肝类器官技术及其在肝病研究中的相关进展

Q3 Medicine
Z R Wang, Y Y Yu, W G Hong, F S Wang, E Q Linghu
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引用次数: 0

摘要

肝移植、肝细胞移植和生物人工肝是治疗终末期肝病和急性肝衰竭的手段。然而,肝资源不足和移植后的免疫排斥反应,以及肝组织或细胞供体的短缺,是临床治疗面临的挑战。近年来肝类器官技术的研究进展可能为解决上述问题提供新的途径。类器官是多能干细胞或成体干细胞通过体外三维培养自组织形成的一种三维细胞凝聚体,能模仿原器官的空间结构和生理功能特征,可在体外传代培养,大规模复制,并具有自我更新的能力。类器官技术的出现为提供肝细胞资源的机制探索模型和解决方案带来了新的希望。特别是,诱导多能干细胞衍生的类器官不涉及伦理问题,并与基因编辑、器官芯片等新兴技术相结合,从而克服了传统疾病研究模式的限制,建立了转化医学的新平台。在疾病模型构建、药物筛选、精准医学、再生医学、器官移植等方面具有广阔的应用前景。本文就肝类器官技术的技术原理、临床前研究、应用进展及面临的挑战进行综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Liver organoid technology and its related progress in liver disease research].

Liver transplantation, hepatocyte transplantation, and bioartificial liver are means of treating end-stage liver disease and acute liver failure. However, insufficient liver resources and immune rejection after transplantation, as well as a shortage of liver tissue or cell donors, are challenges faced in clinical treatment. The research progress of liver organoid technology in recent years may provide new ways to solve the above problems. Organoids are a kind of three-dimensional cell condensates formed by the self-organization of pluripotent or adult stem cells through three-dimensional culture in vitro, which can imitate the spatial structure and physiological function characteristics of the original organs, can be sub-cultured in vitro, replicated on a large scale, and have the ability of self-renewal. The emergence of organoid technology has brought new hope for providing mechanism exploration models and resolution of hepatocyte resources. In particular, induced pluripotent stem cell-derived organoids do not involve ethical concerns, and are combined with emerging technologies such as gene editing and organ chips, thereby overcoming the constraint of traditional disease research models and establishing a new platform for translational medicine. Additionally, it has expansive application prospects in building disease models, screening drugs, precision medicine, regenerative medicine, and organ transplantation. Thus, this paper summarizes the technical principles, preclinical research, and application progress and challenges of liver organoid technology.

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来源期刊
中华肝脏病杂志
中华肝脏病杂志 Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
7574
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