Polyploidy in liver development, homeostasis and disease
Open accessAbstract
Polyploidy (or whole-genome duplication) is the condition of having more than two basic sets of chromosomes. Polyploidization is well tolerated in many species and can lead to specific biological functions. In mammals, programmed polyploidization takes place during development in certain tissues, such as the heart and placenta, and is considered a feature of differentiation. However, unscheduled polyploidization can cause genomic instability and has been observed in pathological conditions, such as cancer. Polyploidy of the liver parenchyma was first described more than 100 years ago. The liver is one of the few mammalian organs that display changes in polyploidy during homeostasis, regeneration and in response to damage. In the human liver, approximately 30% of hepatocytes are polyploid. The polyploidy of hepatocytes results from both nuclear polyploidy (an increase in the amount of DNA per nucleus) and cellular polyploidy (an increase in the number of nuclei per cell). In this Review, we discuss the regulation of polyploidy in liver development and pathophysiology. We also provide an overview of current knowledge about the mechanisms of hepatocyte polyploidization, its biological importance and the fate of polyploid hepatocytes during liver tumorigenesis.
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In some tissues including liver, cells can enter S phase but not complete M phase, becoming polyploid.
“In some tissues, including the liver, cells can enter S phase to duplicate their genome, but do not complete M phase, thus becoming polyploid (4–6).”
From Wnt signaling regulates hepatocyte cell division by a transcriptional repressor cascade (2022) · cites this paper as [6]
During the first 3 weeks of life, the liver transitions from an immature to a mature state as hepatocytes exit the cell cycle, become polyploid, and organize within a zonated lobular structure.
“During this period, the liver transitions from an immature to a mature state as hepatocytes exit the cell cycle, become polyploid, and organize within a zonated lobular structure (Jungermann and Kietzmann 1996; Ben-Moshe and Itzkovitz 2019; Donne et al. 2020).”
From ESRP2–microRNA-122 axis promotes the postnatal onset of liver polyploidization and maturation (2025) · cites this paper as Donne et al. 2020
Programmed cytokinesis failure drives hepatocyte binucleation and polyploidy.
“Because programmed cytokinesis failure drives hepatocyte binucleation and polyploidy (Donne et al. 2020), we reasoned that ESRP2-mediated post-transcriptional processing of one or more cytokinesis effector(s) might directly contribute to postnatal polyploidization of hepatocytes.”
From ESRP2–microRNA-122 axis promotes the postnatal onset of liver polyploidization and maturation (2025) · cites this paper as Donne et al. 2020
During regeneration, the polyploid hepatocyte population shifts from predominantly cellular polyploid to nuclear polyploid.
“During regeneration, the polyploid hepatocyte population has been shown to shift from predominantly cellular polyploid to nuclear polyploid,31 possibly via pathological processes.”
From Distinct hepatocyte identities in liver homeostasis and regeneration (2023) · cites this paper as [31]
During liver regeneration, hepatocyte polyploidization is one of the key cellular responses, especially in the context of hypertrophy.
“During liver regeneration, hepatocyte polyploidization represents one of the key cellular responses, especially in the context of hypertrophy.”
From Liver regeneration after partial hepatectomy: Triggers and mechanisms (2025) · cites this paper as [79]
Polyploid hepatocytes containing 4n, 8n, or higher chromosomal content are frequently observed in morphological adaptation.
“Polyploid hepatocytes, containing 4n, 8n, or higher chromosomal content, are frequently observed in morphological adaptation.”
From Liver regeneration after partial hepatectomy: Triggers and mechanisms (2025) · cites this paper as [79]
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References 226 · Cited by 188
- Authors
- Donne, R., Saroul-Aïnama, M., Cordier, P., Celton-Morizur, S., & Desdouets, C.
- Affiliations
- Inserm (FR)
- Corresponding author
- Desdouets, Chantal
- Venue
- Nature Reviews Gastroenterology & Hepatology
- Published
- 2020-04-02
- Volume
- 17
- Issue
- 7
- Pages
- 391-405
- ISSN
- 1759-5045 (ISSN-L)
- 1759-5053
- OpenAlex
- W3014731797
- Cited by
- 188
- References
- 226
- Citations by year
- 2026: 20 · 2025: 24 · 2024: 30 · 2023: 27 · 2022: 32 · 2021: 44 · 2020: 11
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- green
- inserm.hal.science
- Licence
- Locations
- Nature Reviews Gastroenterology & Hepatology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Funders
- Agence Nationale de la Recherche (ANR-16-CE14-0008)
- Topics
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Chromosomal and Genetic Variations
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Keywords
- polyploidy, liver development, liver homeostasis, liver regeneration, hepatocarcinogenesis, genomic instability, hepatocytes
- MeSH terms
- Animals, Cell Differentiation, Homeostasis, Humans, Liver, Polyploidy, Hepatocytes
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