Review Article

Revisiting Epithelial-to-Mesenchymal Transition in Liver Fibrosis: Clues for a Better Understanding of the “Reactive” Biliary Epithelial Phenotype

Table 1

Summary of evidence in favor of or against the existence of EMT in biliary diseases.

ModelReadoutsReferences

Pro-EMT
Coculture of MFs and cholangiocytesCholangiocytes: ↑ S100A4, ↑ Fibronectin, ↑ N-cadherin, and increased motility[7]
Cultured cholangiocytes from α-fetoprotein (Alfp)-Cre × Rosa26-YFP mice treated with TGF, or TNF-SMA, loss of cell-cell contacts, cellular reshaping, and E-cadherin delocalization[8]
Cultured cholangiocytes from Pkhd1del4/del4 mouse ↑ motility due to -catenin activation[9]
BDL ratCoexpression of S100A4 and vimentin with K7[7]
BDL ratDRC (immunohistochemistry): ↑ S100A4, ↑ heat-shock protein 47, ↑ -SMA, ↓ K7, ↓ K19, and ↓ Aquaporin-1[10]

Against-EMT
K19-CreERT × Rosa26-YFP mice, BDL No coexpression of K19 YFP with -SMA, Desmin, or S100A4[11]
S100A4-CreERT × Rosa26-YFP mice, BDLNo coexpression of S100A4-GFP with Pan-K cells[11]
α-fetoprotein (Alfp)-Cre × Rosa26-YFP mice, BDL No coexpression of YFP with S100A4, vimentin, -SMA, procollagen 12, or desmin[8]
α-fetoprotein (Alfp)-Cre × Rosa26-YFP mice, DDCNo coexpression of YFP with S100A4, vimentin, -SMA, procollagen 12, or desmin[8]
Human EGI-1-EGFP xenograft in SCID miceNo K19/-SMA coexpression; no expression of Y human chromosome on α-SMA+ cells[12]