Clinical Science and Molecular Medicine (1977) 52,585-590. Enzyme activities of cells of different types isolated from livers of normal and cholestatic rats A. M . WOOTTON, G. NEALE A N D D. W . MOSS Departments of Chemical Pathology and Medicine, Royal Postgraduate Medical School, London (Received 10 September 1976; accepted 27 January 1977) SY 1. The distribution of three membranebound enzymes, alkaline phosphatase, 5’nucleotidase and y-glutamyl transferase, has been examined in rat liver fractionated into parenchymal cells, a Kupffer cell fraction and a biliary tract fraction by perfusion with collagenase solution. 2. In control rat livers the highest enzyme concentrations were found in Kupffer cell preparations. The fraction enriched with biliary tract cells showed concentrations two- to fourfold those in isolated parenchymal cells. 3. At 24 h after ligation of the bile duct there was a fourfold increase in the alkaline phosphatase activity in parenchymal cells and a 2.5-fold increase of the same enzyme in the biliary tract fraction. The concentration of alkaline phosphatase in Kupffer cells remained unchanged. 4. 5’-Nucleotidaseand y-glutamyl transferase concentrations tended to decrease after bileduct ligation for 24 h, the most marked changes being found in Kupffer cells. 5. After bileduct ligation for 7 days the overall activities of hepatic alkaline phosphataSe and y-glutamyl transferase increased fourfold and there was a small rise in 5‘-nucleotidase. For alkaline phosphatase and y-glutamyl transferase the changes were found primarily in parenchymal cells and in the biliary tract fraction. There was a small rise in the activity of 5‘-nucleotidase in parenchymal cells and a fall in activity in Kupffer cells. Correspondence: Dr D. W. Moss, Department of Chemical Pathology, Royal Postgraduate Medical School, Du Cane Road, London W12 OHS. 6. These data show marked differences in the distribution and behaviour of three enzymes which are often used as alternatives in the assessment of patients with liver disease. Key words: alkaline phosphatase, cholestasis, 5’-nucleotidase, y-glutamyl transferase, liver. Iniroductioo Changes in the activities of several enzymes in serum are of established value in the investigation of hepatobiliary disease. Since the liver consists of several morphologically and functionally distinct cellular components, it is to be expected that the extent to which the activities of individual enzymes will be affected in disease will depend on the degree of involvement of their respective cells of origin. For example, empirical observations have established leakage from parenchymal cells as the origin of the raised serum aminotransferase activities in infective or toxic hepatitis. Elevated serum activities of alkaline phosphatase (EC 3.1.3.1), 5’-nucleotidase (EC 3.1.3.5) and y-glutamyl transferase (EC 2.3.2.2) are particularly associated with cholestasis. Originally it was thought that the elevated serum alkaline phosphatase was due to a failure of excretion of the enzyme by the liver but more recent studies of bileduct-ligated animals have shown that induction of the enzyme takes place within the liver (Polin, Spellberg, Teitelman & Okumura, 1962; Sebesta, Bradshaw & Prockop, 1964; Kaplan & Righetti, 1970). However, the site of the increased enzyme activity has not been determined. Some or all of the increased alka585 586 A . M . Wootton, G . Neale and D. W. Moss line phosphatase activity of serum may represent leakage of this newly synthesized enzyme. The activities of 5’-nucleotidase and yglutamyl transferase increase slowly in the liver of rats with ligated bile ducts and more rapidly in serum, in contrast to the rapid rise in the activity of alkaline phosphatase in the liver (Kryszewski, Neale, Whitfield & Moss, 1973). However, the relatively small changes in the activities of these enzymes in whole liver could mask much greater changes within individual cells, such as those of the biliary tract. We now report the results of investigations in which the livers of rats with occluded bile ducts and of normal control animals have been separated into morphologically distinct fractions by perfusion of the organ with collagenase solution in situ. It has been possible to study isolated parenchymal cells, a Kupffer cell fraction and a fraction enriched with biliary tract tissue. The activities of alkaline phosphatase, 5’-nucleotidase and y-glutamyl transferase have been determined in fractions from the livers of normal rats and rats in which the bile ducts had been ligated 1 or 7 days before perfusion. Materials and methods Male Spragu+Dawley rats were anaesthetized with pentobarbitone (50 mglkg body weight) and the livers were perfused in situ with collagenase solution [type I, Sigma London Chemical Co.; 0.033% (wlv) in Krebs-Henseleit bicarbonate buffer solution] by the method of Berry & Friend (1969). Silicone-treated glassware was used throughout but hyaluronidase was not used. Some rats received no previous treatment; four had undergone a sham operation 24 h before perfusion, and the bile ducts of others had been sectioned between double ligatures 24 h or 7 days before perfusion. Completeness of obstruction was verified at the subsequent perfusion operation. The perfusion technique was modified in the rats which had been operated upon 7 days previously, as adhesions formed between the liver and the duodenum, thus preventing cannulation of the portal vein. Reverse perfusion was therefore used, with perfusate entering via the right atrium and inferior vena cava, and leaving by the severed portal vein, perfusate then being pumped back to the reservoir. Approximately 1 g of tissue was removed intact from each perfused liver as a control sample. Parenchymal cells and a residual biliary tract fraction were prepared from the remaining lobes as previously described (Wootton, Neale & Moss, 1975). The isolated cells were collected in silicone-treated glassware in order to prevent adherence of Kupffer cells to the glass surfaces. After centrifugation at 50 g for 1 min to sediment most of the parenchymal cells, the supernatant was treated with protease [type VI, Sigma London Chemical Co.; 0.25% (w/v)] and shaken for 1 h at 37°C to digest unsedimented parenchymal cells. The remaining Kupffer cells were recovered by centrifugation at 250 g for 5 min. Erythrocytes which had sedimented with the Kupffer cells were removed by osmotic lysis. The cells were then centrifuged again and washed. On average 6 g of fractionated liver lobes yielded the following average weights of the cell fractions: parenchymal cells, 2.5 g; Kupffer cells, 0.1 g; residual biliary tract fraction, 0.5 g. The recovery of cells was estimated to be about 45% for the parenchymal fraction but only some 15-30% for Kupffer cells, assuming that these two cell types constitute %95% and 5-10% of the weight of liver respectively (Lentz & Di Luzio, 1971). Alkaline phosphatase activity was extracted from the perfused unfractionated lobe and from each cellular fraction of the liver with butan-1-ollwater (1 :2, v/v) and was measured by the method of Hausamen, Helger, Rick & Gross (1967) at 30°C. 5’-Nucleotidase and y-glutamyl transferase were extracted with sodium deoxycholate solution (1 %, wlv, in 1%, w/v, NaHC03). The former was determined at 37°C by the method of Campbell (1962) and the latter at 25°C by the method of Szasz (1969). These extraction procedures had been shown previously to give maximal and reproducible extraction of enzymes (Kryszewski et al., 1973). The protein content of each extract was measured by the method of Lowry, Rosebrough, Farr & Randall (1951). Activities of the enzymes in the perfusate were low, indicating that not more than 5% of the total enzyme was lost during perfusion. This was confirmed by the close agreement between all three enzyme activities of perfused but unfractionated liver and those found by Kryszewski et al. (1973) in whole, unperfused rat liver. Enzymes in isoluted rut liver cells 587 TABLE 1. Speclfic actiuities of alkallne phosphatase, S'-nucleotidase and y-glutamyl transferase in perfiued unfractionated liver and in the separate fractions for control and cholestatic rats Results are given as mean v a l u e s f s e ~with the number of experiments in parentheses. P is the probability that the difference from the control value is due to chance (unpaired t-test). Specific activity (i.u./g of protein) Alkaline phosphatase Whole liver Parenchymal cells Kupffer cells Biliary tract S'-Nucleotidase Whole liver Parenchymal cells Kupffer cells Biliary tract y-Glutamyl transferase Whole liver Parenchymal cells Kupffer cells Biliary tract Control 1 day after bile duct ligation 7 days after bile duct ligation 101+20 (11) 71*10(11) 467+ 166 (5) 198+27 (11) 394+88 (lI)P<O.Ol 298+30 (11)P<O~001 422*80 (5) P = 0.81 493+72 (11) P< 0.001 432+ 66 (10) P< 0.001 200+ 63 (10)P< 0-05 696+ 142 (5) P = 0.33 1109+ 143 (10)P< 0.001 39+ 3 (1 1) 38+6 (11) 441 f 128 (5) 119+15 (11) 36+ 5 (10) P = 0.60 34+ 8 (10)P = 0.70 2l4+ 72 (5) P = 0.16 125f21 (10)P = 080 48+ 3 (10)P< 0.05 SO+ 3 (10)P = 0.12 241 102 (5) P = 0.26 98+ 14 (10)P = 0.33 1.1+_0*2 (11) 0*4+0-1(11) 23*3+6.9 (5) 12-4f3.0 (I I ) 0.9+_0-2 (10)P = 0.64 0 *5 + 01 (10)P = 0.39 3.2+ 1.2 (5) P< 0.05 7*4+1.5 (10)P = 0.17 45k0.6 (10) P< 0001 1.7+03 (10) P< 0.001 l7.6+ 5.6 ( 5 ) P = 0.54 21*4+27(10)P< 0.05 Statistical comparisons were made by unpaired t-test. Samples of the different fractions from each preparation were examined by light-microscopy to check the extent of crosstontamination with other types of cell. The cells in the parenchymal cell preparations were uniform in size, and most cells appeared intact and were able to exclude Trypan Blue. The cells composing the Kupffer cell fractions were much smaller than the parenchymal cells, which formed less than 1 % of this fraction. Approximately 40% of the cells in this fraction were phagocytic, for they contained carbon particles after perfusion of the liver of a rat previously injected with India ink. A film of Kupffer cells, stained for yglutamyl transferase activity (Rutenberg, Kim, Fischbein, Hanker, Wasserkrug & Seligman, 1969),showed that this enzyme activity was not uniformly distributed amongst the cells and did not coincide completely with phagocytic activity. Stained sections from biliary tract preparations showed these fractions to be enriched with bile ducts, and that connective tissue and some parenchymal cells were also present. The appearance of the several fractions was not + markedly different whether obtained from normal or cholestatic rats. The specific activities (i.u./g of protein) of alkaline phosphatase, y-glutamyl transferase and 5'-nucleotidase in perfused whole liver from normal rats and in the different fractions (Table l), were not significantly different in cells from rats which had and those which had not undergone a sham operation. For each enzyme, the specific activities were greater in the Kupffer cell and biliary tract fractions than in parenchymal cells or whole liver. The differences between the biliary tract and parenchymal cell fractions were statistically highly significant (P< 0.001).The level of significance was lower (P< 0.05) for the parenchymal/ Kupffer cell comparison, because of the smaller number of Kupffer cell fractions obtained. The specific activity of y-glutamyl transferase in whole liver is low (Ideo, Morganti & Dioguardi, 1972) and the concentration of this enzyme in parenchymal cells is also particularly low. When the different numbers and relative sizes of the various types of cell which together constitute the whole normal liver are taken into account we can estimate the contribution of each fraction to the total enzyme activity of the organ. These calculations assume that the aver- 588 A . M . Wootton, G . Neale and D. W . Moss age protein content of 1.11 g in the liver of a 200 g rat is distributed uniformly throughout the constituent cells, so that 0.97 g is contributed by parenchymal cells, 0.06 by Kupffer cells and 0.08 g by biliary tract cells. These figures are based upon the estimated relative weights of different cells given by Lentz & Di Luzio (1971), and the average weight of the biliary tract residue. The specific activities of the enzymes in the cellular extracts are assumed to be representative of the specific activities in the whole cells. These calculations show that parenchymal cells contribute at least half of the total alkaline phosphatase and 5’-nucleotidase activities of the whole liver of control animals, although these cells contain lower activities of the enzymes than are found in non-parenchymal cells. However, the greater mass of parenchymal cells is not sufficient to offset their extremely low activity of y-glutamyl transferase, so that nearly 90% of the total activity of this enzyme in whole liver is present in non-parenchymal cells. After experimental ligation of the bile duct there were changes in the specific activities of the three enzymes in the perfused, unfractionated liver and in each of its fractions (Table 1). One day after bile-duct ligation there was a statistically significant fourfold elevation of specific activity of alkaline phosphatase in both whole liver (P< 0.01) and parenchymal cells (P< 0.001). A smaller significant rise (P< 0.001) also occurred in the biliary tract fraction, but the contribution of this rise to that in wholeliver activity was less important, as this fraction forms a smaller proportion of the mass of the whole organ than do the parenchymal cells. Seven days after bile-duct occlusion the specific activity of alkaline phosphatase was still greater than normal in whole liver and parenchymal cells, but with some evidence of a decline in parenchymal cell activity. The specific activity of the biliary tract fraction, however, showed a further increase (P = 0.001). The slight increase in Kupffer cell activity at 7 days was not significantly different (P> 0.3) from that in this fraction from either normal rats or rats with bile ducts obstructed for 1 day. In contrast to the changes in alkaline phosphatase activity, there was no significant increase in the specific activities of either 5’nucleotidase or y-glutamyl transferase in any fraction 1 day after ligation of the bile duct (P>0.15). Seven days after bile-duct ligation, both 5’-nucleotidase (P< 0.05) and y-glutamyl transferase (P< 0.001) showed significantly increased specific activities in whole liver, compared with normal liver. The magnitude of these increases is similar to that found by Kryszewski et al. (1973). These enhanced activities appear to be due to increases in parenchymal cell ( P i 0.001) and biliary tract (P< 0.05) activities for y-glutamyl transferase. However, although the activity of 5’-nucleotidase in parenchymal cells was slightly increased 7 days after occlusion, the difference is not statistically significant (P = 0.12). Discussion Histochemical studies have shown that the enzymes alkaline phosphatase, 5’-nucleotidase and y-glutamyl transferase are not uniformly distributed amongst the various cellular components of the liver in the rat and other animals. However, histochemical evidence is not unanimous in assigning these enzymes to particular locations within the liver. In normal rats, Hagerstrand & NordCn (1972) found alkaline phosphatase to be located in sinusoidal walls and in connective tissue around bile ducts and arteries, with a few preparations showing canalicular staining. Ronchi & Desmet (1973) observed faint staining for alkaline phosphatase only in the canaliculi of a narrow periportal area of normal rat liver. Activity of this enzyme has also been detected histochemically in Kupffer cells (Van Wersch, 1963), and Kupffer cells magnetically separated from rat liver after iron loading also contained alkaline phosphatase (Davydov & Mayanskaya, 1974). 5‘Nucleotidase has been demonstrated histochemically in sinusoidal and canalicular microvilli (Novikoff & Essner, 1960), and its activity was greater in a canaliculi-enriched fraction from rat liver than in the microsomal fraction (Song, Rubin, Rifkind & Kappas, 1969). According to Issa, Mullock & Hinton (1976), 5’-nucleotidase is located predominantly in the plasma membrane of hepatocytes, with some activity also in other cell types and in periportal connective tissue. The low activity of y-glutamyl transferase in normal rat liver was located in Kupffer cells and bile-duct epithelium by Rutenburg et al. (1969). Its presence in biliary Enzymes in isolated rat liver cells epithelium has been confirmed by Hagerstrand & Norden (1972) and Ronchi & Desmet (1973). The morphology of the liver fractions obtained in this study showed a clear separation of parenchymal and non-parenchymal cells, and our observation that the specific activities of all three enzymes are greater in non-parenchymal than in parenchymal cells seems correspondinglywell founded. y-Glutamyl transferase is almost entirely non-parenchymal but appreciable concentrations of 5’-nucleotidase and alkaline phosphatase are also present in parenchymal cells. The separate identities of the two non-parenchymal fractions are less well established, however. The absence of significant differences in specific activities of any enzyme between the biliary tract and Kupffer cell fractions which make up the non-parenchymal cells may be due to the fact that, whereas the parenchymal cell fraction is composed almost entirely of hepatocytes, both the nonparenchymal fractions are morphologically more heterogeneous. Kupffer cells do not themselves constitute a homogeneous population. For example, Bissell, Hammaker & Schmid (1972) isolated a sinusoidal cell population from rat liver. Some of the cells ingested heattreated erythrocytes but nearly all the liver cells ingested colloidal particles. Heterogeneity in the Kupffer cell fraction prepared in our study was implied by the non-uniform distribution of y-glutamyl transferase activity, which was not completely coincident with the phagocytic activity for carbon particles. Furthermore, the method of preparing Kupffer cells is such that biliary cells of similar size may be included in this fraction (Grant & Billing, 1975), so that these two non-parenchymal cell fractions probably overlap in cellular composition. Nevertheless, although separation into pure non-parenchymal cell types is, at best, only partially complete, our results suggest that both Kupffer cells and biliary tract cells of rat liver containhighconcentrationsof the threeenzymes. The most striking early effect of bileduct ligation on the distribution of enzyme activities within the rat liver is the fourfold increase in specific activity of alkaline phosphatase in parenchymal cells, which is observed 1 day after obstruction. Isoenzyme characterization shows this enzyme to be of an electrophoretically rapidly migrating and moderately heatstable form (Wootton er al., 1975) correspond- 589 ing to the form of the enzyme appearing in the plasma of cholestatic rats (Kaplan & Righetti, 1970). The increases in both liver and plasma alkaline phosphatase activity can be inhibited with cycloheximide (Kaplan & Righetti, 1970; Kryszewski et al., 1973). Thus it appears probable that the increased parenchymal cell activity is the origin of some or all of the immediate change in plasma activity. The increase in specific activity in the biliary tract fraction is part of a continuing process, which, after 7 days, amounts to a fivefold increase in the specific activity of this fraction compared with the corresponding fraction from normal liver. Alkaline phosphatase deriving from biliary tract cells may contribute to the elevated activity in plasma especially as the duration of obstruction increases. The activities of both 5’-nucleotidase and y-glutamyl transferase in plasma also increase markedly within 24 h of ligation of the bile duct in the rat, with a continuing rise for the latter enzyme (Kryszewski et al., 1973). Although the changes in plasma activities of all three enzymes are thus similar after obstruction, there is no rapid change in specific activity of either y-glutamyl transferase or 5’-nucleotidase in any fraction of the liver such as occurs in parenchymal cells for alkaline phosphatase. These observations therefore show that similar changes in plasma enzyme activities do not necessarily imply correspondingly similar alterations within the tissues from which the enzymes are presumed to originate. The rapid increase in 5’-nucleotidase and y-glutamyl transferase activities in plasma after occlusion of the bile duct may be due to release of enzyme from cell membranes, especially from non-parenchymal cells, which show initially high concentrations of these enzymes. A similar process may also operate for alkaline phosphatase but, as already discussed, the increase in parenchymal cell activity of this enzyme probably contributes a considerable part of the raised activity in serum in early obstruction. The three enzymes may also be differently located within cell membranes and this may contribute to different patterns of enzyme release: 5‘-nucleotidase, for example, is thought to be present on the outer surface of cells (Trams & Lauter, 1974). The specific activities of alkaline phosphatase and y-glutamyl transferase in the biliary tract 590 A . M . Wootton, G.Neale and D. W. Moss fraction are both increased in more prolonged biliary obstruction, although the effect is greater for the former enzyme. The proliferation of biliary epithelium, which begins 2 days after obstruction of the bile duct (Vinnik, Kern & Corley, 1963), would increase the amount of this enriched source of enzymes that is potentially available for their release into the circulation and so contributes to the continued elevation of enzyme activities in plasma. Acknowledgments We thank Mrs C. Spry and colleagues in the Nuffield Department of Clinical Medicine, Oxford, for valuable advice on the perfusion technique. References BERRY,M.M. & FRIEND, D.S. (1969) High yield preparation of isolated rat liver parenchymal cells. Journal of Cell Biology, 43, 506-520. BISSELL, D.M., HAMMAKER, L. & SCHMID,R. (1972) Liver sinusoidal cells; Identification of a subpopulation for erythrocyte catabolism. Journal of Cell Biology, 54, 107-1 19. CAMPBELL, D.M. (1962) Determination of 5’-nucleotidase in blood serum. Biochemical Journal, 82, 3 4 ~ . DAVYDOV, V.S. & MAYANSKAYA, N.N. (1974) On alkaline phosphatase localisation in endothelial Kupffer cells. Tsitologia. 16, 1315-1317. GRANT,A.G. & BILLING,B.H. (1975) Isolation and characterisation of non-parenchymal cells in the liver with particular reference to bile ductular cells. Digestion, 12,307-308. HAGERSTRAND, I. & NORD~N, J.G. (1972) Enzyme studies in rats with extra-hepatic biliary obstruction. Acta Pathologica er Microbiologica Scandinavica, Section A, 80, 539-547. HAUSAMEN, T-U., HELGER, R., RICK,w. & GROSS,W. (1967) Optimal conditions for the determination of serum alkaline phosphatase by a new kinetic method. Clinica Chimica Acta, 15, 241-245. IDEO, G., MORGANTI, A. & DIOGUARDI, N. (1972) y-Glutamyl transpeptidase: a clinical and experimental study. Digestion, 5. 326-336. ISSA, F.S.. MULLOCK,B.M. & HINTON,R. (1976) 5’-Nucleotidase in liver plasma membrane and in the serum of normal and jaundiced rats. Biochemical Society Transactions, 4, 55-58. KAPLAN,M.M. & RIGHETIT,A. 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TRAMS,E.G. & LAUTER, C.J. (1974) On the sidedness of plasma membrane enzymes. Biochimica et Biophysics Acta, 345, 180-197. VAN WERSCH,H.J. (1963) On the origin of alkaline serum phosphatase after ligation of the common bile duct with special reference to the enzyme’s intrahepatic localisation. Acta Anatomica, 53, 227-233. VINNIK,I.E., KERN,F. & CORLEY, W.D. ( 1 963) Serum 5’-nucleotidase and pericholangitis in patients with chronic ulcerative colitis. Gasrroenterology. 45, 492498. WOOTTON,A.M., NEALE,G. & Moss, D.W. (1975) Some properties of alkaline phosphatases in parenchymal and biliary tract cells separated from rat liver. Clinica Chimica Acta, 61, 183-190.
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