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Mechanisms and reversal strategies of liver fibrosis: from regulation of cell fate to clinical translation

J Transl Med. 2026 May 25. doi: 10.1186/s12967-026-08312-w. Online ahead of print.

ABSTRACT

BACKGROUND: Liver fibrosis is a dynamic and reversible pathological process underlying chronic liver diseases, characterized by excessive extracellular matrix deposition and progressive hepatic architectural distortion. It acts as a critical precursor to cirrhosis, hepatic decompensation, and hepatocellular carcinoma, imposing a substantial global disease burden.

MAIN BODY: Accumulating evidence indicates that liver fibrosis is a highly plastic process governed by multicellular crosstalk, immune microenvironment remodeling, epigenetic-metabolic coupling, and mechanotransduction. This review outlines core cellular effectors and their heterogeneity revealed by single-cell omics, and highlights key regulatory layers including circadian rhythm, epigenetic imprinting, metabolic reprogramming, and the gut-liver axis, as well as etiology-specific differences in fibrosis progression, reversibility, and therapeutic response. We also summarize advances in non-invasive diagnosis and clinical translation of anti-fibrotic therapies, and discuss key bottlenecks leading to clinical trial failures.

CONCLUSION: A deeper understanding of cell fate regulation and multicellular ecosystem remodeling will facilitate the development of precise strategies to achieve meaningful fibrosis regression and improve long-term clinical outcomes in chronic liver diseases.

PMID:42185911 | DOI:10.1186/s12967-026-08312-w

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SentGraph: Hierarchical Sentence Graph for Multi-hop Retrieval-Augmented Question Answering

arXiv:2601.03014v3 Announce Type: replace-cross Abstract: Traditional Retrieval-Augmented Generation (RAG) effectively supports single-hop question answering with large language models but faces significant limitations in multi-hop question answering tasks, which require combining evidence from multiple documents. Existing chunk-based retrieval often provides irrelevant and logically incoherent context, leading to incomplete evidence chains and incorrect reasoning during answer generation. To address these challenges, we propose SentGraph, a sentence-level graph-based RAG framework that explicitly models fine-grained logical relationships between sentences for multi-hop question answering. Specifically, we construct a hierarchical sentence graph offline by first adapting Rhetorical Structure Theory to distinguish nucleus and satellite sentences, and then organizing them into topic-level subgraphs with cross-document entity bridges. During online retrieval, SentGraph performs graph-guided evidence selection and path expansion to retrieve fine-grained sentence-level evidence. Extensive experiments on four multi-hop question answering benchmarks demonstrate the effectiveness of SentGraph, validating the importance of explicitly modeling sentence-level logical dependencies for multi-hop reasoning.
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Fill the GAP: A Granular Alignment Paradigm for Visual Reasoning in Multimodal Large Language Models

arXiv:2605.12374v4 Announce Type: replace-cross Abstract: Visual latent reasoning lets a multimodal large language model (MLLM) create intermediate visual evidence as continuous tokens, avoiding external tools or image generators. However, existing methods usually follow an output-as-input latent paradigm and yield unstable gains. We identify evidence for a feature-space mismatch that can contribute to this instability: dominant visual-latent models build on pre-norm MLLMs and reuse decoder hidden states as predicted latent inputs, even though these states occupy a substantially different norm regime from the input embeddings the model was trained to consume (Xie et al., 2025; Li et al., 2026; Team et al., 2026). This mismatch can make direct latent feedback unreliable. Motivated by this diagnosis, we propose GAP, a Granular Alignment Paradigm for visual latent modeling. GAP aligns visual latent reasoning at three levels: feature-level alignment maps decoder outputs into input-compatible visual latents through a lightweight PCA-aligned latent head; context-level alignment grounds latent targets with inspectable auxiliary visual supervision; and capacity-guided alignment assigns latent supervision selectively to examples where the base MLLM struggles. On Qwen2.5-VL 7B, the resulting model achieves the best mean aggregate perception and reasoning performance among our supervised variants. Inference-time intervention probing further suggests that generated latents provide task-relevant visual signal beyond merely adding token slots.
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