[Isolation and culture of pig hepatocyte in large scale for the application of bioartificial liver system].

Yu Jeong Chung, Hyuk Joon Lee, Young Taeg Koh, Sang Beom Kim, Seong Hoon Kim, Seok Ho Choi, Nam Joon Yi, Seong Hwan Chang, Eun Lan Yang, Kyung Suk Suh, Yoon Shin Lee, Kuhn Uk Lee
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Abstract

Background/aims: Acute hepatic failure is a serious problem. Its mortality reaches up to 80%. Only liver transplantation has been accepted as a definite treatment for patients with hepatic failure but shortage of donor organs is the main obstacle of this approach. A possible solution to this problem is a bioartificial liver system, perfusion of patients blood to isolated hepatocyte. In this study, we performed the isolation and culture of pig hepatocyte in large scale for the application of bioartificial liver system.

Methods: Hepatocyte isolation was performed by two-step collagenase method via portal vein perfusion in 10 kg female pigs. After that, we compared the functional differences of the spheroid culture to the monolayer culture of hepatocyte. The viability and the function of hepatocyte were assessed using trypan-blue exclusion test and the measurement of the rate of ureagenesis and ammonia removal.

Results: The average viability and yield of hepatocyte were 86.8 +/- 8.0 % and 7.8 +/- 5.4 X 10(9), respectively. The spheroid culture was superior to the monolayer culture in functional aspect of hepatocyte, and their differences, especially for ammonia removal, were more apparent in parallel with culture time.

Conclusions: For hepatocyte isolation, we obtained sufficient viability and yield of hepatocyte for clinical usage of bioartificial liver system. The function of hepatocyte seems to be better in the spheroid culture than in the monolayer culture. Further studies are needed for application of bioartificial liver system in clinical setting.

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[用于生物人工肝系统应用的猪肝细胞的大规模分离培养]。
背景/目的:急性肝衰竭是一个严重的问题。其死亡率高达80%。肝移植已被公认为是治疗肝功能衰竭的唯一方法,但供体器官短缺是这种方法的主要障碍。一个可能的解决方案是生物人工肝系统,将患者的血液灌注到分离的肝细胞中。本研究对猪肝细胞进行了大规模分离培养,为生物人工肝系统的应用奠定了基础。方法:采用门静脉灌注两步胶原酶法分离10 kg母猪肝细胞。之后,我们比较了球形培养与单层肝细胞的功能差异。采用台盼蓝排斥试验、尿素生成率和氨氮去除率测定,评价肝细胞活力和功能。结果:肝细胞平均存活率为86.8 +/- 8.0%,产率为7.8 +/- 5.4 × 10(9)。球形培养在肝细胞功能方面优于单层培养,且二者的差异,特别是氨去除的差异,在培养时间上更为明显。结论:通过肝细胞分离,获得了足够的肝细胞活力和产率,可供临床应用于生物人工肝系统。肝细胞在球形培养中的功能似乎比单层培养的要好。生物人工肝系统在临床中的应用有待进一步研究。
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