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BAL page
How
it works
Results
Current
People
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The
University of Minnesota Bioartificial Liver
Results:
In
the first phase of development, liver-specific activities of biosynthesis,
biotransformation and conjugation were demonstrated. Subsequently,
anhepatic rabbits were used to show that hepatocytes continued to
function after the BAL was linked to the test animal. For scale-up
studies, a canine liver failure model was developed using D-galactosamine
overdose. Two groups of injured animals were studied, one which
received BAL treatment, and one which did not. Uninjured dogs served
as a control. The survival of dogs treated with the BAL was higher
than the controls dogs that did not receive BAL treatment, as shown
in the figure below. Based on these results, FDA approval was given
for Phase I human clinical trials, which are slated to begin in
later this year.

For
anticipated clinical applications, it is desirable to further increase
the liver-specific activities in the BAL. To that end, the possibility
of employing hepatocyte spheroids in the BAL was explored. These
self-assembled spheroids formed from monolayer culture exhibit higher
liver-specific functions and remained viable longer than hepatocytes
in a monolayer. Collagen entrapment of these spheroids resulted
in sustaining their liver-specific functions at higher levels even
longer than those maintained in suspension. Liver-specific function
was 2-5 fold higher in the spheroid BAL than in a BAL containing
isolated hepatocytes. Application of spheroids in a BAL is under
further investigation. For more information on hepatocyte spheroids,
please see our liver self-assembly web page.

Selected
Publications:
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Tzanakakis,
E. S., Hess, D. J., Sielaff, T. D., and Hu, W. S. (2000) Extracorporeal
tissue engineered liver-assist devices, Annu. Rev. Biomed.
Eng. 2:607-32. |
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Friend,
J.R. and Hu, W.S. (1998) Engineering a Bioartificial Liver
Support. In Tissue Engineering: Fundamentals and Concepts,
C. W. Patrick, A. G. Mikos and L. V. McIntire, eds. (Elsevier
Science), pp. 678-690. |
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Hu,
W.S., Friend, J.R., Wu, F.J., Sielaff, T., Peshwa, M.V., Lazar,
A., Nyberg, S.L, Hansen, L.K., Remmel, R.P. and Cerra, F.B.
(1997) Development of a bioartificial liver employing xenogeneic
hepatocytes, Cytotechnology, 23, 29-38. |
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Wu,
F.J., Friend, J.R., Lazar, A., Mann, H.J., Remmel, R.P., Cerra,
F.B., and Hu, W.S. (1996) Hollow fiber bioartificial liver
utilizing collagen entrapped porcine hepatocyte spheroids,
Biotechnology and Bioengineering, 52, 34-44. |
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Sielaff,
T.D., Hu, M.Y., Amiot, B., Rollins, M.D., Rao, S., McGuire,
B., Bloomer, J.R., Hu, W.S., and Cerra, F.B. (1995) Gel-entrapment
bioartificial liver therapy in galactosamine hepatitis, Journal
of Surgical Research, 59, 179-184. |
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Wu,
F.J., Peshwa, M.V., Cerra, F.B., and Hu, W.S. (1995) Entrapment
of hepatocyte spheroids in a hollow fiber bioreactor as a
potential bioartificial liver, Tissue Engineering, 1, 29-40.
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Nyberg,
S.L, Shirabe, K., Peshwa, M.V., Sielaff, T.D., Crotty, R.L.,
Mann, H.J., Remmel, R.P., Payne, W.D., Hu, W.S., and Cerra,
F.B. (1993) Extra-corporeal application of a gel-entrapment
bioartificial liver: Demonstration of drug metabolism and
other biochemical functions, Cell Transplantation, 2, 441-452.
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Nyberg,
S.L., Shatford, R., Peshwa, M.V., White, J.G., Cerra, F.B.,
and Hu, W.S. (1993) Evaluation of a hepatocyte entrapment
hollow fiber bioreactor: a potential bioartificial liver,
Biotechnology and Bioengineering, 41, 194-203. |
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