Hepatic progenitor cells in human liver diseases

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Abstract

The canals of Hering and bile ductules in human liver contain hepatic progenitor cells that can differentiate towards the biliary and hepatocytic lineage. Proliferation and differentiation of hepatic progenitor cells is referred to as ‘activation’ and this process occurs to a variable degree in almost all human liver diseases. Several studies indicate that hepatic progenitor cell activation in diseased liver is regulated by neural and neuroendocrine factors such as the vagal innervation. Analogous to oval cells in animal liver, there is evidence that human hepatic progenitor cells may be able to give rise to hepatocellular carcinoma and other liver tumors.

Section snippets

Hepatic progenitor cells in human liver: localization, phenotype and comparison to animal liver

Hepatic progenitor cells (HPCs) are small epithelial cells with an oval nucleus and scant cytoplasm. They were firstly described in rat liver and the shape of their nucleus inspired Farber1 to coin them ‘oval cells’. This name has since then consistently been used for HPCs in animal liver. It has been shown in both animal and human liver that HPCs are bipotential cells that can differentiate towards the biliary and the hepatocytic lineage.2., 3., 4., 5., 6., 7., 8. Differentiation towards

Activation of human hepatic progenitor cells

‘Activation’ of HPCs or oval cells is a term which is used to refer to an increase in the number of HPCs and differentiation of the HPCs towards the biliary and/or hepatocytic lineage.23., 24. HPC activation only takes place when damage and loss of hepatocytes and/or cholangiocytes is combined with impaired regeneration of the mature cell type involved.25 Since almost all human liver diseases are characterized by a certain degree of damage, loss and impaired regeneration of hepatocytes and/or

The role of hepatic progenitor cells in tumor development in animal and human liver

It has been thought for a long time that the mature hepatocyte represents the cell of origin of all hepatocellular carcinomas (HCCs). The results of several studies performed in recent years indicate that this concept is not correct. In a number of animal models of hepatocarcinogenesis, the development of HCC is preceded by oval cell activation and the HCCs in these animal models express oval cell marker such as OV-6 and alpha-fetoprotein.39., 57., 58., 59. This indicates that oval cells

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