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544A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

676<br />

Hepatic maturation of induced Pluripotent Stem Cells<br />

is regulated by paracrine signals from endothelial and<br />

mesenchymal stem cells in culture and during organoid<br />

formation<br />

Akihiro Asai 1 , Eitaro Aihara 2 , Tatsuki Mizuochi 1 , Kieran Phelan 1 ,<br />

Christopher Mayhew 1 , Pranavkumar Shivakumar 1 , Takanori<br />

Takebe 3 , James Wells 1 , Jorge A. Bezerra 1 ; 1 Pediatrics, Cincinnati<br />

Children’s Hospital Medical Center, Cincinnati, OH; 2 Department<br />

of Biology, University of Cincinnati, Cincinnati, OH; 3 Department<br />

of Regenerative Medicine, Yokohama City University, Yokohama,<br />

Japan<br />

Background: To recapitulate key stages of organ development,<br />

we engineered liver organoids using human induced pluripotent<br />

stem cells (iPSC), human mesenchymal stem cells (MSC), and<br />

human umbilical vein endothelial cells (HUVEC) as described<br />

previously. Because regulatory mechanisms of organoid maturation<br />

are not well defined, we investigated the differentiation<br />

patterns of liver organoids and tested if differentiation of iPSC<br />

requires direct contact with MSC and HUVEC. Methods: iPSC<br />

were differentiated to hepatic endoderm (iPS-HE) by Act,Wnt3a,DMSO,and<br />

Knock-Out Serum Replacement then co-cultured<br />

with MSC and HUVEC to generate 3D organoids (liver<br />

buds). Following implantation under kidney capsules of mice,<br />

plasma levels of human albumin (ALB) and alpha1-antitrypsin<br />

(A1AT) were monitored by ELISA. To investigate whether cellcell<br />

contact is a key mechanism by which MSC and HUVEC<br />

induce bud formation and maturation of iPS-hepatocytes,<br />

we cultured iPS-HE in the upper well of a transwell system,<br />

where MSC or HUVEC resided in the lower well individually<br />

or in co-culture. The expression of alphafetoprotein (AFP),<br />

HNF4a,ALB,A1AT,CPS1,BSEP,and CD31 was determined by<br />

immunostaining or by ELISA. Results: Temporal-spatial analysis<br />

by time-lapse microscopy revealed self assembly of iPS-HE,<br />

MSC, and HUVEC into a 3D tissue in 24 hr following a condensation<br />

and folding pattern to form a concave hemisphere.<br />

Hepatocytic differentiation in the buds was demonstrated by<br />

the AFP+/HNF4+ cells by whole-mount staining, in proximity to<br />

CD31+ endothelial cells. After implantation of the buds, human<br />

ALB (140-260ng/ml) and A1AT (62-174ng/ml) were detected<br />

in mouse plasma. Explanted organoids showed hepatocyte-like<br />

morphology organized in cellular clusters surrounded by vascular<br />

networks. Using the transwell culture to determine the role<br />

of paracrine effect, we found that ALB concentration in culture<br />

supernatants achieved 1587±233ng/ml/day in iPS-HE with<br />

MSC in the lower well (iPS/MSC) and 1881±162ng/ml/day<br />

in iPS-HE/HUVEC, which were higher than iPS-HE cultured with<br />

MSC+HUVEC in the lower (455±110ng/ml/day) or iPS-HE<br />

alone (81±21ng/ml/day, P

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