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Spaces between the hepatocyte rows form biliary canaliculi filled with bile evacuated to the bile ductules through the canals of Hering lined by hepatocytes and bile duct epithelial cells. Space between the trabeculae is occupied by blood sinusoids formed by fenestrated endothelium and lined with liver macrophages named Kupffer cells.
Studies in rats and mice reported transdifferentiation of hepatocytes into bile duct epithelial cells under circumstances preventing renewal of the biliary epithelium [67-69].
The pathological changes in biliary casts include the appearance of bilirubin crystals that surround the sample structure, with cellulose, and hyperplastic fibrous tissue, presence of micrangium, and presence of bile duct epithelial cells, and infiltrating inflammatory cells in biliary cast surfaces.