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
[1]   Xenoantibody response of patients with severe acute liver failure exposed to porcine antigens following treatment with a bioartificial liver [J].
Baquerizo, A ;
Mhoyan, A ;
Shirwan, H ;
Swensson, J ;
Busuttil, RW ;
Demetriou, AA ;
Cramer, DV .
TRANSPLANTATION PROCEEDINGS, 1997, 29 (1-2) :964-965
[2]   EARLY CLINICAL-EXPERIENCE WITH A HYBRID BIOARTIFICIAL LIVER [J].
DEMETRIOU, AA ;
ROZGA, J ;
PODESTA, L ;
LEPAGE, E ;
MORSIANI, E ;
MOSCIONI, AD ;
HOFFMAN, A ;
MCGRATH, M ;
KONG, L ;
ROSEN, H ;
VILLAMIL, F ;
WOOLF, G ;
VIERLING, J ;
MAKOWKA, L .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1995, 30 :111-117
[3]   Long-term liver cell cultures in bioreactors and possible application for liver support [J].
Gerlach, JC .
CELL BIOLOGY AND TOXICOLOGY, 1997, 13 (4-5) :349-355
[4]   Experimental evaluation of a hybrid liver support system [J].
Gerlach, JC ;
Lemmens, P ;
Schon, M ;
Janke, J ;
Rossaint, R ;
Busse, B ;
Puhl, G ;
Neuhaus, P .
TRANSPLANTATION PROCEEDINGS, 1997, 29 (1-2) :852-852
[5]  
Harper A M, 1996, Clin Transpl, P69
[6]  
HERSCH SL, 1987, BLOOD, V69, P1315
[7]   Use of bioartificial and artificial liver support devices [J].
Hughes, RD ;
Williams, R .
SEMINARS IN LIVER DISEASE, 1996, 16 (04) :435-444
[8]   Living related liver transplantation in adults [J].
Kawasaki, S ;
Makuuchi, M ;
Matsunami, H ;
Hashikura, Y ;
Ikegami, T ;
Nakazawa, Y ;
Chisuwa, H ;
Terada, M ;
Miyagawa, S .
ANNALS OF SURGERY, 1998, 227 (02) :269-274
[9]  
LEE MH, 1993, BLOOD, V81, P2357
[10]   NONBIOLOGICAL LIVER SUPPORT - HISTORIC OVERVIEW [J].
MALCHESKY, PS .
ARTIFICIAL ORGANS, 1994, 18 (05) :342-347