Ham Dong-Sik, Song Min-Sang, Park Heon-Seok, Rhee Marie, Yang Hae Kyung, Lee Seung-Hwan, Kim Ji-Won, Jung Eun-Sun, Yoon Kun-Ho
Department of Endocrinology & Metabolism, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Convergent Research Consortium for Immunologic Disease, Seoul St. Mary's Hospital, Seoul, Korea.
Xenotransplantation. 2015 Jul-Aug;22(4):249-59. doi: 10.1111/xen.12177. Epub 2015 Jul 15.
Hepatocyte transplantation is a promising therapy for acute liver failure. Cell therapy using xenogeneic sources has emerged as an alternative treatment for patients with organ failure due to the shortage of transplantable human organs. The purpose of this study was to improve the survival of mice with acute liver failure by transplanting encapsulated neonatal pig re-aggregated liver cells (NPRLC).
Liver injury was induced in C57/BL6 male mice by the injection of 600 mg/kg of acetaminophen. Xenogeneic liver cells were isolated from a neonatal pig and processed via re-aggregation and encapsulation to improve the efficiency of the xenogeneic liver cell transplantation. The neonatal pig liver showed abnormal lobule structure. Isolated cells were re-aggregated and intraperitoneally transplanted into acute liver failure mice models.
Re-aggregated cells showed significantly enhanced viability and significantly greater synthesis of albumin and urea than cells cultured in monolayers. Further, we observed improved serum levels of ALT/AST, and the survival rate of mice with acute liver failure was improved by the intraperitoneal transplantation of encapsulated hepatocytes (48,000 equivalent (Eq) per mouse).
This study shows that using encapsulated NPRLCs improves the efficacy of xenogeneic liver cell transplantation for the treatment of mice with acute liver failure. Therefore, this may be a good strategy for bridge therapy for the treatment of acute liver failure in humans.
肝细胞移植是治疗急性肝衰竭的一种有前景的疗法。由于可移植人体器官短缺,使用异种来源的细胞疗法已成为器官衰竭患者的替代治疗方法。本研究的目的是通过移植封装的新生猪重聚集肝细胞(NPRLC)来提高急性肝衰竭小鼠的存活率。
通过注射600mg/kg对乙酰氨基酚诱导C57/BL6雄性小鼠肝损伤。从新生猪中分离异种肝细胞,并通过重聚集和封装进行处理,以提高异种肝细胞移植的效率。新生猪肝小叶结构异常。将分离的细胞重聚集并腹腔内移植到急性肝衰竭小鼠模型中。
与单层培养的细胞相比,重聚集细胞显示出显著提高的活力以及显著更高的白蛋白和尿素合成。此外,我们观察到血清谷丙转氨酶/谷草转氨酶水平有所改善,并且通过腹腔内移植封装的肝细胞(每只小鼠48,000当量(Eq))提高了急性肝衰竭小鼠的存活率。
本研究表明,使用封装的NPRLC可提高异种肝细胞移植治疗急性肝衰竭小鼠的疗效。因此,这可能是治疗人类急性肝衰竭的桥接治疗的良好策略。