Bioartificial liver support system using porcine hepatocytes entrapped in a three-dimensional hollow fiber module with collagen gel: An evaluation in the swine acute liver failure model

被引:26
作者
Naka, S [1 ]
Takeshita, K [1 ]
Yamamoto, T [1 ]
Tani, T [1 ]
Kodama, M [1 ]
机构
[1] Shiga Univ Med Sci, Dept Surg 1, Shiga 5202192, Japan
关键词
bioartificial liver; hepatocyte culture; hollow fiber; collagen gel; acute liver failure; plasminogen activator inhibitor 1(PAI-1);
D O I
10.1046/j.1525-1594.1999.06323.x
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
The perfusion culture system of hepatocytes entrapped in a three-dimensional hollow fiber module with collagen gel is expected to realize an effective bioartificial liver (BAL) support system. The BAL module contained 5.4 billion porcine hepatocytes, which is approximately 7% of the total liver, supplied adequate metabolic functions, and improved the survival of the experimental acute liver failure swine. Improvement of the prothrombin time by the BAL treatment was not significant; however, the bleeding tendency was suppressed, which resulted in a significantly prolonged survival time of the animals in the BAL treatment group. A drastic up-regulation of the expression of the mRNA for plasminogen activator inhibitor 1 (PAI-1), which is known as an inhibitor for fibrinolysis, may explain the suppression of the bleeding tendency. These results support the efficacy of our BAL system for the treatment of acute liver failure.
引用
收藏
页码:822 / 828
页数:7
相关论文
共 25 条
[11]   TEMPORARY ORGAN SUBSTITUTION BY HEMOPERFUSION THROUGH SUSPENSION OF ACTIVE DONOR HEPATOCYTES IN A TOTAL COMPLEX OF INTENSIVE THERAPY IN PATIENTS WITH ACUTE HEPATIC INSUFFICIENCY [J].
MARGULIS, MS ;
ERUKHIMOV, EA ;
ANDREIMAN, LA ;
VIKSNA, LM .
RESUSCITATION, 1989, 18 (01) :85-94
[12]  
MATSUMURA KN, 1987, SURGERY, V101, P99
[13]  
MORSIANI E, 1994, TRANSPLANT P, V26, P3505
[14]  
ROZGA J, 1993, HEPATOLOGY, V17, P258, DOI 10.1016/0270-9139(93)90086-3
[15]   PREPARATION OF RAT-LIVER CELLS .3. ENZYMATIC REQUIREMENTS FOR TISSUE DISPERSION [J].
SEGLEN, PO .
EXPERIMENTAL CELL RESEARCH, 1973, 82 (02) :391-398
[16]   Characterization of the three-compartment gel-entrapment porcine hepatocyte bioartificial liver [J].
Sielaff, TD ;
Nyberg, SL ;
Rollins, MD ;
Hu, MY ;
Amiot, B ;
Lee, A ;
Wu, FJ ;
Hu, WS ;
Cerra, FB .
CELL BIOLOGY AND TOXICOLOGY, 1997, 13 (4-5) :357-364
[17]   Hepatocyte transplantation as a bridge to orthotopic liver transplantation in terminal liver failure [J].
Strom, SC ;
Fisher, RA ;
Thompson, MT ;
Sanyal, AJ ;
Cole, PE ;
Ham, JM ;
Posner, MP .
TRANSPLANTATION, 1997, 63 (04) :559-569
[18]  
SUSSMAN NL, 1993, ARTIF ORGANS, V17, P27
[19]   Extracorporeal liver support: Cell-based therapy for the failing liver [J].
Sussman, NL ;
Kelly, JH .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1997, 30 (05) :S66-S71
[20]  
Suzuki M, 1997, ARTIF ORGANS, V21, P99