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From the Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin
| Abstract |
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| Introduction |
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Several lines of evidence suggest that oval cells may be transitional
cells in a facultative stem cell lineage that ultimately gives rise to
mature hepatocytes in cases of severe hepatic injury. Oval cells are
often found in tight association with intermediate cells that display
morphological characteristics of both hepatocytes and biliary
epithelial cells11,13,16,17,22,23,33,34
; oval cells also
can share tight junctions, desmosomes, and bile canalicular-like
structures with neighboring hepatocytes.26,28,34
Although oval cells are a heterogeneous population, a subset
expresses hepatocyte-specific genes such as
-fetoprotein and
albumin11,12,15,17,18,21-23,25,30
. Immunohistochemical
staining has demonstrated that oval and biliary epithelial cell
antigens are present on some hepatocytes after severe liver damage in
rodents.13,32
Cultured rat liver epithelial cells
(oval-like cells) can serve as progenitor cells for normal hepatocytes
or hepatocellular carcinomas after intrahepatic or subcutaneous
transplantation.35-38
Finally, and most importantly, when
[3H]thymidine was used to prelabel oval cells
in two different rat models of hepatocyte mitoinhibition, the
label was found later in basophilic hepatocytes, suggesting that the
hepatocytes may be progeny of the oval cells.11,12,20,22
Taken together, these data suggest that a precursor-product
relationship may exist between oval cells and hepatocytes.
Although there are persuasive data that support a role for oval cells as a transitional cell type in a lineage that can produce hepatocytes in adult liver, the evidence is not conclusive.10,14,24,27 Limitations of previous approaches include 1) reliance on examination of fixed liver sections collected at multiple time points from different animals for morphological studies, 2) the possibility of altered cell lineage potential in cultured cells, and 3) the difficulty of interpreting in vivo labeling due to potential label transfer between cells or label dilution in replicating cells. For example, some investigators were unable to find intermediate cells associated with oval cells,27 and others were unable to find evidence of label transfer from the oval cell fraction to hepatocytes.14 Thus a principal difficulty in determining whether oval cells are part of a facultative stem cell lineage is that much of the evidence has been circumstantial; transitions of individual cells from one cell type to another cannot be observed in a live animal. In this study, we used in vivo marking of cell lineage based on a genetic difference (transgene status) between hepatocytes and nonhepatocytes to identify the cellular source of small hepatocyte foci in dipin-treated mouse liver. In particular, we wished to determine whether these new hepatocytes could be derived from hepatocytes that escape dipin-mediated lethality, rather than exclusively from a nonhepatocytic facultative stem cell population.
| Materials and Methods |
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Mice carrying a major urinary protein (MUP)-urokinase-type plasminogen activator (uPA) fusion transgene were used as hepatocyte recipients. Construction of the MUP-uPA transgene construct has been described (Weglarz et al, manuscript submitted for publication). Briefly, the transgene was generated by joining the MUP gene promoter to the uPA coding sequence and substituting 3' noncoding DNA, including the poly(A) addition signal from the human growth hormone gene. The fusion construct was microinjected into fertilized C57BL/6 strain mouse eggs using standard methods.39 MUP-uPA mice were identified by polymerase chain reaction, using a forward probe specific for uPA, 5'-GCGATTCTGGAGGACCGCTTATC-3', and a reverse probe specific for human growth hormone, 5'-TTAGGACAAGGCTGGTGGGCACTG-3'. Genomic DNA extracted from tail tissue was amplified in a 25-µl reaction mixture under the following conditions: 1) 92°C for 2 minutes; 2) 35 cycles of 45 seconds at 92°C, 1 minute at 60°C, and 1 minute at 72°C; and 3) 72°C for 5 minutes. Transgene DNA displayed an amplified product band of 300 bp on an agarose gel.
Transgenic mice expressing uPA in hepatocytes display hepatocellular lesions.1,40 In albumin promoter-uPA mice (AL-uPA), a small fraction of hepatocytes physically delete transgene DNA. These transgene-deficient hepatocytes, liberated from the toxic effects of uPA expression, proliferate at the expense of remaining uPA-expressing cells, eventually leading to complete clonal repopulation of the liver by endogenous transgene-deficient hepatocytes. This model also has been used to achieve replacement of diseased liver by transplanted healthy hepatocytes.2 Typically transplant recipients display between 20% and 80% repopulation by donor hepatocytes, with the remaining parenchyma composed of endogenous transgene-deficient hepatocytes. MUP-uPA transgenic mice develop liver disease resembling that described for AL-uPA transgenic mice and similarly permit extensive parenchymal repopulation by transplanted healthy hepatocytes (Weglarz et al, manuscript submitted for publication).
Hepatocyte donor mice carried the metallothionein (MT)-nLacZ transgene.2 Expression from the MT enhancer/promoter is inducible in liver by heavy metals (zinc or cadmium). The MT-nLacZ transgene encodes ß-galactosidase (ß-gal) protein that localizes to the nucleus; cells that contain this protein can be detected both histochemically and immunohistochemically. MT-nLacZ mice were identified by polymerase chain reaction, using the forward probe 5'-CAGAGCGGGTAAACTGGCTCGGATTAG-3' and the reverse probe 5'-GACACCAGACCAACTGGTAATGGTAGC-3'. Genomic DNA extracted from tail tissue was amplified in a 25-µl reaction mixture under the following conditions: 1) 94°C for 3 minutes; 2) 35 cycles of 30 seconds at 94°C, 1 minute at 55°C, and 1 minute at 72°C; and 3) 72°C for 7 minutes. Transgene DNA displayed an amplified product band of 400 bp on an agarose gel.
Mice were housed in AAALAC-accredited facilities, and all husbandry and experimental procedures were conducted in accordance with the Guide for the Care and Use of Laboratory Animals and approved by the School of Veterinary Medicine Animal Care and Use Committee. Certain transgenic mice used in these studies have been assigned the following genetic designations: MUP-uPA line 3502, TgN(MupPlau)1Eps; MT-nLacZ line 3794, TgN (Mt1nLacZ)4Eps.
Hepatocyte Isolation and Cell Transplantation
To control for genetic background effects, all donor and recipient mice in these studies were (C57BL/6xFVB)F1 hybrids. Hepatocytes were isolated from adult mice carrying the MT-nLacZ transgene, using standard two-step EDTA-collagenase liver perfusion.41 The isolated cells were collected in L15 medium (Gibco) and centrifuged at 4°C for 1 minute at 440 x g, and the resulting cell pellet was resuspended in L15. A sample from each of three donor cell populations collected with this procedure was placed on a slide and examined microscopically. In those samples, hepatocytes comprised between 74% and 88% of all cells. Examination of Trypan blue-stained cells with a hemacytometer indicated that this procedure routinely yielded approximately 107 hepatocytes per mouse, with viability ranging from 60% to 90%. Cells were stored on ice. For transplantation, 2- to 5-week-old recipient mice were anesthetized with Avertin, and cells were surgically injected into recipient mouse spleen with a threaded-plunger syringe (product 81041; Hamilton Company, Reno, NV) with a 26-gauge needle. Each recipient animal received between 2.3 and 8.6 x 105 viable donor hepatocytes.
Dipin Treatment
Dipin (1,4-bis[N,N'-di(ethylene)-phosphamide]piperazine) was synthesized at the All Union Pharmaceutical Research Institute, Russia (a gift of Dr. Valentina Factor). Dipin is an alkylating agent that induces chromosomal breakage in dividing cells. Mice over 19 weeks old (at least 15 weeks after transplant) were given 60120 mg dipin/kg body weight in phosphate-buffered saline (PBS) by intraperitoneal injection; control mice were injected with PBS. Approximately 2 hours later, mice were anesthetized, and a two-thirds partial hepatectomy was performed by surgical removal of the left and median liver lobes.42 Tissue removed at partial hepatectomy was fixed and saved for analysis. Mice were allowed to recover on a warm plate and were sacrificed between 2 and 23 weeks after the operation.
Tissue Procedures
To induce MT-nLacZ expression in donor cells, recipient mice were given 25 mmol/L zinc sulfate in drinking water before partial hepatectomy or received a single intraperitoneal injection of cadmium sulfate (1 mg Cd2+/kg body weight) approximately 20 hours before sacrifice. Liver removed during two-thirds hepatectomy and after mice were killed by CO2 euthanasia was subjected to histochemical and immunohistochemical analysis.
Separate pieces from each liver lobe were fixed at 4°C in 4% paraformaldehyde for 12 hours or submerged in OCT compound and frozen in liquid nitrogen for subsequent cryostat sectioning. One-half of each paraformaldehyde-fixed lobe was stained histochemically to identify LacZ-expressing donor cells on the liver surface, using the substrate 5-bromo-4-chloro-3-indoyl-ß-D-galactoside (X-gal) (United States Biological).2 Remaining paraformaldehyde-fixed tissues were transferred to 70% ethanol, embedded in paraffin, sectioned, stained with hematoxylin and eosin (H&E), and examined microscopically. Some paraformaldehyde-fixed, paraffin sections were rehydrated and stained immunohistochemically (see below) to identify ß-gal-containing cells. Finally, tissue frozen in OCT compound was cryostat sectioned, fixed for 10 minutes at 4°C in 1.25% glutaraldehyde, and stained histochemically with X-gal to identify ß-gal-containing cells.2
For immunohistochemistry to identify ß-galactosidase, paraffin sections were stained with a polyclonal rabbit antiserum (7-063100; Eppendorf-5 Prime, Boulder, CO). Endogenous peroxidase activity was blocked with 0.5% hydrogen peroxide in methanol. The antiserum was diluted to between 1:50 and 1:150 in PBS plus 0.1% nonfat dried milk and applied overnight at 4°C. The secondary antibody was biotinylated anti-rabbit (HK3369R; BioGenex, San Ramon, CA), and the label was peroxidase-conjugated streptavidin (HK3305K; BioGenex). Color development was performed with diaminobenzidine peroxidase substrate (Sigma; D-4293).
The A6 rat monoclonal antibody (provided by Dr. Valentina Factor) was used on frozen sections to immunohistochemically detect cell membrane antigens on mouse oval and biliary epithelial cells.32,34 Cryostat sections were thawed to room temperature and fixed in 1.25% glutaraldehyde for 10 minutes at 4°C or in 100% ethanol for 5 minutes at 4°C. Endogenous peroxidase activity was blocked with 0.5% hydrogen peroxide in methanol. The A6 antibody was diluted by 1:30 to 1:100 in PBS plus 0.1% nonfat dried milk and applied overnight at room temperature. The secondary antibody was biotinylated anti-rat (HK3939T, 1:10 dilution; BioGenex), and the label was peroxidase-conjugated streptavidin (HK3305K, 1:10 dilution; BioGenex). Color development was performed with diaminobenzidine peroxidase substrate.
Quantitation of Parenchymal Repopulation by Donor Cells
The percentage of the hepatic surface area occupied by blue-staining donor cells in pieces of whole liver was determined by computer-assisted image analysis with Image Pro software (Media Cybernetics Image Pro Plus Capture; Image Pro, Silver Spring, MD).43
The extent of donor cell repopulation in individual tissue cross sections was determined both for paraffin-embedded and cryostat sections. Slides were stained histochemically or immunohistochemically to identify LacZ-expressing donor hepatocytes and visualized under the microscope with an eyepiece reticle. For each reticle grid intersection point falling on a hepatocyte, the origin of that hepatocyte (donor or endogenous) was recorded. Microscope counts from at least 18 randomly placed grids (>2000 cells) were added together to determine the percentage of donor-derived hepatocytes in each liver examined.
Statistics
Data were analyzed using GraphPad Prism version 2.0 (GraphPad Software, Inc., San Diego, CA). A two-tailed paired t-test was performed, with significance recognized when P < 0.05.
| Results |
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The studies described below take advantage of the chimeric genetic
status of parenchyma in repopulated MUP-uPA mouse liver (Figure 1)
.44
Recipient livers
display stable repopulation by two kinds of hepatocytes, endogenous
cells and LacZ-marked donor cells, 3 months after transplant. In
contrast, nonparenchymal cells in the recipient should be almost
exclusively of recipient origin.45
After repopulation was
complete, mice were given dipin, followed by two-thirds partial
hepatectomy. Livers were collected during the next 6 months to identify
the source of the newly developing hepatocytes.
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Livers were collected at various times after treatment from 44
MUP-uPA transgenic mice and examined for the presence of morphological
alterations (Table 1)
. After dipin
treatment and hepatectomy, 59% of all dipin-treated MUP-uPA mice
displayed oval cells extending into the parenchyma. Oval cells first
were visible at 5 weeks after treatment, and the response could be
observed in some mice throughout the 23-week duration of the experiment
(Figure 2, AC)
. Hepatocellular
abnormalities were observed in 66% of MUP-uPA transgenic mice,
beginning at 8 weeks after dipin treatment (Figure 2B)
, and included 1)
hepatocyte pleiomorphism, including frequent hepatocytomegaly; 2)
hepatocytes with large, deeply basophilic nuclei; 3) frequent
hepatocyte cytoplasmic nuclear inclusions; 4) mitotic figures in some
samples; and 5) development of variably sized foci composed of small,
uniform-appearing hepatocytes (Figure 2, DI)
. This response to dipin
plus partial hepatectomy resembles that observed previously in mice,
although the extent of the response was less than that reported by
others.31-34
However, one investigator (V. Factor,
personal communication) routinely observed a similarly blunted response
when mice over 2 months of age were treated with dipin plus partial
hepatectomy.
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We were concerned that activation of a putative nonparenchymal stem
cell lineage by dipin plus hepatectomy in transgenic recipients might
be suppressed, because if endogenous nonhepatocytic stem cells could
differentiate into hepatocytes they might begin to express the uPA
transgene. To address this possibility, we examined liver from 21
nontransgenic transplant-recipient mice that had been treated with
dipin plus hepatectomy at the same time as their transgenic littermates
(Table 1)
. The presence of the transgene did not suppress lesion
development, and in fact the response appeared somewhat reduced in
nontransgenic relative to transgenic mice (33% displayed an oval cell
response and 29% displayed hepatocellular abnormalities).
Parenchymal Small Hepatocyte Foci Are Derived from Both Donor and Endogenous Cells
As described above, dipin plus partial hepatectomy induced
hepatocellular abnormalities in transgenic mice with chimeric liver
parenchyma. These abnormalities included foci of small hepatocytes
(Figure 2, DI)
that were uniform in appearance, which have been
proposed to be the progeny of activated nonhepatocytic liver stem cells
in this model.32-34
To determine the origin of these new
hepatocytes, livers from six mice that displayed distinct small
hepatocyte foci and had a >10% donor cell repopulation were selected
for detailed analysis of focus genotype. First, liver lobes from these
animals were examined to compare the percentage of donor cell
parenchymal repopulation at the time of partial hepatectomy and at the
time of sacrifice. In each of three animals with reliable staining of
whole tissue at both collection time points (Table 2
, mice 517, 288, and 720), the
proportion of donor-derived parenchyma stayed the same or was increased
at the time of sacrifice relative to partial hepatectomy, indicating
that donor-derived cells persist in parenchyma after dipin treatment
plus partial hepatectomy (data not shown). For each mouse, tissue step
sections separated by at least 0.5 mm were examined to identify foci of
small hepatocytes. Foci of endogenous origin did not carry the
lacZ transgene and failed to stain for ß-gal (Figure 2, DF)
. In contrast, small hepatocyte foci of donor cell origin
contained the lacZ transgene and stained either brown (via
ß-gal immunohistochemistry; Figure 2H
) or blue (via X-gal
histochemistry; Figure 2I
). In each of the six mice
examined, both donor cell- and endogenous cell-derived small hepatocyte
foci were present (Table 2)
. A total of 38/205 (19%) of the small
hepatocyte foci were of donor origin. This remains significantly
less (P = 0.03) than the 35% average
parenchymal repopulation by donor cells observed in these animals
(Table 2)
. For three mice, both frozen and paraformaldehyde-fixed
tissues were informative. In this subset of mice, immunohistochemical
analysis of paraformaldehyde-fixed tissue indicated that the average
parenchymal repopulation by donor hepatocytes was 24% and that 14/72
(19%) of the small hepatocyte foci were donor-derived. Histochemical
analysis of frozen tissue yielded similar results, with an average
donor cell repopulation of 31% and 12/57 (21%) small hepatocyte foci
of donor origin, indicating that these two methods of analysis gave
comparable results.
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| Discussion |
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Interpretation of our results must take into account two important aspects of the experimental system. First, we must address the possibility that ß-gal-containing foci of small hepatocytes are derived from transplanted stem cells. Numerical quantitation of the number of putative stem cells in rodent liver has not been published, although based on a morphological analysis of liver cell preparations, one investigator in this field has estimated a frequency of one stem cell per 104 to 105 hepatocytes (R. Faris, personal communication). A reasonable high estimate for the frequency of stem cells in the liver is one stem cell per 103 hepatocytes. In these experiments, approximately 5 x 105 hepatocytes (together with contaminating nonparenchymal cells) are transplanted into the spleen. Assuming that at most 20% of the transplanted cells engraft in the liver2,46 (Weglarz et al, manuscript submitted for publication), only 100 donor stem cells would seed a recipient liver. Because the liver has approximately 108 hepatocytes, the host liver would have 100,000 endogenous stem cells (assuming the same 1/1000 stem cell frequency). Therefore, at most 0.1% of the stem cells in a recipient liver should be donor-derived. If dipin-induced small hepatocyte foci were all stem cell-derived, only 0.1% should contain ß-gal in our recipient mice. The actual value in this study was 200 times higher. It might be argued further that expansion of endogenous stem cell-derived foci would be selectively suppressed by reactivation of uPA transgene expression. However, if this were true, the frequency of lesions, including small hepatocyte foci, in MUP-uPA transgenic mice would be much lower than the frequency of lesions in dipin-treated nontransgenic littermates, which was not observed. A second concern is whether the response to Dipin plus partial hepatectomy is fundamentally different in MUP-uPA transgenic mice versus nontransgenic mice. In our study, the incidence of morphological abnormalities was higher in uPA-expressing transgenic mice relative to nontransgenic littermates. Although the reason for the increased response in MUP-uPA mice is not clear, the abnormalities that do arise in MUP-uPA and nontransgenic mice appear to be the same. In the two groups, morphological abnormalities appear at similar times after dipin treatment and have equivalent histological characteristics. The ratio between mice with hepatocellular abnormalities and mice with an oval cell response is comparable in the two groups. Overall, the progression of liver changes observed in transgenic mice in our study recapitulates that reported for other mouse strains.32-34 We also need to address the possibility that parenchymal foci in MUP-uPA transgenic mice are preneoplastic rather than regenerative, despite their resemblance to previously described dipin-induced foci. We examined 18-month-old MUP-uPA hepatocyte transplant recipients, in which donor hepatocytes had undergone approximately 12 cell doublings after transplantation. None of the 11 mice displayed foci of small hepatocytes, indicating that neither donor-derived nor endogenous parenchyma is inherently predisposed to lesion development in these mice. Furthermore, even serially transplanted hepatocytes with a history of at least 70 cell doublings do not appear to be at greater risk for the development of neoplastic changes, as demonstrated by Overturf and colleagues in fumarylacetoacetate hydrolase null recipients.3 Taken together, these data suggest that the parenchymal changes observed in MUP-uPA mice treated with dipin plus partial hepatectomy are not qualitatively different from those observed in nontransgenic mice.
Our finding that hepatocytes in dipin-treated liver can give rise to foci of small hepatocytes is consistent with reports that hepatocytes can escape growth-suppressive regimens in certain rat models of severe liver disease.10,11,14,22,23,47 For example, in a study of D-galactosamine-induced injury in rat liver, [3H]thymidine labeling and in situ hybridization for a marker of cell proliferation were used to demonstrate that both oval cells and hepatocytes could proliferate after the administration of the toxic insult.23 In a second study, flow cytometry was used to demonstrate that 5-bromodeoxyuridine was not transferred from the oval cell-containing nonhepatocyte fraction to the diploid hepatocyte population after treatment with 2-acetylaminofluorene plus two-thirds hepatectomy.14 The authors suggested that proliferation of diploid hepatocytes may have been responsible for the increase in the size of the diploid hepatocyte fraction. However, other workers suggested subsequently that the 5-bromodeoxyuridine label may have been diluted to undetectable levels by cell division.20 Finally, Gordon and colleagues examined parenchymal repopulation in rat livers treated with the pyrrolizidine alkaloid retrorsine followed by two-thirds partial hepatectomy.47 They concluded that foci of small hepatocytes observed soon after hepatectomy were derived from hepatocyte-like progenitors rather than from oval cells.
The present study demonstrates the importance of differential cell marking when trying to establish cell lineage relationships in vivo. Without this, cellular transitions cannot be directly and unequivocally traced, a problem that has affected previous oval cell studies. A next important step is to determine the general applicability of our findings. Chimeric livers have been created in the rat by partially hepatectomizing pyrrolizidine alkaloid-treated animals and then transplanting hepatocytes.48,49 Future studies of rat oval cell models can employ differential somatic cell marking to determine whether hepatocytes in this species also can give rise to regenerative foci of small hepatocytes, or whether all repopulation occurs via the putative nonhepatocytic stem cell pathway.
| Acknowledgements |
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| Footnotes |
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Supported by National Institutes of Health grant R01-DK49787 (to E. P. S.) and by a National Science Foundation predoctoral fellowship (to K. M. B.).
Accepted for publication May 19, 2000.
| References |
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