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Headways in Liver Tissue Engineering. Olga Filippova, Munir Nahri, Akash Patel BMES 471. Anatomy of the Liver. Most metabolically complex organ 2 main, 2 smaller lobes Eight segments Lobules Dual blood supply Portal vein (75%) Hepatic artery (25%) Sinusoidal hepatocyte plates
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Headways in Liver Tissue Engineering Olga Filippova, Munir Nahri, Akash Patel BMES 471
Anatomy of the Liver • Most metabolically complex organ • 2 main, 2 smaller lobes • Eight segments • Lobules • Dual blood supply • Portal vein (75%) • Hepatic artery (25%) • Sinusoidal hepatocyte plates • Endothelial, Kupffer’s, Fat-storing, Pit http://education.vetmed.vt.edu/curriculum/vm8054/labs/Lab20/LAB20.HTM http://www.chinaphar.com/1671-4083/24/figs/4747f2.jpg http://www.cpmc.org/images/liver/topics/liver_segments.jpg
Functions of the Liver • Metabolism • Glucose regulation • Drug neutralization • Amino acid catabolism • Bile synthesis • Digestion of fat • Cholesterol catabolism • Stored in gallbladder • Released by CCK from SI http://www.genesishealth.com/services/bariatric_surgery/digestive_diagram.aspx
Current State of Liver TE Regeneration - One of few organs - 80% hepatectomy – full revovery Yokoyama et al.3 In Situ Regeneration - Vascularization for better hepatocyte transplant viability - Stable liver cell transplants under mice kinder capsule Yokoyama et al.3
Current State of Liver TE Multi-cellular Aggregates • Improve homotypic aggregation • Replace generic lines • Co-cultures of non-parenchymal cells • Sinusoidal endothelial, stellate, etc. Abu-Absi et al.4 • Scaffolds • Improved architectural template • Alginate • Fully encapsulated hepatocyte cell lines Du et al.5
Current State of Liver TE • Microtechnology and Cell Patterning • Microscale architecture for lobule models • Combined microfabrication and microcontact printing • Microfluidic structures mimicking liver sinusoids Bioreactors • Zoning of hepatocyte function • Improved oxygen and nutrient delivery • Enhanced viability and functionality for transportation • Miniaturization for higher throughput assay http://www.oulu.fi/spareparts/ebook_topics_in_t_e_vol3/abstracts/catapano_01.pdf Chang et al.5
Room for Improvement Worldwide Prevalence of Liver Disease • Current systems maintain simple liver functions but lose complex • Function zones • mimicking anatomical structure • Recreating complex spatial and flow relationships • Animal models for live therapy evaluation • Limited human and stem cell supply • Primary cells preferred for therapy (2004)
Future of Liver TE • Focused Federal Agency Collaborative • Progenitor stem cells • Controlled differentiation and proliferation • Phenotypic stability • Multiple cells types • Bioartificial Liver • Restore natural function • Vascular network – oxygen, nutrients • Bidirectional mass transport • Fully functional implantable TE liver
References • Hilsden, R.J., Shaffer, E.A. Chapter 14: The Liver, 1. Liver Structure and Function. First Principles of Gastroenterology: the basis of Disease and an Approach to Management. Canadian Association Pf Gastroenterology. 1994. • Shakesheff, K. Chapter 19: Liver Tissue Engineering. Tissue Engineering Using Ceramics and Polymers. London: Woodhead Publishing limited, 2007. • Yokoyama, T., Ohashi, K., Kuge, H., Kanehiro, H., Iwata, H., Yamato, M., Nakajima, Y. In vivo engineering of metabolically active hepatic tissues in aneovascularized subcutaneous cavity. American Journal of Transplantation. 6, 50, 2006. • Abu-Absi, S.F., Friend, J. R., Hansen L. K., Hu W.S. Structural Polarity and Functional Bile Canaliculi in Rat Hepatocyte Spheroids. Experimental Cell Research. 274, 56, 2002. • Du, Y., Han, R. Wen, F., San, S.N.S., Xia, L., Wohland, T., Leo, H.L., Yu, H. Synthetic Sandwich culture of 3D Hepatocyte Monolayer. Biomaterials. 29, 290, 2008. • Chang, R. Nam, J., Sun, W. Computer-Aided Design, Modeling, and Freeform Fabrication of 3D Tissue Constructs for Drug Metabolism Studies. Computer-Aided Design and Applications. 5, 363, 2008. • Gerlach, J.C., Zeilinger, K., Patzer, J.F. II. Bioartificial Liver Systems: Why, What, Whither? Regenerative Medicine. 3, 575, 2008. • Cortesini, R. Stem cells, tissue engineering and organogenesis in transplantation. Transplant Immunology. 15, 81, 2005. • Allen, J.W., Bhatia S. N. Engineering Liver Therapies for the Future. Tissue Engineering. 8, 725, 2002.
Questions? Olga Filippova, Munir Nahri, Akash Patel BMES 471