• 제목/요약/키워드: Extracorporeal liver support system

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The Concept of Artificial Liver Support by Using the Extracorporeal Circulation System

  • Cheon, Min-Woo
    • Transactions on Electrical and Electronic Materials
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    • 제16권1호
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    • pp.25-28
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    • 2015
  • In this study, a basic research on artificial liver was performed for its application to people on the waiting list of liver transplant or patients with hepatic insufficiency. Artificial livers are generally classified into mechanic type, bioartificial type, and hybrid type. An extracorporeal circulation device was examined herein, which is indispensable in the application of an artificial liver, for its effectiveness in supporting the recovery of liver functions. Extracorporeal circulation system is a treatment and life-support system which sends out the patient's blood, removes toxicity by various methods, and then sends the blood back to the interior of the body. This study used an extracorporeal circulation system which enables the Plasma Perfusion by CVVH method, and applied the program of Bioateco corp. Animals with acute hepatic insufficiency were produced to apply the extracorporeal circulation device. As a result, their ammonia, bilirubin, SGOT, SGPT, and bile acid levels rose, confirming the liver function restoration in the experimental animals.

폴리우레탄 폼을 이용한 쥐 일차 간세포의 구상체 배양 (Formation of Spheroids of Adult Rat Primary Hepatocytes in Polyurethane Foam)

  • 안재일;이두훈
    • 대한의용생체공학회:의공학회지
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    • 제19권3호
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    • pp.215-224
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    • 1998
  • 본 논문은 급성 간 부전 환자나 간이식 대기상태에 있는 환자에 이용하기 위한 체외 간 보조장치를 개발하기 위한 기초 실험에 관한 것이다. 밀도 33kg/m, 평균 직경 500um, 60-70%의 window를 가진 폴리우레탄 폼을 15% NCO-프리폴리머로 제조하였다. 폴리우레탄 폼에 접종된 간세포는 3일 후에 거의 모두 100-150um 크기의 구상체를 형성하였다. BSA 코팅을 한 폴리우레탄 폼은 BSA로 코팅하지 않은 폴리우레탄 폼보다 간세포 구상체 형성 시간이 더 짧았다. 폴리우레탄 폼에 형성된 간세포 구상체의 간 기능을 증명하기 위하여 암모니아 제거율과 요소 및 알부민 분비율을 측정하였다. 폴리우레탄 폼은 간세포 구상체 배양에 적합하며, 폴리우레탄 폼 내에서의 간세포 구상체 배양은 체외 간 보조장치로의 개발 가능성이 높다.

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APPLICATION OF THREE DIMENSIONAL CULTURE OF ADULT RAT HAPATOCYTES IN POLYURETHANE FOAM PORES FOR AN ARTIFICIAL LIVER SUPPORT SYSTEM

  • Funatsu, K.;Matsushita, T.;Ijima, H.;Iwahashi, T.
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1994년도 춘계학술대회 and 제3회 신약개발 연구발표회
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    • pp.137-144
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    • 1994
  • Spherical multicellular aggregates of adult rat hepatocytes (spheroid) which have tissue like structure, were formed and immobilized in the pores of polyurethane foam (PUF) which was used as a culture substratum. These hepatocyte/spheroids, about 100 $\mu\textrm{m}$ in diameter, have maintained higher differentiated functions than those of hepatocyte/monolayer for about 3 weeks in serum-free medium. Then, we designed a prototype module of an artificial liver support system using a PUF/spheroid packed-bed, in which hepatocyte/spheroids were immobilized at high density. The urea synthesis activity of the artificial liver was maintained at least 10 days in 100% rat blood plasma. We start examining the performance of hybrid artificial liver in an ex vivo extracorporeal experiment with an acute hepatic failure rat.

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In vitro functional assenssment of bioartificial liver system using immobilized porcine hepatocyte spheroids

  • Lee, Ji-Hyun;Lee, Doo-Hoon;Yoon, Hee-Hoon;Jung, Doo-Hee;Park, Jung-Keug;Kim, Sung-Koo;Lee, Kwang-Woong;Lee, Suk-Koo
    • 한국생물공학회:학술대회논문집
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    • 한국생물공학회 2003년도 생물공학의 동향(XIII)
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    • pp.305-306
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    • 2003
  • To treat fulminant hepatic failure (FHF) patients, various extracorporeal bioartificial liver (BAL) systems have been developed. Several requirements should be met for the development of BAL systems: hepatocytes should be cultured in a sufficiently high density; their metabolic functions should be of a sufficiently high level and duration; and the BAL systems module should permit scaling-up and aseptic handling. Several investigators have found that freshly isolated primary hepatocytes can be cultured into three dimensional, tightly packed, freely suspended, multicellular aggregates, or spheroids. These specialized cell structures exhibited enhanced liver specific functions and a prolonged differentiated state compared to cells maintained in a monolayer culture. Cells in spheroids appear to mimic the morphology and ultrastructure of the in vivo liver lobule. The ability of hepatocytes to organize into three-dimensional structures was hypothesized to contribute to their enhanced liver-specific activities. In this study, the ammonia removal rate and urea secretion rate of pig hepatocytes spheroids encapsulated in Ca-alginate bead were determined. A packed-bed bioreactor with encapsulated pig hepatocytes was devised as BAL support system. The efficacy of the system was evaluated in vitro.

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