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GROWTH, DIFFERENTIATION, AND APOPTOSIS
cytotoxicity after bile duct ligation
Departments of 1Internal Medicine and 2Medical Physiology, 5Division of Research and Education, Scott & White Clinic and The Texas A&M University System Health Science Center, College of Medicine, and 3Central Texas Veterans Health Care System, Temple, Texas 76504; 4Division of Gastroenterology, Tohoku University School of Med, Aobaku, Sendai 980-8574, Japan; and 6Division of Gastroenterology, University of Rome, "La Sapienza," Rome 00185, Italy
Submitted 25 October 2002 ; accepted in final form 10 March 2003
Tumor necrosis factor (TNF)-
plays a critical role in epithelial
cell injury. However, the role of TNF-
in mediating cholangiocyte
injury under physiological or pathophysiological conditions is unknown. Thus
we assessed the effects of TNF-
alone or following sensitization by
actinomycin D on cell apoptosis, proliferation, and basal and
secretin-stimulated ductal secretion in cholangiocytes from normal or bile
duct-ligated (BDL) rats. Cholangiocytes from normal or BDL rats were highly
resistant to TNF-
alone. However, presensitization by actinomycin D
increased apoptosis in cholangiocytes following BDL and was associated with an
inhibition of proliferation and secretin-stimulated ductal secretion. Thus
TNF-
mediates cholangiocyte injury and altered ductal secretion
following bile duct ligation. These observations suggest that cholestasis may
enhance susceptibility to cytokine-mediated cholangiocyte injury.
bile flow; intrahepatic biliary epithelium; proliferation; secretin
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