Torre, Perret, and Colnot synthesize ~40 years of zonation research around a single organizing principle: hepatocyte identity along the porto-central axis is dictated by opposing gradients of Wnt/beta-catenin activity (pericentral) and APC protein (periportal), with APC acting as the "zonation-keeper" whose periportal-restricted expression constrains beta-catenin signaling (). The review rigorously dispatches two historical alternatives β distinct periportal/pericentral lineages (refuted by absence of zonation in perinatal liver) and the "streaming liver" model (refuted by cell-tracing) β before grounding zonation in the microenvironment hypothesis. The authors also integrate Ras/MAPK/ERK as an antagonistic periportal pathway () and Hnf4aβLef1 cross-talk as a transcriptional mechanism.
Strengths: The review is mechanistically deep, transparent about contradictions (e.g., discrepant TCF reporter activity vs. immunostaining for active b-catenin, likely sensitivity artifacts), and explicitly lists what is unknown: identity of the specific Wnt ligands and their cellular source, the inhibitors (Dkks, Sfrps) shaping gradients, whether b-catenin directly or indirectly (via CAR/AhR) drives P450 expression. Its predictive value is high: the "just-right" APC dosage argument foreshadowed the central role of Tcf7l2/TCF7L2 later confirmed by liver-specific knockout disrupting glutamine metabolism (), and the endothelial-Wnt hypothesis is now well established ().
Limitations and blind spots: Evidence is almost entirely from mouse models; the review predates spatial transcriptomics confirmation that human zonation patterns differ in important ways from mouse () and that zonation gene composition turns over rapidly across mammals even as core ammonia detoxification is conserved (). Sex-dimorphic zonal expression, which is substantial in mice, is acknowledged only in passing. The Hnf4a/b-catenin cross-talk section rests on a single differentiation culture system plus fetal hepatocytes, so cell-type generality remains uncertain.
The master-regulator framing would weaken if non-mammalian vertebrates showed WNT/RSPO-independent zonation of conserved metabolic programs, or if conditional Wnt-ligand deletion from all candidate endothelial sources failed to collapse the b-catenin gradient. Conversely, the review's claim is strengthened by the demonstration that Tcf7l2 deletion disrupts zonation and that fibrotic "periportalization" reverses zonal programs under inflammatory stress () β exactly the kind of pathway-plasticity the review predicted.
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