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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 381A<br />

hepatic injury, increase macrophage recruitment, and increase<br />

hepatic expression of CXCL1 following IRI. The dramatic reduction<br />

in tissue injury by MSC-EV support the therapeutic use of<br />

MSC-EV to reduce hepatic IRI following hepatic surgery or in<br />

hepatic transplantation.<br />

Disclosures:<br />

The following authors have nothing to disclose: Hiroaki Haga, David D. Lee,<br />

Sarah Nix, Irene K. Yan, Tushar Patel<br />

336<br />

Liver Fabrication Using Decellularized Whole-Organ<br />

Scaffold for Transplantable Graft in large animal model<br />

Hiroshi Yagi, Kenta Inomata, kazuki tajima, Taizo Hibi, Yuta Abe,<br />

Minoru Kitago, Masahiro Shinoda, Osamu Itano, Yuko Kitagawa;<br />

Surgery, Keio University School of Medicine, Shinjuku-ku, Japan<br />

Background: Whole-organ scaffold generated by tissue decellularization<br />

technology can be one of the solutions to fabricate<br />

transplantable organ graft, which contains functional cell<br />

types including progenitor cells. However, the feasibility of this<br />

technology for human-scale application, and the biological<br />

alterations of the scaffold after implantation are still unclear.<br />

Methods: To determine if the decellularization methodology<br />

could be applied in large animal model and it could be sufficiently<br />

recellularized with primary cells as well as human iPS<br />

cell derived hepatic progenitor cells, the decellularized scaffold<br />

was first generated using SDS, TrytonX-100 and CHAPS.<br />

Next, endothelial cells and primary porcine hepatocytes were<br />

infused into the scaffold under the monitoring of intravascular<br />

pressure. Finally, the fabricated liver was implanted into the<br />

porcine body and evaluated by angiography after vascular<br />

anastomoses. Histological study was performed to evaluate cell<br />

infiltration, degree of coagulation and adhesion of the scaffold.<br />

In addition, the liver scaffold containing human iPS cell derived<br />

liver progenitor cells was transplanted into porcine body under<br />

immune-suppression. Results: The endothelial cells could cover<br />

most of the vessel lumen of the scaffold and the primary hepatocytes<br />

were well distributed into the parenchymal space. The<br />

fabricated liver could be successfully transplanted into porcine<br />

body connecting with portal vein and IVC. The graft was well<br />

perfused and preserved in the porcine abdominal cavity without<br />

bleeding or absorption. Interestingly, histological analysis<br />

of transplanted scaffold with human iPS derived progenitor<br />

cells revealed liver specific architecture with ALB positive cells<br />

in parenchymal space. Conclusions: We could scale-up and<br />

optimize the liver fabrication system to apply not only primary<br />

cells but also human iPS derived cells into clinically feasible<br />

model.<br />

Disclosures:<br />

The following authors have nothing to disclose: Hiroshi Yagi, Kenta Inomata,<br />

kazuki tajima, Taizo Hibi, Yuta Abe, Minoru Kitago, Masahiro Shinoda, Osamu<br />

Itano, Yuko Kitagawa<br />

337<br />

Three-dimensional bioactive human liver acellular scaffold<br />

with preserved architecture and biomechanical<br />

properties<br />

Giuseppe Mazza 1 , Walid Al-Akkad 1 , Lisa Longato 1 , Andrea<br />

Telese 1 , Andrew R. Hall 1 , Luca Urbani 2 , Benjamin Robinson 3 ,<br />

Giusi Marrone 1 , Oliver Willacy 1 , Luca Frenguelli 1 , Marco Curti 1 ,<br />

Massimo Malago 1 , Tu Vinh Luong 1 , Kevin Moore 1 , Armando E.<br />

Del Rio Hernandez 3 , Paolo De Coppi 2 , Krista Rombouts 1 , Massimo<br />

Pinzani 1 ; 1 Institute for Liver and Digestive Helath, UCL, London,<br />

United Kingdom; 2 Institute for Child Health, UCL, London, United<br />

Kingdom; 3 Imperial College, London, United Kingdom<br />

Background: Human tissue engineering combines cells and<br />

extracellular matrix (ECM) saffolds for the development<br />

of 3D-structure in order to regenerate tissues/organs and<br />

to recapitulate disease in vitro. The key challenge in tissue<br />

engineering is the development of biomaterials that mimic<br />

the complexity of human tissue. Techniques for tissue decellularization<br />

have been introduced in order to obtain natural<br />

acellular scaffold. Optimal scaffolds should be characterised<br />

by preserved ECM integrity, bioactivity and three-dimensional<br />

organisation. Aim: The aim of this study was to develop a rapid<br />

protocol for the decellularisation of small samples of healthy<br />

human liver and demonstrate preservation of ECM composition,<br />

3D-architecture, bioactivity and biomechanical properties.<br />

In addition, repopulation with cultured human liver cell lines,<br />

namely hepatoblastoma (HepG2), hepatic stellate (LX2) cells,<br />

and human umbilical vein endothelial cells (HUVEC). Methods:<br />

Decellularisation of healthy human liver cubes (i.e. 125mm 3 )<br />

was completed within 3 hours of agitation in solutions with<br />

detergents and enzymes. The decellularisation efficiency was<br />

determined by immunohistochemistry for ECM components and<br />

residual DNA, scanning electron and second harmonic generation<br />

microscopy, proteomic, raman spectroscopy, atomic force<br />

microscopy and chorioallantoic membrane assay. RESULTS:<br />

This innovative protocol resulted in liver cube scaffolds with<br />

a preserved 3D structure and ECM composition, while DNA<br />

and cellular residues were successfully removed. Tissue stiffness<br />

was preserved in the decellularized tissues (2KPa) and<br />

the acellular liver maintained the capability to induce neo-angiogenesis<br />

after 7 days. Interestingly, HUVEC repopulated the<br />

decellularised vessels within the liver scaffold expressing functional<br />

marker such as FVIII. Acellular human liver repopulated<br />

with LX2 and HepG2 cells showed remarkable difference in<br />

gene and protein expression when compared with 2D-system.<br />

COL1A1 gene was less expressed in LX2 cells when cultured<br />

in 3D while TGFB1 and LOX were increased. Notably, albumin<br />

mRNA expression was strongly upregulated in HepG2<br />

cells after 14 days in 3D-culture. CONCLUSION: This is the first<br />

report describing a protocol for fast human liver tissue cubes<br />

decellularization. The decellularization protocol maintained the<br />

natural 3D structure and ECM composition and organisation of<br />

human liver tissue. This is a key advance in the development<br />

of 3D technologies for the study of liver disease as well as for<br />

the development of 3D-carrier for hepatocyte transplantation.<br />

Disclosures:<br />

Kevin Moore - Advisory Committees or Review Panels: Servier<br />

Massimo Pinzani - Advisory Committees or Review Panels: Intercept Pharmaceutical,<br />

Silence Therapeutic, Abbot; Consulting: UCB; Speaking and Teaching:<br />

Gilead, BMS

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