Abstract
Fulminant hepatic failure (FHF) and acute episodes in chronic liver failure are associated with high mortality [1–3]. Organ transplantation is the only treatment acknowledged to improve patient survival when compared with intensive care [4,5]. There is a shortage of donors worldwide [6–8] resulting in approximately 50% mortality amongst patients awaiting transplants [9]. Furthermore, OLT renders graft recipients dependent upon immunosuppression [10,11]. US hospital charges average $250,000 for liver transplants [12]. It was estimated that in the USA in 1996, there were approximately 1,700 emergency liver transplants with 1,000 patients dying while waiting for a transplant. A further 1,000 patients with FHF or sudden onset of acute liver failure (ALF) were either not listed for transplant or died before being listed [13].
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References
O’Grady JG, Alexander GJM, Hayllar KM and Williams R. Early indicators of prognosis in fulminant hepatic failure. Gastroenterology 1989; 97: 439–445.
Tygstrup N and Ranek L. Assessment of prognosis in fulminant hepatic failure. Sem Liv Dis 1986; 6: 129–137.
Hughes RD, Wendon J, and Gimson AES. Acute liver failure. Gut 1991; Supplement: s86-s91.
Edmond JC, Aran PP, Whitington PF, Broelsch CE and Baker AL. Liver transplantation in the management of fulminant hepatic failure. Gastroenterology 1989; 96: 1583–1588.
Gerlach JC, Ziemer R and Neuhaus P. Fulminant liver failure: Relevance of extracorporeal hybrid liver support systems. Int J Artif Organs 1996; 19: 7–13.
Bismuth H, Samuel D, Gugenheim J, Castaing D, Bernau J et al. Emergency liver transplantation for fulminant hepatitis. Ann Intern Med 1987; 143: 337–341.
Iwatsuki S, Stieber AC, Marsh JW, Tzakis AG, Todo S et al. Liver transplantation for fulminant hepatic failure. Transplant Proc 1989; 21: 2431–2443.
Vickers C, Neuberger J, Buckels J, McMaster P and Elias E. Transplantation of the liver in adults and children with fulminant hepatic failure. J Hepatol 1988; 7: 143–150.
Kamlot A, Rozga J, Watanabe FD and Demetriou AA. Review: Artificial liver support systems. Biotechnology and Bioengineering 1996; 50: 382–391.
Kalayoglu M, Stratta RJ, Hoffman RM and Belzer FO. Quadruple immunosuppresive therapy for liver transplantation. Transpl Proc 1988; 20: 524–528.
McDiarmid SV, Klintmalm GB and Busuttil RW. FK506 conversion for intractable rejection of the liver allograft. Transplant Int 1993; 6: 305–312.
Sussman NL and Lake JR. Treatment of hepatic failure–1996: Current concepts and progress towards liver dialysis. Am J Kidney Dis 1996; 27: 605–621.
Circe-Biomedical-Inc., Registration Statement under the Securities Act of 1933 (USA). Form S 1. Sec. File Number 333–29751. Document filed with Securities and Exchange Commission, Washington DC, 20549, USA. 1997, Circe Biomedical Inc., 1 Ledgemont Centre, 128 Spring Street, Lexington, MA, 02173, USA.
Hughes RD and Williams R. Use of bioartificial and artificial liver support devices. Sem Liv Dis 1996; 16: 435–444.
Matsubara S, Okabe K, Ouchi K, Miyakazi Y, Yajima Yet al. Continuous removal of middle molecules by hemofiltration in patients with acute liver failure. Crit Care Med 1990; 18: 1331–1338.
Sarnatskaya VV, Nikolaev VG, Osipova LA, Ivanov AI, Maslenny VN et al. Peritoneal dialysis for the removal of protein-bound markers of hepatic insufficiency. Artificial Organs 1993; 17: 828–836.
Kondrup J, Almdal T, Vilstrup H and Tygstrup N. High volume plasma exchange in fulminant hepatic failure. Int J of Artific Org 1992; 15: 669–676.
Yoshiba M, Sekiyama K, Iwamura Y and Sugata F. Development of reliable artificial liver support (ALS)–plasma exchange in combination with hemodiafiltration using high performance membranes. Dig Dis Sei 1993; 38: 469–476.
Chang TMS. Haemoperfusion Over microencapsulated adsorbent in a patient with hepatic coma. The Lancet 1973; ii: 1371–1372.
O’Grady, J, Gimson AES, O’Brien CJ, Pucknell A, Hughes RD et al. Controlled trials of charcoal hemoperfusion and prognostic factors in fulminant hepatic failure. Gastroenterology 1988; 94: 1186–1192.
Eiseman B, Liem DS and Raffucci F. Heterologous liver perfusion in treatment of hepatic failure. Ann Surg 1973; 162: 329–345.
Schafer DF. Desperate Appliances: A short review of therapies for fulminant hepatic failure. Blood Purification 1993; 11: 158–162.
Gumucio JJ and Chianale J. Liver Cell Heterogeneity and Liver Function. In: Arias IM et el., Eds. The Liver: Biology and Pathobiology, Second Edition. Raven Press Ltd. New York. 1998: 931–947.
Sorrentino F. Prime richerche per la realizzatione di un fegato artificiale. Chir Patol Sper 1956; 4: 1401–1414.
Nose Y, Mikami J and Kasai Y. An experimental artificial liver utilizing extracorporeal metabolism with slices or granulated canine liver. Trans Am Soc Artif Intern Organs 1963; 9: 358–362.
Wolf CFW and Munkelt BE. Bilirubin conjugation by an artificial liver composed of cultured cells and synthetic capillaries. Trans Amer Soc Artif Int Organs 1975; 21: 16–27.
Matsumura KN, Guevera GR, Huston H, Hamilton WL, Rikimaru M et al. Hybrid bioartificial liver in hepatic failure: Preliminary clinical report. Surgery 1987; 101: 99–103.
Margulis MS, Erukhimov EA, Andreiman LA and Viksna LM. Temporary organ substitution by hemoperfusion through suspension of active donor hepatocytes in a total complex of intensive therapy in patients with acute hepatic insufficiency. Resuscitation 1989; 18: 85–94.
Sussman NL, Chong MG, Koussayer T, He D-E, Shang TA et al. Reversal of fulminant hepatic failure using an extracorporeal liver assist device. Hepatology 1992; 16: 60–65.
Kelly JH, Koussayer T, He D-E, Chong MG, Shang TA et al. Assessment of an extracorporeal liver assist device in anhepatic dogs. Artificial Organs 1992; 16: 418422.
Sussman NL and Kelly JH. Improved liver function following treatment with an extracorporeal liver assist device. Artificial Organs 1993; 17: 27–30.
Sussman NL, Finegold MJ, Barish JP and Kelly JH. A case of syncytial giant-cell hepatitis treated with an extracorporeal live assist device. Am J Gastroent 1994; 89: 1077–1082.
Sussman NL, Gislason GT, Conlin CA and Kelly JH. The Hepatix extracorporeal liver assist device: Initial clinical experience. Artificial Organs 1994; 18: 390–396.
Ellis AJ, Hughes RD, Wendon JA, Dunne J, Langley PG et al. Pilot-controlled trial of the extracorporeal liver assist device in acute liver failure. Hepatology 1996; 24: 1446–1451.
McCarthy M, Ellis AJ, Wendon JA, Heaton N, Rela M et al. Use of extracorporeal liver assist device and auxilliary liver transplantation in fulminant hepatic failure. Eur J Gastroent Hepatol 1997; 9: 407–412.
Rozga J, Williams F, Roo M-S, Neuzil DF, Giorgio TD et al. Development of a bioartificial liver: Properties and function of a hollow-fiber module inoculated with liver cells. Hepatology 1993; 17: 2558–265.
Rozga J, Holzman MD, Roo M-S, Griffin DW, Neuzil DF et al. Development of a hybrid bioartificial liver. Ann Surg 1993; 217: 502–511.
Rozga J, Podesta L, Le Page E, Hoffman A, Morsiani E et al. Control of cerebral oedema by total hepatectomy and extracorporeal liver support in fulminant hepatic failure. The Lancet 1993; 342: 898–899.
Neuzil DF, Rozga J, Moscioni AD, Roo M-S, Hakim R et al. Use of a novel bioartificial liver in a patient with acute liver insufficiency. Surgery 1993; 113: 340343.
Rozga J, Podesta L, Le Page E, Morsiani E, Hoffman A et al. A bioartificial liver to treat severe acute liver failure. Ann Surg 1994; 219: 538–546.
Demetriou AA, Rozga J, Podesta L, Le Page E, Morsiani E et al. Early clinical experience with a hybrid bioartificial liver. Scand J Gastroenterol 1995; 30 (Suppl. 208): 111–117.
Watanabe FD and Demetriou AA. Support of acute liver failure patients with a bioartificial liver. J Clin Apheresis 1996; 11: 138–142.
Chen SC, Mullon C, Kahaku E, Watanabe F, Hewitt W et al. Treatment of severe liver failure with a bioartificial liver. Ann NY Acad Sci 1997; 831 (Bioartificial organs): 350–360.
Watanabe FD, Mullon CJ-P, Hewitt WR, Arkadopoulos N, Kahaku E et al. Clinical experience with a bioartificial liver in the treatment of severe liver failure. A phase 1 clinical trial. Ann Surg 1997; 225: 484–494.
Bismuth H. New developments in clinical use of a bioartificial liver. In: Crepaldi G, Demetriou AA and Muraca M. eds. Bioartificial Liver Support: The Critical Issues. Italy: C.I.C. Edizioni Internationali, 1997:
Nyberg SL, Shatford RA, Peshwa MV, White JG, Cerra FB et al. Evaluation of a hepatocyte entrapment hollow fiber bioreactor: A potential bioartificial liver. Biotechnol Bioeng 1993; 41: 194–203.
Nyberg SL, Platt JL, Shirabe K, Payne WD, Hu W-S et al. Immunoprotection of xenocytes in a hollow fiber bioartificial liver. ASAIO Journal 1992; 38: M463 - M467.
Nyberg SL, Payne WD, Amiot B, Shirabe K, Remmel RP et al. Demonstration of biochemical function by extracorporeal xenohepatocytes in an anhepatic animal model. Transplantation Proc 1993; 25: 1944–1945.
Sielaff TD, Hu MY, Amiot B, Rollins MD, Rao S et al. Gel-entrapment bioartificial liver therapy in galactosamine hepatitis. J Surg Res 1995; 59: 179–184.
Wu FJ, Friend JR, Lazar A, Mann HJ, Remmel RP et al. Hollow fiber bioartificial liver utilizing collagen entrapped porcine hepatocyte spheroids. Biotechnol Bioeng 1996; 52: 34–44.
Hu W-S, Friend JR, Wu FJ, Sielaff T, Peshwa MV et al. Development of a bioartificial liver employing xenogenic hepatocytes. Cytotechnology 1997; 23: 29–38.
Gerlach JC, Kloppel K, Muller C, Smith MD and Neuhaus P. Hepatocyte aggregate culture technique for bioreactors in hybrid liver support systems. Int J Artific Org 1993; 16: 843–846.
Gerlach J, Schnoy N, Smith MD and Neuhaus P. Hepatocyte culture between woven capillary networks: A microscopy study. Artificial Organs 1994; 18: 226–230.
Gerlach, J, Encke J, Hole O, Muller C, Ryan CJ et al. Bioreactor for a larger scale hepatocyte in vitro perfusion. Transplantation 1994; 58: 984–988.
Fuchs M, Gerlach J, Encke J, Smith MD, Neuhaus P et al. Amino acid metabolism by hepatocytes in a hybrid liver support bioreactor. Int J Artific Org 1994; 17: 663–669.
Fuchs M, Gerlach J, Unger J, Encke J, Smith MD et al. a-keto acid metabolism by hepatocytes cultured in a hybrid liver support bioreactor. Int J Artific Org 1994; 17: 554–558.
Gerlach J, Trost T, Ryan CJ, Meissler M, Hole O et al. Hybrid liver support system in a short term application on hepatectomized pigs. Int J Artific Org 1994; 17: 549–553.
Gerlach JC. Development of a hybrid artificial liver: A review. Inte J Artific Org 1996; 19: 645–654.
Flendrig LM, la Soe JW, Jorning GGA, Steenbeek A, Karlsen OT et al. In vitro evaluation of a novel bioreactor based on an integral oxygenator and a spirally wound nonwoven polyester matrix for hepatocyte culture as small aggregates. J Hepatol 1997; 26: 1379–1392.
Flendrig LM, to Velde AA and Chamuleau RAFM. Semipermeable hollow fibre membranes in hepatocyte bioreactors: A prerequisite for a successful bioartificial liver? Artificial Organs 1997; 21: 1177–1181.
Flendrig LM, Di Florio E, Mancini A, Vacca C, Evangelista A et al. In vivo investigation of a novel bioartificial liver (BAL) based on porcine hepatocytes. Hepatology 1997; 26 (4 pt.2 SS): 168A.
Bader A, Knopp E, Boeker K, Schuettler W, Oldhafer K et al. A novel bioreactor design for in vitro reconstruction of in vivo liver characteristics. Artificial Organs 1995; 19: 368–374.
Bader A, Knopp E, Fruehauf N, Crome O, Boeker K et al. Reconstruction of liver tissue in vitro: geometry characteristic of flat bed, hollow fiber and spouted bed bioreactors with reference to the in vivo liver. Artificial Organs 1995; 19: 941–950.
Bader A, Fruehauf N, Steinhoff G and Haverich A. Development of a bioartificial liver by reconstructing 3-D cell plates and sinusoidal analogues. Artificial Organs 1997; 21: 526.
Smith MD, Airdrie I, Cairns D, Cousins RB, Ekevall E et al. A novel hybrid artificial liver with integral membrane oxygenation: Theory and initial in vitro evaluation. In: International Congress on Hepatocytes: Applications in cell biology, toxicology and medicine. Kluwer Academic Publishers, Germany, 1996.
Smith MD, Airdrie I, Cairns D, Courtney JM, Cousins RB et al. Characterisation of a hybrid artificial liver bioreactor with integral membrane oxygenation. Artificial Organs, 1997; 21: 531.
Ekevall E, Smith MD, Airdrie I, Grant MH, Cousins RB et al. A modular hepatocyte bioreactor with integral membrane oxygenation: In vitro testing. Int J Artific Org 1997; 20: 529.
Smith MD, Airdrie I, Courtney JM, Cousins RB, Ekevall E et al. Development and characterization of a hybrid artificial liver bioreactor with integral membrane oxygenation. In: Crepaldi G, Demetriou AA and Muraca M, Eds. Bioartificial Liver Support: The Critical Issues. Italy: C.I.C. Edizioni Internationali, 1997: 27–35.
Zieve L, Doizaki WM and Zieve FJ. Synergism between mercaptans and ammonia or fatty acids in the production of coma: A possible role for mercaptans in the pathogenesis of hepatic coma. J Lab Clin Med 1974; 83: 16–28.
Nishikawa M, Uchino J, Matsushita M, Takahashi, M, Taguchi K et al. Optimal oxygen tension conditions for functioning cultured hepatocytes in vitro. Artificial Organs 1996; 20: 169–177.
Bhatia SN, Toner M, Foy BD, Rotem A, O’Neil KM et al. Zonal liver cell heterogeneity: effects of oxygen on metabolic functions of hepatocytes. Cellular Engineering 1996; 1: 125–135.
UK government clears animal to human transplant trials under strict guidelines. In: Clinica. 1998: 5.
Takahashi M, Ishikara H, Takahashi C, Nakajima Y, Matsushita M et al. Immunologic considerations in the use of cultured porcine hepatocytes as a hybrid artificial liver. ASAIO Journal 1993; 39: M242 - M246.
Gerlach JC. Long-term liver cell cultures in bioreactors and possible application for liver support. Cell Biol Toxicol 1997; 13: 349–355.
Joly A, Desjardins J-F, Fremond B, Desille M, Campion J-P et al. Survival, proliferation and functions of porcine hepatocytes encapsulated in coated alginate beads: a step towards a reliable bioartificial liver. Transplantation 1997; 63: 795–803.
Stockman HBAC, Tompkins RG and Berthiaume F. Expression of long-term liver-specific function by adult rat hepatocytes cultured on microcarriers. Tissue Engineering 1997; 3: 267–279.
Kern A, Bader A, Pichlmayer R and Sewing K-F. Drug metabolism in hepatocyte sandwich cultures of rats and humans. Biochem Pharmacol 1997; 54: 761–772.
Hansen LK, Hsiao C-C, Friend JR, Wu FJ, Bridge GA et al. Enhanced morphology and function in hepatocyte spheroids: a model of tissue self assembly. Tissue Engineering 1998; 4: 65–74.
Smith MD, Cairns DE, Veitch R, Cousins RB et al. Analysis of oxygen transfer in hollow fibre hepatocyte bioreactors. Artificial Organs 1997; 21: 531.
Smith MD. A hybrid artificial liver with integral membrane oxygenation: Theory, developmental studies and prototype testing. In: PhD Thesis, Bioengineering Unit, University of Strathclyde, Glasgow, UK, 1998: pp 205.
Myers JD. The hepatic blood flow and splanchnic oxygen consumption of man–Their estimations from urea production or bromosulpthalein during catheterisation of the hepatic veins. J Clin Invest 1947; 26: 1130–1137.
Rotem A, Toner M, Tompkins RG and Yarmush ML. Oxygen uptake in cultured rat hepatocytes. Biotechnol Bioeng 1992; 40: 1286–1291.
Catapano G and De Bartolo LD. Importance of the kinetic characterization of liver cell metabolic reactions to the design of hybrid liver support devices. Int J Art Org 1996; 19: 670–676.
Griffith LG, Wu B, Cima MJ, Powers MJ, Chaignaud B et al. In vitro organogenesis of liver tissue. Ann NY Acad Sci 1998; 831 (Bioartificial Organs): 382–397.
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Smith, M., Grant, M.H., Cousins, R.B., Gaylor, J.D.S. (2000). A review of bioartificial liver development from an artificial organ engineering perspective. In: Berry, M.N., Edwards, A.M. (eds) The Hepatocyte Review. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-3345-8_30
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DOI: https://doi.org/10.1007/978-94-017-3345-8_30
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