Kotransplants based on hepatocytes and mesenchimal stem cells: characteristic, clinical application and primary assessment of the approach efficiency
Keywords:
hepatocytes, mesenchymal stem cells, hepatocyte-like cells, co-culture, the level of liver secretory soluble proteins, morphological characteristics, cell co-transplantationAbstract
The results of a study on the effect of co-cultivation of mesenchymal stem cells isolated from adipose tissue and hepatogenic differentiation’ mesenchymal stem cells on the viability and functional activity of hepatocytes in a coculture are presented. It was established that a high level of secretion of liver proteins by differentiated mesenchymal stem cells and providing them with functional and metabolic properties of isolated hepatocytes was observed in the first days of cultivation (HGF (p = 0.06) and ANGPTL4 (p <0.03)). Therefore, with a longer culture, it is recommended to use undifferentiated MSCs as a scaffold. The development of liver damage is affected by variable environmental factors and lifestyle (diet, physical inertia and emotional stress). To assess the effectiveness of co-transplantation of hepatocytes and allogeneic mesenchymal stem cells of adipose tissue, a pilot clinical study was conducted in ten patients with complications of liver cirrhosis in the form of liver failure. It has been established that intraportal co-infusion of hepatocytes and allogeneic mesenchymal stem cells of adipose tissue in patients with hepatic insufficiency against cirrhosis and extensive liver resection was safe against undesirable phenomena and effective against the synthetic and metabolic function of the liver.