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一种预测从肝切除术后剩余肝组织块中分离出的人肝细胞活力和产量的算法。

An algorithm that predicts the viability and the yield of human hepatocytes isolated from remnant liver pieces obtained from liver resections.

作者信息

Lee Serene M L, Schelcher Celine, Laubender Rüdiger P, Fröse Natalja, Thasler Reinhard M K, Schiergens Tobias S, Mansmann Ulrich, Thasler Wolfgang E

机构信息

Department of General, Visceral, Transplantation, Vascular and Thoracic Surgery, Grosshadern Hospital, Ludwig Maximilians University, Munich, Germany.

Tissue Bank, Department of General, Visceral, Transplantation, Vascular and Thoracic Surgery, Grosshadern Hospital, Ludwig Maximilians University, Munich, Germany.

出版信息

PLoS One. 2014 Oct 14;9(10):e107567. doi: 10.1371/journal.pone.0107567. eCollection 2014.

Abstract

Isolated human primary hepatocytes are an essential in vitro model for basic and clinical research. For successful application as a model, isolated hepatocytes need to have a good viability and be available in sufficient yield. Therefore, this study aims to identify donor characteristics, intra-operative factors, tissue processing and cell isolation parameters that affect the viability and yield of human hepatocytes. Remnant liver pieces from tissue designated as surgical waste were collected from 1034 donors with informed consent. Human hepatocytes were isolated by a two-step collagenase perfusion technique with modifications and hepatocyte yield and viability were subsequently determined. The accompanying patient data was collected and entered into a database. Univariate analyses found that the viability and the yield of hepatocytes were affected by many of the variables examined. Multivariate analyses were then carried out to confirm the factors that have a significant relationship with the viability and the yield. It was found that the viability of hepatocytes was significantly decreased by the presence of fibrosis, liver fat and with increasing gamma-glutamyltranspeptidase activity and bilirubin content. Yield was significantly decreased by the presence of liver fat, septal fibrosis, with increasing aspartate aminotransferase activity, cold ischemia times and weight of perfused liver. However, yield was significantly increased by chemotherapy treatment. In conclusion, this study determined the variables that have a significant effect on the viability and the yield of isolated human hepatocytes. These variables have been used to generate an algorithm that can calculate projected viability and yield of isolated human hepatocytes. In this way, projected viability can be determined even before isolation of hepatocytes, so that donors that result in high viability and yield can be identified. Further, if the viability and yield of the isolated hepatocytes is lower than expected, this will highlight a methodological problem that can be addressed.

摘要

分离的人原代肝细胞是基础和临床研究中必不可少的体外模型。为了成功用作模型,分离的肝细胞需要具有良好的活力并且能够获得足够的产量。因此,本研究旨在确定影响人肝细胞活力和产量的供体特征、术中因素、组织处理和细胞分离参数。从1034名签署知情同意书的供体中收集被指定为手术废弃物的肝脏组织碎片。采用改良的两步胶原酶灌注技术分离人肝细胞,随后测定肝细胞产量和活力。收集相关患者数据并录入数据库。单因素分析发现,许多检测变量会影响肝细胞的活力和产量。然后进行多因素分析以确认与活力和产量有显著关系的因素。结果发现,纤维化、肝脂肪的存在以及γ-谷氨酰转肽酶活性和胆红素含量的增加会显著降低肝细胞的活力。肝脂肪、间隔纤维化的存在以及天冬氨酸转氨酶活性的增加、冷缺血时间和灌注肝脏的重量会显著降低产量。然而,化疗会显著提高产量。总之,本研究确定了对分离的人肝细胞活力和产量有显著影响的变量。这些变量已被用于生成一种算法,该算法可以计算分离的人肝细胞的预计活力和产量。通过这种方式,甚至在分离肝细胞之前就可以确定预计活力,从而识别出能产生高活力和高产量的供体。此外,如果分离的肝细胞的活力和产量低于预期,这将突出一个可以解决的方法学问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5683/4196847/9a41622ce42f/pone.0107567.g001.jpg

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