The extracellular matrix of fibrotic liver is predominantly produced b
y mesenchymal cells, the in vivo phenotype of which is poorly defined.
We report on the application of combined immunohistology and in situ
hybridization with [S-35]-labeled alpha 1(I) and alpha 1(IV) procollag
en RNA probes. In CCl4-treated rats, all alpha 1(I) procollagen-produc
ing cells were vimentin positive but cytokeratin negative; over 90% ex
pressed desmin, a marker of rat liver stellate cells. alpha 1(I) Proco
llagen-expressing, desmin-negative cells were confined to portal tract
and perivascular stroma. Similarly, alpha 1(I) procollagen gene trans
cripts were, in all instances, colocalized with vimentin in human live
r. In fibrotic specimens, over 70% of these cells expressed alpha-acti
n. Antibodies against epithelial, endothelial, and Kupffer cells, gran
ulocytes, and lymphocytes did not react with alpha 1(I) procollagen RN
A-expressing cells. Localization, morphology, and immunophenotype of a
lpha 1(I) procollagen-expressing cells indicated stellate cells and po
rtal/vascular fibroblasts, but not epithelial cells, to be sources of
hepatic interstitial collagen. However, most alpha 1(IV)-expressing hu
man Liver cells were identified as endothelial cells, the remaining ce
lls were (myo-)fibroblastic and bile duct epithelial cells, but not he
patocytes. This indicates synthesis of procollagen type IV from both s
ides of the basement membrane and suggests an active participation of
endothelial cells in the process of sinusoidal capillarization.