Transplant of hepatocytes, undifferentiated mesenchymal stem cells, and in vitro hepatocyte-differentiated mesenchymal stem cells in a chronic liver failure experimental model: A comparative study

Theodor Bilharz Research Institute

Bibliographic Information

Authors: El Baz H.; Demerdash Z.; Kamel M.; Atta S.; Salah F.; Hassan S.; Hammam O.; Khalil H.; Meshaal S.; Raafat I.

Journal: Experimental and Clinical Transplantation

Publisher: Baskent University

Publication Date: February 2018

Volume / Issue: Volume 16 / Issue 1

Pages: 81–89

ISSN: 13040855

DOI: 10.6002/ect.2016.0226

Scopus: View on Scopus

PubMed: 28585911

Document Type: Article


Authors and Affiliations

El Baz H., Immunology Department, Imbaba, Giza, Egypt; Demerdash Z., Immunology Department, Imbaba, Giza, Egypt; Kamel M., Immunology Department, Imbaba, Giza, Egypt; Atta S., Immunology Department, Imbaba, Giza, Egypt; Salah F., Immunology Department, Imbaba, Giza, Egypt; Hassan S., Immunology Department, Imbaba, Giza, Egypt; Hammam O., Pathology Department, Theodor Bilharz Research Institute, Imbaba, Giza, Egypt; Khalil H., Pathology Department, Theodor Bilharz Research Institute, Imbaba, Giza, Egypt; Meshaal S., Clinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt; Raafat I., Clinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt


Abstract

Objectives: Liver transplant is the cornerstone line of treatment for chronic liver diseases; however, the long list of complications and obstacles stand against this operation. Searching for new modalities for treatment of chronic liver illness is a must. In the present research, we aimed to compare the effects of transplant of undifferentiated human mesenchymal stem cells, in vitro differentiated mesenchymal stem cells, and adult hepatocytes in an experimental model of chronic liver failure. Materials and Methods: Undifferentiated human cord blood mesenchymal stem cells were isolated, pro-pagated, and characterized by morphology, gene expression analysis, and flow cytometry of surface markers and in vitro differentiated into hepatocyte-like cells. Rat hepatocytes were isolated by double perfusion technique. An animal model of chronic liver failure was developed, and undifferentiated human cord blood mesenchymal stem cells, in vitro hepato-genically differentiated mesenchymal stem cells, or freshly isolated rat hepatocytes were transplanted into a CCL4 cirrhotic experimental model. Animals were killed 3 months after transplant, and liver functions and histopathology were assessed. Results: Compared with the cirrhotic control group, the 3 cell-treated groups showed improved alanine aminotransferase, aspartate aminotransferase, albumin, and bilirubin levels, with best results shown in the hepatocyte-treated group. Histopathologic examination of the treated groups showed improved fibrosis, with best results obtained in the undifferentiated mesenchymal stem cell-treated group. Conclusions: Both adult hepatocytes and cord blood mesenchymal stem cells proved to be promising candidates for cell-based therapy in liver regeneration on an experimental level. Improved liver function was evident in the hepatocyte-treated group, and fibrosis control was more evident in the undifferentiated mesenchymal stem cell-treated group. © Başkent University 2018 Printed in Turkey. All Rights Reserved.


Keywords

Cell-mediated therapy; End-stage liver disease; Animals; Biomarkers; Carbon Tetrachloride; Cell Differentiation; Cells, Cultured; Chemical and Drug Induced Liver Injury; Cord Blood Stem Cell Transplantation; End Stage Liver Disease; Hepatocytes; Humans; Liver Cirrhosis, Experimental; Liver Regeneration; Liver Transplantation; Male; Mesenchymal Stem Cell Transplantation; Mesenchymal Stromal Cells; Mice, Inbred BALB C; Phenotype; Rats, Inbred Lew; Recovery of Function; Time Factors; alanine aminotransferase; albumin; aspartate aminotransferase; bilirubin; biological marker; adult; animal cell; animal experiment; animal model; animal tissue; Article; carbon tetrachloride-induced liver cirrhosis; cell isolation; cell structure; cell transplantation; chronic liver failure; comparative study; controlled study; female; flow cytometry; gene expression assay; histopathology; human; human cell; infant; liver cell; liver function; mesenchymal stem cell; nonhuman; rat; animal; Bagg albino mouse; cell culture; chemically induced; convalescence; experimental liver cirrhosis; Lewis rat; mesenchymal stroma cell; metabolism; pathology; pathophysiology; procedures; time factor; toxic hepatitis; transplantation


Citation Information

Scopus Citations: 20


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