{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:40:19Z","timestamp":1790005219806,"version":"4.0.1"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T00:00:00Z","timestamp":1355184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ministry of Education, Culture, Sports and Science and Technology","award":["21590366"],"award-info":[{"award-number":["21590366"]}]},{"name":"Ministry of Education, Culture, Sports and Science and Technology","award":["24590409"],"award-info":[{"award-number":["24590409"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Aims<\/jats:title>\n                    <jats:p>\n                      We have reported the involvement of deregulated autophagy and subsequent cellular senescence in biliary epithelial lesions in primary biliary cirrhosis (\n                      <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>\n                      ). Given that mitochondria are a major target of autophagy, we hypothesized that deregulated autophagy of mitochondria may be involved in autoimmune pathogenesis in\n                      <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We examined immunohistochemically the expression of pyruvate dehydrogenase complex\u2010E2 component (\n                      <jats:styled-content style=\"fixed-case\">PDC<\/jats:styled-content>\n                      \u2010E2) and cytochrome c oxidase, subunit I (\n                      <jats:styled-content style=\"fixed-case\">CCO<\/jats:styled-content>\n                      ), in livers taken from patients with\n                      <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>\n                      (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a042) and control livers (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a076). The colocalization of mitochondrial antigens with an autophagy marker microtubule\u2010associated protein\u2010light chain 3\u03b2 (\n                      <jats:styled-content style=\"fixed-case\">LC<\/jats:styled-content>\n                      3), a deregulated autophagy marker p62\/sequestosome\u20101 (p62) and a lysosomal marker\n                      <jats:styled-content style=\"fixed-case\">LAMP<\/jats:styled-content>\n                      \u20101 was examined by double immunofluorescence. We examined the colocalization of mitochondrial antigens with\n                      <jats:styled-content style=\"fixed-case\">LC<\/jats:styled-content>\n                      3, p62 and\n                      <jats:styled-content style=\"fixed-case\">LAMP<\/jats:styled-content>\n                      \u20101 and the cell\u2010surface expression of\n                      <jats:styled-content style=\"fixed-case\">PDC<\/jats:styled-content>\n                      \u2010E2 in cultured biliary epithelial cells (\n                      <jats:styled-content style=\"fixed-case\">BEC<\/jats:styled-content>\n                      s) treated with various stresses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Intense granular expression of\n                      <jats:styled-content style=\"fixed-case\">PDC<\/jats:styled-content>\n                      \u2010E2 and\n                      <jats:styled-content style=\"fixed-case\">CCO<\/jats:styled-content>\n                      was seen in the damaged small bile ducts (\n                      <jats:styled-content style=\"fixed-case\">SBD<\/jats:styled-content>\n                      s) in\n                      <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>\n                      and the expression was significantly more frequent in\n                      <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>\n                      than in control livers (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). The granular expression of mitochondrial antigens was colocalized with\n                      <jats:styled-content style=\"fixed-case\">LC<\/jats:styled-content>\n                      3 in damaged\n                      <jats:styled-content style=\"fixed-case\">SBD<\/jats:styled-content>\n                      s in\n                      <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>\n                      . The accumulation of\n                      <jats:styled-content style=\"fixed-case\">LC<\/jats:styled-content>\n                      3\u2010expressing punctae colocalized with\n                      <jats:styled-content style=\"fixed-case\">PDC<\/jats:styled-content>\n                      \u2010E2 and\n                      <jats:styled-content style=\"fixed-case\">CCO<\/jats:styled-content>\n                      was significantly more increased in cultured\n                      <jats:styled-content style=\"fixed-case\">BEC<\/jats:styled-content>\n                      s treated with various stresses. The cell\u2010surface expression of\n                      <jats:styled-content style=\"fixed-case\">PDC<\/jats:styled-content>\n                      \u2010E2 was induced by various stresses in\n                      <jats:styled-content style=\"fixed-case\">BEC<\/jats:styled-content>\n                      s.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Deregulated autophagy may contribute to the abnormal expression of mitochondrial antigens and may be involved in the autoimmune pathogenesis of bile duct lesions in\n                      <jats:styled-content style=\"fixed-case\">PBC<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  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