The evolving role of liver sinusoidal endothelial cells in liver health and disease

Matthew J. McConnell, Enis Kostallari, Samar H. Ibrahim, Yasuko Iwakiri

Research output: Contribution to journalReview articlepeer-review

Abstract

LSECs are a unique population of endothelial cells within the liver and are recognized as key regulators of liver homeostasis. LSECs also play a key role in liver disease, as dysregulation of their quiescent phenotype promotes pathological processes within the liver including inflammation, microvascular thrombosis, fibrosis, and portal hypertension. Recent technical advances in single-cell analysis have characterized distinct subpopulations of the LSECs themselves with a high resolution and defined their gene expression profile and phenotype, broadening our understanding of their mechanistic role in liver biology. This article will review 4 broad advances in our understanding of LSEC biology in general: (1) LSEC heterogeneity, (2) LSEC aging and senescence, (3) LSEC role in liver regeneration, and (4) LSEC role in liver inflammation and will then review the role of LSECs in various liver pathologies including fibrosis, DILI, alcohol-associated liver disease, NASH, viral hepatitis, liver transplant rejection, and ischemia reperfusion injury. The review will conclude with a discussion of gaps in knowledge and areas for future research.

Original languageEnglish (US)
Pages (from-to)649-669
Number of pages21
JournalHepatology
Volume78
Issue number2
DOIs
StatePublished - Aug 2023

ASJC Scopus subject areas

  • Hepatology

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