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The Role of Cholangiocyte Cell Death in the Development of Biliary Diseases

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Molecules, Systems and Signaling in Liver Injury

Abstract

Cholangiocytes are the targets of several liver diseases termed cholangiopathies that result in cholestasis and the development of hepatic fibrosis and carcinogenesis. There are numerous studies investigating the role of cholangiocyte death during the progression of cholangiopathies to end-stage liver disease. This chapter reviews the pathophysiology of primary sclerosing cholangitis, primary biliary cholangitis, autosomal dominant polycystic kidney disease, and biliary atresia. We will also discuss current animal models used to study these cholangiopathies and review the mechanisms of cell death in these disease processes, including the roles of innate immune system, apoptosis, senescence, autophagy, and lipoapoptosis. A thorough understanding of cholangiocyte death during cholestatic liver disease is critical to develop targeted therapies against these disease processes.

This material is the result of work supported by resources at the Central Texas Veterans Health Care System. The content is the responsibility of the author(s) alone and does not necessarily reflect the views or policies of the Department of Veterans Affairs or the United States Government.

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Abbreviations

ADPKD:

Autosomal dominant polycystic kidney disease

AEA:

Anandamide

AKT:

Protein kinase B

AMA:

Antimitochondrial antibodies

BA:

Biliary atresia

BDL:

Bile duct ligation

CBDL:

Common bile duct ligation

CCA:

Cholangiocarcinoma

CD:

Cluster of differentiation

DEN:

Diethylnitrosamine

FADD:

Fas-associated death domain

FFA:

Free fatty acid

HSC:

Hepatic stellate cells

IFN-γ:

Interferon- γ

IL:

Interleukin

JNK:

c-Jun N-terminal kinase

LMBDL:

Left median bile duct ligation

NAFLD:

Nonalcoholic fatty liver disease

NF-kB:

Nuclear factor kappa-light-chain-enhancer of activated B cells

NK:

Natural killer

NOD:

Nucleotide-binding oligomerization domain

PAMPs:

Pathogen-associated molecular patterns

pANCA:

Peri-neutrophil cytoplasmic antibody

PBC:

Primary biliary cholangitis

PKD:

Polycystic kidney disease

PNPLA3:

Patatin-like phospholipase domain-containing protein 3

PRR:

Pattern-recognition receptors

PSC:

Primary sclerosing cholangitis

PUMA:

p53 upregulated modulator of apoptosis

STAT3:

Signal transducer and activator of transcription 3

TLRs:

Toll-like receptors

TNF:

Tumor necrosis factor

TRAIL:

Tumor necrosis factor-related apoptosis-inducing ligand

UDCA:

Ursodeoxycholic acid

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Correspondence to Shannon S. Glaser .

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O’Brien, A. et al. (2017). The Role of Cholangiocyte Cell Death in the Development of Biliary Diseases. In: Ding, WX., Yin, XM. (eds) Molecules, Systems and Signaling in Liver Injury. Cell Death in Biology and Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-58106-4_2

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