Comparative formaldehyde-induced and glyoxylic acid-induced fluorescence histochemical studies on the intrinsic adrenergic innervation of the intestine and the liver of normal and vagotomized cats

Mast cell, myofibroblast and nerve terminal complexes in carbon tetrachloride-induced cirrhotic rat livers

BACKGROUND/AIMS

Extracellular matrices in liver fibrosis are known to be produced by myofibroblasts that are transformed from fat-storing cells. The development of the fibrotic process is thought to be mediated by various fibrogenic mediators. Recently, the involvement of mast cells and cholinergic neurotransmitters in fibrogenesis has been suggested. We have studied the distribution of these cells and cholinergic nerve fibers in normal rat livers and 6-week carbon tetrachloride-induced rat cirrhotic livers.

METHODS

Mast cells and myofibroblasts were identified by immunohistochemistry for mast cell tryptase (AA1) and alpha-smooth muscle actin. Cholinergic nerve fibers and terminals were localized using the acetylcholinesterase neurohistochemistry method for light and transmission electron microscopy.

RESULTS

In normal rat livers, a few nerve terminals were connected with fibroblasts near the vascular walls in the portal tracts. In contrast, in cirrhotic rat livers, numerous acetylcholinesterase-positive nerve fibers were observed in the fibrous septa, forming a network. Ultrastructurally, the nerve terminals were observed in close contact with mast cells and myofibroblasts in fibrous septa, forming characteristic mast cell/myofibroblast/nerve terminal complexes. In cirrhotic nodules, nerve terminals were situated in close contact with myofibroblasts in the periseptal sinusoids. These axon terminals contained numerous small clear vesicles, and acetylcholinesterase-positive products were noted in the space of the synaptic membranes.

CONCLUSIONS

Our findings demonstrate that mast cell/ myofibroblast/cholinergic nerve terminal complexes may play a role in the development of liver fibrosis, probably because of the production of extracellular matrix components by myofibroblasts.

Ultrastructure of cholinergic innervation in the cirrhotic liver in guinea pigs. Neurohistochemical and ultrastructural study

Hepatic cirrhosis was induced in guinea pigs by ligation of the common bile duct and innervation of the liver was studied by fluorescence histochemistry (glyoxylic acid method), acetylcholinesterase (AChE) neurohistochemistry (modified Karnovsky and Roots method), and transmission electron microscopy. In control animals the adrenergic terminals showed connections with endothelial cells, hepatocytes and fat-storing cells, but no cholinergic terminals were evident. Cirrhosis was present 6 weeks after the bile duct ligation and marked fibrosis, accompanied by bile duct proliferation, was evident in the portal areas. Numerous AChE-positive nerve fibers traversed the collagenous bundles in the fibrotic areas, and cholinergic terminals formed close contacts with fibroblasts. Each axon terminal was found to contain numerous small coreless vesicles and AChE-reaction products were confirmed in the space between a nerve terminal and a fibroblast. In contrast, fluorescence adrenergic nerve fibers and their terminals remained unchanged. This study demonstrates that parasympathetic cholinergic innervation participates in some stages in the development of hepatic cirrhosis.

Fluorescence microscopical and chemical characterization of the adrenergic innervation in mammalian liver tissue

Liver tissue from 12 different mammalian species was studied with a fluorescence histochemical technique for the cellular localization of amines (Falck-Hillarp technique) and with a chemical method for the determination of norepinephrine (HPLC-technique). Adrenergic nerve plexus were found in interlobular blood vessels derived from the portal vein and hepatic artery. Varicose adrenergic nerve fibres were, generally, seen to branch from the fibres around the blood vessels and to enter the liver parenchyma, where they formed a randomly distributed intralobular network. The density of these intralobular fibres showed marked species variation. Human liver and liver from the rhesus monkey, baboon, cynomolgus monkey and guinea pig showed a high density of parenchymal adrenergic nerves. Rabbit, cat, pig, cow and horse liver formed an intermediate group, having fewer varicose adrenergic nerve fibres but an unequivocal distribution of these nerves to the liver parenchyma. In rat and mouse liver no parenchymal innervation could be demonstrated. The density of the parenchymal innervation generally correlated with the concentration of norepinephrine in the liver tissue.

On the sympathetic innervation to the cat's liver and its role for hepatic glucose release

Morphology and function of the adrenergic innervation of the liver were studied in cats. Fluorescence microscopy revealed a dense network of adrenergic nerve fibres in association with interlobular vessels and a sparse, but unequivocal innervation of the hepatocytes. These parenchymal adrenergic nerve fibres were more frequent in kittens (2 months old) than in adult cats. Electrical stimulation of the hepatic sympathetic nerves in the adult adrenalectomized cat evoked a small but insignificant increment (1-2 mM) of arterial plasma glucose concentration. When both hepatic and pancreatic sympathetic nerves were stimulated simultaneously, arterial plasma glucose concentration increased significantly by about 6 mM. We conclude that the pronounced hyperglycemic effect of activation of the sympathetic nervous system in the cat is mediated mainly via an adrenergic influence on the release of insulin and glucagon from the pancreas. The sympathetic innervation of the cat liver parenchyma seems to contribute to the hyperglycemia to a minor extent only.