Kurumaya H, Ohta G, Nakanuma Y
Second Department of Pathology, School of Medicine, Kanazawa University, Japan.
Arch Pathol Lab Med. 1989 Feb;113(2):143-7.
Endocrine cells in the intrahepatic biliary tree were examined histochemically and immunohistochemically in human infants and adults, as well as in patients with hepatolithiasis. Endocrine cells were sparse but found rather constantly in normal infant livers as well as in adult livers. Almost all endocrine cells were of argyrophil cells or somatostatin-containing cells, and they were usually found in the extramural peribiliary glands in normal livers. On the other hand, in hepatolithiasis in which there were marked proliferation of the peribiliary glands and hyperplasia of surface-lining epithelia, many kinds of endocrine cells were seen in the extramural and intramural peribiliary glands, as well as in the lining epithelial layer. Furthermore, these endocrine cells were hyperplastic in the affected intrahepatic bile duct in two patients with hepatolithiasis. These data suggested that argyrophil cells and somatostatin-containing cells are physiologically present in the intrahepatic biliary tree, and many kinds of other endocrine cells newly appear and even proliferate in hepatolithiasis. These findings imply the participation of reported action of these hormones on bile flow in normal livers and hepatolithiasis.
采用组织化学和免疫组织化学方法,对人类婴幼儿、成人以及肝内胆管结石患者肝内胆管树中的内分泌细胞进行了检测。内分泌细胞在正常婴幼儿肝脏和成人肝脏中较为稀疏,但能持续被发现。几乎所有内分泌细胞均为嗜银细胞或含生长抑素的细胞,它们通常存在于正常肝脏的壁外胆管周围腺体内。另一方面,在胆管周围腺体显著增生且表面衬里上皮细胞增生的肝内胆管结石病例中,在壁外和壁内胆管周围腺体以及衬里上皮层中均可见多种内分泌细胞。此外,在两名肝内胆管结石患者的受累肝内胆管中,这些内分泌细胞呈增生状态。这些数据表明,嗜银细胞和含生长抑素的细胞在生理状态下存在于肝内胆管树中,而在肝内胆管结石时会新出现多种其他内分泌细胞甚至发生增殖。这些发现提示了这些激素对正常肝脏和肝内胆管结石胆汁流动的已知作用的参与情况。