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Published on: February 19, 2019
Hepatic expression of intercellular adhesion molecule-1 (ICAM-1) in viral hepatitis B
R Volpes1, J J van den Oord, V J Desmet
1Department of Pathology, University Hospital St. Rafaël, Catholic University of Leuven, Belgium.
Insights
Hepatitis B virus infection alters intercellular adhesion molecule-1 and human leukocyte antigen-DR expression in liver cells. These changes correlate with inflammation severity and viral activity in chronic hepatitis B.
Area of Science:
- Immunology
- Hepatology
- Virology
Background:
- Intercellular adhesion molecule-1 (ICAM-1) and human leukocyte antigen-DR (HLA-DR) are key immune molecules.
- Their role in hepatitis B virus (HBV) infection pathogenesis requires further elucidation.
Purpose of the Study:
- To investigate the in situ distribution of ICAM-1 and HLA-DR in liver biopsies from HBV-infected patients.
- To analyze the relationship between viral antigen display (HBcAg) and ICAM-1 expression on hepatocytes.
Main Methods:
- Immunohistochemical techniques were used on 61 liver biopsy specimens.
- Double-staining was performed on 14 selected samples to analyze HBcAg and ICAM-1 coexpression.
- Analysis focused on the correlation with inflammatory infiltrate composition.
Main Results:
- ICAM-1 and HLA-DR expression on hepatocytes correlated positively with inflammatory infiltrate extent and site.
- Healthy carriers showed no expression; acute hepatitis displayed strong, widespread expression.
- Chronic hepatitis and cirrhosis showed focal expression on hepatocytes near inflammation.
Conclusions:
- ICAM-1 and HLA-DR expression patterns in hepatocytes reflect the inflammatory response in HBV infection.
- These molecules may play a role in immune cell recruitment and liver damage during chronic hepatitis B.
Abstract:
The in situ distribution patterns of intercellular adhesion molecule-1 and human leukocyte antigen-DR antigens were studied in serial sections of 61 liver biopsy specimens from patients with hepatitis B virus infection using immunohistochemical techniques. In addition, the topographical relationship between the display of HBcAg on one hand and the expression of intercellular adhesion molecule-1 by hepatocytes on the other was analyzed with a double-staining immunohistochemical procedure in 14 selected liver biopsy samples showing chronic persistent or chronic active hepatitis and signs of active hepatitis B virus replication as reflected by the presence of variable amounts of HBcAg in a nuclear or cytoplasmic pattern of immunoreactivity. Coexpression of intercellular adhesion molecule-1 and human leukocyte antigen-DR antigens by hepatocytes correlated positively with the site and extent of the inflammatory infiltrate, which was composed of lymphocytes expressing lymphocyte function-associated antigen-1. In healthy HBsAg-positive carriers without inflammatory liver disease, no intercellular adhesion molecule-1 or human leukocyte antigen-DR expression was found on hepatocytes; in acute hepatitis, intercellular adhesion molecule-1 and human leukocyte antigen-DR were strongly expressed throughout the liver parenchyma on liver cell membranes and on sinusoidal lining cells. In chronic persistent and chronic active hepatitis and in active cirrhosis, intercellular adhesion molecule-1 and human leukocyte antigen-DR showed membranous positivity on focal clusters of hepatocytes in areas of periportal or intraacinar inflammation.(ABSTRACT TRUNCATED AT 250 WORDS)
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