Title HBV Infection Involving in Hepatic Progenitor Cells Expansion in HBV-infected End-stage Liver Disease
Authors Wu, Nan
Liu, Feng
Ma, Hui
Zhu, Feng-Xue
Liu, Zhi-Da
Fei, Ran
Chen, Hong-Song
Wang, Hao
Wei, Lai
Affiliation Peking Univ, Peoples Hosp, Inst Hepatol, Beijing 100044, Peoples R China.
Peking Univ, Peoples Hosp, Liver Transplantat Ctr, Beijing 100044, Peoples R China.
Peking Univ, Peoples Hosp, Inst Hepatol, Xizhimen S St 11, Beijing 100044, Peoples R China.
Keywords Hepatic progenitor cells
HBV infection
CHRONIC VIRAL-HEPATITIS
OVAL CELL
B-VIRUS
REGENERATION
SURFACE
BETA
MICE
Issue Date 2009
Publisher hepato gastroenterology
Citation HEPATO-GASTROENTEROLOGY.2009,56,(93),964-967.
Abstract Background/Aims: In chronic hepatitis B, hepatic progenitor cells (HPCs) activation and ductular reactions occurred in periportal and portal area. However, the association between hepatitis B virus (HBV) infection and HPCs activation remains unknown. We aim to investigate the expansion of HPCs in patients with end-stage chronic hepatitis B and its relationship to HBV infection. Methodology: Liver biopsy specimens from 16 cases of end-stage liver disease caused by chronic hepatitis B were studied. The quantities of serum HBV DNA were available in 13 patients. The number of HPCs and the area of ductular reactions were quantitively analyzed on the cytokeratin 7 (CK7)-stained sections. Double-staining combined either HBsAg or HBcAg with CK7 were performed to assess the histological relationship between HBV infection and HPCs activation. Results: All of the sections showed liver cirrhosis and severe inflammation (HAI ranged from 12 to 17). The number of HPCs correlated with the area of ductular reactions positively. Multivariate analysis showed that serum HBV DNA level was independently associated with HPCs activation and ductular reactions. Moreover, the expression area of HBsAg in liver tissue correlated with HPCs activation positively. Conclusions: In end-stage of chronic hepatitis B, the expansion of hepatic progenitor cells and ductular reactions were extensive. HBV infection may be involved in the proliferation of progenitor cells in cirrhotic environments.
URI http://hdl.handle.net/20.500.11897/307488
ISSN 0172-6390
Indexed SCI(E)
PubMed
Appears in Collections: 人民医院

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