Abstract
Primary sclerosing cholangitis (PSC) frequently accompanies inflammatory bowel diseases. In an attempt to increase our understanding of the pathogenesis of PSC, we studied bile duct changes in rats with colitis which had been givenn-formyll-methioninel-leucinel-tyrosine (fMLT) rectally; fMLT is one of the chemotactic peptides produced byEscherichia coli, and is secreted into the bile by hepatocytes after it enters the portal blood. Transrectal administration of fMLT induced a marked inflammation in the portal triad and mild hepatocyte necrosis on the 4th day. The infiltrating leukocytes in the portal tract were mostly mononuclear cells, which densely infiltrated around the bile ducts. These mononuclear cells appeared to attach to bile duct epithelial cells, and they were more numerous in the smaller bile ducts. Electron microscopy revealed that lymphocytes were in direct contact with bile duct lining cells and that some epithelial cells had degenerated or collapsed. These results suggest that thisE. coli-derived peptide may induce cholangitis in the small bile duct through cell-mediated mechanisms. Since these pathologic changes resemble those of the bile duct observed in the early stage of PSC, it can be concluded that bacterial chemotactic peptides may play a role in the pathogenesis of small-duct PSC.
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Wiesner RH, LaRusso NF. Clinicopathologic features of the syndrome of primary sclerosing cholangitis. Gastroenterology 1980;79:200–206.
Adaland E, Schrumpf E, Fausa O, et al. Primariy sclerosing cholangitis: A long-term follow-up study. Scand J Gastroenterol 1987;22:655–664.
Ludwig J, Barham SS, LaRusso NF, et al. Morphologic features of chronic hepatitis associated with primary sclerosing cholangitis and chronic ulcerative colitis. Hepatology 1981;1:632–640.
Wee A, Ludwig J. Pericholangitis in chronic ulcerative colitis: Primary sclerosing cholangits of small bile ducts? Ann Intern Med 1985;102:581–587.
Brooke BN, Dyke PW, Walker FC. A study of liver disorder in ulcerative colitis. Postgrad Med J 1961;37:245–251.
Kono K, Ohnishi K, Omata M, et al. Experimental portal fibrosis produced by intraportal injection of killed nonpathogenicEscherichia coli in rabbit. Gastroenterology 1988;94:787–796.
Hobson CH, Butt TJ, Ferry DM, et al. Enterohepatic circulation of bacterial chemotactic peptide in rats with experimental colitis. Gastroenterology 1988;94:1006–1013.
Lichtman SN, Sartor RB, Keku J, et al. Hepatic inflammation in rats with experimental small intestinal bacterial overgrowth. Gastroenterology 1990;98:414–423.
Lefkowitch JH. Primary sclerosing cholangitis. Arch Intern Med 1982;142:1157–1160.
Ludwig J. Small-duct primary sclerosing cholangitis. Semin Liver Dis 1991;11:11–17.
LaRusso NF, Wiesner RH, Ludwig J, et al. Primary sclerosing cholangits. N Engl J Med 1984;310:899–903.
Prochazka EJ, Terasaki PI, MinSik Park PVM, et al. Association of primary sclerosing cholangits with HLA-DRw52a. N Engl J Med. 1990;322:1842–1844.
Whiteside TL, Lasky S, Lusheng Si, et al. Immunologic analysis of mononuclear cells in liver tissues and blood of patients with primary sclerosing cholangitis. Hepatology 1985;5:468–474.
Chapman RW, Kelly P, Heryet A, et al. Expression of HLA-DR antigen on bile duct epithelium in primary sclerosing cholangitis. Gut 1988;29:422–427.
Minuk GY, Angus M, Brickman CM, et al. Abnormal clearance of immune complexes from the circulation of patients with primary sclerosing cholangitis. Gastroenterology 1985;88:166–170.
Senaldi G, Donaldson PT, Margrin S, et al. Acuvation of the complement system in primary sclerosing cholangitis. Gastroenterology 1989;97:1430–1434.
Sasaki H, Schaffner F, Popper H. Bile ductules in cholestasis: Morphological evidence for secretion and absorption in man. Lab Invest 1967;16:84–95.
Ishii M, Vroman B, LaRusso NF. Fluid-phase endocytosis by intrahepatic bile duct epithelial cells isolated from normal rat liver. J Histochem Cytochem 1990;38:515–524.
Snook JA, Chapman RW, Sachdev GK, et al. Peripheral blood and portal tract lymphocyte population in primary sclerosing cholangitis. J Hepatol 1989;9:36–41.
Terada T, Ishida F, Nakamura Y. Vascular plexus around intrahepatic bile ducts in normal liver and portal hypertension. J Hepatol 1989;8:139–149.
Okada Y, Jinno K, Moriwaki S, et al. Blood group antigens in the intrahepatic biliary tree I. Distribution in normal liver. J Hepatol 1988;9:63–70.
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Yamada, S., Ishii, M., Liang, L.S. et al. Small duct cholangitis induced byn-formyll-methioninel-leucinel-tyrosine in rats. J Gastroenterol 29, 631–636 (1994). https://doi.org/10.1007/BF02365447
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DOI: https://doi.org/10.1007/BF02365447