Tatsumi Kohei, Ohashi Kazuo, Kataoka Miho, Tateno Chise, Shibata Masaru, Naka Hiroyuki, Shima Midori, Hisanaga Michiyoshi, Kanehiro Hiromichi, Okano Teruo, Yoshizato Katsutoshi, Nakajima Yoshiyuki, Yoshioka Akira
Department of Pediatrics, Nara Medical University, Nara, Japan.
Thromb Haemost. 2008 May;99(5):883-91. doi: 10.1160/TH07-09-0559.
Cell-based therapies using isolated hepatocytes have been proposed to be an attractive application in the treatment of haemophilia B due to the normal production of coagulation factor IX (FIX) in these particular cells. Current cell culture technologies have largely failed to provide adequate isolated hepatocytes, so the present studies were designed to examine a new approach to efficiently proliferate hepatocytes that can retain normal biological function, including the ability to synthesize coagulation factors like FIX. Canine or human primary hepatocytes were transplanted into urokinase-type plasminogen activator-severe combined immunodeficiency (uPA/SCID) transgenic mice. Both donor hepatocytes from canines and humans were found to progressively proliferate in the recipient mouse livers as evidenced by a sharp increase in the circulating blood levels of species-specific albumin, which was correlated with the production and release of canine and human FIX antigen levels into the plasma. Histological examination confirmed that the transplanted canine and human hepatocytes were able to proliferate and occupy >80% of the host livers. In addition, the transplanted hepatocytes demonstrated strong cytoplasmic staining for human FIX, and the secreted coagulation factor IX was found to be haemostatically competent using specific procoagulant assays. In all, the results from the present study indicated that developments based on this technology could provide sufficient FIX-producing hepatocytes for cell-based therapy for haemophilia B.
由于这些特定细胞能正常产生凝血因子IX(FIX),因此使用分离的肝细胞进行细胞疗法被认为是治疗乙型血友病的一种有吸引力的应用。目前的细胞培养技术在很大程度上未能提供足够的分离肝细胞,所以本研究旨在探索一种新方法,以有效增殖能保持正常生物学功能的肝细胞,包括合成诸如FIX等凝血因子的能力。将犬或人原代肝细胞移植到尿激酶型纤溶酶原激活剂 - 重症联合免疫缺陷(uPA/SCID)转基因小鼠体内。犬和人供体肝细胞在受体小鼠肝脏中均逐渐增殖,这可通过物种特异性白蛋白循环血水平的急剧升高得到证明,这与犬和人FIX抗原水平向血浆中的产生和释放相关。组织学检查证实,移植的犬和人肝细胞能够增殖并占据宿主肝脏的80%以上。此外,移植的肝细胞对人FIX表现出强烈的细胞质染色,并且使用特定的促凝血测定法发现分泌的凝血因子IX具有止血能力。总之,本研究结果表明,基于该技术的进展可为乙型血友病的细胞疗法提供足够的产生FIX的肝细胞。
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