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http://dx.doi.org/10.14348/molcells.2018.0330

Experimental Applications of in situ Liver Perfusion Machinery for the Study of Liver Disease  

Choi, Won-Mook (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Eun, Hyuk Soo (Department of Internal Medicine, Chungnam National University School of Medicine)
Lee, Young-Sun (Department of Internal Medicine, Korea University College of Medicine)
Kim, Sun Jun (Department of Internal Medicine, Chungnam National University School of Medicine)
Kim, Myung-Ho (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Lee, Jun-Hee (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Shim, Young-Ri (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Kim, Hee-Hoon (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Kim, Ye Eun (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Yi, Hyon-Seung (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Jeong, Won-Il (Laboratory of Liver Research, Graduate School of Medical Science and Engineering, KAIST)
Abstract
The liver is involved in a wide range of activities in vertebrates and some other animals, including metabolism, protein synthesis, detoxification, and the immune system. Until now, various methods have been devised to study liver diseases; however, each method has its own limitations. In situ liver perfusion machinery, originally developed in rats, has been successfully adapted to mice, enabling the study of liver diseases. Here we describe the protocol, which is a simple but widely applicable method for investigating the liver diseases. The liver is perfused in situ by cannulation of the portal vein and suprahepatic inferior vena cava (IVC), with antegrade closed circuit circulation completed by clamping the infrahepatic IVC. In situ liver perfusion can be utilized to evaluate immune cell migration and function, hemodynamics and related cellular reactions in each type of hepatic cells, and the metabolism of toxic or other compounds by changing the composition of the circulating media. In situ liver perfusion method maintains liver function and cell viability for up to 2 h. This study also describes an optional protocol using density-gradient centrifugation for the separation of different types of hepatic cells, allowing the determination of changes in each cell type. In summary, this method of in situ liver perfusion will be useful for studying liver diseases as a complement to other established methods.
Keywords
hemodynamics; immune cell; in situ perfusion; liver disease; metabolism;
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