The histophysiology and pathophysiology of the peritoneum

[Display omitted] •The peritoneum is a dynamic organ with complex adaptable functions.•Regulation of homeostasis, fluid transport, immune response and tissue repair.•Disturbance of the fine balances leads to serious conditions. The peritoneum is an extensive serous organ with both epithelial and mes...

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Published in:	Tissue & cell Vol. 49; no. 1; pp. 95 - 105
Main Authors:	van Baal, J.O.A.M, Van de Vijver, K.K., Nieuwland, R., van Noorden, C.J.F., van Driel, W.J., Sturk, A., Kenter, G.G., Rikkert, L.G., Lok, C.A.R.
Format:	Journal Article
Language:	English
Published:	Scotland Elsevier Ltd 01.02.2017 Elsevier Science Ltd
Subjects:	Advanced Basic Science Anatomy Anatomy & physiology Ascites Carcinoma - immunology Carcinoma - physiopathology Carcinoma - therapy Cellular Microenvironment Embryogenesis Embryonic growth stage Fibrosis Humans Inflammation - immunology Inflammation - physiopathology Inflammation - therapy Membranes Mesenchyme Microenvironment Pathology Peritoneal carcinomatosis Peritoneal cavity Peritoneal fluid Peritoneum Peritoneum - anatomy & histology Peritoneum - immunology Peritoneum - physiopathology Peritonitis Peritonitis - immunology Peritonitis - physiopathology Peritonitis - therapy Physiology Peritoneal cavity Physiology Microenvironment Anatomy Peritoneal carcinomatosis Peritoneum
ISSN:	0040-8166, 1532-3072, 1532-3072
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Abstract	[Display omitted] •The peritoneum is a dynamic organ with complex adaptable functions.•Regulation of homeostasis, fluid transport, immune response and tissue repair.•Disturbance of the fine balances leads to serious conditions. The peritoneum is an extensive serous organ with both epithelial and mesenchymal features and a variety of functions. Diseases such as inflammatory peritonitis and peritoneal carcinomatosis can induce disturbance of the complex physiological functions. To understand the peritoneal response in disease, normal embryonic development, anatomy in healthy conditions and physiology of the peritoneum have to be understood. This review aims to summarize and discuss the literature on these basic peritoneal characteristics. The peritoneum is a dynamic organ capable of adapting its structure and functions to various physiological and pathological conditions. It is a key element in regulation of inflammatory responses, exchange of peritoneal fluid and prevention of fibrosis in the abdominal cavity. Disturbance of these mechanisms may lead to serious conditions such as the production of large amounts of ascites, the generation of fibrotic adhesions, inflammatory peritonitis and peritoneal carcinomatosis. The difficulty to treat diseases, such as inflammatory peritonitis and peritoneal carcinomatosis, stresses the necessity for new therapeutic strategies. This review provides a detailed background on the peritoneal anatomy, microenvironment and immunologic responses which is essential to generate new hypotheses for future research.
AbstractList	The peritoneum is an extensive serous organ with both epithelial and mesenchymal features and a variety of functions. Diseases such as inflammatory peritonitis and peritoneal carcinomatosis can induce disturbance of the complex physiological functions. To understand the peritoneal response in disease, normal embryonic development, anatomy in healthy conditions and physiology of the peritoneum have to be understood. This review aims to summarize and discuss the literature on these basic peritoneal characteristics. The peritoneum is a dynamic organ capable of adapting its structure and functions to various physiological and pathological conditions. It is a key element in regulation of inflammatory responses, exchange of peritoneal fluid and prevention of fibrosis in the abdominal cavity. Disturbance of these mechanisms may lead to serious conditions such as the production of large amounts of ascites, the generation of fibrotic adhesions, inflammatory peritonitis and peritoneal carcinomatosis. The difficulty to treat diseases, such as inflammatory peritonitis and peritoneal carcinomatosis, stresses the necessity for new therapeutic strategies. This review provides a detailed background on the peritoneal anatomy, microenvironment and immunologic responses which is essential to generate new hypotheses for future research.The peritoneum is an extensive serous organ with both epithelial and mesenchymal features and a variety of functions. Diseases such as inflammatory peritonitis and peritoneal carcinomatosis can induce disturbance of the complex physiological functions. To understand the peritoneal response in disease, normal embryonic development, anatomy in healthy conditions and physiology of the peritoneum have to be understood. This review aims to summarize and discuss the literature on these basic peritoneal characteristics. The peritoneum is a dynamic organ capable of adapting its structure and functions to various physiological and pathological conditions. It is a key element in regulation of inflammatory responses, exchange of peritoneal fluid and prevention of fibrosis in the abdominal cavity. Disturbance of these mechanisms may lead to serious conditions such as the production of large amounts of ascites, the generation of fibrotic adhesions, inflammatory peritonitis and peritoneal carcinomatosis. The difficulty to treat diseases, such as inflammatory peritonitis and peritoneal carcinomatosis, stresses the necessity for new therapeutic strategies. This review provides a detailed background on the peritoneal anatomy, microenvironment and immunologic responses which is essential to generate new hypotheses for future research. Graphical abstract The peritoneum is an extensive serous organ with both epithelial and mesenchymal features and a variety of functions. Diseases such as inflammatory peritonitis and peritoneal carcinomatosis can induce disturbance of the complex physiological functions. To understand the peritoneal response in disease, normal embryonic development, anatomy in healthy conditions and physiology of the peritoneum have to be understood. This review aims to summarize and discuss the literature on these basic peritoneal characteristics. The peritoneum is a dynamic organ capable of adapting its structure and functions to various physiological and pathological conditions. It is a key element in regulation of inflammatory responses, exchange of peritoneal fluid and prevention of fibrosis in the abdominal cavity. Disturbance of these mechanisms may lead to serious conditions such as the production of large amounts of ascites, the generation of fibrotic adhesions, inflammatory peritonitis and peritoneal carcinomatosis. The difficulty to treat diseases, such as inflammatory peritonitis and peritoneal carcinomatosis, stresses the necessity for new therapeutic strategies. This review provides a detailed background on the peritoneal anatomy, microenvironment and immunologic responses which is essential to generate new hypotheses for future research. [Display omitted] •The peritoneum is a dynamic organ with complex adaptable functions.•Regulation of homeostasis, fluid transport, immune response and tissue repair.•Disturbance of the fine balances leads to serious conditions. The peritoneum is an extensive serous organ with both epithelial and mesenchymal features and a variety of functions. Diseases such as inflammatory peritonitis and peritoneal carcinomatosis can induce disturbance of the complex physiological functions. To understand the peritoneal response in disease, normal embryonic development, anatomy in healthy conditions and physiology of the peritoneum have to be understood. This review aims to summarize and discuss the literature on these basic peritoneal characteristics. The peritoneum is a dynamic organ capable of adapting its structure and functions to various physiological and pathological conditions. It is a key element in regulation of inflammatory responses, exchange of peritoneal fluid and prevention of fibrosis in the abdominal cavity. Disturbance of these mechanisms may lead to serious conditions such as the production of large amounts of ascites, the generation of fibrotic adhesions, inflammatory peritonitis and peritoneal carcinomatosis. The difficulty to treat diseases, such as inflammatory peritonitis and peritoneal carcinomatosis, stresses the necessity for new therapeutic strategies. This review provides a detailed background on the peritoneal anatomy, microenvironment and immunologic responses which is essential to generate new hypotheses for future research.
Author	van Baal, J.O.A.M Van de Vijver, K.K. Kenter, G.G. Sturk, A. Rikkert, L.G. van Noorden, C.J.F. Lok, C.A.R. Nieuwland, R. van Driel, W.J.
Author_xml	– sequence: 1 givenname: J.O.A.M surname: van Baal fullname: van Baal, J.O.A.M email: j.v.baal@nki.nl organization: Department of Gynecologic Oncology, Center for Gynecologic Oncology Amsterdam, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands – sequence: 2 givenname: K.K. surname: Van de Vijver fullname: Van de Vijver, K.K. organization: Division of Diagnostic Oncology & Molecular Pathology, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands – sequence: 3 givenname: R. surname: Nieuwland fullname: Nieuwland, R. organization: Department of Clinical Chemistry, Academic Medical Center, Amsterdam, The Netherlands – sequence: 4 givenname: C.J.F. surname: van Noorden fullname: van Noorden, C.J.F. organization: Department of Cell Biology and Histology, Academic Medical Center, Amsterdam, The Netherlands – sequence: 5 givenname: W.J. surname: van Driel fullname: van Driel, W.J. organization: Department of Gynecologic Oncology, Center for Gynecologic Oncology Amsterdam, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands – sequence: 6 givenname: A. surname: Sturk fullname: Sturk, A. organization: Department of Clinical Chemistry, Academic Medical Center, Amsterdam, The Netherlands – sequence: 7 givenname: G.G. surname: Kenter fullname: Kenter, G.G. organization: Department of Gynecologic Oncology, Center for Gynecologic Oncology Amsterdam, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands – sequence: 8 givenname: L.G. surname: Rikkert fullname: Rikkert, L.G. organization: Department of Clinical Chemistry, Academic Medical Center, Amsterdam, The Netherlands – sequence: 9 givenname: C.A.R. surname: Lok fullname: Lok, C.A.R. organization: Department of Gynecologic Oncology, Center for Gynecologic Oncology Amsterdam, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands
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PublicationDate_xml	– month: 02 year: 2017 text: 2017-02-01 day: 01
PublicationDecade	2010
PublicationPlace	Scotland
PublicationPlace_xml	– name: Scotland – name: Amsterdam
PublicationTitle	Tissue & cell
PublicationTitleAlternate	Tissue Cell
PublicationYear	2017
Publisher	Elsevier Ltd Elsevier Science Ltd
Publisher_xml	– name: Elsevier Ltd – name: Elsevier Science Ltd
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Snippet	[Display omitted] •The peritoneum is a dynamic organ with complex adaptable functions.•Regulation of homeostasis, fluid transport, immune response and tissue... Graphical abstract The peritoneum is an extensive serous organ with both epithelial and mesenchymal features and a variety of functions. Diseases such as inflammatory peritonitis...
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SubjectTerms	Advanced Basic Science Anatomy Anatomy & physiology Ascites Carcinoma - immunology Carcinoma - physiopathology Carcinoma - therapy Cellular Microenvironment Embryogenesis Embryonic growth stage Fibrosis Humans Inflammation - immunology Inflammation - physiopathology Inflammation - therapy Membranes Mesenchyme Microenvironment Pathology Peritoneal carcinomatosis Peritoneal cavity Peritoneal fluid Peritoneum Peritoneum - anatomy & histology Peritoneum - immunology Peritoneum - physiopathology Peritonitis Peritonitis - immunology Peritonitis - physiopathology Peritonitis - therapy Physiology
Title	The histophysiology and pathophysiology of the peritoneum
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