1. Three-dimensional spatially resolved geometrical and functional models of human liver tissue reveal new aspects of NAFLD progression
- Author
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Alexander Hendricks, Fabian Rost, Christoph Röcken, V Moser, Hernán Morales-Navarrete, Marino Zerial, Fabián Segovia-Miranda, Mario Brosch, Sebastian Hinz, Michael Kücken, Dieter Lüthjohann, Jochen Hampe, Clemens Schafmayer, Sarah Seifert, Urska Repnik, Lutz Brusch, and Yannis Kalaidzidis
- Subjects
0301 basic medicine ,Fluorescence-lifetime imaging microscopy ,Pathology ,medicine.medical_specialty ,Human liver ,business.industry ,Spatially resolved ,Fatty liver ,General Medicine ,Disease ,medicine.disease ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,030220 oncology & carcinogenesis ,medicine ,Effective treatment ,In patient ,business ,Clinical progression - Abstract
Early disease diagnosis is key to the effective treatment of diseases. Histopathological analysis of human biopsies is the gold standard to diagnose tissue alterations. However, this approach has low resolution and overlooks 3D (three-dimensional) structural changes resulting from functional alterations. Here, we applied multiphoton imaging, 3D digital reconstructions and computational simulations to generate spatially resolved geometrical and functional models of human liver tissue at different stages of non-alcoholic fatty liver disease (NAFLD). We identified a set of morphometric cellular and tissue parameters correlated with disease progression, and discover profound topological defects in the 3D bile canalicular (BC) network. Personalized biliary fluid dynamic simulations predicted an increased pericentral biliary pressure and micro-cholestasis, consistent with elevated cholestatic biomarkers in patients’ sera. Our spatially resolved models of human liver tissue can contribute to high-definition medicine by identifying quantitative multiparametric cellular and tissue signatures to define disease progression and provide new insights into NAFLD pathophysiology. A combination of high-resolution imaging and modeling approaches facilitates the study of the mechanisms and clinical progression of non-alcoholic fatty liver disease in humans.
- Published
- 2019
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