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The most recent version of this article was published on 1 March 2007

Gut. Published Online First: 23 August 2006. doi:10.1136/gut.2005.090050
Copyright © 2006 BMJ Publishing Group Ltd & British Society of Gastroenterology.

Paper

Functional integration of human mesenchymal stem cell-derived hepatocytes into mouse livers

Ines Aurich 1*, Lutz P. Mueller 2, Hendryk Aurich 1, Jana Luetzkendorf 2, Kai Tisljar 1, Matthias Dollinger 1, Wiebke Schormann 3, Jens Walldorf 1, Jan Hengstler 3, Wolfgang E. Fleig 1 and Bruno Christ 1

1 1st Department of Medicine, Martin Luther University Halle-Wittenberg, Germany
2 4th Department of Medicine, Martin Luther University Halle-Wittenberg, Germany
3 Dept. of Molecular and Forensic Toxicology, University of Leipzig, Germany

* To whom correspondence should be addressed. E-mail: ines.aurich{at}medizin.uni-halle.de.

Accepted 15 August 2006


Abstract

Aims: At present, clinical success of hepatocyte transplantation as an alternative to whole liver transplantation is hampered by the limited availability of suitable donor organs for the isolation of transplantable hepatocytes. Hence, novel cell sources are required to deliver hepatocytes of adequate quality for clinical use. Mesenchymal stem cells (MSC) from human bone marrow may have the potential to differentiate into hepatocytes in vitro and in vivo.

Methods: Isolated MSC were selected by density gradient centrifugation and plastic adherence, differentiated in the presence of human hepatocyte growth medium and transplanted in immunodeficient Pfp/Rag2 mice.

Results: Here, we demonstrate that human MSC gain in vitro the characteristic morphology and function of hepatocytes in response to specified growth factors. Specifically pre-conditioned MSC store glycogen, synthesise urea and feature the active hepatocyte- specific gene promotor of phosphoenolpyruvate carboxykinase (PCK1). After transplantation into livers of immunodeficient mice, pre-conditioned MSC engraft predominantly in the periportal portion of the liver lobule. In situ, the cells continue to store glycogen and express PCK1, connexin32, albumin and the human hepatocyte-specific antigen HepPar1, indicating that the transplanted cells retain prominent qualities of hepatocytes after their regional integration.

Conclusion: Thus, human bone marrow-derived MSC may serve as a novel source for the propagation of hepatocyte-like cells suitable for cell therapy in liver diseases.

Keywords: cell transplantation, hepatogenic differentiation, human mesenchymal stem cells


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