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3D Liver Fibrosis Models in Lab: A Novel Modality for Drug Screening
Hani Keshavarz Alikhani1, Fatemeh Majidi1, Mahsa Ghasemzad1
1Department of Regenerative Medicine, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, Academic Center for Education, Culture and Research, Tehran, Iran.
Pharmacology Research & Perspectives
|August 1, 2026
Summary
Liver fibrosis, a precursor to cirrhosis, lacks fully understood mechanisms. This review explores current in vitro models, including organoids and liver-on-a-chip, for studying liver fibrosis and drug discovery.
Area of Science:
- Hepatology and Regenerative Medicine
- Biomedical Engineering
- Drug Discovery and Toxicology
Background:
- Liver fibrosis is a critical pathological process resulting from chronic liver injury, potentially leading to cirrhosis and hepatocellular carcinoma.
- Despite extensive research, the intricate cellular and molecular mechanisms driving liver fibrosis remain incompletely elucidated.
- Effective therapeutic strategies are hindered by the lack of ideal in vitro models for comprehensive study and drug screening.
Purpose of the Study:
- To review and introduce available in vitro models for investigating liver fibrosis.
- To highlight advanced platforms like organoids and liver-on-a-chip for liver fibrosis research.
- To discuss the challenges and potential applications of current in vitro models in drug discovery and toxicology.
Main Methods:
- Comprehensive literature review of existing in vitro and in vivo models for liver fibrosis.
- Analysis of emerging technologies such as organoids and liver-on-a-chip systems.
- Evaluation of the suitability of different models for studying fibrosis mechanisms and drug screening.
Main Results:
- Numerous in vitro and in vivo models exist for liver fibrosis research, but none are considered ideal for drug discovery.
- Organoids and liver-on-a-chip platforms show promise for more accurately modeling liver fibrosis.
- Each model presents unique advantages and limitations regarding mechanistic studies and drug screening.
Conclusions:
- In vitro models are essential for understanding liver fibrosis, but current options have limitations.
- Advanced models like organoids and liver-on-a-chip offer improved potential for studying liver fibrosis and developing new therapies.
- Further development of in vitro models is crucial for advancing drug discovery and toxicology in liver fibrosis research.

