Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical Applications

Liver transplantation is currently the only curative therapy for patients with acute or chronic liver failure. However, a dramatic gap between the number of available liver grafts and the number of patients on the transplantation waiting list emphasizes the need for valid liver substitutes. Whole-or...

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Main Authors: Burak Toprakhisar, Catherine M. Verfaillie, Manoj Kumar
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/12/2/301
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author Burak Toprakhisar
Catherine M. Verfaillie
Manoj Kumar
author_facet Burak Toprakhisar
Catherine M. Verfaillie
Manoj Kumar
author_sort Burak Toprakhisar
collection DOAJ
description Liver transplantation is currently the only curative therapy for patients with acute or chronic liver failure. However, a dramatic gap between the number of available liver grafts and the number of patients on the transplantation waiting list emphasizes the need for valid liver substitutes. Whole-organ engineering is an emerging field of tissue engineering and regenerative medicine. It aims to generate transplantable and functional organs to support patients on transplantation waiting lists until a graft becomes available. It comprises two base technologies developed in the last decade; (1) organ decellularization to generate a three-dimensional (3D) extracellular matrix scaffold of an organ, and (2) scaffold recellularization to repopulate both the parenchymal and vascular compartments of a decellularized organ. In this review article, recent advancements in both technologies, in relation to liver whole-organ engineering, are presented. We address the potential sources of hepatocytes and non-parenchymal liver cells for repopulation studies, and the role of stem-cell-derived liver progeny is discussed. In addition, different cell seeding strategies, possible graft modifications, and methods used to evaluate the functionality of recellularized liver grafts are outlined. Based on the knowledge gathered from recent transplantation studies, future directions are summarized.
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spelling doaj.art-f5a230d7a2154c35b38c1f53a98cdc902023-11-30T21:40:32ZengMDPI AGCells2073-44092023-01-0112230110.3390/cells12020301Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical ApplicationsBurak Toprakhisar0Catherine M. Verfaillie1Manoj Kumar2Stem Cell Institute, Department of Stem Cell and Developmental Biology, KU Leuven, 3000 Leuven, BelgiumStem Cell Institute, Department of Stem Cell and Developmental Biology, KU Leuven, 3000 Leuven, BelgiumStem Cell Institute, Department of Stem Cell and Developmental Biology, KU Leuven, 3000 Leuven, BelgiumLiver transplantation is currently the only curative therapy for patients with acute or chronic liver failure. However, a dramatic gap between the number of available liver grafts and the number of patients on the transplantation waiting list emphasizes the need for valid liver substitutes. Whole-organ engineering is an emerging field of tissue engineering and regenerative medicine. It aims to generate transplantable and functional organs to support patients on transplantation waiting lists until a graft becomes available. It comprises two base technologies developed in the last decade; (1) organ decellularization to generate a three-dimensional (3D) extracellular matrix scaffold of an organ, and (2) scaffold recellularization to repopulate both the parenchymal and vascular compartments of a decellularized organ. In this review article, recent advancements in both technologies, in relation to liver whole-organ engineering, are presented. We address the potential sources of hepatocytes and non-parenchymal liver cells for repopulation studies, and the role of stem-cell-derived liver progeny is discussed. In addition, different cell seeding strategies, possible graft modifications, and methods used to evaluate the functionality of recellularized liver grafts are outlined. Based on the knowledge gathered from recent transplantation studies, future directions are summarized.https://www.mdpi.com/2073-4409/12/2/301regenerative medicineliver tissue engineeringorgan engineeringliver nichestem cellshepatocytes
spellingShingle Burak Toprakhisar
Catherine M. Verfaillie
Manoj Kumar
Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical Applications
Cells
regenerative medicine
liver tissue engineering
organ engineering
liver niche
stem cells
hepatocytes
title Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical Applications
title_full Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical Applications
title_fullStr Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical Applications
title_full_unstemmed Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical Applications
title_short Advances in Recellularization of Decellularized Liver Grafts with Different Liver (Stem) Cells: Towards Clinical Applications
title_sort advances in recellularization of decellularized liver grafts with different liver stem cells towards clinical applications
topic regenerative medicine
liver tissue engineering
organ engineering
liver niche
stem cells
hepatocytes
url https://www.mdpi.com/2073-4409/12/2/301
work_keys_str_mv AT buraktoprakhisar advancesinrecellularizationofdecellularizedlivergraftswithdifferentliverstemcellstowardsclinicalapplications
AT catherinemverfaillie advancesinrecellularizationofdecellularizedlivergraftswithdifferentliverstemcellstowardsclinicalapplications
AT manojkumar advancesinrecellularizationofdecellularizedlivergraftswithdifferentliverstemcellstowardsclinicalapplications