Liver regeneration is mostly associated with the self-renewal capacity of hepatocytes. Nevertheless, chronic liver injuries occur with progenitor cell activation and expansion, which have been associated with their ability to differentiate into hepatocytes and cholangiocytes1,2,3,4. This is especially relevant because, during chronic injuries, hepatocyte proliferation is not effective. Despite multiple genetic tracing studies targeting progenitor cells, their role in liver regeneration remains controversial5,6,7,8. Moreover, the activation of progenitor cells has been linked to increased fibrotic response in the liver, which raises questions about their exact role during injuries9,10.
The heterogeneous nature of the progenitor cell compartment has long been suggested by gene expression studies that isolated progenitor cells expressing a single surface marker using microdissection or cell sorting-based methods1,11. Indeed, recently, a novel surface marker combination using gp38 (podoplanin) unequivocally linked previous single markers of progenitor cells to various subsets12. Importantly, these subsets not only differed in their surface marker expression but also exhibited functional alterations during injuries12.
Multiple animal models have been utilized to investigate progenitor cell activation and liver regeneration. It seems that the various injury types promote the activation of differing subsets of progenitor cells12. This might explain the phenotypic divergence of the ductular reaction observed in humans4. Thus, the complex phenotypic and functional analyses of progenitor cells are pivotal to understand their role in injuries and the true significance of the ductular reaction in liver diseases.
Besides surface marker combinations, the crucial differences in cell isolation protocols further complicate the conclusions based on previous studies2. A substantial amount of studies addressed the role of progenitor cells that greatly differ in their isolation protocol (e.g., liver dissociation (enzyme combination and duration of the process), density medium, and centrifugation speed)2. An optimized isolation technique, providing better viability for rare cell populations and reflective of subset composition, has been developed and published recently12. The aim of this article is to provide a more detailed protocol of this liver cell isolation procedure and the subset analysis to allow for the proper reproduction of the technique. Additionally, the protocol includes a comparison with the previous isolation method to demonstrate the differences compared to the new protocol.