Synaptophysin is a protein involved in neurotransmitter exocytosis and is a
neuroendocrine marker. We studied synaptophysin immunohistochemical expres
sion in 35 human liver specimens (normal and different pathological conditi
ons), in rat models of galactosamine hepatitis and carbon tetrachloride-ind
uced cirrhosis, and in freshly isolated rat stellate cells. Synaptophysin r
eactivity was present in perisinusoidal stellate cells in both human and ra
t normal liver biopsies. The number of synaptophysin-reactive perisinusoida
l cells increased in pathological conditions. Double staining for cu-smooth
muscle actin and synaptophysin, detected by confocal laser scanning micros
copy, unequivocally demonstrated colocalization of both markers in lobular
stellate cells. In addition, freshly isolated rat stellate cells expressed
synaptophysin mRNA (detected by polymerase chain reaction) and protein. Fin
ally, electron microscopy showed the presence of small electron translucent
vesicles, comparable to the synaptophysin-reactive synaptic vesicles in ne
urons, in stellate cell projections. We conclude that synaptophysin is a no
vel marker for quiescent as well as activated hepatic stellate cells. Toget
her with the stellate cell's expression of neural cell adhesion molecule, g
lial fibrillary acidic protein, and nestin, this finding raises questions a
bout its embryonic origin and its differentiation. In addition, the presenc
e of synaptic vesicles in stellate cell processes suggests a hitherto unkno
wn mechanism of interaction with neighboring cells.