Liver sinusoidal endothelial cells — gatekeepers of hepatic immunity
Open accessAbstract
Liver sinusoidal endothelial cells (LSECs) line the low shear, sinusoidal capillary channels of the liver and are the most abundant non-parenchymal hepatic cell population. LSECs do not simply form a barrier within the hepatic sinusoids but have vital physiological and immunological functions, including filtration, endocytosis, antigen presentation and leukocyte recruitment. Reflecting these multifunctional properties, LSECs display unique structural and phenotypic features that differentiate them from the capillary endothelium present within other organs. It is now clear that LSECs have a critical role in maintaining immune homeostasis within the liver and in mediating the immune response during acute and chronic liver injury. In this Review, we outline how LSECs influence the immune microenvironment within the liver and discuss their contribution to immune-mediated liver diseases and the complications of fibrosis and carcinogenesis.
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Sinusoidal endothelial cells in the liver experience mechanical stimulation from the bloodstream within the sinusoid, resulting in phenotypic alterations in HSCs and the release of ECM proteins.
“Sinusoidal endothelial cells in the liver experience mechanical stimulation from the bloodstream within the sinusoid, resulting in phenotypic alterations in HSCs and the release of ECM proteins.87”
From Mechanosensitive calcium ion channels Piezo1: A therapeutic target in liver disease (2025) · cites this paper as [87]
In “Interaction with other liver cells” (page unavailable), the review says LSECs maintain HSC quiescence, while LSEC capillarization permits HSC activation and fibrogenesis; it also identifies HSCs as producers of extracellular matrix in chronic liver disease. The review describes low shear stress in the sinusoids under “LSECs in inflammatory liver disease,” but does not link mechanical stimulation from blood flow to HSC changes or ECM production. (LLM, conf=0.86)
Experimental — accuracy not yet measuredLSECs express TLR4 receptors that recognise bacterial lipopolysaccharides and unique scavenger receptors such as CLEC4G that mediate endocytosis.
“Like KCs, LSECs express TLR4 receptors that recognise bacterial lipopolysaccharides and also express unique scavenger receptors such as CLEC4G that mediate endocytosis.139”
From Understanding the cellular interactome of non-alcoholic fatty liver disease (2022) · cites this paper as [139]
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- Authors
- Shetty, S., Lalor, P. F., & Adams, D. H.
- Affiliations
- University Hospitals Birmingham NHS Foundation Trust (GB)
- Corresponding author
- Adams, David H.
- Venue
- Nature Reviews Gastroenterology & Hepatology
- Published
- 2018-05-29
- Volume
- 15
- Issue
- 9
- Pages
- 555-567
- ISSN
- 1759-5045 (ISSN-L)
- 1759-5053
- PMC
- PMC7096836
- OpenAlex
- W2807476445
- Cited by
- 523
- References
- 171
- Citations by year
- 2026: 71 · 2025: 74 · 2024: 103 · 2023: 58 · 2022: 81 · 2021: 65 · 2020: 50 · 2019: 18 · 2018: 3
- FWCI
- 4.62
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature Reviews Gastroenterology & Hepatology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
- Funders
- University Hospitals Birmingham NHS Foundation Trust
- National Institute for Health and Care Research
- University of Birmingham
- Birmingham Biomedical Research Centre
- Topics
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Keywords
- liver sinusoidal endothelial cells, hepatic immunity, immune homeostasis, immune-mediated liver disease, liver fibrosis, hepatocarcinogenesis, antigen presentation, leukocyte recruitment, endocytosis, immune microenvironment, liver injury
- MeSH terms
- Animals, Endothelium, Vascular, Humans, Immunity, Innate, Liver, Liver Diseases, Adaptive Immunity
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