Background & Aims: Wilson's disease is an autosomal-recessive disorder of c
opper metabolism that results from the absence or dysfunction of a copper-t
ransporting P-type adenosine triphosphatase that leads to impaired biliary
copper excretion and disturbed holoceruloplasmin synthesis, To gain further
insight into the role of the Wilson's disease protein in hepatic copper ha
ndling, its localization in human liver was investigated, Methods: By use o
f a specific antibody, localization of the Wilson's disease protein was stu
died in liver membrane fractions and liver sections by immunoblotting, immu
nohistochemistry, and double-label confocal scanning laser microscopy, Resu
lts: The 165-kilodalton protein, found by immunoblotting, was most abundant
mainly in isolated plasma membrane fractions enriched in canalicular domai
ns, Immunohistochemistry revealed intracellular punctuate staining of hepat
ocytes in certain regions of the liver, whereas a canalicular membrane stai
ning pattern was observed in other regions. Double-labeling studies showed
that in the latter regions the transporter is present mainly in vesicular s
tructures just underneath the canalicular membrane that are positive for ma
rkers of the trans-Golgi network. A weak staining of the canalicular membra
ne, identified by staining for P-glycoprotein, was observed, Conclusions: T
hese results show that in human liver the Wilson's disease protein is predo
minantly present in trans-Golgi vesicles in the pericanalicular area, where
as relatively small amounts of the protein appear to localize to the canali
cular membrane, consistent with a dual function of the protein in holocerul
oplasmin synthesis and biliary copper excretion.