Zhang Lei, Guan Zheng, Ye Jun-Song, Yin Yan-Feng, Stoltz Jean-François, de Isla Natalia
BRC, First Hospital of Kun Ming (Affiliated Calmette Hospital of Kunming Medical University), Kunming, China.
Lorraine University and CNRS UNR 7365, Medical college, Vandoeuvre-lès-Nancy, France.
Biomed Mater Eng. 2017;28(s1):S113-S119. doi: 10.3233/BME-171632.
Liver transplantation is the definitive treatment for patients with end-stage liver diseases (ESLD). However, it is hampered by shortage of liver donor. Liver tissue engineering, aiming at fabricating new livers in vitro, provides a potential resolution for donor shortage. Three elements need to be considered in liver tissue engineering: seeding cell resources, scaffolds and bioreactors. Studies have shown potential cell sources as hepatocytes, hepatic cell line, mesenchymal stem cells and others. They need scaffolds with perfect biocompatiblity, suitable micro-structure and appropriate degradation rate, which are essential charateristics for cell attachment, proliferation and secretion in forming extracellular matrix. The most promising scaffolds in research include decellularized whole liver, collagens and biocompatible plastic. The development and function of cells in scaffold need a microenvironment which can provide them with oxygen, nutrition, growth factors, et al. Bioreactor is expected to fulfill these requirements by mimicking the living condition in vivo. Although there is great progress in these three domains, a large gap stays still between their researches and applications. Herein, we summarized the recent development in these three major fields which are indispensable in liver tissue engineering.
肝移植是终末期肝病(ESLD)患者的确定性治疗方法。然而,它受到肝脏供体短缺的阻碍。旨在体外制造新肝脏的肝组织工程为供体短缺提供了一种潜在的解决方案。肝组织工程需要考虑三个要素:种子细胞来源、支架和生物反应器。研究表明,潜在的细胞来源包括肝细胞、肝细胞系、间充质干细胞等。它们需要具有完美生物相容性、合适的微观结构和适当降解速率的支架,这些是细胞附着、增殖以及在形成细胞外基质过程中分泌的基本特征。研究中最有前景的支架包括脱细胞全肝、胶原蛋白和生物相容性塑料。支架中细胞的发育和功能需要一个能为它们提供氧气、营养、生长因子等的微环境。生物反应器有望通过模拟体内生存条件来满足这些要求。尽管在这三个领域都取得了很大进展,但它们的研究与应用之间仍存在很大差距。在此,我们总结了肝组织工程中这三个不可或缺的主要领域的最新进展。