1. A Preconditioning Strategy to Augment Retention and Engraftment Rate of Donor Cells During Hepatocyte Transplantation
- Author
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Shu-Wha Lin, Jin-Chuan Sheu, Yu-Chen Hsu, Yao-Ming Wu, I-Shing Yu, You-Tzung Chen, and Yu-Fei Tsai
- Subjects
Male ,Transplantation Conditioning ,Cell Survival ,030230 surgery ,Pharmacology ,Hemophilia A ,Immunoglobulin G ,Factor IX ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,medicine ,Animals ,Blood Coagulation ,Mice, Knockout ,Liver sinusoid ,Transplantation ,biology ,business.industry ,Liver cell ,Graft Survival ,Serine Endopeptidases ,Therapeutic effect ,Antibodies, Neutralizing ,Liver Transplantation ,Mice, Inbred C57BL ,Disease Models, Animal ,medicine.anatomical_structure ,Hepatocyte ,Hepatocytes ,biology.protein ,030211 gastroenterology & hepatology ,Antibody ,business - Abstract
Background Hepatocyte transplantation has been extensively investigated as an alternative to orthotopic liver transplantation. However, its application in routine clinical practice has been restricted because of low initial engraftment and subsequent repopulation. Methods Using mice as a model, we have developed a minimally invasive and nontoxic preconditioning strategy based on preadministration of antibodies against hepsin to increase donor hepatocyte retention and engraftment rate. Results Liver sinusoid diameters decreased significantly with antihepsin pretreatment, and graft cell numbers increased nearly 2-fold in the recipients' liver parenchyma for 20 days after hepatocyte transplantation. Postoperative complications such as hepatic ischemia injury or apparent immune cell accumulation were not observed in recipients. In a hemophilia B mouse model, antihepsin preconditioning enhanced the expression and clotting activity of coagulation factor IX (FIX) to nearly 2-fold that of immunoglobulin G-treated controls and maintained higher plasma FIX clotting activity relative to the prophylactic range for 50 days after hepatocyte transplantation. Antihepsin pretreatment combined with adeno-associated virus-transduced donor hepatocytes expressing human FIX-Triple, a hyperfunctional FIX variant, resulted in plasma FIX levels similar to those associated with mild hemophilia, which protected hemophilia B mice from major bleeding episodes for 50 days after transplantation. Furthermore, antihepsin pretreatment and repeated transplantation resulted in extending the therapeutic period by 30 days relative to the immunoglobulin G control. Conclusions Thus, this antihepsin strategy improved the therapeutic effect of hepatocyte transplantation in mice with tremendous safety and minimal invasion. Taken together, we suggest that preconditioning with antihepsin may have clinical applications for liver cell therapy.
- Published
- 2020