4.6 Review

Elucidating the Metabolic Regulation of Liver Regeneration

Journal

AMERICAN JOURNAL OF PATHOLOGY
Volume 184, Issue 2, Pages 309-321

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.ajpath.2013.04.034

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Funding

  1. NIH [DK-02900, DK-068219]
  2. American Digestive Health Foundation
  3. Children's Digestive Health and Nutrition Foundation
  4. Washington University Digestive Disease Research Core Center [P30-DK52574]
  5. Washington University and St. Louis Children's Hospital Children's Discovery Institute

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The regenerative capability of liver is well known, and the mechanisms that regulate liver regeneration are extensively studied. Such analyses have defined general principles that govern the hepatic regenerative response and implicated specific extracellutar and intracellular signals as regulated during and essential for normal liver regeneration. Nevertheless, the most proximal events that stimulate liver regeneration and the distal signals that terminate this process remain incompletely understood. Recent data suggest that the metabolic response to hepatic insufficiency might be the proximal signal that initiates regenerative hepatocellular proliferation. This review provides an overview of the data in support of a metabolic model of Liver regeneration and reflects on the clinical implications and areas for further study suggested by these findings.

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