Department of Surgery, Keio University, School of Medicine, Tokyo, Japan.
Sci Rep. 2019 Aug 29;9(1):12543. doi: 10.1038/s41598-019-48948-x.
The resectable liver volume is strictly limited and this reduces the number of patients who may be treated. Recently, "tissue/organ decellularization", a new approach in bioengineering, has been investigated for its ability to produce a native organ scaffold by removing all the viable cells. Such a scaffold may support the repair of damaged or injured tissue. The purpose of this study was to evaluate the potential contribution of liver scaffolds to hepatic regeneration after hepatectomy. We sutured the partial liver scaffolds onto the surfaces of partially hepatectomized porcine livers and assessed their therapeutic potential by immune histological analysis at various time points. Animals were sacrificed after surgery and the implanted scaffolds were evaluated for the infiltration of various types of cells. Immune histochemical study showed that blood vessel-like structures, covered with CD31 positive endothelial cells and ALB positive cells, were present in all parts of the scaffolds at days 10 and 28. Blood inflow was observed in some of these ductal structures. More interestingly, CK19 and EpCAM positive cells appeared at day 10. These results suggest that the implantation of a decellularized organ scaffold could promote structural reorganization after liver resection.
可切除的肝体积受到严格限制,这降低了可接受治疗的患者数量。最近,“组织/器官脱细胞化”作为生物工程的一种新方法,因其能够通过去除所有有活力的细胞来产生天然器官支架的能力而受到研究。这种支架可能支持受损或受伤组织的修复。本研究旨在评估肝支架在肝切除术后肝再生中的潜在作用。我们将部分肝支架缝合到部分肝切除的猪肝表面上,并通过在不同时间点进行免疫组织化学分析来评估其治疗潜力。手术后动物被处死,并评估植入的支架对各种类型细胞浸润的情况。免疫组织化学研究显示,在第 10 天和第 28 天,所有支架的部分均存在血管样结构,这些结构被 CD31 阳性内皮细胞和 ALB 阳性细胞覆盖。在一些这些导管结构中观察到血液流入。更有趣的是,在第 10 天出现了 CK19 和 EpCAM 阳性细胞。这些结果表明,植入脱细胞器官支架可以促进肝切除术后的结构重排。