Relation between lipogranuloma formation and fibrosis, and the origin of brown pigments in lipogranuloma of the canine liver.

Kaori Isobe, Hiroyuki Nakayama, Koji Uetsuka
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引用次数: 11

Abstract

Background: In a previous study we confirmed that canine hepatic lipogranuloma, defined as lesions consisting of small round cells which contain lipid vacuoles and brown pigments in their cytoplasm, was an assembly of Kupffer cells and/or macrophages, and that the cytoplasmic brown pigments in the lesions were hemosiderin and ceroid. However, the pathogenesis of the lesion remains unclear. Kupffer cells (resident macrophages) play a key role in hepatic fibrogenesis due to the production of cytokines including TGF-beta. In the present study, we have examined 52 canine liver samples (age: newborn - 14 years; 25 males and 27 females) and investigated the correlation between lipogranuloma formation and fibrosis as well as the origin of brown pigments of lipogranulomas.

Results: Lipogranulomas were detected histopathologically in 23 (44.2%) of the 52 liver samples. No significant correlation was found between the density of lipogranulomas and distribution of collagen type I/III in the liver. Pigmentation of lipogranulomas showed significant correlations with that on both hepatocytes and sinusoidal cells, indicating that pigments of lipogranuloma (hemosiderin and ceroid) might be derived from hepatocytes and Kupffer cells.

Conclusion: Lipogranulomas are not a contributing factor in hepatic fibrosis, but might be a potential indicator of the accumulation of iron and lipid inside the liver.

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犬肝脂肪肉芽肿形成与纤维化的关系及脂肪肉芽肿棕色色素的来源。
背景:在之前的一项研究中,我们证实犬肝脂肪肉芽肿是库普弗细胞和/或巨噬细胞的集合,其定义为由细胞质中含有脂泡和棕色色素的小圆形细胞组成的病变,并且病变的细胞质棕色色素是含铁血黄素和ceroid。然而,病变的发病机制尚不清楚。Kupffer细胞(常驻巨噬细胞)由于产生包括tgf - β在内的细胞因子而在肝纤维化中起关键作用。在本研究中,我们检查了52个犬肝脏样本(年龄:新生儿- 14岁;男性25例,女性27例),研究脂肪肉芽肿形成与纤维化的关系以及脂肪肉芽肿棕色色素的来源。结果:52例肝脏标本中,组织病理学检出脂肪肉芽肿23例(44.2%)。脂肪肉芽肿的密度与肝脏I/III型胶原的分布无明显相关性。脂肪肉芽肿的色素沉着与肝细胞和窦细胞的色素沉着均有显著相关性,提示脂肪肉芽肿的色素(含铁血黄素和ceroid)可能来源于肝细胞和Kupffer细胞。结论:脂肪肉芽肿不是肝纤维化的诱因,但可能是肝脏内铁和脂质积累的潜在指标。
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