Department of Pathology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
Med Hypotheses. 2011 Jun;76(6):809-12. doi: 10.1016/j.mehy.2011.02.024. Epub 2011 Mar 5.
Following an acute injury, the liver may maintain its structure and function through mitotic division of mature hepatocytes (i.e. hepatic regeneration). However, the regeneration ability of hepatocytes can be impaired in chronic liver diseases including chronic viral infection and alcohol abuse. Hepatic progenitor cells/oval cells (HPCs/OCs), capable of differentiation into both hepatocytes and cholangiocytes, occur and proliferate during chronic injury. Unfortunately, a use of HPCs for clinical therapy is blocked by the difficulty of exact identity of HPCs in liver. Focusing on the links between phenotype of HPCs and real stem cells originating from fetal liver or bone marrow (BM), the recent studies of HPCs neglect functional analysis and the close relationship between activation of HPCs and extracellular matrix (ECM) remodeling. It is currently widely accepted that mesenchymal-epithelial transition (EMT) and epithelial-mesenchymal transition (MET) play important roles not only in liver development but also in healing of chronic injured adult liver. Co-expression of epithelial/mesenchymal and HPCs markers has been demonstrated in cells undergoing EMT/MET. These cells led to hepatic regeneration after transplanted into rats with chronic liver injury. Notably, there is an increased expression of mesenchymal markers in HPCs after exposure to transforming growth factor-beta1 (TGF-β1). Based on these evidences, we hypothesize that HPCs represent a transitioning cell population undergoing EMT/MET, both parenchymal and mesenchymal cells of liver may be the direct sources of HPCs.
在急性损伤后,肝脏可能通过成熟肝细胞的有丝分裂分裂来维持其结构和功能(即肝再生)。然而,慢性肝病(包括慢性病毒感染和酗酒)会损害肝细胞的再生能力。肝祖细胞/卵圆细胞(HPCs/OCs)在慢性损伤期间发生并增殖,能够分化为肝细胞和胆管细胞。不幸的是,由于肝脏中 HPCs 的确切身份难以确定,因此 HPCs 的临床应用受到了阻碍。研究人员关注 HPCs 的表型与来源于胎儿肝脏或骨髓(BM)的真正干细胞之间的联系,而忽略了对 HPCs 功能分析以及 HPCs 的激活与细胞外基质(ECM)重塑之间的密切关系。目前人们普遍认为,间质上皮转化(EMT)和上皮间质转化(MET)不仅在肝脏发育中而且在慢性损伤的成年肝脏的修复中都起着重要作用。在经历 EMT/MET 的细胞中已经证明了上皮/间充质和 HPCs 标志物的共表达。这些细胞在移植到慢性肝损伤大鼠后导致了肝再生。值得注意的是,TGF-β1 暴露后 HPCs 中间充质标志物的表达增加。基于这些证据,我们假设 HPCs 代表经历 EMT/MET 的过渡细胞群,肝的实质细胞和间充质细胞可能是 HPCs 的直接来源。