Martinez-Castillo Moises, León-Mancilla Benjamín, Ramírez-Rico Gerardo, Alfaro Ana, Pérez-Torres Armando, Díaz-Infante Daniela, García-Loya Jorge, Medina-Avila Zaira, Sanchez-Hernandez Jaime, Piña-Barba Cristina, Gutierrez-Reyes Gabriela
Liver, Pancreas and Motility Laboratory, Unit of Research in Experimental Medicine, School of Medicine, Universidad Nacional Autónoma de México (UNAM), Mexico City, Mexico.
Facultad de Estudios Superiores Cuautitlán, Universidad Nacional Autónoma de México (UNAM), Cuautitlán Izcalli, Mexico.
Front Med (Lausanne). 2022 Apr 7;9:808191. doi: 10.3389/fmed.2022.808191. eCollection 2022.
Hepatitis C virus-induced liver damage, chronic liver damage due to alcohol, and non-alcoholic liver disease-induced cellular alterations promote fibrosis, cirrhosis, and/or hepatocellular carcinoma. The recommended therapeutic option for advanced liver damage is liver transplantation. Extracellular matrix scaffolds have been evaluated as an alternative for tissue restoration. Studies on the biocompatibility and rejection of synthetic and natural scaffolds as an alternative to organ transplantation have been evaluated. Our group has recently described the xenoimplant of collagen matrix scaffold (CMS) in a rat model. However, no complete macroscopic and histological description of the liver parenchyma at the initial (day 3), intermediate (day 14), and advanced (day 21) stages has been obtained. In this study, we described and compared liver tissue from the CMS zone (CZ, CMS, and liver parenchyma), liver tissue from the normal zone (liver parenchyma close to the CMS), and basal tissue (resected tissue from the CMS implantation site). Our data strongly suggest that the collagen matrix xenoimplant is a good niche for hepatocytes, with no rejection, and does not affect liver function tests. The liver can regenerate after damage, but this capacity is inhibited in a chronic injury. At present, the use of CMS after liver damage has not been reported. This biomaterial could be a novel alternative in the field of regenerative medicine for liver diseases.
丙型肝炎病毒引起的肝损伤、酒精导致的慢性肝损伤以及非酒精性肝病引起的细胞改变会促进纤维化、肝硬化和/或肝细胞癌。对于晚期肝损伤,推荐的治疗选择是肝移植。细胞外基质支架已被评估为组织修复的替代方案。关于合成和天然支架作为器官移植替代物的生物相容性和排斥反应的研究也已得到评估。我们小组最近在大鼠模型中描述了胶原基质支架(CMS)的异种移植。然而,尚未获得在初始阶段(第3天)、中间阶段(第14天)和晚期阶段(第21天)肝脏实质的完整宏观和组织学描述。在本研究中,我们描述并比较了来自CMS区域(CZ、CMS和肝实质)的肝组织、来自正常区域(靠近CMS的肝实质)的肝组织以及基础组织(来自CMS植入部位的切除组织)。我们的数据有力地表明,胶原基质异种移植是肝细胞的良好微环境,不会引发排斥反应,且不影响肝功能检查。肝脏在受损后能够再生,但这种能力在慢性损伤中会受到抑制。目前,尚未有肝损伤后使用CMS的报道。这种生物材料可能是肝病再生医学领域的一种新型替代物。