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2004 ; 10
(8
): 1208-11
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Hepatic progenitor cells in human liver cirrhosis: immunohistochemical, electron
microscopic and immunofluorencence confocal microscopic findings
#MMPMID15069727
Xiao JC
; Jin XL
; Ruck P
; Adam A
; Kaiserling E
World J Gastroenterol
2004[Apr]; 10
(8
): 1208-11
PMID15069727
show ga
AIM: To investigate whether hepatic progenitor cells (HPC), that reveal the
features of oval cells in rodents and small epithelial cells (SEC) in certain
human liver disease, were also found in human liver cirrhosis (HLC). METHODS:
Surgical liver specimens from 20 cases of hepatitis B virus-positive HLC (15
cases containing hepatocellular carcinoma) were investigated by light microscopic
immunohistochemistry (LM-IHC). Among them specimens from 15 cases were
investigated by electron microscopy (EM) and those from 5 cases by
immunofluorencence confocal laser scanning microscopy (ICLSM). Antibodies against
cytokeratin 7 and albumin were used and single and/or double labelling were
performed respectively. RESULTS: LM-IHC showed that at the margins of
regenerating nodules and in the fibrous septae, a small number of cells in the
proliferating bile ductules were positive for CK7 and albumin. At the EM level
these HPC were morphologically similar to the SEC described previously, and also
similar to the oval cells seen in experimental hepatocarcinogenesis. They were
characterized by their small size, oval shape, a high nucleus/cytoplasm ratio, a
low organelle content in cytoplasm, and existence of tonofilaments and
intercellular junctions. ICLSM revealed that HPC expressed both cytokeratin 7 and
albumin. CONCLUSION: HPC with ultrastructural and immunophenotypical features of
oval cells, i.e., hepatic stem cell-like cells as noted in other liver diseases,
were found in HLC. These findings further support the hypothesis that bipotent
hepatic stem cells, that may give rise to biliary epithelial cells and
hepatocytes, exist in human livers.