Vesta Therapeutics, Inc, Durham, North Carolina, USA.
J Cell Physiol. 2010 Nov;225(2):429-36. doi: 10.1002/jcp.22216.
The availability of suitable human livers for transplantation falls short of the number of potential patients. In addition, the availability of primary human hepatocytes for cell-therapy and drug development applications is significantly limited; less than 700 livers per year are available for such studies. However, the majority of these organs cannot be utilized due to pathological infections (e.g., HepB, HepC, or HIV) or excessive levels of steatosis. Thus, the number of cells needed for cell therapy applications far exceeds the number of cells available from donated livers. The ability to implant progenitor cell populations that can form liver tissue in situ, or can be differentiated in vitro would be a major advance in current cell-based therapies. In addition, and importantly for this application, the ability to utilize a non-hepatic progenitor cell to mimic hepatocytes in vitro would enable the scale-up production of cells for bioartifical liver assist devices, cell-therapy and drug discovery applications. We demonstrate the feasibility of inducing adipose-derived stromal (ASC) cells to express several features of human hepatocytes such as glycogen storage and expression of liver specific genes. Importantly, we also show that undifferentiated ASCs and ASC-derived hepatic cells engraft robustly into the liver in a mouse model of toxic injury. These data indicate a significant potential for the use of undifferentiated ASCs and ASC-derived hepatic cells as novel and valuable products for cell therapy.
可供移植的合适人类肝脏数量远远低于潜在患者的数量。此外,用于细胞治疗和药物开发应用的原代人肝细胞的可用性受到显著限制;每年只有不到 700 个肝脏可用于此类研究。然而,由于病理感染(例如 HepB、HepC 或 HIV)或脂肪变性水平过高,这些器官中的大多数都无法使用。因此,细胞治疗应用所需的细胞数量远远超过捐赠肝脏中可用的细胞数量。能够植入可以原位形成肝组织的祖细胞群体,或者可以在体外分化的能力将是当前基于细胞的治疗方法的重大进展。此外,对于这种应用,能够利用非肝祖细胞在体外模拟肝细胞的能力将使生物人工肝辅助设备、细胞治疗和药物发现应用的细胞规模化生产成为可能。我们证明了诱导脂肪来源的基质(ASC)细胞表达几种人类肝细胞特征的可行性,例如糖原储存和肝脏特异性基因的表达。重要的是,我们还表明,未分化的 ASC 和 ASC 衍生的肝细胞在毒性损伤的小鼠模型中能够强有力地植入肝脏。这些数据表明,未分化的 ASC 和 ASC 衍生的肝细胞作为细胞治疗的新型有价值产品具有很大的应用潜力。