Nagahama Yasuharu, Sone Masayuki, Chen Xi, Okada Yoko, Yamamoto Masahiro, Xin Bing, Matsuo Yasuhiro, Komatsu Mikiko, Suzuki Akira, Enomoto Katsuhiko, Nishikawa Yuji
Division of Tumor Pathology, Department of Pathology, Asahikawa Medical University, Asahikawa, Japan; Fujii Memorial Research Institute, Otsuka Pharmaceutical Co., Ltd., Otsu, Japan.
Fujii Memorial Research Institute, Otsuka Pharmaceutical Co., Ltd., Otsu, Japan.
Am J Pathol. 2014 Nov;184(11):3001-12. doi: 10.1016/j.ajpath.2014.07.005. Epub 2014 Sep 2.
Mature hepatocytes are suggested to possess a capacity for bile ductular transdifferentiation, but whether and how hepatocytes contribute to ductular reaction in chronic liver diseases has not been elucidated. We examined whether mouse hepatocytes can transdifferentiate into bile ductular cells in vitro, using a three-dimensional collagen gel culture method, and in vivo, using a liver repopulation model in which β-galactosidase-positive hepatocytes from Alb-Cre × ROSA26R mice were transplanted into the liver of wild-type mice. We further examined the relative contribution of intrinsic hepatocytes in ductular reaction in a hepatocyte lineage-tracing model using Mx1-Cre × ROSA26R mice treated with polyinosinic-polycytidylic acid. Within collagen gels, hepatocytes exhibited branching morphogenesis associated with the emergence of bile duct-like phenotype. In the liver repopulation model, many β-galactosidase-positive, hepatocyte-derived bile ductular structures were identified; these markedly increased after liver injury. In Mx1-Cre × ROSA26R mice, relatively minor but significant contributions of hepatocyte-derived bile ductules were observed in both periportal and centrilobular ductular reaction. As the centrilobular ductular reaction progressed, the portal ducts or ductules migrated toward the injured area and joined with hepatocyte-derived ductules, leaving the portal tract without biliary structures. We conclude that hepatocytes and bile ducts or ductules are important sources of ductular reaction and that the intrahepatic biliary system undergoes remarkable remodeling in response to chronic liver injury.
成熟肝细胞被认为具有胆管转分化的能力,但在慢性肝病中,肝细胞是否以及如何参与胆管反应尚未阐明。我们使用三维胶原凝胶培养法在体外以及使用肝脏再填充模型(将来自Alb-Cre×ROSA26R小鼠的β-半乳糖苷酶阳性肝细胞移植到野生型小鼠肝脏中)在体内研究了小鼠肝细胞是否能转分化为胆管细胞。我们还使用聚肌苷酸-聚胞苷酸处理的Mx1-Cre×ROSA26R小鼠,在肝细胞谱系追踪模型中进一步研究了固有肝细胞在胆管反应中的相对贡献。在胶原凝胶内,肝细胞表现出与胆管样表型出现相关的分支形态发生。在肝脏再填充模型中,鉴定出许多β-半乳糖苷酶阳性的、源自肝细胞的胆管结构;肝损伤后这些结构明显增加。在Mx1-Cre×ROSA26R小鼠中,在汇管区和小叶中央胆管反应中均观察到源自肝细胞的胆小管有相对较小但显著的贡献。随着小叶中央胆管反应的进展,门管或小胆管向损伤区域迁移并与源自肝细胞的小胆管汇合,使汇管区没有胆管结构。我们得出结论,肝细胞和胆管或小胆管是胆管反应的重要来源,并且肝内胆管系统在慢性肝损伤反应中经历显著重塑。