Hepatic stem cells: from inside and outside the liver?

MR Alison, P Vig, F Russo, BW Bigger… - Cell …, 2004 - Wiley Online Library
MR Alison, P Vig, F Russo, BW Bigger, E Amofah, M Themis, S Forbes
Cell proliferation, 2004Wiley Online Library
The liver is normally proliferatively quiescent, but hepatocyte loss through partial
hepatectomy, uncomplicated by virus infection or inflammation, invokes a rapid regenerative
response from all cell types in the liver to perfectly restore liver mass. Moreover, hepatocyte
transplants in animals have shown that a certain proportion of hepatocytes in foetal and
adult liver can clonally expand, suggesting that hepatoblasts/hepatocytes are themselves
the functional stem cells of the liver. More severe liver injury can activate a potential stem …
Abstract
 The liver is normally proliferatively quiescent, but hepatocyte loss through partial hepatectomy, uncomplicated by virus infection or inflammation, invokes a rapid regenerative response from all cell types in the liver to perfectly restore liver mass. Moreover, hepatocyte transplants in animals have shown that a certain proportion of hepatocytes in foetal and adult liver can clonally expand, suggesting that hepatoblasts/hepatocytes are themselves the functional stem cells of the liver. More severe liver injury can activate a potential stem cell compartment located within the intrahepatic biliary tree, giving rise to cords of bipotential transit amplifying cells (oval cells), that can ultimately differentiate into hepatocytes and biliary epithelial cells. A third population of stem cells with hepatic potential resides in the bone marrow; these haematopoietic stem cells may contribute to the albeit low renewal rate of hepatocytes, but can make a more significant contribution to regeneration under a very strong positive selection pressure. In such instances, cell fusion rather than transdifferentiation appears to be the underlying mechanism by which the haematopoietic genome becomes reprogrammed.
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