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Related Experiment Videos

The human liver in extrahepatic cholestasis: ultrastructural morphometric data.

A M Jezequel, M L Librari, P G Mosca

    Liver
    |October 1, 1983
    PubMed
    Summary

    Extrahepatic cholestasis in humans does not cause smooth endoplasmic reticulum hypertrophy. Instead, increased mitochondrial cristae surface density is an early liver cell response to biliary pathway alterations.

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    Area of Science:

    • Hepatology
    • Cell Biology
    • Pathology

    Background:

    • Extrahepatic cholestasis is a condition characterized by impaired bile flow.
    • Previous studies suggested smooth endoplasmic reticulum (SER) hypertrophy in cholestasis.
    • The role of cellular organelle changes in human cholestasis requires further elucidation.

    Purpose of the Study:

    • To quantitatively analyze ultrastructural changes in hepatocytes of jaundiced patients with extrahepatic cholestasis.
    • To investigate the surface density of the smooth endoplasmic reticulum (SER), rough endoplasmic reticulum (RER), peroxisomes, and mitochondrial cristae.
    • To determine if SER hypertrophy occurs in human hepatocytes during extrahepatic cholestasis.

    Main Methods:

    • Quantitative morphometric analysis of needle liver biopsies.

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  • Examination of five jaundiced patients with extrahepatic cholestasis.
  • Measurement of the surface density of various cellular organelles, including SER, RER, peroxisomes, and mitochondrial cristae.
  • Main Results:

    • The surface density of SER remained within the normal range in all patients, regardless of jaundice duration.
    • Elevated RER surface density was observed in three out of five patients.
    • An increased surface density of mitochondrial cristae was a consistent finding across all subjects, without changes to the outer mitochondrial membrane.

    Conclusions:

    • The study fails to provide evidence for SER hypertrophy in human hepatocytes during extrahepatic cholestasis.
    • Increased mitochondrial cristae surface density is an early and constant phenomenon in extrahepatic cholestasis.
    • This mitochondrial alteration may represent a fundamental liver cell response to disruptions in bile synthesis or excretion pathways.