Hybrid Artificial Liver Using Hepatocyte Organoid Culture

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<jats:p><jats:bold>Abstract:</jats:bold> We developed 2 types of hybrid artificial liver modules using hepatocyte organoid culture. One was a polyurethane foam (PUF)/hepatocyte spheroid packed‐bed module. Hepatocytes spontaneously formed spheroids in the PUF pores, and they maintained liver‐specific functions well for at least 2 weeks in vitro. As a preclinical experiment, a hybrid artificial liver with 200 g porcine hepatocytes was applied to a pig (25 kg) with liver failure and showed that the hybrid artificial liver was effective in support of liver functions and stabilization of general conditions. We established a new technique of hepatocyte organoid formation using centrifugal force. A hepatocyte organoid formed by centrifugation in hollow fibers maintained functions for more than 4 months in vitro. We developed a new sinusoid‐like structure module having hollow fibers arranged by spacers in a micro‐regular arrangement. Inoculated hepatocytes in the extra‐fiber space of the module formed the organoid by centrifugation, and they maintained the functions for at least 1 month in vitro. The results indicated that this module seems to be promising as a hybrid artificial liver.</jats:p>

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