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Lentiviral Vector-mediated Gene Therapy of Hepatocytes Ex Vivo for Autologous Transplantation in Swine
Published on: November 4, 2018
Methods for the implantation of liver cells
S S Kim1, H Utsunomiya, J P Vacanti
1Laboratory for Transplantation and Tissue Engineering, Children's Hospital, Boston, MA.
Methods in Molecular Medicine
|March 4, 2011
Summary
Liver transplantation is a vital treatment for end-stage liver disease, but faces significant challenges. The critical shortage of donor organs remains the most substantial barrier to wider application and saving more lives.
Area of Science:
- Hepatology
- Transplant Surgery
- Organ Donation
Background:
- Orthotopic liver transplantation is the sole established treatment for end-stage liver disease.
- Over 3000 liver transplantations are performed annually in the US.
- Significant challenges hinder organ transplantation's widespread use.
Purpose of the Study:
- To review advances in liver transplantation.
- To highlight the major challenges impeding organ transplantation.
- To emphasize the critical scarcity of donor organs.
Main Methods:
- Review of recent advancements in liver transplantation.
- Analysis of challenges in organ transplantation practices.
- Examination of donor organ supply and demand dynamics.
Main Results:
- Liver transplantation has seen major advances over 30 years.
- Key challenges include donor organ scarcity, high costs, technical difficulty, and immunosuppression.
- Donor organ scarcity, particularly for pediatric patients, is the most significant obstacle.
Conclusions:
- Despite advances, donor organ shortage severely limits liver transplantation.
- End-stage liver disease causes 26,000 deaths annually in the US.
- The gap between available organs and patient need is widening, leading to increased waiting list mortality.

