University of Bari, Bari, Italy.
Eur J Clin Invest. 2010 May;40(5):393-400. doi: 10.1111/j.1365-2362.2010.02273.x. Epub 2010 Mar 22.
Hepatocytes are polarized epithelial cells with three morphologically and functionally distinct membrane surfaces: the sinusoidal, lateral and canalicular surface domains. These domains differ from each other in the expression of integral proteins, which concur to their polarized functions. We hypothesize that the cholestasis-induced alterations led to partial loss of hepatocyte polarity. An altered expression of membrane proteins may be indicative of functional disorders. Alkaline liver phosphatase (ALP), one of the most representative plasma membrane glycoproteins in hepatocytes, is expressed at the apical (canalicular) pole of the cell. Because the release of ALP protein in the bloodstream is significantly increased in cholestasis, the enzymatic levels of plasma ALP have major relevance in the diagnosis of cholestatic diseases. Here we assess the cholestasis-induced redistribution of membrane glycoproteins to investigate the ALP release.
We performed enzymatic histochemistry, immunohistochemistry, lectin histochemistry, immunogold and lectin-and immunoblotting studies. Experimental cholestasis was induced in rats by ligation of common bile duct (BDL).
The BDL led to altered membrane sialoglycoprotein targeting as well as to ultrastructural and functional disorders. Disarrangement of the microtubular system, thickening of the microfilamentous pericanalicular ectoplasm and disturbance of the vectorial trafficking of membrane glycoprotein containing vesicles were found.
Altogether, results indicate that the cholestasis-induced partial loss of hepatocyte cell polarity leads to mistranslocation of ALP to the sinusoidal plasma membrane from where the enzyme is then massively released into the bloodstream.
肝细胞是具有三种形态和功能不同的膜表面的极化上皮细胞:窦状、侧和胆管表面区域。这些区域在整合蛋白的表达上彼此不同,这些整合蛋白共同促成它们的极化功能。我们假设胆汁淤积引起的改变导致了肝细胞极性的部分丧失。膜蛋白的改变表达可能表明功能障碍。碱性肝磷酸酶(ALP)是肝细胞中最具代表性的质膜糖蛋白之一,表达在细胞的顶端(胆管)极。由于胆汁淤积时 ALP 蛋白在血液中的释放显著增加,因此血浆 ALP 的酶水平在胆汁淤积性疾病的诊断中具有重要意义。在这里,我们评估膜糖蛋白的胆汁淤积诱导重分布,以研究 ALP 的释放。
我们进行了酶组织化学、免疫组织化学、凝集素组织化学、免疫金和凝集素-免疫印迹研究。通过结扎胆总管(BDL)在大鼠中诱导实验性胆汁淤积。
BDL 导致膜唾液酸糖蛋白靶向改变以及超微结构和功能障碍。发现微管系统的排列紊乱、微丝状的近管腔胞外质增厚以及含有囊泡的膜糖蛋白的向量性运输紊乱。
总之,结果表明,胆汁淤积引起的肝细胞极性部分丧失导致 ALP 从窦状血浆膜错误转位,然后大量释放到血液中。