Balladur P, Honiger J, Calmus Y, Vaubourdolle M, Delelo R, Capeau J, Nordlinger B
Centre de Chirurgie digestive, INSERM Unité 402, Hôpital Saint-Antoine, Paris.
Ann Gastroenterol Hepatol (Paris). 1994 Nov-Dec;30(6):265-8; discussion 268-9.
Hepatocyte transplantation could be an alternative to whole liver transplantation. Allogeneic hepatocytes are rejected if transplanted without immunosuppression. The aim of this study was to transplant allogeneic hepatocytes in the peritoneum and to protect them from rejection by encapsulation in a new semi-permeable membrane.
rats hepatocytes were encapsulated in hydrogel-based hollow fibers, obtained from AN69 polymer, before being transplanted into the peritoneum of rats. Outcome of allogeneic hepatocytes encapsuled in hollow fibers was compared to that of free allogeneic hepatocytes. Cell viability was assessed by erythrosine exclusion, morphology by electronic microscopy and function by albumin release.
Up to 90 days, viability of allogeneic hepatocytes in hollow fibers was above 80%. The morphology remained normal at electronic microscopy. Albumin release was 16.5 +/- 0.3 (day 15), 14.2 +/- 2.0 (day 30), 8.8 +/- 0.1 (day 60) and 11.4 +/- 0.3 mg/24h/10(6) hepatocytes (day 90). Free hepatocytes did not survive at day 15.
Viability and function of encapsulated allogeneic hepatocytes were maintained up to 90 days after transplantation, without immunosuppression.
肝细胞移植可能是全肝移植的一种替代方法。如果在没有免疫抑制的情况下移植同种异体肝细胞,它们会被排斥。本研究的目的是将同种异体肝细胞移植到腹膜中,并通过包裹在一种新的半透膜中来保护它们免受排斥。
大鼠肝细胞在被移植到大鼠腹膜之前,被包裹在由AN69聚合物制成的水凝胶基中空纤维中。将包裹在中空纤维中的同种异体肝细胞的结果与游离的同种异体肝细胞的结果进行比较。通过赤藓红排斥法评估细胞活力,通过电子显微镜观察形态,通过白蛋白释放评估功能。
长达90天,中空纤维中同种异体肝细胞的活力高于80%。在电子显微镜下形态保持正常。白蛋白释放量在第15天为16.5±0.3,第30天为14.2±2.0,第60天为8.8±0.1,第90天为11.4±0.3mg/24h/10(6)个肝细胞。游离肝细胞在第15天就无法存活。
在没有免疫抑制的情况下,包裹的同种异体肝细胞的活力和功能在移植后长达90天得以维持。