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Table 1 Major liver organized studies continued

From: Emerging liver organoid platforms and technologies

Studies

Type of organoid

Approach

Unique features and applications

Huch et al. 2013, 2015

Biliary stem cell organoid

- - Isolation and expansion of EPCAM+ biliary cells from liver biopsy

- 3D matrigel embedded culture

- Stable expansion of patient-specific adult liver biliary stem cells

- Bipotent biliary stem cells can generate functional hepatocytes and cholangiocytes in culture and form functional hepatocytes when engrafted in mice (low efficacy)

Takebe et al. 2013

Liver bud

- Co-culture of iPSC-derived hepatic cells, HUVECs and MSCs

- Cells co-culture in 2D on matrigel forms 3D liver bud

- Self-organization of multiple cell types in vitro into a immature liver bud (lacks liver function)

- Liver bud develops into functional and vascularized liver tissue when engrafted into immuno-deficient mice

- Engrafted liver bud rescues genetic liver failure in mice

Ogawa et al. 2015

Cholangiocyte-like cell (CLC) organoids

- Step wise differentiation of hiPSC through bipotent hepatoblast

- 3D matrigel embedded culture

- Cholangiocytes exhibit mature biliary markers and structures such as apical sodium-dependent bile acid transporter, secretin receptor, cilia and cystic fibrosis transmembrane conductance regulator (CFTR)

- In vitro modelling of cystic fibrosis with patient derived iPSC

Sampaziotis et al (2015, 2017)

CLC organoids

- Step wise differentiation of hiPSC through bipotent hepatoblast

- 3D matrigel embedded culture

- CLC is highly functional and utilized for validating polycystic drugs

- Organoids were used to model cystic fibrosis

- Engrafted CLC enable treatment of common bile duct (CBD) disorders

Broutier et al. 2017

Cancer organoids

- Isolation of cancer cells from liver tumor tissue with modified media and protocol (Huch et al. 2015)

- 3D matrigel embedded culture

- Derivation of the cancer organoids (tumoroids) from major liver cancer subtypes including Hepatocellular Carcinoma (HCC), Intrahepatic Cholangiocarcinoma (ICC) and Hepato-Cholangiocarcinoma

- Tumoroids retain histological features of patient-derived tumor tissue after long term culture, preserve genetic alteration from original tumor and show metastatic potential

- Tumoroids were used for drug screening to identify potential patient specific therapy

Takebe et al. 2017

Liver bud

- Co-culture of single donor iPSC-derived hepatic endoderm, endothelial and mesenchymal cells

- Engineered platform for large scale production

- Single donor iPSC-derived hepatic, endothelial and mesenchymal cells to generate patient specific liver buds

- Mechanized engineering platform for robust large scale production of liver bud

- Liver rescue experiments achieved in over 100 mice to demonstrate potential for regenerative therapy

Hu et al. 2018

Hepatocyte organoid

- Isolation and expansion of hepatocytes from mouse liver and fetal human liver

- 3D Matrigel embedded culture

- Hepatocyte organoid exhibit high engraftment efficiency in mice

- The proliferating hepatocyte organoid resembles proliferating hepatocyte in liver with partial hepatectomy

- Hepatocyte organoid can be further matured in culture and exhibit major liver metabolic functions and forms bile canaliculi

Peng et al. 2018

Hepatocyte organoid

- Expansion of isolated hepatocytes from mouse liver using pro-inflammatory cytokine TNFα

- 3D matrigel embedded culture

- Hepatocyte proliferation induced using inflammatory signals enriched in injured liver

- Hepatocyte organoids exhibit major liver functions and shows high engraftment capacity

Nie et al. 2018

Liver bud

- Isolation of endothelial and mesenchymal cells from a single umbilical cord donor for liver bud organoid formation

- Reduced liver bud size and maturation in vitro

- Differentiated liver bud consist mainly of hepatocytes and used for modeling HBV infection

Zhang et al. 2018;

Fu et al. 2019

Hepatocyte organoid

- Expansion of isolated hepatocytes as a 2D proliferating hepatocyte progenitor

- Hepatocyte progenitor mature in 3D to form hepatocyte organoids

- Hepatocyte progenitor platform enabled large scale expansion of isolated primary adult human hepatocytes

- Hepatocyte progenitor mature into functional hepatocyte in vitro and in vivo. Cells demonstrate comparable engraftment efficiency compared to primary human hepatocytes

- Matured 3D hepatocyte organoids can be used for modelling HBV infection and reactivation in vitro

Vyas et al. 2018

Hepatobiliary organoid

- Isolated human fetal liver progenitor cells (FLPC) are seeded and maintained in decellularized liver (ferret) disc

- FLPC repopulated decellularized liver disc scaffold and differentiate to give rise to hepatobiliary organoid containing functionally mature AFP-ve hepatocytes and bile duct cells of different maturity

- Hepatobiliary organoid was used to investigate role of notch signaling in bile duct formation

Wu et al. 2019

Hepatobiliary organoid

- Stepwise 2D differentiation of iPSC into hepatoblast and hepatobiliary cells

- Maintenance of a minimal mesenchymal population for hepatobiliary formation

- Cells differentiated in 2D culture generated a monolayer of hepatocytes with 3D biliary cysts

- Addition of cholesterol based reagent maintains hepatobiliary cells in culture and promotes maturity

- Transplanted organoids give rise to tissue containing both bile ducts and hepatocytes

Ouchi et al. 2019

Multi-cellular organoid

- Stepwise differentiation of iPSC into liver organoid using an intermediate foregut spheroid progenitor

- 3D matrigel embedded culture

- Single cell analysis shows that organoid contains both parenchymal and non-parenchymal cell types of the liver

- Liver organoid treated with free fatty acid exhibit inflammatory response, undergo fibrogenesis which results in increase stiffness of organoids

Collin de l’Hortet et al. 2019

Multi-cellular organoid

- Co-culture of iPSC derive hepatic cells with human microvascular endothelial cells, human mesenchymal cells, fibroblasts and macrophages in a decellularized rat liver scaffold

- Large organoid measuring centimetres in size

- Modeling of Sirt1 depletion induced NASH under fatty acids enriched media

- NASH Model is capable of recapitulating steatosis, inflammation and ballooning phenotype

- Incorporation of media perfusion system enable NASH phenotype penetration in the core of large organoid.

Wang et al. 2019

Bipotent hepatic progenitor

- Stepwise differentiation of PSC into bipotent hepatic progenitor organoids

- 3D matrigel embedded culture

- Highly expandable progenitor organoids that can generate hepatocytes or cholangiocytes in vitro and in vivo

- Co-culture of fetal-liver mesenchymal cells improves hepatocyte functions in organoid and enable modelling of alcohol-induced liver injury

Sun et al. 2019

Hepatocyte and Cancer organoid

- SV40LT expressing fibroblast are transdifferentiated into hepatocytes (hiHeps) and cultured as 3D organoids in suspension

- Overexpression of HCC and ICC oncogenes to induce neoplastic transformation

- hiHep aggregates show polarity and exhibit better hepatocyte function than 2D cultured hiHep

- Introduction of Myc oncogene or ICC enriched mutations induces HCC and ICC transformation respectively. The transformed organoids form tumor in mice, that recapitulate features of patient derived tissue.

- Platform enables recapitulation of molecular and biogenesis events during neoplastic transformation

Artegiani et al. 2019

Biliary

Cancer organoid

- Cholangiocarcinoma associated genetic mutations are introduced into tissue derived biliary organoid to induce oncogenic transformation

- Step-wise transformation of biliary organoids into cholangiocarcinoma organoids enable the investigation of tumor suppressor function of BAP1

- In vitro transformation platform enables investigation into cellular and molecular changes during neoplastic transformation

Mun et al. 2019; Akbari et al. 2019

Biliary stem cell organoid

- Isolation and expansion of EPCAM+ bipotent progenitor from pluripotent stem cells

- 3D matrigel embedded culture

- Bipotent Progenitor derived from PSC is similar to the biliary stem cell organoid platform (Huch et al. 2015)

- Bipotent progenitor differentiates to hepatocytes in 3D, which exhibit liver functions and demonstrates regenerative and inflammatory responses.

- iPSC platform enable modeling of genetic disease with patient derived fibroblast

Koike et al. 2019

hepatic-biliary-pancreatic (HBP) endoderm organoid

- Co-culture of PSC-derived midgut and foregut spheroids.

- Spheroid boundary further develops into HBP

- 3D matrigel embedded culture

- Spontaneous induction of hepatic-biliary-pancreatic domain formation and outgrowth to form bile duct linked hepatic and pancreatic tissues

- Validation of the role of HES1 in human liver and pancreas organogenesis.

Ramli et al. 2020

Hepatobiliary organoid

- Stepwise differentiation of PSC in 2D and 3D culture

- 3D suspension culture

- Hepatobiliary organoid with a dense hepatocyte core and cystic cholangiocytes in the periphery

- Functional bile canaliculi network connecting both cell types observed in the organoid.

- Modelling of drug and disease induced cholestasis.

Shinozawa et al. 2020

Hepatocyte organoid

- Stepwise differentiation of PSC in matrigel droplets

- Generation of an expandable foregut progenitor intermediate

- Spherical hepatocyte organoid containing a lumen that enable modelling of bile transportation

- High-throughput screening with organoids identified cholestasis inducing toxins