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Lipid storage and interferon response determine the phenotype of ground glass hepatocytes in mice and humans
Yuri Churin 1 , Karuna Irungbam 2 , Christoph S Imiela 2 , David Schwarz 2 , Hans-Joachim Mollenkopf 3 , Uta Drebber 4 , Margarete Odenthal 4 , Oleg Pak 5 , Magdalena Huber 6 , Dieter Glebe 7 , Martin Roderfeld 2 , Elke Roeb 8
Affiliations
Affiliations
1
Department of Gastroenterology, Justus Liebig University, Giessen, Germany; Current address: Institute for Veterinary Food Science, Faculty of Veterinary Medicine, Justus Liebig University, Giessen, Germany.
2
Department of Gastroenterology, Justus Liebig University, Giessen, Germany.
3
Core Facility Microarray, Max Planck Institute for Infection Biology, Berlin, Germany.
4
Institute for Pathology, University Hospital of Cologne, Cologne, Germany; Center for Molecular Medicine, University of Cologne, Cologne, Germany.
5
Excellence Cluster Cardiopulmonary System, University of Giessen and Marburg Lung Center (UGMLC), Justus Liebig University, Giessen, Germany.
6
Institute for Medical Microbiology and Hospital Hygiene, University of Marburg, Marburg, Germany.
7
Institute of Medical Virology, National Reference Centre for Hepatitis B and D Viruses, Justus Liebig University Giessen, Giessen, Germany.
8
Department of Gastroenterology, Justus Liebig University, Giessen, Germany. Electronic address: [email protected].
PMID: 33766783 DOI: 10.1016/j.jcmgh.2021.03.009
Abstract
Background and aims: A histopathological hallmark of chronic hepatitis B virus (HBV) infection is the presence of ground glass hepatocytes (GGHs). GGHs are liver cells that exhibit eosinophilic, granular, glassy cytoplasm in light microscopy and are characterized by accumulation of HBV surface (HBs) proteins in the endoplasmic reticulum (ER). More important, GGHs have been accepted as a precursor of HCC and may represent preneoplastic lesions of the liver.
Methods: Here we show that the reason for ground glass phenotype of hepatocytes in patients with chronic hepatitis B (CHB) and in HBs transgenic mice is a complex formation between HBs proteins and lipid droplets (LDs) within the ER.
Results: As fat is a main component of LDs their presence reduces the protein density of HBs aggregates. Therefore, they adsorb less amount of eosin during hematoxylin-eosin staining and appear dull in light microscopy. However, after induction of interferon response in the liver LDs were not only co-localized with HBs but also distributed throughout the cytoplasm of hepatocytes. The uniform distribution of LDs weakens the contrast between HBs aggregates and the rest of the cytoplasm and complicates the identification of GGHs. Suppression of interferon response restored the ground glass phenotype of hepatocytes.
Conclusion: Complex formation between HBs and LDs represents a very important feature of CHB that could affect LDs functions in hepatocytes. The strain specific activation of the interferon response in the liver of HBs/c mice prevented the development of GGHs. Thus, manipulation of LDs could provide a new treatment strategy in the prevention of liver cancer.
Keywords: GGH; Heptitis B; intracellular aggregates; surface proteins.
Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved. |
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