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      Immunohistochemical study of hepatic oval cells in human chronic viral hepatitis.

      World journal of gastroenterology : WJG
      Adult, Aged, Hepatitis, Chronic, metabolism, pathology, Hepatitis, Viral, Human, Humans, Immunoenzyme Techniques, Liver Regeneration, Middle Aged, Proto-Oncogene Proteins c-kit

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          Abstract

          To detect immunohistochemically the presence of oval cells in chronic viral hepatitis with antibody against c-kit. We detected oval cells in paraffin embedded liver sections of 3 normal controls and 26 liver samples from patients with chronic viral hepatitis, using immunohistochemistry with antibodies against c-kit, piclass glutathione S-transferase (pi-GST) and cytokeratins 19 (CK19). Oval cells were not observed in normal livers. In chronic viral hepatitis, hepatic oval cells were located predominantly in the periportal region and fibrosis septa,characterized by an ovoid nucleus, small size,and scant cytoplasm. Antibody against stem cell factor receptor, c-kit, had higher sensitivity and specificity than pi-GST and CK19. About 50%-70% of c-kit positive oval cells were stained positively for either pi-GST or CK19. Oval cells are frequently detected in human livers with chronic viral hepatitis, suggesting that oval cell proliferation is associated with the liver regeneration in this condition.

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