We developed 2 types of hybrid artificial liver modules using hepatocyte or
ganoid culture. One was a polyurethane foam (PUF)/hepatocyte spheroid packe
d-bed module. Hepatocytes spontaneously formed spheroids in the PUF pores,
and they maintained liver-specific functions well for at least 2 weeks in v
itro. As a preclinical experiment, a hybrid artificial liver with 200 g por
cine hepatocytes was applied to a pig (25 kg) with liver failure and showed
that the hybrid artificial liver was effective in support of Liver functio
ns and stabilization of general conditions. We established a new technique
of hepatocyte organoid formation using centrifugal force. A hepatocyte orga
noid formed by centrifugation in hollow fibers maintained functions for mor
e than 4 months in vitro. We developed a new sinusoid-like structure module
having hollow fibers arranged by spacers in a micro-regular arrangement. I
noculated hepatocytes in the extra-fiber space of the module formed the org
anoid by centrifugation, and they maintained the functions for at least 1 m
onth in vitro. The results indicated that this module seems to be promising
as a hybrid artificial liver.