李崇辉, 叶晟, 张爱群, 徐鸿滨, 潘可, 董家鸿, 黄志强. 胆汁淤积致肝内胆管上皮细胞间质表型转变的病理学分析[J]. 解放军医学院学报, 2012, 33(3): 251-254. DOI: CNKI:11-3275/R.20110914.1025.001
引用本文: 李崇辉, 叶晟, 张爱群, 徐鸿滨, 潘可, 董家鸿, 黄志强. 胆汁淤积致肝内胆管上皮细胞间质表型转变的病理学分析[J]. 解放军医学院学报, 2012, 33(3): 251-254. DOI: CNKI:11-3275/R.20110914.1025.001
LI Chong-hui, YE Sheng, ZHANG Ai-qun, XU Hong-bin, PAN Ke, DONG Jia-hong, HUANG Zhi-qiang. Pathology of cholestasis-induced intrahepatic epithelial-mesenchymal transition[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(3): 251-254. DOI: CNKI:11-3275/R.20110914.1025.001
Citation: LI Chong-hui, YE Sheng, ZHANG Ai-qun, XU Hong-bin, PAN Ke, DONG Jia-hong, HUANG Zhi-qiang. Pathology of cholestasis-induced intrahepatic epithelial-mesenchymal transition[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(3): 251-254. DOI: CNKI:11-3275/R.20110914.1025.001

胆汁淤积致肝内胆管上皮细胞间质表型转变的病理学分析

Pathology of cholestasis-induced intrahepatic epithelial-mesenchymal transition

  • 摘要: 目的 探讨胆汁性肝纤维化时胆管上皮细胞发生间质表型转变的特点。 方法 制作胆管结扎所致大鼠肝纤维化模型,利用HE染色、免疫组化和免疫荧光等方法,检测术后1周和2周时肝内胆管细胞的上皮和间质标志物的表达情况。 结果 大鼠胆管结扎后胆汁淤积,引起肝内汇管区胆管细胞显著增生以及围胆管成纤维细胞和纤维基质增加。免疫组化结果显示,假手术组和胆管结扎组大鼠胆管细胞均表达上皮细胞标志蛋白CK19,但胆管结扎组肝内胆管细胞也表达间质细胞标志物Vimentin和FSP1/S100A4。胆管结扎1周时,汇管区内新生小胆管呈Vimentin强阳性,2周时增生胆管周围许多细胞也呈Vimentin阳性。但两组大鼠胆管细胞均不表达肌成纤维细胞标志物α-SMA,α-SMA阳性细胞主要分布于汇管区胆管细胞周围。 结论 在胆汁性肝纤维化进程中胆管细胞增生并发生一定程度的上皮-间质表型转变,可能促进了肝纤维化的发生。

     

    Abstract: Objective To study the characteristics of cholestasis-induced epithelial-mesenchymal transition(EMT) in biliary duct of rats with biliary fibrosis. Methods A rat biliary fibrosis model was induced by bile duct ligation(BDL).Expression of markers in cholestasis-induced EMT of rats with biliary fibrosis was detected with H&E,immunohistochemistry and immunofluorescence staining. Results The cholangiocytes in hepatic portal area,fibroblasts around biliary duct,and fiber matrix were significantly increased in rats due to cholestasis after BDL.Immunohistochemistry showed that the epithelial marker,cytokeratin 19(CK19),was expressed in hepatic cholangiocytes of sham-operation group and BDL group.However,the mesenchymal cell markers,vimentin and FSP1/S100A4,were only expressed in hepatic cholangiocytes of BDL group.The mesenchymal cell marker,vimentin,in new bile canaliculi of portal area was strongly positive in rats 1 week after BDL and positive in many cells around the proliferated bile duct in rats 2 weeks after BDL.The myofibroblast marker,α-SMA,was not expressed in sham-operation group and BDL group,and the α-SMA positive cells were mainly distributed around the cholangiocytes in portal area. Conclusion Proliferation and EMT of intrahepatic cholangiocytes occur during cholestasis-induced biliary fibrosis in rats,thus contributing to hepatic fibrosis.

     

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