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The Liver and Hepatic Cells

An Introduction to The Liver

The liver is the largest organ in the mammalian body and has many important functions[1], [2]. On the one hand, it plays the essential roles as the organ, which has a complex structure and perform diverse systemic functions; on the other hand, it is also considered as a gland, which produces and secretes bile, plasma proteins, and hormone-like factors.

The liver comprises lobes, lobules, vasculature, and many specialized cells. In human, the liver is divided into four lobes, right, left, caudate, and quadrate[3]. These lobes are separated on the surface by fissures and internally by the branching of the portal vein, hepatic artery, bile ducts, and hepatic veins. Lobules are the fundamental unit of liver, which is a roughly hexagonal arrangement organized around a central vein with portal triads at the corners; other structures of lobules include plates of hepatocytes, liver sinusoids, space of Disse, and bile canaliculi[3]. These structures are supported by specialized cells; hepatocytes, liver sinusoidal cells, kupffer cells, and hepatic stellated cells are core cells of the hepatic lobules; hepatic fibroblasts and interstitial cells are connective tissue cells; other cells including intrahepatic bile duct epithelial cells (cholangiocytes), extrahepatic bile duct epithelial cells, hepatic oval cells, liver mononuclear cells, etc.

Hepatocytes - Parenchymal Cells

Hepatocytes are polarized epithelial cells, possessing apical (canalicular) and basolateral (sinusoidal) plasma membrane domains. They are the parenchymal cells of the liver, comprising at least 60% of liver cells and about 80% of cell mass[2], [3], [4]. The functions of hepatocytes are rely on establishment and maintenance of hepatocyte polarity[2]. Hepatocyte polarity organizes and maintains the hepatocyte’s plasma membrane into distinct apical (canalicular) and basolateral (sinusoidal) domains, enabling different functions at both domains. The apical membranes of adjacent hepatocytes form the bile canaliculus (BC), the smallest, capillary-like branch of the bile duct[4], [5]. Through the bile canaliculus, bile components secreted by hepatocytes are collected and flow toward larger bile duct. The basolateral (sinusoidal) membranes serve as the functional basal surfaces of hepatocytes, since these cells lack a dense basal lamina[5], [6]. Instead, hepatocytes are enveloped by a loose extracellular matrix in the space of Disse[6], which lies between the hepatocytes and the fenestrated, discontinuous liver sinusoidal endothelial cells. This configuration allows plasma from the sinusoid to reach the hepatocyte basal membranes, enabling efficient nutrient exchange, detoxification and metabolism, and signaling communication.

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Human Hepatocytes ARP0068
Rat Hepatocytes ARP0233
Mouse Hepatocytes ARP0476
Rabbit Hepatocytes ARP0720

Liver Sinusoidal Endothelial Cells - Fenestrated Endothelium

Liver sinusoidal endothelial cells (LSECs) are high specialized cells, playing key role in liver homeostasis under both physiological and pathological conditions[7], [8], [9]. They represent the majority of endothelial cells in the liver[8] and are the main structural component of the liver sinusoid, which is a fenestrated, capillary-like blood vessel for exchange of substance between the space of Disse and the blood. They form a highly permeable barrier facing the basolateral membranes of hepatocytes, separated from them by the space of Disse, where hepatic stellate cells and other immune active cells are located[7], [10], [11]. These cells have non-diaphragmed fenestrae and lack basement membrane, which make them the most permeable mammalian endothelial cells for efficient exchange of macromolecules[7], [8], [9], [12]. In physiological conditions, LSECs act as vascular regulators, guardians against fibrosis, and mediators of regeneration. They regulate hepatic vascular tone, maintaining low portal pressure during fluctuating blood flow. Differentiated LSECs was shown to maintain the quiescence of hepatic stellate cells (HSCs) through inhibition of HSCs activations and reversing activated HSCs, preventing intrahepatic vasoconstriction and fibrosis[7], [9], [10]. In pathological conditions, LSECs become undifferentiated (fail to mature) or capillarized, losing the ability to maintain HSCs quiescence, contributing to angiogenesis and vasoconstriction thus driving liver fibrosis progression and chronic inflammation[7], [10], further leading to carcinogenesis[13]. Moreover, research on LSECs extend to liver regeneration. Liver sinusoidal endothelial cells participate in liver regeneration after acute injury or partial hepatectomy by renewing from LSECs or progenitors.

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Human Liver Sinusoidal Endothelial Cells ARP0066
Rat Liver Sinusoidal Endothelial Cells ARP0235
Mouse Liver Sinusoidal Endothelial Cells ARP0478
Rabbit Liver Sinusoidal Endothelial Cells ARP0722

Hepatic Stellate Cells - Perisinusoidal Mesenchymal Cells

Hepatic Stellate Cells (HSCs), also known as Ito cells, lipocytes, vitamin A-storing cells, fat-storing cells, are mesenchymal cells in the space of Disse, between hepatocytes and sinusoidal endothelial cells, that support hepatocellular functions and mediate the liver injury response[14], [15]. They are liver pericytes that wrap around the sinusoids and regulate sinusoidal blood flow by contracting and relaxing in response to ET-1/eNOS signaling from LSECs. [16], [17]. In a healthy liver, HSCs are quiescent (qHSCs) and exhibit a modest protein-synthetic machinery (moderately developed rough endoplasmic reticulum and small Golgi complex), and their long cytoplasmic processes extend around the sinusoids[18] to sense signals, store vitamin A, and regulate sinusoidal microenvironment. 80% of the whole body retinoids (vitamin A derivates) is stored in lipid droplets within HSCs cytoplasm, and both transport and storage of vitamin A are regulated by HSCs[14], [19]. HSCs also have the ability to express and secrete basement membrane components, such as type IV collagen, laminin, and proteoglycans to support sinusoidal structure and endothelial integrity[20]. This synthesis is balanced by expression of matrix metalloproteinases (MMPs), such as MMP-2 and MMP-9, and their inhibitors (TIMPs), enabling controlled turnover to prevent excessive deposition or degradation in the healthy liver. During liver injury, hepatic stellate cells are activated by directly sensing toxins, oxidative stress, mechanical stiffness, and ECM alterations, and by receiving activating signals from injured liver cells, such as hepatocytes, LESCs, and Kuffer Cells. Upon activation, HSCs lose the vitamin A stores and transdifferentiate into contractile, proliferative and fibrogenic myofibroblast-like cells[21], [22]. This process is accompanied by alternations in the expression of hundreds of genes, such as a remarkable increase of α-smooth muscle actin (α-SMA, ACTA2), desmin (DES), and various collagens[23], [24]. Activated HSCs secrete collagen I and III (fibrillar collagens) which gradually replace collagen IV (a non-fibrillar collagen) in the basement membrane, leading to increased tissue stiffness[22], [25]. They also produce lysyl oxidase (LOX), LOX-like proteins (LOXL), and transglutaminase to mediate the crosslink collagen crosslinking in the extracellular space, and they upregulate TIMPs to suppress the activity of MMPs, thereby inhibiting ECM degradation[20]. Persistent fibrogenic signaling maintains HSCs in an activated state, resulting in excessive ECM accumulation that distorts liver architecture, reduces hepatic elasticity, impairs sinusoidal blood flow, and increases the risk of organ failure and hepatocarcinogenesis.

Products of Hepatic Stellate Cells

Kupffer Cells - Resident Macrophages

Kupffer cells (KCs) are the resident macrophages of the liver, playing a crucial role in protecting and repairing the liver. They represent 20% non-parenchymal cells, reside within the lumen of hepatic sinusoids, and are more numerous in the periportal regions of the hepatic sinusoids[26], [27]. Under electron microscopy, they often appear as irregular, stellate-shaped cells resting on the sinusoidal endothelial lining[27], [28]. The periportal enrichment of Kupffer cells positions them as a first-line hepatic immune filter, enabling efficient clearance of endotoxins, microbial products, immune complexes, and cellular debris from portal blood[27], [28]. Under homeostatic conditions, Kupffer cells exist in a relatively quiescent state. In response to metabolic stress, microbial products, or inflammatory stimuli, they rapidly undergo activation and polarization toward proinflammatory (M1-like) or anti-inflammatory (M2-like) phenotypes, characterized by increased secretion of cytokines and lipid mediators[26], [27], [28], [29]. This activation-associated functional maturation enables Kupffer cells to orchestrate hepatic inflammatory and immune responses and contributes to the pathogenesis of liver disease[28], [30]. In addition, mediators released by activated Kupffer cells, such as cytokines, chemokines, reactive nitrogen, and oxygen species, modulate the activity of stellate cells and hepatocytes.

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References

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[2] The liver: biology and pathobiology, 6th ed. Hoboken: Wiley Blackwell, 2020.

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[9] M. J. McConnell, E. Kostallari, S. H. Ibrahim, and Y. Iwakiri, “The evolving role of liver sinusoidal endothelial cells in liver health and disease,” Hepatology, vol. 78, no. 2, pp. 649–669, Aug. 2023, doi: 10.1097/HEP.0000000000000207.

[10] Q. He et al., “Role of liver sinusoidal endothelial cell in metabolic dysfunction-associated fatty liver disease,” Cell Commun. Signal., vol. 22, no. 1, p. 346, June 2024, doi: 10.1186/s12964-024-01720-9.

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[15] B. J. Potter, “Components of the Hepatic System,” in Reference Module in Biomedical Sciences, Elsevier, 2019, p. B9780128012383049357. doi: 10.1016/B978-0-12-801238-3.04935-7.

[16] W. Kwok, S. H. Lee, C. Culberson, K. Korneszczuk, and M. G. Clemens, “Caveolin-1 mediates endotoxin inhibition of endothelin-1-induced endothelial nitric oxide synthase activity in liver sinusoidal endothelial cells,” Am. J. Physiol.-Gastrointest. Liver Physiol., vol. 297, no. 5, pp. G930–G939, Nov. 2009, doi: 10.1152/ajpgi.00106.2009.

[17] C. Hellerbrand, “Hepatic stellate cells—the pericytes in the liver,” Pflüg. Arch. - Eur. J. Physiol., vol. 465, no. 6, pp. 775–778, June 2013, doi: 10.1007/s00424-012-1209-5.

[18] L. Atzori, G. Poli, and A. Perra, “Hepatic stellate cell: A star cell in the liver,” Int. J. Biochem. Cell Biol., vol. 41, no. 8–9, pp. 1639–1642, Aug. 2009, doi: 10.1016/j.biocel.2009.03.001.

[19] M. Sato, S. Suzuki, and H. Senoo, “Hepatic Stellate Cells: Unique Characteristics in Cell Biology and Phenotype,” Cell Struct. Funct., vol. 28, no. 2, pp. 105–112, 2003, doi: 10.1247/csf.28.105.

[20] O. Khomich, A. V. Ivanov, and B. Bartosch, “Metabolic Hallmarks of Hepatic Stellate Cells in Liver Fibrosis,” Cells, vol. 9, no. 1, p. 24, Dec. 2019, doi: 10.3390/cells9010024.

[21] S. L. Friedman, “Hepatic stellate cells: protean, multifunctional, and enigmatic cells of the liver,” Physiol. Rev., vol. 88, no. 1, pp. 125–172, Jan. 2008, doi: 10.1152/physrev.00013.2007.

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[23] C.-Y. Zhang, W.-G. Yuan, P. He, J.-H. Lei, and C.-X. Wang, “Liver fibrosis and hepatic stellate cells: Etiology, pathological hallmarks and therapeutic targets,” World J. Gastroenterol., vol. 22, no. 48, pp. 10512–10522, Dec. 2016, doi: 10.3748/wjg.v22.i48.10512.

[24] D. V. Garbuzenko, “Pathophysiological mechanisms of hepatic stellate cells activation in liver fibrosis,” World J. Clin. Cases, vol. 10, no. 12, pp. 3662–3676, Apr. 2022, doi: 10.12998/wjcc.v10.i12.3662.

[25] A. Khurana, N. Sayed, P. Allawadhi, and R. Weiskirchen, “It’s all about the spaces between cells: role of extracellular matrix in liver fibrosis,” Ann. Transl. Med., vol. 9, no. 8, p. 728, Apr. 2021, doi: 10.21037/atm-20-2948.

[26] T. Fabre and N. H. Shoukry, “Immunology of the Liver,” in Encyclopedia of Immunobiology, Elsevier, 2016, pp. 13–22. doi: 10.1016/B978-0-12-374279-7.19005-8.

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[28] L. J. Dixon, M. Barnes, H. Tang, M. T. Pritchard, and L. E. Nagy, “Kupffer Cells in the Liver,” in Comprehensive Physiology, 1st ed., Y. S. Prakash, Ed., Wiley, 2013, pp. 785–797. doi: 10.1002/cphy.c120026.

[29] E. Slevin et al., “Kupffer Cells,” Am. J. Pathol., vol. 190, no. 11, pp. 2185–2193, Nov. 2020, doi: 10.1016/j.ajpath.2020.08.014.

[30] X. Wu, Y. Li, K. Peng, and H. Zhou, “HIV protease inhibitors in gut barrier dysfunction and liver injury,” Curr. Opin. Pharmacol., vol. 19, pp. 61–66, Dec. 2014, doi: 10.1016/j.coph.2014.07.008.


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