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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 [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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“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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“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).”
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“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
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“Only a few studies have addressed LSEC endocytosis in relation to aging, all employing heat-aggregated or chemically treated albumin, such as FSA and AGE-albumin, as model substances.”
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“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].”
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“We also re-evaluated representative markers associated with these phenotypic alterations of LSECs.”
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“They play an important role in the secretion of vasoactive molecules, such as nitric oxide (NO) [113].”
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“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).”
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“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].”
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“Studies have demonstrated that LSECs can maintain HSCs quiescence through a vascular endothelial growth factor (VEGF)-stimulated pathway [42].”
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“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
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“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].”
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“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]”
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“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).”
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“, 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
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“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.”
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The wHole Story About Fenestrations in LSEC
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“Downregulation of VEGF signaling has been associated with LSEC defenestration, capillarization of sinusoids, and abnormal liver physiology (Carpenter et al., 2005; DeLeve, 2015).”
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“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].”
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“However, CD206 is expressed in M2 liver macrophages as well as liver sinusoidal endothelial cells (DeLeve, 2015).”
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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
SECs (Sinusoidal Endothelial Cells), Liver Microenvironment, and Fibrosis
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“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
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
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 85
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
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 89
“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
Kawai, H., Osawa, Y., Matsuda, M., Tsunoda, T., Yanagida, K., Hishikawa, D., Okawara, M., Sakamoto, Y., Shimagaki, T., Tsutsui, Y., et al. (2022) · Hepatology · doi:10.1002/hep.32256 · Cited by 72
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“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
“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
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 75
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
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
“, 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 73
“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
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
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 73
“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
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“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 71
Matsuda, M., & Seki, E. (2020) · Food and Chemical Toxicology · doi:10.1016/j.fct.2020.111556 · Cited by 65
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 64
Wu, Y., Li, Z., Xiu, A., Meng, D., Wang, S.-N., & Zhang, C. (2019) · Drug Design Development and Therapy · doi:10.2147/dddt.s210797 · Cited by 63
“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 73
“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
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 66
“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 64
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
“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
He, Q., He, W., Dong, H., Guo, Y., Yuan, G., Shi, X., Wang, D., & Lu, F. (2024) · Cell Communication and Signaling · doi:10.1186/s12964-024-01720-9 · Cited by 68
“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 62
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 61
Akcora, B. Ö., Storm, G., Prakash, J., & Bansal, R. (2017) · Scientific Reports · doi:10.1038/srep44545 · Cited by 59
“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
Sun, X., & Harris, E. N. (2020) · American Journal of Physiology-Cell Physiology · doi:10.1152/ajpcell.00062.2020 · Cited by 59
Filliol, A. A., & Schwabe, R. F. (2019) · Seminars in Liver Disease · doi:10.1055/s-0039-1685539 · Cited by 60
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
“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 60
Endothelial dysfunction in pathological processes of chronic liver disease during aging
Wan, Y., Li, X., Slevin, E., Harrison, K., Li, T., Zhang, Y., Klaunig, J. E., Wu, C., Shetty, A. K., Dong, X. C., et al. (2021) · The FASEB Journal · doi:10.1096/fj.202101426r · Cited by 60
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
“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 55
Metadata
- 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
- 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 › Hepatology › 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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