Rockey D C, Boyles J K, Gabbiani G, Friedman S L
Liver Center Laboratory, San Francisco General Hospital, University of California.
J Submicrosc Cytol Pathol. 1992 Apr;24(2):193-203.
Myofibroblasts are mesenchymal cells that are prominent in liver injury. The origin of myofibroblasts in liver is debated, although morphologic evidence to date has suggested that these cells are derived from lipocytes (fat-storing cells, Ito cells). In the present study, we have utilized smooth muscle alpha actin antibody--a marker of myofibroblasts and smooth muscle cells--to study lipocytes in situ in normal and fibrotic rat liver as well as during their 'activation' in culture. Dual immunofluorescence studies on tissue sections from normal liver identified lipocytes as perisinusoidal desmin-positive, smooth muscle alpha actin-negative cells. In bile duct obstructed fibrotic liver, desmin-positive cells were numerous in areas of fibrosis and these cells also exhibited smooth muscle alpha actin. In carbon tetrachloride-induced fibrosis, cells expressing both desmin and smooth muscle alpha actin were present in fibrotic bands and in regenerating nodules. These results suggested that lipocytes had acquired characteristics of myofibroblasts during liver injury. To further address this issue we examined lipocytes immediately after isolation and also in primary culture. In freshly isolated lipocytes from normal liver, smooth muscle alpha actin was absent. In contrast, freshly isolated lipocytes from CCl4-treated animals expressed this smooth muscle marker immediately after isolation. In primary culture on plastic, lipocytes from normal liver began to express smooth muscle alpha actin coincident with culture-induced activation; at 14 days, smooth muscle alpha actin was identified in all cells. Electron microscopy demonstrated a highly developed array of microfilament bundles characteristic of actin filaments. Immunoblot of culture-activated lipocytes using the smooth muscle alpha actin antibody demonstrated the expected 42 kD protein (corresponding to the molecular size of smooth muscle alpha actin). Although smooth muscle alpha actin was readily detectable in culture-activated cells, it was not expressed in cells in which a quiescent phenotype was preserved by maintenance in culture on a laminin-rich gel. These findings demonstrate that the acquisition by lipocytes of a smooth muscle marker accompanies their 'activation', and are consistent with the hypothesis that lipocytes transform to myofibroblasts during liver injury.
肌成纤维细胞是在肝损伤中显著存在的间充质细胞。肝中肌成纤维细胞的起源存在争议,尽管迄今为止的形态学证据表明这些细胞来源于脂肪细胞(贮脂细胞、伊托细胞)。在本研究中,我们利用平滑肌α肌动蛋白抗体(一种肌成纤维细胞和平滑肌细胞的标志物)来研究正常和纤维化大鼠肝脏中的原位脂肪细胞,以及它们在培养过程中的“激活”情况。对正常肝脏组织切片进行的双重免疫荧光研究将脂肪细胞鉴定为肝血窦周围结蛋白阳性、平滑肌α肌动蛋白阴性的细胞。在胆管阻塞性纤维化肝脏中,结蛋白阳性细胞在纤维化区域大量存在,并且这些细胞也表现出平滑肌α肌动蛋白。在四氯化碳诱导的纤维化中,同时表达结蛋白和平滑肌α肌动蛋白的细胞存在于纤维化带和再生结节中。这些结果表明脂肪细胞在肝损伤过程中获得了肌成纤维细胞的特征。为了进一步探讨这个问题,我们在分离后立即以及在原代培养中检查了脂肪细胞。在从正常肝脏新鲜分离的脂肪细胞中,不存在平滑肌α肌动蛋白。相反,从经四氯化碳处理的动物新鲜分离的脂肪细胞在分离后立即表达这种平滑肌标志物。在塑料上进行原代培养时,来自正常肝脏的脂肪细胞开始表达平滑肌α肌动蛋白,这与培养诱导的激活同时发生;在14天时,所有细胞中都鉴定出了平滑肌α肌动蛋白。电子显微镜显示出高度发达的微丝束阵列,这是肌动蛋白丝的特征。使用平滑肌α肌动蛋白抗体对培养激活的脂肪细胞进行免疫印迹显示出预期的42 kD蛋白(对应于平滑肌α肌动蛋白的分子大小)。尽管在培养激活的细胞中很容易检测到平滑肌α肌动蛋白,但在富含层粘连蛋白的凝胶上培养以维持静止表型的细胞中不表达。这些发现表明脂肪细胞获得平滑肌标志物伴随着它们的“激活”,并且与脂肪细胞在肝损伤期间转化为肌成纤维细胞的假设一致。