Haga Junko, Enosawa Shin, Kobayashi Eiji
Department of Organ Fabrication, Keio University School of Medicine , Tokyo , Japan.
Cell Med. 2016 Oct 21;9(1-2):3-7. doi: 10.3727/215517916X693104. eCollection 2017 Jan 8.
Advances in stem cell research suggest that cell therapy is a potential alternative to liver transplantation. The use of individualized and minimally invasive cell therapy is desirable to avoid rejection and reduce patient burden. While allo-hepatocyte transplantation has been performed for metabolic hepatic disease, auto-bone marrow transplantation (BMT) has shifted toward mesenchymal stem cells (MSCs) transplantation for liver cirrhosis. In this article, an overview of cell transplantation research for liver disease is provided through our recent rat studies. We have developed various kinds of rat imaging models and have evaluated the effect of cell therapy for liver disease. Bone marrow cells (BMCs) of the Alb-DsRed2 rat were transplanted via the portal vein (PV) in acute and chronic liver damage models. The number of Alb-DsRed2 albumin-producing cells increased, and the size of the cells increased in the chronic liver damage model as well as in the acute liver damage model. Luciferase transgenic (luc-Tg) rat hepatocytes were transplanted into the hepatectomized LEW rat via the PV. Luminescence intensity lasted for 2 months in the hepatectomized rat. BMCs obtained from green fluorescent protein (GFP) Tg rats were transplanted repeatedly via the PV using an implanted catheter with a port. Repeated BMT via the PV reduced the liver fibrosis. Adipocyte-derived MSCs from the luc-Tg rat were transplanted into the hepatectomized rat model via the PV after ischemic reperfusion. MSCs inhibited hepatocyte apoptosis and promoted liver regeneration. Transplanting the optimal number of cells by an effective and safe way is important for clinical application. Bioimaging rats are a powerful tool for cell transplantation research because it makes observation of the in vivo kinetics of transplanted cells possible. Cell transplantation research using bioimaging rats contributes greatly to evaluating effective methods of cell therapy.
干细胞研究的进展表明,细胞疗法是肝移植的一种潜在替代方法。采用个体化和微创的细胞疗法有助于避免排斥反应并减轻患者负担。虽然同种异体肝细胞移植已用于治疗代谢性肝病,但自体骨髓移植(BMT)已转向间充质干细胞(MSCs)移植治疗肝硬化。在本文中,我们通过近期的大鼠研究对肝病细胞移植研究进行了综述。我们开发了各种大鼠成像模型,并评估了细胞疗法对肝病的疗效。在急性和慢性肝损伤模型中,通过门静脉(PV)移植了Alb-DsRed2大鼠的骨髓细胞(BMCs)。在慢性肝损伤模型以及急性肝损伤模型中,产生白蛋白的Alb-DsRed2细胞数量增加,细胞大小也增大。将荧光素酶转基因(luc-Tg)大鼠肝细胞通过PV移植到肝切除的LEW大鼠体内。荧光强度在肝切除大鼠体内持续了2个月。使用带有端口的植入导管,通过PV重复移植从绿色荧光蛋白(GFP)Tg大鼠获得的BMCs。通过PV重复进行BMT可减轻肝纤维化。将luc-Tg大鼠脂肪细胞来源的MSCs在缺血再灌注后通过PV移植到肝切除大鼠模型中。MSCs抑制肝细胞凋亡并促进肝再生。通过有效且安全的方式移植最佳数量的细胞对临床应用很重要。生物成像大鼠是细胞移植研究的有力工具,因为它使观察移植细胞的体内动力学成为可能。使用生物成像大鼠进行的细胞移植研究对评估有效的细胞治疗方法有很大帮助。