Angiogenesis in chronic liver disease and its complications: Angiogenesis in CLD
Open accessAbstract
Nowadays, liver cancer, cirrhosis and other liver-related diseases are the fifth most common cause of mortality in the UK. Furthermore, chronic liver diseases (CLDs) are one of the major causes of death, which are still increasing year-on-year. Therefore, knowledge about the pathophysiology of CLDs and its complications is of uttermost importance. The goal of this review is to clarify the role of angiogenesis in the disease progression of various liver diseases. Looking closer at the pathophysiology of portal hypertension (PH), fibrosis, cirrhosis, non-alcoholic steatohepatitis (NASH) and hepatocellular carcinoma (HCC), we find that angiogenesis is a recurring factor in the disease progression. In PH, several factors involved in its pathogenesis, such as hypoxia, oxidative stress, inflammation and shear stress are potential mediators for the angiogenic response. The progression from fibrosis to cirrhosis, the end-point of CLDs, is distinguished by a prolonged inflammatory and fibrogenic process that leads to an abnormal angioarchitecture distinctive for cirrhosis. In several stages of NASH, a link might be made between the disease progression and hepatic microvasculature changes. HCC is one of the most vascular solid tumours in which angiogenesis plays an important role in its development, progression and metastasis. The close relationship between the progression of CLDs and angiogenesis emphasises the need for anti-angiogenic therapy as a tool for blocking or slowing down the disease progression. The fact that angiogenesis plays a pivotal role in CLDs gives rise to new opportunities for treating CLDs and its complications.
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In liver disease Child A, B, or C, serum albumin concentration decreases, vascular permeability increases, absolute synthesis decreases, half-life increases, total mass decreases, distribution volume decreases, and VEGF increases.
“Liver disease, Child A, B, or C | ↓ to ↓↓↓ | ↑ to↑↑↑ | ↓ to ↓↓↓ | ↑ !! | ↓ to ↓↓ | ↓ to ↓↓↓ | ↑165 | VEGF upregulated in cancer; anti‐VEGF treatment considered promising”
From Hypoalbuminemia: Pathogenesis and Clinical Significance (2019) · cites this paper as [165]
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Hypoalbuminemia: Pathogenesis and Clinical Significance
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Role of the Microenvironment in the Pathogenesis and Treatment of Hepatocellular Carcinoma
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Vascular pathobiology in chronic liver disease and cirrhosis – Current status and future directions
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Hepatic microcirculation and mechanisms of portal hypertension
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CCL2-dependent infiltrating macrophages promote angiogenesis in progressive liver fibrosis
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The Spectrum of Achalasia: Lessons From Studies of Pathophysiology and High-Resolution Manometry
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Pathological angiogenesis and inflammation in tissues
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Angiogenesis and liver fibrosis
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Angiogenesis and Fibrogenesis in Chronic Liver Diseases
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Hypoxia-inducible factors as molecular targets for liver diseases
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The Endothelium as a Driver of Liver Fibrosis and Regeneration
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Evaluation of inflammatory and angiogenic factors in patients with non-alcoholic fatty liver disease
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Self-citationThe Role of Sinusoidal Endothelial Cells in the Axis of Inflammation and Cancer Within the Liver
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Crosstalk Between Liver Macrophages and Surrounding Cells in Nonalcoholic Steatohepatitis
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Resolution of liver fibrosis requires myeloid cell–driven sinusoidal angiogenesis
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Self-citationHistidine‐rich glycoprotein promotes macrophage activation and inflammation in chronic liver disease
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A strategy of vascular‐targeted therapy for liver fibrosis
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Platelets as Key Factors in Hepatocellular Carcinoma
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Self-citationReview of angiogenesis in hepatocellular carcinoma
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The Many Roles of Cell Adhesion Molecules in Hepatic Fibrosis
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New insights on the role of vascular endothelial growth factor in biliary pathophysiology
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The role of chemokines in acute and chronic hepatitis C infection
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Targeting the tumor stroma in hepatocellular carcinoma
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Self-citationAngiogenesis in the progression from liver fibrosis to cirrhosis and hepatocelluar carcinoma
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Stratification of Patients With Liver Fibrosis Using Dual-Energy CT
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Hypoxia-regulated mechanisms in the pathogenesis of obesity and non-alcoholic fatty liver disease
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Current Concepts of Biliary Atresia and Matrix Metalloproteinase-7: A Review of Literature
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Melatonin Regulates Angiogenic Factors under Hypoxia in Breast Cancer Cell Lines
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Role of Angiogenesis in the Pathogenesis of NAFLD
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Tumor Endothelial Inflammation Predicts Clinical Outcome in Diverse Human Cancers
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Bevacizumab Attenuates Hepatic Fibrosis in Rats by Inhibiting Activation of Hepatic Stellate Cells
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The role of macrophages in obesity-driven chronic liver disease
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Dihydropyrimidinase-like 3 is a putative hepatocellular carcinoma tumor suppressor
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Modeling angiogenesis with micro- and nanotechnology
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Angiogenesis: a phenomenon which aggravates chronic liver disease progression
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Hypoxia-inducible factor 1α/IL-6 axis in activated hepatic stellate cells aggravates liver fibrosis
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Interconnections between autophagy and the coagulation cascade in hepatocellular carcinoma
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Review article: the role of the microcirculation in liver cirrhosis
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Single-cell transcriptome analysis reveals liver injury induced by glyphosate in mice
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- Authors
- Coulon, S., Heindryckx, F., Geerts, A., Van Steenkiste, C., Colle, I., & Van Vlierberghe, H.
- Affiliations
- Ghent University (BE)
- Venue
- Liver International
- Publisher
- Wiley
- Published
- 2010-11-15
- Volume
- 31
- Issue
- 2
- Pages
- 146-162
- ISSN
- 0106-9543 (ISSN-L)
- 1478-3223
- OpenAlex
- W1484083850
- Cited by
- 276
- References
- 194
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 17 · 2023: 19 · 2022: 15 · 2021: 24 · 2020: 14 · 2019: 13 · 2018: 20 · 2017: 25 · 2016: 22 · 2015: 26 · 2014: 25 · 2013: 12 · 2012: 14
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Liver International (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Keywords
- angiogenesis, chronic liver disease, portal hypertension, liver fibrosis, liver cirrhosis, nonalcoholic steatohepatitis, hepatocellular carcinoma, hypoxia, oxidative stress, inflammation, shear stress, hepatic microvasculature, anti-angiogenic therapy, disease progression
- MeSH terms
- Chronic Disease, Fatty Liver, Fibroblast Growth Factors, Carcinoma, Hepatocellular, Humans, Hypertension, Portal, Liver Cirrhosis, Liver Neoplasms, Models, Biological, Neovascularization, Pathologic, Platelet-Derived Growth Factor, Signal Transduction, Cadherins, Integrins, Disease Progression, Thrombospondins, Angiogenesis Inhibitors, Receptors, Vascular Endothelial Growth Factor, Vascular Endothelial Growth Factor A, Angiopoietins, Angiostatins, Endostatins, Hypoxia-Inducible Factor 1, Microvessels, Non-alcoholic Fatty Liver Disease
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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