Hepatocellular adenoma is a benign tumor of the liver that has a small but
not negligible risk of malignant transformation into hepatocellular carcino
ma. In analogy with the established role of oval cells in hepatocarcinogene
sis in rodent models, human hepatic progenitor cells may have a function in
the development of liver tumors. To investigate this issue, we performed i
mmunohistochemistry on biopsies of 10 consecutively resected hepatocellular
adenomas using mark ers for hepatic progenitor cells. Sections of paraffin
-embedded and frozen biopsies were stained using antibodies against cytoker
atins 7, 8, 18, and 19, chromogranin-A, OV-6, and neural cell adhesion mole
cule. Hepatic progenitor cells were observed in five of 10 hepatocellular a
denomas. These five tumors also contained cells with an immunohistochemical
phenotype intermediate be tween hepatic progenitor cells and hepatocytes.
Hepatic progenitor cells and intermediate hepatocyte-like cells were scatte
red throughout the tumors with a density that varied from area to area. Ult
rastructural examination confirmed the presence of hepatic progenitor cells
. Our study shows that hepatic progenitor cells are present in a considerab
le proportion of hepatocellular adenomas, supporting the hypothesis that hu
man hepatic progenitor cells can play a role in the development of heptocel
lular tumors.