Skip to main content
Log in

Therapeutic applications of bone marrow-derived stem cells in liver transplantation for end-stage liver diseases

  • Review
  • Cell Biology
  • Published:
Chinese Science Bulletin

Abstract

Today, liver transplantation (LT) is the only established treatment for end-stage liver diseases. The development of LT, including OLT, cadaveric LT, split LT, living donor LT (LDLT), brings hopes to patients with these diseases. However, increasing donor shortage, rejection and life-long immunosuppression with its side effects are the major limitations of this therapy strategy. Bone marrow-derived stem cells (BMDSCs) are capable of differentiating into hepatocyte-like cells and contribute to liver injury repair. The microenvironment of liver injury caused by rejection, ischemia/reperfusion, loss of liver mass, recurrence of HCV and “small-for-size syndrome” after LT can attract a variety of bone marrow-derived stem cell population to the peripheral circulation and then migration to the injury liver to promote the hepatic function restoration. Additionally, BMDSCs can also take part in the functional regeneration of living donor liver after LDLT. This participation in liver regeneration may be associated to the interaction between SDF-1and its receptor CXCR4, involving HGF, IL-8, MMP9, and VEGF/VEGFR-2. BMDSC with its bio-characteristics could maintain the allograft tolerance from different angles and in different ways. In conclusion, BMDSCs transplantation, as a new assistant therapeutic method for LT, will expand the space of LT, and provide more survival opportunities for the patients suffering liver diseases in the future

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Wiesner R H, Rakela J, Ishitani M B, et al. Recent advances in liver transplantation. Mayo Clin Proc, 2003, 78: 197–210

    Article  Google Scholar 

  2. Abouljoud M, Yoshida A, Dagher F, et al. Living donor and splitliver transplantation: An overview. Tansplant Proc, 2003, 35: 1772–1774

    Article  Google Scholar 

  3. Charlton M. Recurrence of hepatitis C infection: Where are we now? Liver Transplant, 2005, 11,S1: S57–S62

    Article  Google Scholar 

  4. Marco V, Alessandro C, Fabio P, et al. Analysis of risk factor for tumor recurrence after liver transplantation for hepatocellular carcinoma: Key role of immunosuppression. Liver Transplant, 2005, 11: 497–503

    Article  Google Scholar 

  5. Wang Y F, Nan X, Li Y H, et al. Induction of umbilical blood-Derived β2M-c-met+ cell into Hepatocyte-like cells by coculture with CFSC/HGF cells. Liver transplant, 2005, 11: 635–643

    Article  Google Scholar 

  6. Wang Y F, Nan X, Zhang R, et al.Differentiation of bone marrow derived Thy-1+β2M cells into hepatocytes induced by coculture with transgenic CFSCs. Chin Sci Bull, 2004, 49(9): 889–894

    Article  Google Scholar 

  7. Robert L, Helen B, Douglas M, et al. Handbook of Stem Cells. Vol 2. Washington: Academic Press, 2004. 487–490

    Google Scholar 

  8. Okumura K, Nakamura K, Hisatomi Y, et al. Salivary gland progenitor cells induced by duct ligation differentiate into hepatic and pancreatic lineages. Hepatology, 2003, 38: 104–113

    Article  Google Scholar 

  9. Petersen B E, Bowen W C, Patrene K D, et al. Bone marrow as a potential source of hepatic oval cells. Science, 1999, 284: 1168–1170

    Article  Google Scholar 

  10. Jang Y Y, Collector M I, Baylin S B, et al. Hematopoietic stem cells convert into liver cells within days without fusion. Nat Cell Biol, 2004, 6: 532–539

    Article  Google Scholar 

  11. Schwartz R E, Reyes M, Koodie L, et al. Multipotent adult progenitor cells from bone marrow differentiate into functional hepatocyte-like cells. J Clin Invest, 2002, 109: 1291–1302

    Article  Google Scholar 

  12. Oyagi S, Hirose M, Kojima M, et al. Therapeutic effect of transplanting HGF-treated bone marrow mesenchymal cells into CCl4-injured rats. J Hepatol, 2006, 44: 742–748

    Article  Google Scholar 

  13. Lagasse E, Connors H, A-Dhalimy M, et al. Purified hematopoietic stem cells can differentiate into hepatocytes in vivo. Nat Med, 2000, 6: 1229–1234

    Article  Google Scholar 

  14. Theise N D, Nimmakayalu M, Gardner R, et al. Liver from bone marrow in humans. Hepatology, 2000, 32: 11–16

    Article  Google Scholar 

  15. Fujii H, Hirose T, Oe S, et al. Contribution of bone marrow cells to liver regeneration after partial hepatectomy in mice. J Hepatol, 2002, 36: 653–659

    Article  Google Scholar 

  16. Vassilopoulos G, Wang P, Russell D W. Transplanted bone marrow regenerates liver by cell fusion. Nature, 2003, 422: 901–904

    Article  Google Scholar 

  17. Wang X, Willenbring H, Akkari Y, et al. Cell fusion is the principal source of bone-marrow-derived hepatocytes. Nature, 2003, 422: 897–901

    Article  Google Scholar 

  18. Sato Y, Araki H, Kato J, et al. Human mesenchymal stem cells xenografted directly to rat liver are differentiated into human hepatocytes without fusion. Blood, 2005, 106: 756–763

    Article  Google Scholar 

  19. Wilson K S, Timmons C F, Hilton D S, et al. Chromosomal instability in hereditary tyrosinemia type I. Pediatr. Pathol, 1994, 14: 1055–1057

    Google Scholar 

  20. Harris R G, Herzog E L, Bruscia E M, et al. Lack of a fusion requirement for development of bone marrow-derived epithelia. Science, 2004, 305: 90–93

    Article  Google Scholar 

  21. Pahlavan P S, Feldmann R E, Zavos C, et al. Prometheus’ challenge: Molecular, cellular and systemic aspects of liver regeneration. J Surg Res, 2006, 134: 238–251

    Article  Google Scholar 

  22. Tanaka K, Ogura Y. “Small-for-size graft” and “Small-for-size syndrome” in living donor liver transplantation. Yonsei Med J, 2004, 45(6): 1089–1094

    Google Scholar 

  23. Liu F, Pan X B, Chen G D, et al. Hematopoietic stem cell mobilization after rat partial orthotopic liver transplantation. Transplant Proc, 2006, 38: 1603–1609

    Article  Google Scholar 

  24. Avital I, Feraresso C, Aoki T, et al. Bone marrow-derived liver stem cell andmature hepatocyte engraftment in livers undergoing rejection. Surgery, 2002, 132: 384–390

    Article  Google Scholar 

  25. Liu F, Pan X B, Chen G D, et al. Hematopoietic stem cells mobilized by granulocyte colony-stimulating factor partly contribute to liver graft regeneration after partial orthotopic liver transplantation. Liver Transplant, 12: 1129–1137

  26. Lemoli R M, Lucia C, Simona T, et al. Mobilization of bone marrow-derived hematopoietic and endothelial stem cells after orthotopic liver transplantation and liver resection. Stem Cells, 2006, 24: 2817–2825

    Article  Google Scholar 

  27. Gehling U M, Willems M, Dandri M, et al. Partial hepatectomy induces mobilization of a unique population of haematopoietic progenitor cells in human healthy liver donors. J Hepatol, 2005, 43: 845–853

    Article  Google Scholar 

  28. Aurich I, Mueller L P, Aurich H, et al. Functional integration of human mesenchymal stem cell-derived hepatocytes into mouse livers. Gut, 2007, 56(3): 405–415

    Article  Google Scholar 

  29. Petit I, Szyper-Kravitz M, Nagler A, et al. G-CSF induces stem cell mobilization by decreasing bone marrow SDF-1 and up-regulating CXCR4. Nat Immunol, 2002, 3: 687–694

    Article  Google Scholar 

  30. Terada R, Yamamoto K, Hakoda T, et al. Stromal cell-derived factor-1 from biliary epithelial cells recruits CXCR4-positive cells: Implications for inflammatory liver diseases. Lab Invest, 2003, 83: 665–672

    Article  Google Scholar 

  31. Goddard S, Williams A, Morland C, et al. Differential expression of chemokines and chemokine receptors shapes the inflammatory response in rejecting human liver transplants. Transplantation, 2001, 72: 1957–1967

    Article  Google Scholar 

  32. Kollet O, Shivtiel S, Chen Y Q, et al. HGF, SDF-1, and MMP-9 are involved in stress-induced human CD34+ stem cell recruitment to the liver. J Clin Invest, 2003, 112, 160–169

    Article  Google Scholar 

  33. Kuyvenhoven J P, Verspaget H W, Gao Q, et al. Assessment of serum matrix metalloproteinases MMP-2 and MMP-9 after human liver transplantation: Increased serum MMP-9 level in acute rejection. Transplantation, 2004, 77: 1646–1652

    Article  Google Scholar 

  34. Kuyvenhoven J P, Molenaar I Q, Verspaget H W, et al. Plasma MMP-2 and MMP-9 and their inhibitors TIMP-1 and TIMP-2 during human orthotopic liver transplantation. The effect of aprotinin and the relation to ischemia/reperfusion injury. Thromb Haemost, 2004, 91, 506–513

    Google Scholar 

  35. Pruijt J F, Verzaal P, van Os R, et al. Neutrophils are indispensable for hematopoietic stem cell mobilization induced by interleukin-8 in mice. Proc Natl Acad Sci USA, 2002, 99: 6228–6233

    Article  Google Scholar 

  36. Dalakas E, Newsome P N, Harrison D J, et al. Hematopoietic stem cell trafficking in liver injury. FASEB J, 2005, 19: 1225–1231

    Article  Google Scholar 

  37. Wang X, Ge S, McNamara G, et al. Albumin-expressing hepatocyte-like cells develop in the livers of immune-deficient mice that received transplants of highly purified human hematopoietic stem cells. Blood, 2003, 101: 4201–4208

    Article  Google Scholar 

  38. Russo F P, Alison M R, Bigger B W, et al. The bone marrow functionally contributes to liver fibrosis. Gastroenterology, 2006, 130: 1807–1821

    Article  Google Scholar 

  39. Tatiana K, Hiroshi U, Nikki F, et al. Bone marrow-derived fibrocytes participate in pathogenesis of liver fibrosis. J Hepatol, 2006, 45: 429–438

    Article  Google Scholar 

  40. Rubio D, Garcia-Castro J, martin M C, et al. Spontaneous human adult stem cell transformatiom. Cancer Res, 2005, 65: 3035–3039

    Google Scholar 

  41. Bissell D M. Chronic liver injury, TGF-beta, and cancer. Expmol Med, 2001, 33: 179–190

    Google Scholar 

  42. Wu X Z, Yu X H. Bone marrow cells: The source of hepatocellular carcinoma? Med Hypotheses, 2007, 69: 36–42

    Article  Google Scholar 

  43. Devlin J, Doherty D, Thomson L, et al. Defining the outcome of immunosuppression withdrawal after liver transplantation. Hepatology, 1998, 27: 926–933

    Article  Google Scholar 

  44. Spitzer T R, Delmonico F, Tolkoff-Rubin N, et al. Combined histoincompatibility leukocyte antigen-matched donor bone marrow and renal transplantation for multiple myeloma and end stage renal disease: The induction of allograft tolerance through mixed lymphohematopoietic chimerism. Transplantation, 1999, 68: 480–484

    Article  Google Scholar 

  45. Mellgren K, Fasth A, Saalman R, et al. Liver transplantation after stem cell transplantation with the same living donor in a monozygotic twin with acute myeloid leukemia. Ann Hemato, 2005, 84: 755–757

    Article  Google Scholar 

  46. Susanne M M, Christina P, Alfred K, et al, Successful stem cell transplantation following orthotopic liver transplantation from the same haploidentical family donor in a girl with hemophagocytic lymphohistiocytosis. Blood, 2000, 96: 3997–3999

    Google Scholar 

  47. Donckier V, Troisi R, Toungouz M, et al. Donor stem cell infusion after non-myeloablative conditioning for tolerance induction to HLA mismatched adult living-donor liver graft. Transpl Immunol, 2004, 3: 139–146

    Article  Google Scholar 

  48. Donckier V, Troisi R, Le Moine A, et al. Early immunosuppression withdrawal after living donor liver transplantation and donor stem cell infusion. Liver Transplant, 2006, 12: 1523–1528

    Article  Google Scholar 

  49. Bagley J, Tian C, Sachs D H, et al. Induction of T-cell tolerance to an MHC class I alloantigen by gene therapy. Blood, 2002, 99: 4394–4399

    Article  Google Scholar 

  50. Merion R M, Schaubel D E, Dykstra D M, et al. The survival benefit of liver transplantation. Am J Transplant, 2005, 5: 307–313

    Article  Google Scholar 

  51. Kokudo N, Sugawara Y, Imamura H, et al. Tailoring the type of donor hepatectomy for adult living donor liver transplantation. Am J Transplant, 2005, 5: 1694–1703

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pei XueTao.

Additional information

Supported by State 863 High Technology R&D Project of China (Grant No. 2006AA02A107) and National Natural Science Foundation of China (Grant No. 30400415)

About this article

Cite this article

Luo, H., Wang, Y., Kong, W. et al. Therapeutic applications of bone marrow-derived stem cells in liver transplantation for end-stage liver diseases. CHINESE SCI BULL 52, 2449–2456 (2007). https://doi.org/10.1007/s11434-007-0392-9

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11434-007-0392-9

Keywords

Navigation