Cell-based therapies of liver diseases: age-related challenges

Konstantin N Yarygin, Alexei Y Lupatov, Irina V Kholodenko Laboratory of Cell Biology, Institute of Biomedical Chemistry, Moscow, Russia Abstract: The scope of this review is to revise recent advances of the cell-based therapies of liver diseases with an emphasis on cell donor’s and pati...

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Autores principales: Yarygin KN, Lupatov AY, Kholodenko IV
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:9ff190b344d24645a06bd67a4fd2fc502021-12-02T01:38:42ZCell-based therapies of liver diseases: age-related challenges1178-1998https://doaj.org/article/9ff190b344d24645a06bd67a4fd2fc502015-12-01T00:00:00Zhttps://www.dovepress.com/cell-based-therapies-of-liver-diseases-age-related-challenges-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Konstantin N Yarygin, Alexei Y Lupatov, Irina V Kholodenko Laboratory of Cell Biology, Institute of Biomedical Chemistry, Moscow, Russia Abstract: The scope of this review is to revise recent advances of the cell-based therapies of liver diseases with an emphasis on cell donor’s and patient’s age. Regenerative medicine with cell-based technologies as its integral part is focused on the structural and functional restoration of tissues impaired by sickness or aging. Unlike drug-based medicine directed primarily at alleviation of symptoms, regenerative medicine offers a more holistic approach to disease and senescence management aimed to achieve restoration of homeostasis. Hepatocyte transplantation and organ engineering are very probable forthcoming options of liver disease treatment in people of different ages and vigorous research and technological innovations in this area are in progress. Accordingly, availability of sufficient amounts of functional human hepatocytes is crucial. Direct isolation of autologous hepatocytes from liver biopsy is problematic due to related discomfort and difficulties with further expansion of cells, particularly those derived from aging people. Allogeneic primary human hepatocytes meeting quality standards are also in short supply. Alternatively, autologous hepatocytes can be produced by reprogramming of differentiated cells through the stage of induced pluripotent stem cells. In addition, fibroblasts and mesenchymal stromal cells can be directly induced to undergo advanced stage hepatogenic differentiation. Reprogramming of cells derived from elderly people is accompanied by the reversal of age-associated changes at the cellular level manifesting itself by telomere elongation and the U-turn of DNA methylation. Cell reprogramming can provide high quality rejuvenated hepatocytes for cell therapy and liver tissue engineering. Further technological advancements and establishment of national and global registries of induced pluripotent stem cell lines homozygous for HLA haplotypes can allow industry-style production of livers for immunosuppression-free transplantation. Keywords: cell aging, rejuvenation, liver engineering, liver cell therapyYarygin KNLupatov AYKholodenko IVDove Medical Pressarticlecell agingrejuvenationliver engineeringliver cell therapyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1909-1924 (2015)
institution DOAJ
collection DOAJ
language EN
topic cell aging
rejuvenation
liver engineering
liver cell therapy
Geriatrics
RC952-954.6
spellingShingle cell aging
rejuvenation
liver engineering
liver cell therapy
Geriatrics
RC952-954.6
Yarygin KN
Lupatov AY
Kholodenko IV
Cell-based therapies of liver diseases: age-related challenges
description Konstantin N Yarygin, Alexei Y Lupatov, Irina V Kholodenko Laboratory of Cell Biology, Institute of Biomedical Chemistry, Moscow, Russia Abstract: The scope of this review is to revise recent advances of the cell-based therapies of liver diseases with an emphasis on cell donor’s and patient’s age. Regenerative medicine with cell-based technologies as its integral part is focused on the structural and functional restoration of tissues impaired by sickness or aging. Unlike drug-based medicine directed primarily at alleviation of symptoms, regenerative medicine offers a more holistic approach to disease and senescence management aimed to achieve restoration of homeostasis. Hepatocyte transplantation and organ engineering are very probable forthcoming options of liver disease treatment in people of different ages and vigorous research and technological innovations in this area are in progress. Accordingly, availability of sufficient amounts of functional human hepatocytes is crucial. Direct isolation of autologous hepatocytes from liver biopsy is problematic due to related discomfort and difficulties with further expansion of cells, particularly those derived from aging people. Allogeneic primary human hepatocytes meeting quality standards are also in short supply. Alternatively, autologous hepatocytes can be produced by reprogramming of differentiated cells through the stage of induced pluripotent stem cells. In addition, fibroblasts and mesenchymal stromal cells can be directly induced to undergo advanced stage hepatogenic differentiation. Reprogramming of cells derived from elderly people is accompanied by the reversal of age-associated changes at the cellular level manifesting itself by telomere elongation and the U-turn of DNA methylation. Cell reprogramming can provide high quality rejuvenated hepatocytes for cell therapy and liver tissue engineering. Further technological advancements and establishment of national and global registries of induced pluripotent stem cell lines homozygous for HLA haplotypes can allow industry-style production of livers for immunosuppression-free transplantation. Keywords: cell aging, rejuvenation, liver engineering, liver cell therapy
format article
author Yarygin KN
Lupatov AY
Kholodenko IV
author_facet Yarygin KN
Lupatov AY
Kholodenko IV
author_sort Yarygin KN
title Cell-based therapies of liver diseases: age-related challenges
title_short Cell-based therapies of liver diseases: age-related challenges
title_full Cell-based therapies of liver diseases: age-related challenges
title_fullStr Cell-based therapies of liver diseases: age-related challenges
title_full_unstemmed Cell-based therapies of liver diseases: age-related challenges
title_sort cell-based therapies of liver diseases: age-related challenges
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/9ff190b344d24645a06bd67a4fd2fc50
work_keys_str_mv AT yaryginkn cellbasedtherapiesofliverdiseasesagerelatedchallenges
AT lupatovay cellbasedtherapiesofliverdiseasesagerelatedchallenges
AT kholodenkoiv cellbasedtherapiesofliverdiseasesagerelatedchallenges
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