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Gut 2009;58:480-482; doi:10.1136/gut.2008.171314
Copyright © 2009 BMJ Publishing Group Ltd & British Society of Gastroenterology.

Commentaries

A fat chance for hepatocyte transplantation?

James A Thomas, Stuart J Forbes

MRC/University of Edinburgh Centre for Inflammation Research, The Queen’s Medical Research Institute, Edinburgh, UK

Correspondence to:
Professor S J Forbes, MRC/University of Edinburgh Centre for Inflammation Research, The Queen’s Medical Research Institute, 47 Little France Crescent, Edinburgh EH16 4TJ, UK; stuart.forbes@ed.ac.uk

The first 150 words of the full text of this article appear below.

A virtually unlimited supply of hepatocytes for transplantation, bio-artificial livers and drug testing would be highly desirable. If stem cell biology is to fulfil its potential and deliver this dream, then certain requirements must be met. Stem cell-derived "hepatocytes" should be readily available from an ethically acceptable source, tolerate cryopreservation allowing "off the shelf" use, demonstrate adequate metabolic and synthetic activity and, if transplanted should functionally integrate with non-parenchymal cells in the liver. Most importantly, cell transplantation must be safe. Derivation from an autologous source, thereby overcoming immunological barriers would further increase the applicability of this potential therapy.

There is a growing number of potential starting cell populations from which one may potentially derive hepatocyte-like cells (for a comprehensive review, see Oertel and Shafritz1). Broadly speaking the starting cell populations may be developmentally "primitive" such as the embryonic stem cells or be more differentiated such as foetal hepatocytes. Generally, . . . [Full text of this article]


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