朗格汉斯细胞组织细胞增生症肝损伤的相关研究及进展
Research and Advances on Langerhans Cell Histiocytosis-Related Liver Injury
DOI: 10.12677/acm.2025.1541224, PDF,    国家自然科学基金支持
作者: 张丽莉, 黄雅琴, 杨文婷, 杨晋辉*:昆明医科大学第二附属医院消化内科,云南 昆明
关键词: 朗格汉斯细胞组织细胞增生症肝损伤病理机制临床表现Langerhans Cell Histiocytosis Liver Damage Pathological Mechanisms Clinical Manifestations
摘要: 朗格汉斯细胞组织细胞增生症(Langerhans Cell Histiocytosis, LCH)是一种以病理性朗格汉斯细胞克隆性增殖为特征的罕见疾病,主要影响免疫系统,近年来研究发现其与多脏器损伤之间存在潜在关联,尤其是肝损伤。肝脏作为重要的代谢和解毒器官,其损伤可能导致严重的临床后果。尽管已有一些关于LCH的研究探讨其发病机制和临床表现,但现阶段对LCH导致肝损伤的具体病理机制仍不够清晰,且临床管理策略的制定亦缺乏系统性指导。本综述旨在综合近年来的研究成果,探讨LCH与肝损伤之间的关系,分析其潜在的病理机制、临床表现以及目前的治疗策略,以期为临床实践提供参考和指导,推动对该疾病的进一步研究与理解。
Abstract: Langerhans Cell Histiocytosis (LCH) is a rare disease characterized by the pathological clonal proliferation of Langerhans cells, primarily affecting the immune system. Recent studies have found a potential association between LCH and multi-organ damage, particularly liver injury. The liver, as an important metabolic and detoxification organ, can lead to severe clinical consequences when damaged. Although some studies have explored the pathogenesis and clinical manifestations of LCH, the specific pathological mechanisms by which LCH causes liver injury remain unclear, and there is a lack of systematic guidance for clinical management strategies. This review aims to synthesize recent research findings, explore the relationship between LCH and liver injury, analyze its potential pathological mechanisms, clinical manifestations, and current treatment strategies, in order to provide reference and guidance for clinical practice and promote further research and understanding of this disease.
文章引用:张丽莉, 黄雅琴, 杨文婷, 杨晋辉. 朗格汉斯细胞组织细胞增生症肝损伤的相关研究及进展[J]. 临床医学进展, 2025, 15(4): 2650-2657. https://doi.org/10.12677/acm.2025.1541224

参考文献

[1] Yashige, K., Kataoka, T.R., Yamada, Y., Maeda, H., Oji-Tsujimura, M., Yamamoto, T., et al. (2021) The Expression of Insulin-Like Growth Factor 2 Messenger RNA-Binding Protein 3 in Langerhans Cell Histiocytosis and Langerhans Cell Sarcoma. The Tohoku Journal of Experimental Medicine, 255, 27-31. [Google Scholar] [CrossRef] [PubMed]
[2] Fu, Z., Li, H., Arslan, M.E., Ells, P.F. and Lee, H. (2021) Hepatic Langerhans Cell Histiocytosis: A Review. World Journal of Clinical Oncology, 12, 335-341. [Google Scholar] [CrossRef] [PubMed]
[3] Consing, M., Lee, H.E., Jess, H. and Vahidi, S. (2022) Solitary Involvement of the Liver: A Rare Manifestation of Langerhans Cell Histiocytosis. American Journal of Case Reports, 23, e937628. [Google Scholar] [CrossRef] [PubMed]
[4] Ando, S., Miyatake, J., Takeda, M., Amakawa, R. and Nakamine, H. (2024) Langerhans Cell Histiocytosis with Unusual Hexagonal Crystals in Addition to Usual Charcot-Leyden Crystals. Report of a Patient with Possible Process of Crystal Formation and Clinical Significance of a “necrotic” Change. International Journal of Surgical Pathology, 33, 153-159. [Google Scholar] [CrossRef] [PubMed]
[5] Aguirre, L.E., Schwartz, I., Chapman, J., Larsen, M.F. and Alencar, A. (2020) Adult Langerhans Cell Histiocytosis Presenting with Multisystem Involvement and Sarcomatoid Features: A Case Report. Journal of Medical Case Reports, 14, Article No. 169. [Google Scholar] [CrossRef] [PubMed]
[6] Li, Q. (2023) Successful Treatment of Langerhans Cell Histiocytosis in an Infant with Vemurafenib: A Case Report and Literature Review. Journal of Dermatological Treatment, 34, Article ID: 2279901. [Google Scholar] [CrossRef] [PubMed]
[7] Cong, C., Ly, T. and Duc, N.M. (2022) Multisystem Langerhans Cell Histiocytosis: Literature Review and Case Report. Radiology Case Reports, 17, 1407-1412. [Google Scholar] [CrossRef] [PubMed]
[8] Rubinstein, T.J., Bennett, A.J. and Parekh, P.H. (2024) Solitary Langerhans Cell Histiocytosis of the Palpebral Conjunctiva Presenting as Leukoplakia: Case and Review of Literature. Ophthalmic Plastic & Reconstructive Surgery, 40, e200-e202. [Google Scholar] [CrossRef] [PubMed]
[9] Ramanathan, A., Weintraub, M., Orlovetskie, N., Serruya, R., Mani, D., Marcu, O., et al. (2020) A Mutation in POLR3E Impairs Antiviral Immune Response and RNA Polymerase III. Proceedings of the National Academy of Sciences, 117, 22113-22121. [Google Scholar] [CrossRef] [PubMed]
[10] Alshareef, R., Alqahtani, A. and Al-Aojan, S. (2024) Maternal Herpes Zoster Infection Preceding Neonatal Langerhans Cell Histiocytosis: Coincidence or Association? Cureus, 16, e70702. [Google Scholar] [CrossRef] [PubMed]
[11] Eder, S.K., Schwentner, R., Ben Soussia, P., Abagnale, G., Attarbaschi, A., Minkov, M., et al. (2022) Vemurafenib Acts as a Molecular On-Off Switch Governing Systemic Inflammation in Langerhans Cell Histiocytosis. Blood Advances, 6, 970-975. [Google Scholar] [CrossRef] [PubMed]
[12] Olexen, C.M., Risnik, D., Lava, M.C., Dalla Vecchia, G.L., Rosso, D.A., Errasti, A.E., et al. (2024) Increased AXLHIGH Myeloid Cells as Pathognomonic Marker in Langerhans Cell Histiocytosis and Langerin Expression Dependence of mTOR Inhibition. Clinical Immunology, 263, Article ID: 110203. [Google Scholar] [CrossRef] [PubMed]
[13] Feng, C., Li, Y., Ke, H., Peng, X., Guo, H., Zhan, L., et al. (2021) Immune Microenvironment in Langerhans Cell Histiocytosis: Potential Prognostic Indicators. Frontiers in Oncology, 11, Article 631682. [Google Scholar] [CrossRef] [PubMed]
[14] Loeza-Suárez, J., Huertas-Castañeda, P.X., Toledo-Carrasquedo, J.M., Trejo-Tejas, A. and Monroy-Chargoy, A. (2025) Langerhans Cell Histiocytosis Presenting in an Adult Patient with a Pleural Effusion. Cureus, 17, e77541. [Google Scholar] [CrossRef] [PubMed]
[15] Krenàcs, L., Tiszalvicz, L., Krenàcs, T. and Boumsell, L. (1993) Immunohistochemical Detection of Cd1a Antigen in Formalin‐Fixed and Paraffin‐Embedded Tissue Sections with Monoclonal Antibody 010. The Journal of Pathology, 171, 99-104. [Google Scholar] [CrossRef] [PubMed]
[16] Bader El Din, N.G. and Farouk, S. (2024) Exploring the Impact of Different Inflammatory Cytokines on Hepatitis C Virus Infection. Journal of Interferon & Cytokine Research, 44, 233-243. [Google Scholar] [CrossRef] [PubMed]
[17] Abbari, I., Gueddari, W. and Bousfiha, A.A. (2024) An Overview of Risk Factors in Children with Febrile Seizures. La Tunisie Médicale, 102, 129-133. [Google Scholar] [CrossRef] [PubMed]
[18] Ranneh, Y., Mahmoud, A.M., Fadel, A., Albujja, M., Akim, A.M., Hamid, H.A., et al. (2021) Acute Inflammation and Oxidative Stress Induced by Lipopolysaccharide and the Ameliorative Effect of Stingless Bee Honey. Combinatorial Chemistry & High Throughput Screening, 24, 744-757. [Google Scholar] [CrossRef] [PubMed]
[19] 朱佳, 方建培. 朗格汉斯细胞组织细胞增生症的诊治进展[J]. 国外医学(儿科学分册), 2005, 32(6): 383-384.
[20] Huynh, K.N. and Nguyen, B.D. (2021) Histiocytosis and Neoplasms of Macrophage-Dendritic Cell Lineages: Multimodality Imaging with Emphasis on PET/CT. RadioGraphics, 41, 576-594. [Google Scholar] [CrossRef] [PubMed]
[21] Dinallo, V., Di Fusco, D., Di Grazia, A., Laudisi, F., Troncone, E., Di Maggio, G., et al. (2021) The Deubiquitinating Enzyme OTUD5 Sustains Inflammatory Cytokine Response in Inflammatory Bowel Disease. Journal of Crohns and Colitis, 16, 122-132. [Google Scholar] [CrossRef] [PubMed]
[22] Elsherif, S.A. and Alm, A.S. (2022) Role of Macrophages in Liver Cirrhosis: Fibrogenesis and Resolution. Anatomy & Cell Biology, 55, 14-19. [Google Scholar] [CrossRef] [PubMed]
[23] Unrau, L., Endig, J., Goltz, D., Sprezyna, P., Ulrich, H., Hagenstein, J., et al. (2021) Smad7 Deficiency in Myeloid Cells Does Not Affect Liver Injury, Inflammation or Fibrosis after Chronic CCL4 Exposure in Mice. International Journal of Molecular Sciences, 22, Article 11575. [Google Scholar] [CrossRef] [PubMed]
[24] 王涛, 苏蓓蓓, 韩大伟, 等. 122例朗格汉斯细胞组织细胞增生症临床分析[J]. 中国医学科学院学报, 2017, 39(2): 206-210.
[25] Tazi, A., de Margerie-Mellon, C., Vercellino, L., Naccache, J.M., Fry, S., Dominique, S., et al. (2016) Extrathoracic Investigation in Adult Patients with Isolated Pulmonary Langerhans Cell Histiocytosis. Orphanet Journal of Rare Diseases, 11, Article No. 11. [Google Scholar] [CrossRef] [PubMed]
[26] Cyrino, L.G., Cesar, A.S., Zumblick, L., Kato, J., Picciarelli, P. and Santo, R.M. (2025) Guardians of the Ocular Surface: Lessons Learned from a Challenging Case of Langerhans Cell Histiocytosis with Eyelid Involvement. Arquivos Brasileiros de Oftalmologia, 88, 1-4. [Google Scholar] [CrossRef] [PubMed]
[27] Stadnikova, A.S., Abbas, W.F., Tamrazova, O.B., Pristanskova, E.A., Zakharova, I.N., Berezhnaya, I.V., et al. (2024) Letterer-Siwe Disease Presenting with Gastrointestinal and Cutaneous Manifestations. Dermatology Online Journal, 29, Article 8. [Google Scholar] [CrossRef] [PubMed]
[28] Sithara, K., Balan, U., Mohammed, P.R. and Stanly, A.S. (2024) Atypical Jaw Swelling in Children: An Unusual Clinical Spectrum of Langerhans Cell Histiocytosis. Journal of Oral and Maxillofacial Pathology, 28, 708-712. [Google Scholar] [CrossRef] [PubMed]
[29] Jiang, Y., Zhang, T., Lu, J. and Zhou, Y. (2024) Penile Skin Lesions and Urinary Tract Obstruction: A Rare Presentation of Langerhans Cell Histiocytosis. Urology Case Reports, 53, Article ID: 102699. [Google Scholar] [CrossRef] [PubMed]
[30] Bonometti, A. (2023) Unifocal Type-3 Mixed Histiocytosis in a 10-Years Old Child. Fetal and Pediatric Pathology, 43, 66-70. [Google Scholar] [CrossRef] [PubMed]
[31] Özyörük, D., Yozgat, A.K., Kaçar, D., Yazal Erdem, A., Işık, M., Güzelküçük, Z., et al. (2021) Successful Treatment of Multiple Relapsed-Refractory Langerhans Cell Histiocytosis with Cyclosporine. Tumori Journal, 107, NP120-NP122. [Google Scholar] [CrossRef] [PubMed]
[32] Gendre, A., Dréno, M., Boyer, J., Thomas, C. and Michel, G. (2023) Cholesteatoma Masquerading as Recurrent Langerhans Cell Histiocytosis. The Journal of International Advanced Otology, 19, 70-73. [Google Scholar] [CrossRef] [PubMed]
[33] Ghassemi, F., Riazi-Esfahani, H., Ebrahimiadib, N., Amini, A. and Mahdizad, Z. (2023) Langerhans Cell Histiocytosis of the Uvea with a Ciliochoroidal Mass: A Case Report of Management with Systemic Therapy. Case Reports in Ophthalmological Medicine, 2023, Article ID: 5543131. [Google Scholar] [CrossRef] [PubMed]
[34] Cao, X., Duan, M., Zhao, A., Cai, H., Chen, J., Gao, X., et al. (2021) Treatment Outcomes and Prognostic Factors of Patients with Adult Langerhans Cell Histiocytosis. American Journal of Hematology, 97, 203-208. [Google Scholar] [CrossRef] [PubMed]
[35] Gao, X., Li, J. and Cao, X. (2022) Signaling Pathways, Microenvironment, and Targeted Treatments in Langerhans Cell Histiocytosis. Cell Communication and Signaling, 20, Article No. 195. [Google Scholar] [CrossRef] [PubMed]
[36] Prapiska, F.F. and Warli, S.M. (2019) P53 and Survival Rate in Penile Cancer. Open Access Macedonian Journal of Medical Sciences, 7, 1170-1173. [Google Scholar] [CrossRef] [PubMed]
[37] Cao, F., Xiu, Y., Mohnasky, M., et al. (2024) Infectious Complications Following CD30 Chimeric Antigen Receptor T-Cell Therapy in Adults. medRxiv.