Sp. Benoist et al., Survival and functions of encapsulated porcine hepatocytes after allotransplantation or xenotransplantation without immunosuppression, SURGERY, 129(5), 2001, pp. 606-616
Background. This study evaluated the survival and functions of encapsulated
porcine hepatocytes after intraperitoneal allotransplantation and xenotran
splantation without immunosuppression.
Methods. Isolated porcine hepatocytes were encapsulated in AN 69 polymer ca
psules (45.10(6)/capsule) and transplanted intraperitoneally in 12 rats and
22 pigs. Fifteen, 30 and 60 days after transplantation, capsules were remo
ved and the viability and morphology: of explanted hepatocytes were examine
d under light and electronic microscopy. The potential to produce albumin w
as assessed by evaluating the level of albumin messenger RNA, using semiqua
ntitative reverse transcription-polymerase chain reaction. 6 beta -Hydroxyl
ase activity was measured by high-performance liquid chromatography. In add
ition, cytochrome P450 3A proteins were detected by Western blot only In al
logeneic hepatocytes.
Results. Similar results were observed after allotransplantation and xenotr
ansplantation. Histologic studies showed that hepatocytes were well-preserv
ed and arranged in cords for up to 30 days. The expression of porcine album
in gene was maintained up to 15 days. 6 beta -Hydroxylase activity was 2.5-
fold lower at day 15 than in freshly encapsulated hepatocytes, which were n
ot transplanted. In allogeneic hepatocytes, the expression of CYP 3A, prote
in was detected up to 60 days after transplantation.
Conclusions. Encapsulated porcine hepatocytes remain viable and functional
for at least 15 days after allotransplantation and xenotransplantation with
out immunosuppression. The demonstration of maintained hepatic functions in
transplanted porcine hepatocytes up to 15 days is a first step toward appl
ication in the treatment of acute liver failure.