Journal of Medical Molecular Biology ›› 2026, Vol. 23 ›› Issue (5): 587-591.doi: 10.3870/j.issn.1672-8009.2026.05.014

• Reviews • Previous Articles     Next Articles

Advances in Diagnosis and Management of Porto-Sinusoidal Vascular Disease

BIAN Hao1, WEI Hongshan1,2   

  1. 1Department of Gastroenterology, Beijing Ditan Hospital, Capital Medical University, Beijing, 100015, China;
    2HBV Infection, Clinical Cure and Immunology Joint Laboratory for Clinical Medicine, Capital Medical University, Beijing, 100015, China
  • Received:2026-04-16 Online:2026-09-30 Published:2026-09-30
  • Contact: WEI Hongshan (E-mail:drwei@ccmu.edu.cn)
  • Supported by:
    HBV Infection, Clinical Cure and Immunotherapy Joint Laboratory of Capital Medical University(No.JL202508) and the Key Program Subproject of the Capital Health Research and Development Special Fund(No.2024-1-4081)

Abstract: Porto-sinusoidal vascular disease (PSVD) is a recently redefined vascular liver disorder characterized by structural injury of the porto-sinusoidal microcirculation and consequent complications related to portal hypertension. With advances in histopathology, transcriptomics, genetic studies, and medical imaging technologies, the diagnostic approach to PSVD has evolved from a primarily exclusion-based clinical diagnosis toward a precision-oriented strategy integrating pathological assessment, molecular profiling, and non-invasive evaluation. This review summarizes recent progress in the pathophysiological and molecular mechanisms, histopathological features, clinical manifestations, molecular and non-invasive diagnostic clues, and therapeutic strategies of PSVD. Furthermore, we discuss future perspectives regarding the development of stratified diagnostic models and mechanism-directed therapeutic approaches for this disease.

Key words: porto-sinusoidal vascular disease, portal hypertension, molecular mechanisms, biomarkers

CLC Number: