Angiocrine Signaling in Sinusoidal Health and Disease
Open accessAbstract
Liver sinusoidal endothelial cells (LSECs) are key players in maintaining hepatic homeostasis. They also play crucial roles during liver injury by communicating with liver cell types as well as immune cells and promoting portal hypertension, fibrosis, and inflammation. Cutting-edge technology, such as single cell and spatial transcriptomics, have revealed the existence of distinct LSEC subpopulations with a clear zonation in the liver. The signals released by LSECs are commonly called “angiocrine signaling.” In this review, we summarize the role of angiocrine signaling in health and disease, including zonation in healthy liver, regeneration, fibrosis, portal hypertension, nonalcoholic fatty liver disease, alcohol-associated liver disease, aging, drug-induced liver injury, and ischemia/reperfusion, as well as potential therapeutic advances. In conclusion, sinusoidal endotheliopathy is recognized in liver disease and promising preclinical studies are paving the path toward LSEC-specific pharmacotherapies.
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In the adult liver, endothelial cells appear to be zonated. scRNA-seq revealed that periportal LSECs express high levels of CD36 and Adam23, which progressively diminish in the midzonal and pericentral zones. On the other hand, pericentral LSECs and central venous ECs abundantly express Wnt2, Wnt9, Lhx6, and Kit, which decrease toward midzonal and periportal zone ECs. Flt4, Lyve1, Cd32b, and Stab
“In the adult liver, endothelial cells appear to be zonated. scRNA-seq revealed that periportal LSECs express high levels of CD36 and Adam23, which progressively diminish in the midzonal and pericentral zones. On the other hand, pericentral LSECs and central venous ECs abundantly express Wnt2, Wnt9, Lhx6, and Kit, which decrease toward midzonal and periportal zone ECs. Flt4, Lyve1, Cd32b, and Stab”
From Inflammation and immunity in liver homeostasis and disease: a nexus of hepatocytes, nonparenchymal cells and immune cells (2025) · cites this paper as [289]
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Fernández‐Iglesias, A., Harris, E. N., Jalan‐Sakrikar, N., Kaur, S., Zapotoczny, B., Ikejima, K., & Gracia‐Sancho, J. (2026) · Hepatology · doi:10.1097/hep.0000000000001870
- Authors
- Cooper, S. A., Kostallari, E., & Shah, V. H.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Kostallari, Enis
- Venue
- Seminars in Liver Disease
- Publisher
- Georg Thieme Verlag KG
- Published
- 2023-07-13
- Volume
- 43
- Issue
- 03
- Pages
- 245-257
- ISSN
- 0272-8087 (ISSN-L)
- 1098-8971
- PMC
- PMC10798369
- OpenAlex
- W4384264091
- Cited by
- 15
- References
- 161
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 5
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Seminars in Liver Disease (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Association for the Study of Liver Diseases (Pinnacle Research Award)
- Gilead Research Scholars (Liver Scholar Award)
- National Institute of Diabetes and Digestive and Kidney Diseases (5T32DK124190,P30DK084567)
- 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
- angiocrine signaling, liver sinusoidal endothelial cells, endothelial heterogeneity, liver zonation, liver regeneration, liver fibrosis, portal hypertension, non-alcoholic fatty liver disease, alcoholic liver disease, aging, drug-induced liver injury, ischemia-reperfusion injury, hepatic homeostasis
- MeSH terms
- Fibrosis, Humans, Hypertension, Portal, Liver, Liver Cirrhosis, Endothelial Cells, Non-alcoholic Fatty Liver Disease
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