Abstract
Cholangiocyte differentiation and biliary development rely on complex interactions between cellular signaling, cholangiocyte biology, genetics, and extra-biliary influences. Alteration of or disruptions to any of the normal developmental processes may result in one of a number of liver and biliary diseases characterized by fibrosis. Many of the primary biliary fibrosing diseases also present with variable cystic dilation of the biliary system, commonly contributing to the symptoms that bring these conditions to clinical attention. This chapter will review the normal biliary development and most basic of cholangiocyte biology as a background to understand the pathogenesis of the most common biliary cystic conditions and fibrocystic diseases of the liver. As separate chapters are devoted to biliary atresia, conditions associated with intrahepatic paucity of the bile ducts, and chronic inflammatory hepatopathies that can lead to fibrosis, these conditions will not be reviewed here.
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References
Jung J, et al. Initiation of mammalian liver development from endoderm by fibroblast growth factors. Science. 1999;284(5422):1998–2003.
Rossi JM, et al. Distinct mesodermal signals, including BMPs from the septum transversum mesenchyme, are required in combination for hepatogenesis from the endoderm. Genes Dev. 2001;15(15):1998–2009.
Murray KF, Larson AM. Embryology and development of the ductal plate. In: Wu GY, editor. Fibrocystic diseases of the liver. 1st ed, vol. 1. Farmington: Humana Press; 2010. p. 3–22.
Roskams T, Desmet V. Embryology of extra- and intrahepatic bile ducts, the ductal plate. Anat Rec. 2008;291(6):628–35.
Lecchi S, et al. Cholangiocyte biology as relevant to cystic liver diseases. In: Murray KF, Larson AM, editors. Fibrocystic diseases of the liver. Farmington: Humana Press; 2010. p. 23–43.
Strazzabosco M, Fabris L. Functional anatomy of normal bile ducts. Anat Rec. 2008;291:653–60.
Masyuk AI, et al. Cholangiocyte cilia detect changes in luminal fluid flow and transmit them into intracellular Ca2+ and cAMP signaling. Gastroenterology. 2006;131:911–20.
Caremani M, et al. Ecographic epidemiology of non-parasitic hepatic cysts. J Clin Ultrasound. 1993;21:115–8.
Vater A, Ezler C. Dissertatio de scirhis viscerum occasione sectionis viri tympanite defunte. Wittenburgae. 1723;881:22.
Alonso-Lej F, Revor WB, Pessagno DJ. Congenital choledochal cyst, with a report of 2, and an analysis of 94 cases. Surg Gynecol Obstet Int Abstr Surg. 1959;108:1–30.
Todani T, et al. Congenital bile duct cyst: classification, operative procedures, and review of 37 cases including cancer arising from choledochal cyst. Am J Surg. 1977;137:263–9.
Kim SH. Choledochal cysts: survey by the surgical section of the American Academy of Pediatrics. J Pediatr Surg. 1981;16:402–7.
Todani T, et al. Carcinoma related to choledochal cysts with internal drainage operations. Surg Gynecol Obstet. 1987;164(1):61–4.
Bismut H, Krissat J. Choledochal cysts malignancies. Ann Oncol. 1999;10 Suppl 4:S94–8.
Voyles CR, et al. Carcinoma in choledochal cysts: age-related incidence. Arch Surg. 1983;118(8):986–8.
Ko JS, et al. Pediatric liver transplantation for fibropolycystic liver disease. Pediatr Transplant. 2012;16:195–200.
Kerr DNS, et al. Congenital hepatic fibrosis. Q J Med. 1961;30:91–117.
Bergmann C, et al. Clinical consequences of PKHD1 mutations in 164 patients with autosomal recessive polycystic kidney disease (ARKPD). Kidney Int. 2005;67(3):829–48.
Gunay-Aygun M, et al. Characteristics of congenital hepatic fibrosis and a large cohort of patients with autosomal recessive polycystic kidney disease. Gastroenterology. 2013;144(1):112–21.
Srinath A, Shneider BL. Congenital hepatic fibrosis and autosomal recessive polycystic kidney disease. J Pediatr Gastroenterol Nutr. 2012;54(5):580–7.
Giovanardi RO. Monolobar Caroli’s disease in an adult. Case report. Hepatogastroenterology. 2003;50(54):2185–7.
Guay-Woodford LM, Desmond RA. Autosomal recessive polycystic kidney disease: the clinical experience in North America. Pediatrics. 2003;111(5 Pt 1):1072–80.
Gunay-Aygun M, et al. Autosomal recessive polycystic kidney disease and congenital hepatic fibrosis: summary statement of a first National Institutes of Health/Office of Rare Diseases conference. J Pediatr. 2006;149(2):159–64.
Millwala F, Segev DL, Thuluvath PJ. Caroli’s disease and outcomes after liver transplantation. Liver Transpl. 2008;14(1):11–7.
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Murray, K.F. (2014). Choledochal Cysts and Fibrocystic Diseases of the Liver. In: Murray, K., Horslen, S. (eds) Diseases of the Liver in Children. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9005-0_14
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DOI: https://doi.org/10.1007/978-1-4614-9005-0_14
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