The liver is a promising target for cell therapy since it supports and functionally integrates transplanted cells. Human liver contains more than 50 billion cells and more than 10% replacement will be required for most liver diseases. Hence, embryonic stem cells (ESC), which have unlimited growth capacities, represent one of the few cell types with potential for liver cell therapy. However, to be functionally effective and safe, ESC have to be differentiated into hepatocytes, the cells of the liver that provide its typical functions, before transplantation. Unfortunately, current ESC differentiation protocols generate cells that are not fully differentiated or functional. To achieve levels of differentiation that would be therapeutic we propose to identify the mechanisms that establish hepatocyte function in progenitor cells in the adult liver. Adult liver progenitors are typically absent from the normal liver but become apparent in liver disease when hepatocytes are damaged. Remarkably, adult liver progenitors can differentiate into fully functional hepatocytes within a few days. We hope to identify the genes that enable this rapid maturation process in order to apply it to immature cells derived from ESC. If maturation can be induced and these hepatocyte-like cells function to correct a mouse model of a human liver disease we will have provided proof-of-principle for the potential of ESC for liver cell therapy.
Statement of Benefit to California:
Liver transplantation is the only curative option for patients with severe liver diseases. As donor livers are rare, many Californians are currently waiting to receive a transplant. In fact, many patients on the waiting list die before a donor organ becomes available. If successful, the proposed project would help to alleviate the need for donor organs by establishing embryonic stem cells as a source of hepatocytes for transplantation. As hepatocyte transplantation would be less invasive and expensive than orthotopic liver transplantation, funds might become available that could be used to benefit the citizens of California in other areas.
Year 1The overall goal of this project is to establish new strategies for liver regeneration. For this purpose, we aim at identifying molecular mechanisms regulating liver regeneration that could be exploited for therapeutic purposes. Along these lines, we have identified small RNAs that either promote or inhibit the proliferation of hepatocytes, the cells in the liver that provide its manifold functions. We are now working on developing tools to modify the levels of these small RNAs in the liver with the goal to enhance liver regeneration. In addition, we aim at developing hepatocyte replacement strategies for liver diseases that cause irreparable hepatocyte damage. We focus on immune-compatible pluripotent stem cells because they can in principle generate the large numbers of hepatocytes required for therapeutically effective cell therapy and would not require life-long immune suppression. We have established proof-of-principle for the therapeutic efficacy of hepatocytes derived from mouse pluripotent stem cells, and are now working towards recapitulating these results in human cells.
Year 2In the past year we have made several discoveries that move us closer to our goal to improve the proliferation and function and thus therapeutic efficacy of hepatocytes derived from pluripotent stem cells.
Some of these discoveries have elucidated the role of microRNAs, a class of non-coding small RNAs, in liver regeneration and function. For example, we found that miR-21 acts as a promoter of hepatocyte proliferation during liver regeneration. In addition, we identified several other microRNAs that establish differentiated function in hepatocytes.
Other discoveries of ours have revealed which type of pluripotent stem cell is best for liver cell therapy that does not require chronic immune suppression. Our results show that induced pluripotent stem cells derived from fibroblasts are as effective in reversing liver failure as normal hepatocytes.
Year 3In the last year we have made significant progress towards our goal of "Molecular dissection of adult liver regeneration to guide the generation of hepatocytes from pluripotent stem cells". We have identified the mechanism of how microRNA-21 promotes liver regeneration. We are currently working on translating this understanding into a therapeutic strategy for liver failure. We have also gained in-depth insight into the molecular regulation of differentiation of liver progenitor cells into hepatocytes. We have begun to use this insight to direct the differentiation of pluripotent stem cells into hepatocytes that are effective in liver cell therapy.
Year 4Being able to generate hepatocytes from human pluripotent stem cells would advance many important research efforts, including studies of the pathobiology of liver diseases and the development of liver cell therapies. Unfortunately, realizing this potential has been hampered by shortcomings of human hepatocyte-like cells (HLCs) generated with current in vitro-differentiation protocols, not only as it pertains to replicating the function of primary human hepatocytes, but also their ability to proliferate in vivo. We have made significant progress toward our goal of identifying regulators of hepatocyte differentiation. In addition, we have established the feasibility of liver repopulation of immune-deficient mice with HLCs generated in vitro, thereby proving their ability to mature and proliferate after transplantation