Major strides have bee; made during the past 10 years in the fields of live
r cell transplantation and liver-directed gene therapy. Pre-clinical studie
s in animals have shown that primary hepatocytes transplanted into the live
r as well as intravenously transfused bone marrow stem cells can generate n
ew liver tissue. Such cell transplantation studies have contributed to our
understanding of organogenesis and hepatocyte biology. Furthermore, transpl
antation of xenogenic hepatocytes has led to the development of new small a
nimal models for studying viral hepatitis. In the clinical setting, liver c
ell transplantation offers a wide range of potential therapeutic applicatio
ns, especially in metabolic diseases. In particular, the case of a patient
with Crigler-Najjar Syndrome Type I clearly demonstrated the long-term viab
ility of transplanted hepatocytes with stable metabolic function. Further s
tudies are warranted to assess the full potential of cell-based therapies a
nd their clinical application.