Sanzen T, Harada K, Yasoshima M, Kawamura Y, Ishibashi M, Nakanuma Y
Second Department of Pathology, Kanazawa University School of Medicine, Kanazawa, Japan.
Am J Pathol. 2001 May;158(5):1605-12. doi: 10.1016/S0002-9440(10)64116-8.
Caroli's disease (congenital intrahepatic biliary dilatation) associated with congenital hepatic fibrosis is an autosomal recessive polycystic kidney disease. Recently, the polycystic kidney (PCK) rat, a spontaneous mutant derived from a colony of CRJ:CD rats with polycystic lesions in the liver and an autosomal recessive mode of inheritance, was reported. In the present study, the pathology of the hepatobiliary system and the biliary cell-kinetics were evaluated in fetuses (day 18 to 21 of gestation) and neonates and adults (1 day to 4 months after delivery) of PCK rats. CRJ:CD rats were used as a control. Multiple segmental and saccular dilatations of intrahepatic bile ducts were first observed in fetuses at 19 days of gestation. The dilatation spread throughout the liver and the degree of dilatation increased with aging. Gross and histological features characterizing ductal plate malformation were common in the intrahepatic bile ducts. Overgrowth of portal connective tissue was evident and progressive after delivery. These features were very similar to those of Caroli's disease with congenital hepatic fibrosis. Proliferative activity in the biliary epithelial cells was greater in PCK rats than controls during the development. In contrast, the biliary epithelial apoptosis was less extensive in PCK rats than the controls until 1 week after delivery, but greater after 3 weeks, suggesting that the remodeling defect in immature bile ducts associated with the imbalance of cell kinetics plays a role in the occurrence of intrahepatic biliary anomalies in PCK rats. The PCK rat could be a useful and promising animal model of Caroli's disease with congenital hepatic fibrosis.
与先天性肝纤维化相关的卡罗里病(先天性肝内胆管扩张症)是一种常染色体隐性遗传性多囊肾病。最近,报道了一种多囊肾(PCK)大鼠,它是从一群CRJ:CD大鼠中自发突变而来,肝脏有多囊性病变,呈常染色体隐性遗传模式。在本研究中,对PCK大鼠的胎儿(妊娠第18至21天)、新生儿以及成年大鼠(出生后1天至4个月)的肝胆系统病理和胆管细胞动力学进行了评估。以CRJ:CD大鼠作为对照。在妊娠19天的胎儿中首次观察到肝内胆管的多节段和囊状扩张。这种扩张蔓延至整个肝脏,且扩张程度随年龄增长而增加。肝内胆管中具有导管板畸形特征的大体和组织学表现很常见。出生后门脉结缔组织过度生长明显且呈进行性发展。这些特征与伴有先天性肝纤维化的卡罗里病非常相似。在发育过程中,PCK大鼠胆管上皮细胞的增殖活性高于对照组。相反,直到出生后1周,PCK大鼠胆管上皮细胞凋亡程度低于对照组,但在3周后则高于对照组,这表明与细胞动力学失衡相关的未成熟胆管重塑缺陷在PCK大鼠肝内胆管异常的发生中起作用。PCK大鼠可能是一种有用且有前景的伴有先天性肝纤维化的卡罗里病动物模型。