liver macrophages as well as liver sinusoidal endothelial cells (DeLeve, 2015).”
BackgroundLiver Tropism in Cancer: The Hepatic Metastatic NichePreprint
Mielgo, A., & Schmid, M. C. (2019) · Cold Spring Harbor Perspectives in Medicine · doi:10.1101/cshperspect.a037259 · Cited by 84 · see citing works
Angiocrine signaling in sinusoidal homeostasis and liver diseases
Gao, J., Lan, T., Kostallari, E., Guo, Y., Lai, E., Guillot, A., Ding, B., Tacke, F., Tang, C., & Shah, V. H. (2024) · Journal of Hepatology · doi:10.1016/j.jhep.2024.05.014 · Cited by 90 · see citing works
SECs (Sinusoidal Endothelial Cells), Liver Microenvironment, and Fibrosis
Natarajan, V., Harris, E. N., & Kidambi, S. (2017) · BioMed Research International · doi:10.1155/2017/4097205 · Cited by 84 · see citing works
“DeLeve and co-workers demonstrated that the capillarization of LSECs (loss in fenestrations) precedes the onset of fibrosis and acts as a gatekeeper event for the progression of liver fibrosis [30].”
BackgroundPathological process of liver sinusoidal endothelial cells in liver diseases
Ni, Y., Li, J.-M., Liu, M., Zhang, T.-T., Wang, D., Zhou, W., Hu, L.-Z., & Lv, W. (2017) · World Journal of Gastroenterology · doi:10.3748/wjg.v23.i43.7666 · Cited by 83 · see citing works
Hordeaux, J., Lamontagne, R. J., Song, C., Buchlis, G., Dyer, C., Buza, E. L., Ramezani, A., Wielechowski, E., Greig, J. A., Chichester, J. A., et al. (2024) · Molecular Therapy · doi:10.1016/j.ymthe.2024.02.002 · Cited by 81 · see citing works
Mechanotransduction in the pathogenesis of non-alcoholic fatty liver disease
Mitten, E. K., & Baffy, G. (2022) · Journal of Hepatology · doi:10.1016/j.jhep.2022.08.028 · Cited by 80 · see citing works
Shaheen, M. F., Joo, D. J., Ross, J. J., Anderson, B. D., Chen, H. S., Huebert, R. C., Li, Y., Amiot, B., Young, A., Zlochiver, V., et al. (2019) · Nature Biomedical Engineering · doi:10.1038/s41551-019-0460-x · Cited by 75 · see citing works
Liver sinusoidal endothelial cell: An important yet often overlooked player in the liver fibrosis
Qu, J., Wang, L., Li, Y., & Li, X. (2024) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2024.0022 · Cited by 74 · see citing works
“28 Meanwhile, LSECs can also stimulate neovascularization by secreting angiogenic factors, thereby fostering the fibrotic process.”
BackgroundEmerging therapeutic targets for the treatment of hepatic fibrosis
Fagone, P., Mangano, K., Pesce, A., Portale, T. R., Puleo, S., & Nicoletti, F. (2015) · Drug Discovery Today · doi:10.1016/j.drudis.2015.10.015 · Cited by 75 · see citing works
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Guo, Q., Furuta, K., Islam, S., Caporarello, N., Kostallari, E., Dielis, K., Tschumperlin, D. J., Hirsova, P., & Ibrahim, S. H. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.983255 · Cited by 73 · see citing works
“Differentiated LSECs (LSECs under physiological conditions) can maintain HSC quiescence in a paracrine manner (7, 25).”
BackgroundInfluentialTaghdouini, A. E., Sørensen, A. L., Reiner, A. H., Coll, M., Verhulst, S., Mannaerts, I., Øie, C. I., Smedsrød, B. H., Najimi, M., Sokal, E. M., et al. (2015) · Oncotarget · doi:10.18632/oncotarget.4925 · Cited by 72 · see citing works
“These pathologies are characterized by impairment of hepatocyte (HEP) function [3], liver sinusoidal endothelial cell (LSEC) capillarization [4] and activation of hepatic stellate cells (HSCs) and Kupffer cells (KCs) [5, 6].”
BackgroundTowards improved hepatocyte cultures: Progress and limitations
Ruoß, M., Vosough, M., Königsrainer, A., Nadalin, S., Wagner, S., Sajadian, S., Huber, D., Heydari, Z., Ehnert, S., Hengstler, J. G., et al. (2020) · Food and Chemical Toxicology · doi:10.1016/j.fct.2020.111188 · Cited by 77 · see citing works
Liver fibrosis in biliary atresia
Shen, W.-J., Chen, G., Wang, M., & Zheng, S. (2018) · World Journal of Pediatrics · doi:10.1007/s12519-018-0203-1 · Cited by 72 · see citing works
Angiocrine signaling in the hepatic sinusoids in health and disease
Kostallari, E., & Shah, V. H. (2016) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00118.2016 · Cited by 71 · see citing works
Guffroy, M., Falahatpisheh, H., Biddle, K. E., Kreeger, J., Obert, L., Walters, K. M., Goldstein, R., Boucher, G., Coskran, T., Reagan, W. J., et al. (2016) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-16-0939 · Cited by 70 · see citing works
“, development of a basement membrane and loss of fenestrations) and liver functional impairment (17, 35).”
BackgroundRuan, B., Duan, J., Xu, H., Tao, K., Han, H., Dou, G., & Wang, L. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.671081 · Cited by 72 · see citing works
“It is wellknown that LSECs undergo capillarization in fibrosis (DeLeve, 2015; Marrone et al., 2016; Poisson et al., 2017).”
BackgroundOverlooked subclinical portal hypertension in non-cirrhotic NAFLD: Is it real and how to measure it?
Baffy, G., & Bosch, J. (2021) · Journal of Hepatology · doi:10.1016/j.jhep.2021.09.029 · Cited by 69 · see citing works
Oroxylin A prevents angiogenesis of LSECs in liver fibrosis via inhibition of YAP/HIF‐1α signaling
Zhang, C., Bian, M., Chen, X., Jin, H., Zhao, S., Xiang, Y., Shao, J., Chen, A., Guo, Q., Zhang, F., et al. (2017) · Journal of Cellular Biochemistry · doi:10.1002/jcb.26388 · Cited by 69 · see citing works
Intercellular Communication between Hepatic Cells in Liver Diseases
Sato, K., Kennedy, L. L., Liangpunsakul, S., Kusumanchi, P., Yang, Z., Meng, F., Glaser, S. S., Francis, H., & Alpini, G. D. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20092180 · Cited by 68 · see citing works
“LSECs are located near HSCs (Figure 1), and crosstalk between LSECs and HSCs is associated with liver fibrosis [49].”
BackgroundHassan, R., Tammam, S. N., Elsafy, S., Abdel‐Halim, M., Asimakopoulou, A., Weiskirchen, R., & Mansour, S. (2018) · European Journal of Pharmaceutics and Biopharmaceutics · doi:10.1016/j.ejpb.2018.11.018 · Cited by 66 · see citing works
Wang, L., Feng, Y., Xie, X., Wu, H., Su, X. N., Qi, J., Xin, W., Gao, L., Zhang, Y., Shah, V. H., et al. (2019) · EBioMedicine · doi:10.1016/j.ebiom.2019.04.050 · Cited by 66 · see citing works
“HSECs represent the highest proportion of non-parenchymal cells in the liver and are alsomajor co-modulators offibrogenesis in addition toHSCs [3].”
BackgroundIn Vitro Models for the Study of Liver Biology and Diseases: Advances and Limitations
Kaur, S., Kidambi, S., Ortega‐Ribera, M., Thủy, L. T. T., Nieto, N., Cogger, V. C., Xie, W., Tacke, F., & Gracia‐Sancho, J. (2022) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2022.11.008 · Cited by 67 · see citing works
Matsuda, M., & Seki, E. (2020) · Food and Chemical Toxicology · doi:10.1016/j.fct.2020.111556 · Cited by 64 · see citing works
Mechanosensing in liver regeneration
Song, Z., Gupta, K., Ng, I. C., Xing, J., Yang, Y. A., & Yu, H. (2017) · Seminars in Cell and Developmental Biology · doi:10.1016/j.semcdb.2017.07.041 · Cited by 63 · see citing works
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“38,39 It has been reported that LSEC capillarization promotes HSC activation and fi brosis and the reversal of LSEC capillarization could promote the quiescence of HSCs. 40 The interaction between LSECs and HSCs increases collagen deposition, promotes fi brogenesis and angiogenesis.”
BackgroundCouteur, D. G. L., Ngu, M., Hunt, N. J., Brandon, A. E., Simpson, S. J., & Cogger, V. C. (2025) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-025-01099-z · Cited by 64 · see citing works
“Age-related LSEC defenestration and dysfunction are critical steps in the progression of the ageing liver to a steatotic and fibrotic liver 118,120 .”
New Concepts on Pathogenesis and Diagnosis of Liver Fibrosis; A Review Article
Ebrahimi, H., Naderian, M., & Sohrabpour, A. A. (2016) · Middle East Journal of Digestive Diseases · doi:10.15171/mejdd.2016.29 · Cited by 61 · see citing works
Wohlfeil, S. A., Häfele, V., Dietsch, B., Schledzewski, K., Winkler, M., Zierow, J., Leibing, T., Mohammadi, M. M., Heineke, J., Sticht, C., et al. (2018) · Cancer Research · doi:10.1158/0008-5472.can-18-1752 · Cited by 62 · see citing works
“Sinusoidal capillarization is regularly observed in fibrotic/cirrhotic liver diseases (42) associated with fewer liver metastases.”
BackgroundLiver endothelial cells in NAFLD and transition to NASH and HCC
Velliou, R.-I., Legaki, A., Nikolakopoulou, P., Vlachogiannis, N. I., & Chatzigeorgiou, A. (2023) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-023-04966-7 · Cited by 63 · see citing works
ABO-compatible liver allograft antibody-mediated rejection
Demetris, A. J., Zeevi, A., & O’Leary, J. G. (2015) · Current Opinion in Organ Transplantation · doi:10.1097/mot.0000000000000194 · Cited by 61 · see citing works
“Fourth, liver sinusoidal endothelial cells express Fc receptors [48] and lack a typical basement membrane: they are also normally”
Role of liver sinusoidal endothelial cell in metabolic dysfunction-associated fatty liver disease
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“In vitro studies have shown that differentiated LSECs can prevent HSCs activation and promote the return of activated HSC (aHSC) to quiet HSC (qHSC) through VEGF-A-stimulated NO production, but LSECs will lose this effect during dedif-ferentiation or capillarization [65, 83],”
BackgroundAlcoholic Liver Disease: Current Mechanistic Aspects with Focus on Their Clinical Relevance
Teschke, R. (2019) · Biomedicines · doi:10.3390/biomedicines7030068 · Cited by 61 · see citing works
Li, F., Zhao, Y., Cheng, Z., Wang, Y., Yue, Y., Cheng, X., Sun, J., Atabakhshi‐Kashi, M., Yao, J., Dou, J., et al. (2023) · Advanced Materials · doi:10.1002/adma.202212206 · Cited by 59 · see citing works
Akcora, B. Ö., Storm, G., Prakash, J., & Bansal, R. (2017) · Scientific Reports · doi:10.1038/srep44545 · Cited by 59 · see citing works
“Liver sinusoidal endothelial cells (LSECs) has shown to play a critical role in liver fibrosis 17,18 .”
New aspects of hepatic endothelial cells in physiology and nonalcoholic fatty liver disease
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Manipulating fenestrations in young and old liver sinusoidal endothelial cells
Hunt, N. J., Lockwood, G. P., Warren, A., Mao, H., McCourt, P., Couteur, D. G. L., & Cogger, V. C. (2018) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00179.2018 · Cited by 58 · see citing works
“The regulation of LSEC fenestrations has been recently reviewed, and the major regulatory pathway is thought to be mediated by VEGF and NO (16).”
BackgroundLiver sinusoidal endothelial cells (LSECs) modifications in patients with chronic hepatitis C
Baiocchini, A., Nonno, F. D., Taibi, C., Comandini, U. V., D’Offizi, G., Piacentini, M., & Falasca, L. (2019) · Scientific Reports · doi:10.1038/s41598-019-45114-1 · Cited by 58 · see citing works
Endothelial Dysfunction in Pathological Processes of Chronic Liver Disease during Aging
Wan, Y., Li, X., Slevin, E., Harrison, K., Li, T., Zhang, Y.-D., Klaunig, J., Wu, C.-D., Shetty, A. K., Dong, X. C., et al. (2021) · The FASEB Journal · doi:10.1096/fj.202101426r · Cited by 55 · see citing works
LncRNA Airn maintains LSEC differentiation to alleviate liver fibrosis via the KLF2-eNOS-sGC pathway
Chen, T., Shi, Z., Zhao, Y., Meng, X., Zhao, S., Zheng, L., Han, X., Hu, Z., Yao, Q., Lin, H., et al. (2022) · BMC Medicine · doi:10.1186/s12916-022-02523-w · Cited by 57 · see citing works
“Capillarized LSEC have been shown to precede fibrosis and promote HSC activation and hepatocyte damage [8].”
BackgroundInfluentialThe role of liver sinusoidal endothelial cells in cancer liver metastasis.
Yang, M. J., & Zhang, C. (2021) · PubMed Central · Cited by 56 · see citing works
- Authors
- DeLeve, L. D.
- Affiliations
- University of Southern California (US)
- Corresponding author
- DeLeve, Laurie D.
- ORCID
- DeLeve, Laurie D.
- Venue
- Hepatology
- Published
- 2015-03-23
- Volume
- 61
- Issue
- 5
- Pages
- 1740-1746
- ISSN
- 0270-9139 (ISSN-L)
- 1527-3350
- PMC
- PMC4333127
- OpenAlex
- W1781806439
- Cited by
- 482
- References
- 50
- Citations by year
- 2026: 45 · 2025: 44 · 2024: 60 · 2023: 40 · 2022: 39 · 2021: 51 · 2020: 49 · 2019: 37 · 2018: 46 · 2017: 35 · 2016: 26 · 2015: 9 · 2014: 1
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Update notices
- correction (2015-07-01)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK100580, DK-66423, R01DK066423)
- Topics
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Keywords
- liver sinusoidal endothelial cells, liver fibrosis, capillarization, endothelial fenestrations, basement membrane formation, hepatic stellate cell activation, VEGF signaling, nitric oxide, HSC quiescence, fibrosis regression, liver cirrhosis
- MeSH terms
- Cell Differentiation, Humans, Liver Cirrhosis, Endothelial Cells
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