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Biology of portal hypertension
by
Iwakiri, Yasuko
, McConnell, Matthew
in
Angiogenesis
/ Ascites
/ Biological effects
/ Biology
/ Bypasses
/ Cell activation
/ Complications
/ Endothelial cells
/ Fibrosis
/ Hemorrhage
/ Hepatic encephalopathy
/ Hepatocytes
/ Hypertension
/ Liver
/ Liver diseases
/ Microvasculature
/ Pathogenesis
/ Platelets
/ Renal failure
/ Shunts
/ Thromboembolism
/ Thrombosis
/ Vasodilation
2018
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Biology of portal hypertension
by
Iwakiri, Yasuko
, McConnell, Matthew
in
Angiogenesis
/ Ascites
/ Biological effects
/ Biology
/ Bypasses
/ Cell activation
/ Complications
/ Endothelial cells
/ Fibrosis
/ Hemorrhage
/ Hepatic encephalopathy
/ Hepatocytes
/ Hypertension
/ Liver
/ Liver diseases
/ Microvasculature
/ Pathogenesis
/ Platelets
/ Renal failure
/ Shunts
/ Thromboembolism
/ Thrombosis
/ Vasodilation
2018
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Do you wish to request the book?
Biology of portal hypertension
by
Iwakiri, Yasuko
, McConnell, Matthew
in
Angiogenesis
/ Ascites
/ Biological effects
/ Biology
/ Bypasses
/ Cell activation
/ Complications
/ Endothelial cells
/ Fibrosis
/ Hemorrhage
/ Hepatic encephalopathy
/ Hepatocytes
/ Hypertension
/ Liver
/ Liver diseases
/ Microvasculature
/ Pathogenesis
/ Platelets
/ Renal failure
/ Shunts
/ Thromboembolism
/ Thrombosis
/ Vasodilation
2018
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Journal Article
Biology of portal hypertension
2018
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Overview
Portal hypertension develops as a result of increased intrahepatic vascular resistance often caused by chronic liver disease that leads to structural distortion by fibrosis, microvascular thrombosis, dysfunction of liver sinusoidal endothelial cells (LSECs), and hepatic stellate cell (HSC) activation. While the basic mechanisms of LSEC and HSC dysregulation have been extensively studied, the role of microvascular thrombosis and platelet function in the pathogenesis of portal hypertension remains to be clearly characterized. As a secondary event, portal hypertension results in splanchnic and systemic arterial vasodilation, leading to the development of a hyperdynamic circulatory syndrome and subsequently to clinically devastating complications including gastroesophageal varices and variceal hemorrhage, hepatic encephalopathy from the formation of portosystemic shunts, ascites, and renal failure due to the hepatorenal syndrome. This review article discusses: (1) mechanisms of sinusoidal portal hypertension, focusing on HSC and LSEC biology, pathological angiogenesis, and the role of microvascular thrombosis and platelets, (2) the mesenteric vasculature in portal hypertension, and (3) future directions for vascular biology research in portal hypertension.
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