Miles and Shirley Fiterman Center for Digestive Diseases, Mayo Clinic College of Medicine, 200 First Street, SW, Rochester, MN 55905, USA.
Am J Pathol. 2010 Mar;176(3):1282-91. doi: 10.2353/ajpath.2010.090658. Epub 2010 Jan 21.
Polycystic liver diseases, the most important of which are autosomal dominant and autosomal recessive polycystic kidney diseases, are incurable pathological conditions. Animal models that resemble human pathology in these diseases provide an opportunity to study the mechanisms of cystogenesis and to test potential treatments. Here we demonstrate that Pkd2ws25/- mice, an animal model of autosomal dominant polycystic kidney disease, developed hepatic cysts. As assessed by micro-computed tomography scanning of intact livers and by light microscopy of hepatic tissue, hepatic cystic volumes increased from 12.82+/-3.16% (5- to 8-month-old mice) to 21.58+/-4.81% (9- to 12-month-old mice). Renal cystogenesis was more severe at early stages of disease: in 5- to 7-month-old mice, cystic volumes represented 40.67+/-5.48% of kidney parenchyma, whereas in older mice cysts occupied 31.04+/-1.88% of kidney parenchyma. Mild fibrosis occurred only in liver, and its degree was unchanged with age. Hepatic cysts were lined by single or multiple layers of squamous cholangiocytes. Cystic cholangiocyte cilia were short and malformed, whereas in renal cysts they appeared normal. In Pkd2ws25/- mice, mitotic and apoptotic indices in both kidney and liver were increased compared with wild-type mice. In conclusion, Pkd2ws25/- mice exhibit hepatorenal pathology resembling human autosomal dominant polycystic kidney disease and represent a useful model to study mechanisms of cystogenesis and to evaluate treatment options.
多囊肝疾病,其中最重要的是常染色体显性遗传多囊肾病和常染色体隐性遗传多囊肾病,是无法治愈的病理状况。在这些疾病的动物模型中,与人类病理学相似的动物模型为研究囊肿形成的机制和测试潜在治疗方法提供了机会。在这里,我们证明 Pkd2ws25/- 小鼠,一种常染色体显性遗传多囊肾病的动物模型,发展出了肝囊肿。通过对完整肝脏进行微计算机断层扫描和对肝组织进行光镜检查,肝囊肿体积从 12.82+/-3.16%(5-8 月龄小鼠)增加到 21.58+/-4.81%(9-12 月龄小鼠)。肾囊肿形成在疾病的早期阶段更为严重:在 5-7 月龄的小鼠中,囊肿体积占肾脏实质的 40.67+/-5.48%,而在年龄较大的小鼠中,囊肿占据肾脏实质的 31.04+/-1.88%。轻度纤维化仅发生在肝脏,其程度不随年龄而变化。肝囊肿由单层或多层鳞状胆管细胞排列而成。囊性胆管细胞纤毛短小且畸形,而在肾囊肿中则表现正常。在 Pkd2ws25/- 小鼠中,与野生型小鼠相比,肾脏和肝脏的有丝分裂和凋亡指数均增加。总之,Pkd2ws25/- 小鼠表现出类似于人类常染色体显性遗传多囊肾病的肝肾病理学特征,是研究囊肿形成机制和评估治疗选择的有用模型。