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Cited by 274

The DOI matches its Crossref record; 120 of the 120 references it cites were found in a registry or an index.

Acute liver failure: mechanisms of immune-mediated liver injury

Open access
Wu, Zeguang, Han, Meifang, Chen, Tao, Yan, Weiming, Ning, Qin·2010·Liver International

Abstract

Acute liver failure (ALF) is a syndrome of diverse aetiology, including hepatic encephalopathy, renal, cardiac and pulmonary failures, which result in a rapid loss of hepatic function. The mechanisms of liver injury contributing to ALF can be summarized into two categories: direct damage and immune-mediated liver injury. This review summarizes current concepts of immune-mediated liver injury from both clinical studies and animal models. We highlight immune responses of ALF from the liver injury perspective, which combines a variety of molecular and cellular mechanisms, particularly, the contribution of cytokines and the innate immune system. Hepatic and circulating inflammatory cytokines play a significant role in the pathophysiology of ALF including hepatocyte necrosis, extrahepatic complications and hepatocyte regeneration. Overproduction of cytokines, if unchecked, is hazardous to the host and may cause severe outcomes. Measuring pro-inflammatory cytokines in ALF may be of value for predictors of outcome. Innate and adaptive immune systems both involved in ALF contribute to immune-mediated liver injury. The innate immune response is activated much more rapidly compared with adaptive immunity, particularly in acute liver injury where the host has little time to trigger an effective adaptive immune response. From this point of view, the innate immune system may make a more profound contribution than the adaptive immune system. Furthermore, immune responses crosstalk with other physiological or pathophysiological factors, for example, coagulation factors which in turn determine the outcome of ALF and these are discussed.

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Crossref · 10.1111/j.1478-3231.2010.02262.x

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Metadata

Authors
Wu, Z., Han, M., Chen, T., Yan, W., & Ning, Q.
Venue
Liver International
Publisher
Wiley
Published
2010-04-08
Volume
30
Issue
6
Pages
782-794
ISSN
  • 0106-9543 (ISSN-L)
  • 1478-3223
  • 1478-3231
OpenAlex
W1542964065
Cited by
274
References
120
FWCI
6.59
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Acute liver failure: mechanisms of immune-mediated liver injury. https://app.cochat.ai/papers/10.1111/j.1478-3231.2010.02262.x
The paper
Wu, Z., Han, M., Chen, T., Yan, W., & Ning, Q. (2010). Acute liver failure: mechanisms of immune-mediated liver injury. Liver International. https://doi.org/10.1111/j.1478-3231.2010.02262.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.