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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

邮发代号 80-967

2019 Impact Factor: 3.421

Frontiers of Medicine  2023, Vol. 17 Issue (3): 432-457   https://doi.org/10.1007/s11684-023-1002-1
  本期目录
Liver cell therapies: cellular sources and grafting strategies
Wencheng Zhang1,2,3, Yangyang Cui1,2,3,4, Yuan Du1,5, Yong Yang1,5, Ting Fang1,2,3, Fengfeng Lu1,2,3, Weixia Kong6, Canjun Xiao7, Jun Shi5,7, Lola M. Reid8(), Zhiying He1,2,3()
1. Institute for Regenerative Medicine, Ji’an Hospital, Shanghai East Hospital, School of Life Sciences and Technology, Tongji University, Shanghai 200123, China
2. Shanghai Engineering Research Center of Stem Cells Translational Medicine, Shanghai 200335, China
3. Shanghai Institute of Stem Cell Research and Clinical Translation, Shanghai 200120, China
4. Postgraduate Training Base of Shanghai East Hospital, Jinzhou Medical University, Jinzhou 121001, China
5. The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
6. Graduate School of Frontier Biosciences, Osaka University, Suita, Osaka, 565-0871, Japan
7. Department of General Surgery, Ji’an Hospital, Shanghai East Hospital, School of Medicine, Tongji University, Ji’an 343006, China
8. Department of Cell Biology and Physiology and Program in Molecular Biology and Biotechnology; UNC School of Medicine, Chapel Hill, NC 27599, USA
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Abstract

The liver has a complex cellular composition and a remarkable regenerative capacity. The primary cell types in the liver are two parenchymal cell populations, hepatocytes and cholangiocytes, that perform most of the functions of the liver and that are helped through interactions with non-parenchymal cell types comprising stellate cells, endothelia and various hemopoietic cell populations. The regulation of the cells in the liver is mediated by an insoluble complex of proteins and carbohydrates, the extracellular matrix, working synergistically with soluble paracrine and systemic signals. In recent years, with the rapid development of genetic sequencing technologies, research on the liver’s cellular composition and its regulatory mechanisms during various conditions has been extensively explored. Meanwhile breakthroughs in strategies for cell transplantation are enabling a future in which there can be a rescue of patients with end-stage liver diseases, offering potential solutions to the chronic shortage of livers and alternatives to liver transplantation. This review will focus on the cellular mechanisms of liver homeostasis and how to select ideal sources of cells to be transplanted to achieve liver regeneration and repair. Recent advances are summarized for promoting the treatment of end-stage liver diseases by forms of cell transplantation that now include grafting strategies.

Key wordsliver regeneration    hepatocytes    cholangiocytes    stem cells    organoids    regulatory mechanisms    transplantation/grafting strategies
收稿日期: 2023-01-17      出版日期: 2023-07-28
Corresponding Author(s): Lola M. Reid,Zhiying He   
 引用本文:   
. [J]. Frontiers of Medicine, 2023, 17(3): 432-457.
Wencheng Zhang, Yangyang Cui, Yuan Du, Yong Yang, Ting Fang, Fengfeng Lu, Weixia Kong, Canjun Xiao, Jun Shi, Lola M. Reid, Zhiying He. Liver cell therapies: cellular sources and grafting strategies. Front. Med., 2023, 17(3): 432-457.
 链接本文:  
https://academic.hep.com.cn/fmd/CN/10.1007/s11684-023-1002-1
https://academic.hep.com.cn/fmd/CN/Y2023/V17/I3/432
Fig.1  
Fig.2  
Fig.3  
Fig.4  
Fig.5  
Cell source Patients Participants Outcomes Reference or ClinicalTrials.gov identifier
EpCAM+ hepatic stem cells Patients with end-stage liver diseases with at least 6 months living 220 participants Long-term rescue of patients; 5-year-survival rates > 80% [82,87,90,91]
EpCAM+ fetal biliary tree stem cells Chronic liver disease 2 participants Improvement in biochemical indices; continuous decline MELD score; no immune suppression needed [92]
Human fetal liver cell transplantation Cirrhotic patients 25 participants 5 of the 9 treated patients survived to a 1-year follow-up, while 6 of the 16 control patients with standard therapies survived to a 1-year follow-up NCT01013194
Autologous CD34+ haemopoietic cells Liver disease 5 participants; complete Patients receiving 5×1010 cells; revealed to be safe within 12 months with mild side effects NCT00655707
PSiPS generated from skin fiboblasts with 4 Yamanaka factors Hepatic disorders; eye disorders 15 participants No results revealed for further indication NCT00953693
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Fig.7  
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