Mice with combined ablation of IKK1 and IKK2 in liver parenchymal cells develop spontaneous jaundice, severe cholestasis, and inflammatory destruction of small portal bile ducts. (a) Body weight analysis of 8-week-old male mice. Error bars denote SEM (n = 5). *, P < 0.05. (b–e) Analysis of serum levels of alanine aminotransferase (ALT) (b), total bilirubin (c), direct (conjugated) bilirubin (d), and alcalic phosphatase (e). Error bars denote SEM (n = 4). *, P < 0.05. (f–p) Representative liver sections stained with H&E (f–h, k–m, o, and p) or with an anti-cytokeratin 19 antibody (i, j, and n) that stains biliary epithelial cells. Portal bile ducts (indicated by yellow arrows) are present in control mice (f and i) but cannot be identified in most portal tracts in IKK1/2LPC-KO mice (g and j). Periportal hepatocytes in IKK1/2LPC-KO mice display increased positive anti-cytokeratin 19 staining as typical sign of cholestasis (j and n). (h) Tubular, “rosette”-like arrangement of hepatocytes around a dilated bile canaliculus (purple arrow) as typical histological feature of severe cholestasis (cholestatic liver cell rosettes). The blue arrow indicates a macrophage with yellow appearance (ceroid macrophage) as sign of phagocytosis of bilirubin metabolites. (k and l) Normal histological appearance of larger bile ducts in control (k) and IKK1/2LPC-KO (l) mice. (m and n) In a small number of portal tracts, remnants of small bile ducts with flattened, damaged epithelium can be identified (yellow arrows) that are often surrounded by an infiltrate containing lymphocytes (red arrow) and ceroid macrophages (blue arrow). (o and p) Representative H&E-stained liver sections from 2-day-old WT control mice (o) or IKK1/2LPC-KO mice (p) reveal normal formation of portal bile ducts at this age (yellow arrows). The portal tracts and sinusoids show extramedullary hematopoiesis, as normally seen in this stage of liver development. (Original magnification: h and n, ×400; f, g, i–m, o, and p, ×200.) (q–v) Electron microscopical analysis on livers from 8-week-old WT and IKK1/2LPC-KO mice. (q and r) Tubular arrangements of hepatocytes surrounding strongly dilated irregular lumen with disappearance of canalicular microvilli and thickened pericanalicular ectoplasma in IKK1/2LPC-KO mice (r) compared with normal canaliculus in control mice (q). Intercellular bile leakage in portal bile ducts in IKK1/2LPC-KO mice (t) showing flattened damaged epithelial cells surrounded by a thickened often doubled basement membrane compared with normal architecture in WT mice (s). In t, “BDL” indicates the bile duct lumen and “L” indicates an area of intercellular bile leakage. Biliary components are found in the lumen of cholestatic bile ducts (u) but also in the Disse space of the sinusoids (v) as signs of a disturbed junctional barrier in IKK1/2LPC-KO.