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ArticleTitle Increased Chymase in Livers with Autoimmune Disease: Colocalization with Fibrosis
AuthorList Katsuaki Satomura1, Mingshi Yin1, Shuzi Shimizu1, Yoshihito Kato1, Takamichi Nagano1, Hirokazu Komeichi1, Masaru Ohsuga1, Yasumi Katsuta1, Takumi Aramaki1 and Yasukazu Omoto2
Affiliation 1First Department of Internal Medicine, Nippon Medical School
2Biologic Research Institute, Otsuka Pharmaceutical Co., Ltd.
Language EN
Volume 70
Issue 6
Year 2003
Page 490-495
Received February 17, 2003
Accepted July 8, 2003
Keywords chymase, mast cells, hepatic fibrosis, immunohistochemistry, enzyme-linked immunosorbent assay
Abstract Chymase, one of the proteases contained in human mast cells, promotes myocardial and renal interstitial fibrosis by converting angiotensin I to II (AII). We previously established a method for measuring chymase in liver tissue and examined the relationship between chymase and fibrosis in chronic hepatitis. In the present study, chymase was determined in liver specimens affected by autoimmune hepatitis (AIH, n=10) or primary biliary cirrhosis (PBC, n=12). To investigate spatial relationships between hepatic fibrosis and human chymase, mast cell distribution in the specimens was determined immunohistochemically using anti-chymase antibody. The mean amounts of chymase in livers with AIH and PBC were 11.56±10.64 and 11.67±9.96 ng/mg respectively. Hepatic chymase in AIH and PBC was significantly more abundant than in acute hepatitis (AH, 2.72±2.23 ng/mg, n=10; p<0.05). When sections from patients with AIH and PBC were immunostained for chymase, immunoreactive mast cells were detected in portal areas and sinusoidal walls, coinciding with zones of fibrosis. Thus chymase appears to be involved in hepatic fibrosis in AIH and PBC.
Correspondence to Katsuaki Satomura, MD, First Department of Internal Medicine, Nippon Medical School, Sendagi, 1-1-5, Bunkyo-ku, Tokyo 113-8603, Japan
satomura@nms.ac.jp

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