肝功能衰竭代表着一个传统的严峻预后的关键医疗条件,治疗选择明显有限。历史上,肝移植一直是唯一的最终治疗方法,然而,肝脏捐赠的有限可用性与对此类器官的高需求之间的明显差距极大地阻碍了其可行性。这种差异有必要探索肝细胞移植作为一种暂时的,支持性干预。鉴于此,我们的综述深入研究了肝细胞移植的新兴领域,关注维持肝细胞功能的最新进展,联合微囊化技术,异种肝细胞移植,以及微胶囊材料的选择。我们对肝细胞微囊化研究的检查突出表明,到目前为止,大多数研究是在体外或使用肝衰竭小鼠模型进行的,对大型哺乳动物的实验很少。微囊化肝细胞的功能主要通过间接测量例如尿素和白蛋白的产生以及氨清除率来推断。此外,关于肝细胞共微囊化的潜在机制的研究仍然有限,异种肝细胞移植的实用性需要进一步验证。肝细胞微囊化的潜力超出了目前的应用范围,为肝功能衰竭的治疗方式提供了一个有希望的视野。封装材料和技术的创新旨在增强细胞活力和功能,这表明需要进行全面的研究,以弥合小规模实验室成功与临床适用性之间的差距。此外,生物工程和再生医学的整合为完善肝细胞移植提供了新的途径,有可能克服免疫排斥的挑战,并确保移植细胞的长期功能。总之,而肝细胞微囊化和移植预示着肝衰竭治疗的新时代,必须取得重大进展,将这些实验方法转化为可行的临床解决方案。未来的研究应该旨在扩大实验模型,以包括更大的哺乳动物,从而更清楚地了解这些疗法的临床潜力。此外,对微胶囊内细胞存活和功能的机制进行了更深入的探索,随着创新封装材料的发展,将是至关重要的推进领域,并提供新的希望,肝衰竭患者。
Liver failure represents a critical medical condition with a traditionally grim prognosis, where treatment options have been notably limited. Historically, liver transplantation has stood as the sole definitive cure, yet the stark disparity between the limited availability of liver donations and the high demand for such organs has significantly hampered its feasibility. This discrepancy has necessitated the exploration of hepatocyte transplantation as a temporary, supportive intervention. In light of this, our review delves into the burgeoning field of hepatocyte transplantation, with a focus on the latest advancements in maintaining hepatocyte function, co-microencapsulation techniques, xenogeneic hepatocyte transplantation, and the selection of materials for
microencapsulation. Our examination of hepatocyte
microencapsulation research highlights that, to date, most studies have been conducted in vitro or using liver failure mouse models, with a notable paucity of experiments on larger mammals. The functionality of microencapsulated hepatocytes is primarily inferred through indirect measures such as urea and albumin production and the rate of ammonia clearance. Furthermore, research on the mechanisms underlying hepatocyte co-
microencapsulation remains limited, and the practicality of xenogeneic hepatocyte transplantation requires further validation. The potential of hepatocyte
microencapsulation extends beyond the current scope of application, suggesting a promising horizon for liver failure treatment modalities. Innovations in encapsulation materials and techniques aim to enhance cell viability and function, indicating a need for comprehensive studies that bridge the gap between small-scale laboratory success and clinical applicability. Moreover, the integration of bioengineering and regenerative medicine offers novel pathways to refine hepatocyte transplantation, potentially overcoming the challenges of immune rejection and ensuring the long-term functionality of transplanted cells. In conclusion, while hepatocyte
microencapsulation and transplantation herald a new era in liver failure therapy, significant strides must be made to translate these experimental approaches into viable clinical solutions. Future research should aim to expand the experimental models to include larger mammals, thereby providing a clearer understanding of the clinical potential of these therapies. Additionally, a deeper exploration into the mechanisms of cell survival and function within microcapsules, alongside the development of innovative encapsulation materials, will be critical in advancing the field and offering new hope to patients with liver failure.