Novikoff P M, Yam A, Oikawa I
Department of Pathology, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
Am J Pathol. 1996 May;148(5):1473-92.
Small non-epithelial cells with morphological features of blast-like cells are found within a proliferating intrahepatic biliary system after institution in rats of a diethylnitrosamine, 2-acetylaminofluorene, partial hepatectomy carcinogenesis protocol. Two to three days after the partial hepatectomy step of the carcinogen protocol, the small blast-like cells are evident beneath a layer of bile ductule epithelial cells that line the walls of the bile ductules. The basally located small cells are not exposed to the bile ductule lumen or to the surrounding basal lamina. They ranged in size from 3.0 to 5.0 microns, exhibit an undifferentiated phenotype, including a high nucleus-to-cytoplasm ratio and no to minimal differentiated cytoplasmic and surface structures. Mitosis of blast-like cells are evident, and their nuclei express proliferating nuclear cell antigen. The ductal blast-like cells do not express cytokeratin 19, oval cell antigen 270.38, or actin immunoreactivity, in contrast to bile ductule epithelial cells. The basal cells, as well as bile ductule epithelial cells, are negative for a panel of T and B lymphocyte surface markers in contrast to lymphocytes present in the connective tissue stroma surrounding the bile ductules and throughout the hepatic parenchyma. Within some segments of the biliary system, some of the ductal blast-like cells increased in size to approximately 10 microns and showed increased amounts of cytoplasmic organelles and plasma membrane filapodia but did not develop the polarized phenotype of bile ductule epithelial cells (ie, apical microvilli, desmosomes, connections to bile ductule cells, and exposure to duct lumen); however, their nuclear morphology was essentially similar to the smaller basal cells. We also found bile ductules to contain two types of polarized epithelial cells, one with the characteristic oval nucleus of the oval/bile ductule epithelial cells and the other, transitional epithelial cells with a rounder nucleus and prominent nucleoli. The transitional cells exhibit a similar apical-basal polarity and antigenic phenotype as the oval/bile ductule epithelial cells. However, transitional cells are larger and have an overall less dense cytoplasm than the bile ductule epithelial/oval cells, and some show apical microvilli changes and small catalase-positive peroxisomes. These observations indicate that a greater diversity of cell types exist within intrahepatic bile ductules of rats treated with carcinogens. Furthermore, the nonpolarized ductal blast-like cells undergo proliferation and are significantly different in phenotype from other hepatic cells previously reported as candidates for liver progenitor cells.
在给大鼠实施二乙基亚硝胺、2-乙酰氨基芴、部分肝切除致癌方案后,在增生的肝内胆管系统中发现了具有原始细胞样形态特征的小非上皮细胞。在致癌方案的部分肝切除步骤后两到三天,这些小原始细胞样细胞在衬于胆小管壁的胆小管上皮细胞层下方很明显。位于基部的小细胞未暴露于胆小管腔或周围的基膜。它们的大小在3.0至5.0微米之间,表现出未分化的表型,包括高核质比,且几乎没有分化的细胞质和表面结构。原始细胞样细胞的有丝分裂很明显,它们的细胞核表达增殖细胞核抗原。与胆小管上皮细胞相比,导管原始细胞样细胞不表达细胞角蛋白19、卵圆细胞抗原270.38或肌动蛋白免疫反应性。与存在于胆小管周围结缔组织基质和整个肝实质中的淋巴细胞相比,基部细胞以及胆小管上皮细胞对一组T和B淋巴细胞表面标志物呈阴性。在胆管系统的一些节段内,一些导管原始细胞样细胞大小增加到约10微米,显示出细胞质细胞器和质膜丝状伪足数量增加,但未发育出胆小管上皮细胞的极化表型(即顶端微绒毛、桥粒、与胆小管细胞的连接以及暴露于管腔);然而,它们的核形态与较小的基部细胞基本相似。我们还发现胆小管含有两种类型的极化上皮细胞,一种具有卵圆/胆小管上皮细胞特有的椭圆形核,另一种是具有更圆核和明显核仁的过渡上皮细胞。过渡细胞表现出与卵圆/胆小管上皮细胞相似的顶端-基部极性和抗原表型。然而,过渡细胞比胆小管上皮/卵圆细胞更大,细胞质总体密度更低,一些显示顶端微绒毛变化和小的过氧化氢酶阳性过氧化物酶体。这些观察结果表明,在用致癌物处理的大鼠肝内胆小管中存在更多样化的细胞类型。此外,非极化的导管原始细胞样细胞会增殖,并且在表型上与先前报道的作为肝祖细胞候选者的其他肝细胞有显著差异。