Cholangiocyte organoids can repair bile ducts after transplantation in the human liver

Author:

Sampaziotis Fotios123ORCID,Muraro Daniele1ORCID,Tysoe Olivia C.14ORCID,Sawiak Stephen5ORCID,Beach Timothy E.4,Godfrey Edmund M.6,Upponi Sara S.6,Brevini Teresa1ORCID,Wesley Brandon T.1ORCID,Garcia-Bernardo Jose7ORCID,Mahbubani Krishnaa4ORCID,Canu Giovanni1ORCID,Gieseck Richard8,Berntsen Natalie L.91011ORCID,Mulcahy Victoria L.212ORCID,Crick Keziah13,Fear Corrina13,Robinson Sharayne13ORCID,Swift Lisa13ORCID,Gambardella Laure12ORCID,Bargehr Johannes1214ORCID,Ortmann Daniel1,Brown Stephanie E.1,Osnato Anna1ORCID,Murphy Michael P.15ORCID,Corbett Gareth16,Gelson William T. H.23,Mells George F.2312,Humphreys Peter1,Davies Susan E.17,Amin Irum413,Gibbs Paul413ORCID,Sinha Sanjay12ORCID,Teichmann Sarah A.718ORCID,Butler Andrew J.413,See Teik Choon6,Melum Espen910111920ORCID,Watson Christopher J. E.4132122,Saeb-Parsy Kourosh413ORCID,Vallier Ludovic14ORCID

Affiliation:

1. Wellcome–MRC Cambridge Stem Cell Institute, Cambridge, Cambridgeshire, UK.

2. Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.

3. Cambridge Liver Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK.

4. Department of Surgery, University of Cambridge and NIHR Cambridge Biomedical Research Centre, Cambridge, Cambridgeshire, UK.

5. Department of Clinical Neurosciences, University of Cambridge, Cambridge, Cambridgeshire, UK.

6. Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK.

7. Wellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridgeshire, UK.

8. Immunopathogenesis Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.

9. Norwegian PSC Research Center, Department of Transplantation Medicine, Division of Surgery, Inflammatory Diseases and Transplantation, Oslo University Hospital, Rikshospitalet, Oslo, Norway.

10. Research Institute of Internal Medicine, Division of Surgery, Inflammatory Diseases and Transplantation, Oslo University Hospital, Oslo, Norway.

11. Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

12. Academic Department of Medical Genetics, University of Cambridge, Cambridge, Cambridgeshire, UK.

13. Department of Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK.

14. Division of Cardiovascular Medicine, University of Cambridge, Cambridge, Cambridgeshire, UK.

15. MRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, Cambridgeshire, UK.

16. Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK.

17. Department of Histopathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK.

18. Cavendish Laboratory, Department of Physics, University of Cambridge, Cambridge, Cambridgeshire, UK.

19. Section for Gastroenterology, Department of Transplantation Medicine, Division of Surgery, Inflammatory Diseases and Transplantation, Oslo University Hospital, Rikshospitalet, Oslo, Norway.

20. Hybrid Technology Hub-Centre of Excellence, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway.

21. National Institute of Health Research (NIHR) Cambridge Biomedical Research Centre and the NIHR Blood and Transplant Research Unit (BTRU), Cambridge, Cambridgeshire, UK.

22. University of Cambridge in collaboration with Newcastle University and in partnership with NHS Blood and Transplant (NHSBT), Cambridge, Cambridgeshire, UK.

Abstract

Organoids regenerate human bile ducts Bile ducts carry bile from the liver and gall bladder to the small intestine, where it aids digestion. Cholangiocytes are epithelial cells that line bile ducts and modify bile as its transported through the biliary tree. Chronic liver diseases involving cholangiocytes account for a large fraction of liver failure and the need for liver transplantation. Because liver donors are in short supply, Sampaziotis et al. used organoid technology to develop a cell-based therapy using human tissue (see the Perspective by Kurial and Willenbring). Cholangiocyte organoids were transplanted into the intrahepatic ducts of deceased human donor livers undergoing ex vivo normothermic perfusion. The livers could be maintained for up to 100 hours, and the transplanted organoids engrafted, exhibited function, and could repair bile ducts. Science , this issue p. 839 ; see also p. 786

Funder

Medical Research Council

National Institute for Health Research

British Heart Foundation

Academy of Medical Sciences

European Research Council

Rosetrees Trust

Addenbrooke's Charitable Trust, Cambridge University Hospitals

European Association for the Study of the Liver

Wellcome Trust Centre for Mitochondrial Research

Cambridge University Hospitals National Institute for Health Research Biomedical Research Centre

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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