RT Journal Article SR Electronic T1 Monocyte chemoattractant protein-1 derived from biliary innate immunity contributes to hepatic fibrogenesis JF Journal of Clinical Pathology JO J Clin Pathol FD BMJ Publishing Group Ltd and Association of Clinical Pathologists SP 660 OP 665 DO 10.1136/jclinpath-2011-200040 VO 64 IS 8 A1 Kenichi Harada A1 Mayumi Chiba A1 Atsushi Okamura A1 Maylee Hsu A1 Yasunori Sato A1 Saya Igarashi A1 Xiang Shan Ren A1 Hiroko Ikeda A1 Hajime Ohta A1 Satomi Kasashima A1 Atsuhiro Kawashima A1 Yasuni Nakanuma YR 2011 UL http://jcp.bmj.com/content/64/8/660.abstract AB Aims Monocyte chemoattractant protein-1 (MCP-1) is a major chemotactic factor for hepatic stellate cells (HSCs) associated with hepatic fibrosis. In this study, among several fibrogenetic factors derived from biliary epithelial cells (BECs), MCP-1 produced by the biliary innate immune system was found to be most critical in the histogenesis of hepatic fibrogenesis.Methods Using cultured human BECs, the expression of five fibrogenetic factors including MCP-1 on stimulation with Toll-like receptor ligands, inflammatory cytokines or bile acids was examined. Moreover, in situ detection of MCP-1 and α-smooth muscle actin proteins was performed using sections from normal and diseased livers by immunohistochemistry.Results All fibrogenetic factors were detected in BECs, but only MCP-1 expression was upregulated, by all the Toll-like receptor ligands, IL-1β, and tumour necrosis factor-alpha. Proliferating bile ductules in interface areas expressed MCP-1 in diseased livers accompanying α-smooth muscle actin-positive activated HSCs.Conclusions Bile ductules proliferate in various hepatobiliary diseases, and its significance is still unknown. This study demonstrated that BECs in bile ductules could produce MCP-1, particularly, via biliary innate immunity, suggesting that MCP-1 derived from BECs plays an important role in the recruitment of HSCs to interface areas and the activation of HSCs resulting in the progression of periportal fibrosis.