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Updated: Aug 6, 2025

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Decellularization and Recellularization of Whole Livers
Published on: February 4, 2011
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Bioengineering liver tissue by repopulation of decellularised scaffolds.
Zeeshan Afzal1, Emmanuel Laurent Huguet2
1Department of Surgery, Addenbrookes Hospital, NIHR Comprehensive Biomedical Research and Academic Health Sciences Centre; Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, United Kingdom.
World Journal of Hepatology
|March 17, 2023
Summary
Regenerating organs using decellularised scaffolds offers a promising solution to liver transplant limitations. While progress shows measurable hepatocyte function, challenges remain for clinical application.
Area of Science:
- Regenerative Medicine
- Tissue Engineering
- Organ Transplantation
Background:
- End-stage liver disease necessitates transplantation, limited by donor organ scarcity and immunosuppression side effects.
- Decellularised organ scaffolds offer a potential solution for on-demand organ sourcing without immunosuppression.
Purpose of the Study:
- To review the progress and challenges in recellularising decellularised liver scaffolds for therapeutic applications.
- To assess the current state of bioengineering efforts in creating functional liver grafts.
Main Methods:
- Decellularisation of whole organs to create extracellular matrix scaffolds.
- Recellularisation of scaffolds using various cell types, including stem cells.
- In vitro and in vivo studies in rodent and large animal models to evaluate scaffold function.
Main Results:
- Demonstrable hepatocyte function and ammonia metabolism in recellularised scaffolds in vivo.
- Progress in vascular repopulation enabling perfusion, but with limitations in cell type and function.
- Challenges persist in biliary repopulation and incorporating all essential liver cell types.
Conclusions:
- Bioengineering decellularised liver scaffolds has advanced significantly, showing promise for future therapies.
- Substantial experimental hurdles must be overcome before clinical translation of bioengineered liver grafts is feasible.

