Establishment of liver cancer disease model via normothermic machine perfusion.

IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Mingxi Zhang, Ming Liu, Youyuan Chen, Yefu Li, Qiang Zhao, Xiaoshun He
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引用次数: 0

Abstract

Purpose: To date, there are no effective therapeutic strategies for hepatocellular carcinoma (HCC). Traditionally, researches on HCC were carried out using hepatocellular carcinoma cells, organoids, and animal models. However, these models cannot accurately replicate the pathophysiological conditions underlying the onset and progression of human HCC. Therefore, more effective disease models are needed to study HCC.

Methods: Ten disease livers from HCC patients who underwent transplantation were subjected to normothermic machine perfusion (NMP) via the hepatic artery and portal vein in vitro. Perfusion parameters, blood gas levels, and contrast-enhanced ultrasound (CEUS) were continuously monitored to assess alterations in tumor activity. RNA sequencing (RNA-seq) and next-generation sequencing (NGS) of circulating tumor DNA (ctDNA) were employed to assess the preservation of hepatic tissue integrity and tumor mutational profiles during in vitro perfusion. Oxaliplatin +5-FU was used to conduct the liver cancer treatment research.

Results: Normothermic machine perfusion successfully maintained liver survival for 92 h in vitro. Contrast-enhanced ultrasound can be used to assess alterations in tumor and liver activity during normothermic machine perfusion. The sequencing analysis revealed that normothermic machine perfusion (NMP) effectively preserved hepatic tissue integrity while retaining tumor genomic stability. The normothermic machine perfusion model of HCC can be used for the study of anti-cancer therapy.

Conclusions: Contrast-enhanced ultrasound can monitor alterations in tumor and liver activity, while normothermic machine perfusion can sustain the long-term survival of the liver in vitro, thus maintaining normal tumor characteristics. Therefore, this model provides a novel approach for studying tumor therapy.

恒温机灌注肝癌模型的建立。
目的:迄今为止,尚无有效的治疗肝细胞癌(HCC)的策略。传统上,HCC的研究是使用肝细胞癌细胞、类器官和动物模型进行的。然而,这些模型不能准确地复制人类HCC发生和发展的病理生理条件。因此,需要更有效的疾病模型来研究HCC。方法:对10例肝细胞癌(HCC)移植患者进行肝动脉、门静脉体外恒温机器灌注(NMP)。连续监测灌注参数、血气水平和造影增强超声(CEUS)以评估肿瘤活性的变化。采用循环肿瘤DNA (ctDNA)的RNA测序(RNA-seq)和下一代测序(NGS)来评估体外灌注过程中肝组织完整性和肿瘤突变谱的保存情况。采用奥沙利铂+5-FU进行肝癌治疗研究。结果:常温机器灌注成功维持肝细胞体外存活92 h。在恒温机器灌注期间,超声造影可用于评估肿瘤和肝脏活动的变化。测序分析显示,恒温机器灌注(NMP)有效地保护了肝组织的完整性,同时保持了肿瘤基因组的稳定性。肝细胞癌恒温机灌注模型可用于抗肿瘤治疗的研究。结论:超声造影可监测肿瘤及肝脏活动的变化,而恒温机灌注可维持肝脏在体外的长期存活,维持正常的肿瘤特征。因此,该模型为研究肿瘤治疗提供了一种新的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Artificial Organs
International Journal of Artificial Organs 医学-工程:生物医学
CiteScore
3.40
自引率
5.90%
发文量
92
审稿时长
3 months
期刊介绍: The International Journal of Artificial Organs (IJAO) publishes peer-reviewed research and clinical, experimental and theoretical, contributions to the field of artificial, bioartificial and tissue-engineered organs. The mission of the IJAO is to foster the development and optimization of artificial, bioartificial and tissue-engineered organs, for implantation or use in procedures, to treat functional deficits of all human tissues and organs.
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