Recently, it has been reported that serum hyaluronate (hyaluronic acid; HA)
concentrations increase in various liver diseases, especially in alcoholic
liver disease (ALD), and serum HA concentration has been used as a marker
for hepatic fibrosis. However, it is unknown whether hepatic HA contents in
ALD increase by alcohol or not. In this study, we histochemically stained
HA in liver biopsy specimens obtained from ALD patients while actively drin
king and after abstinence to clarify the effects of alcohol on hepatic HA c
ontents. Liver biopsy specimens were obtained hom 13 patients with ALD and
10 patients with non-ALD. In ALD patients, liver biopsy was performed twice
within 3 days, and 4 to 8 weeks after abstinence when serum levels of AST
and ALT normalized. HA in biopsy specimens was stained histochemically with
biotinylated IFA binding protein. Staining intensity of HA in liver tissue
was also determined by computer-assisted imaging analyzer. HA staining was
clearly observed in sinusoidal wall and fibrous regions around the portal
tract and central vein in liver diseases. HA staining intensities in patien
ts actively drinking with ALD increased markedly, compared with those in pa
tients with non-ALD, and these intensities decreased with abstinence. These
results clearly suggest that hepatic IIA contents in ALD may be increased
by alcohol in addition to hepatic fibrosis, and, therefore, increased HA de
position in the liver may be reversible by abstinence of alcohol.