A Bioreactor Technology for Modeling Fibrosis in Human and Rodent Precision‐Cut Liver Slices
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Abstract
Precision cut liver slices (PCLSs) retain the structure and cellular composition of the native liver and represent an improved system to study liver fibrosis compared to two‐dimensional mono‐ or co‐cultures. The aim of this study was to develop a bioreactor system to increase the healthy life span of PCLSs and model fibrogenesis. PCLSs were generated from normal rat or human liver, or fibrotic rat liver, and cultured in our bioreactor. PCLS function was quantified by albumin enzyme‐linked immunosorbent assay (ELISA). Fibrosis was induced in PCLSs by transforming growth factor beta 1 (TGFβ1) and platelet‐derived growth factor (PDGFββ) stimulation ± therapy. Fibrosis was assessed by gene expression, picrosirius red, and α‐smooth muscle actin staining, hydroxyproline assay, and soluble ELISAs. Bioreactor‐cultured PCLSs are viable, maintaining tissue structure, metabolic activity, and stable albumin secretion for up to 6 days under normoxic culture conditions. Conversely, standard static transwell‐cultured PCLSs rapidly deteriorate, and albumin secretion is significantly impaired by 48 hours. TGFβ1/PDGFββ stimulation of rat or human PCLSs induced fibrogenic gene expression, release of extracellular matrix proteins, activation of hepatic myofibroblasts, and histological fibrosis. Fibrogenesis slowly progresses over 6 days in cultured fibrotic rat PCLSs without exogenous challenge. Activin receptor‐like kinase 5 (Alk5) inhibitor (Alk5i), nintedanib, and obeticholic acid therapy limited fibrogenesis in TGFβ1/PDGFββ‐stimulated PCLSs, and Alk5i blunted progression of fibrosis in fibrotic PCLS. Conclusion: We describe a bioreactor technology that maintains functional PCLS cultures for 6 days. Bioreactor‐cultured PCLSs can be successfully used to model fibrogenesis and demonstrate efficacy of antifibrotic therapies.
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PCLS cultures are approximately 200 micron-thick tissue slices from liver core biopsy that maintain cell identity and tissue structure for several days under specialized conditions.
“As a perhaps simpler alternative to organ-on-chip systems, PCLS cultures are ~200 micron-thick tissue slices cut out of a liver core biopsy that has been shown to maintain cell identity and tissue structure for several days when cultured under specialized conditions (248)(249).”
From Found in translation—Fibrosis in metabolic dysfunction–associated steatohepatitis (MASH) (2023) · cites this paper as [249]
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Precision-cut tumor slices for modeling hepatocellular carcinoma enable at-scale drug screening
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TISSUE ENGINEERING BIOREACTORS: POTENTIAL APPLICATIONS AND SCALE UP STRATEGY
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- Authors
- Paish, H. L., Reed, L. H., Brown, H., Bryan, M. C., Govaere, O., Leslie, J., Barksby, B. S., Garcia Macia, M., Watson, A., Xu, X., Zaki, M. Y. W., Greaves, L., Whitehall, J., French, J., White, S. A., Manas, D. M., Robinson, S. M., Spoletini, G., Griffiths, C., Mann, D. A., Borthwick, L. A., Drinnan, M. J., Mann, J., & Oakley, F.
- Affiliations
- Newcastle University (GB)
- Newcastle Fibrosis Research Group, Institute of Cellular Medicine, Faculty of Medical Sciences,Newcastle University,Newcastle upon Tyne,United Kingdom
- Wellcome Centre for Mitochondrial Research (GB)
- Newcastle upon Tyne Hospitals NHS Foundation Trust (GB)
- Corresponding author
- Oakley, Fiona
- ORCID
- Paish, Hannah L.
- Reed, Lee H.
- Brown, Helen
- Govaere, Olivier
- Leslie, Jack
- Watson, Abigail
- Xu, Xin
- Zaki, Marco Y.W.
- Greaves, Laura
- Whitehall, Julia
- French, Jeremy
- White, Steven A.
- Manas, Derek M.
- Robinson, Stuart M.
- Spoletini, Gabriele
- Griffiths, Clive
- Mann, Derek A.
- Borthwick, Lee A.
- Drinnan, Michael J.
- Mann, Jelena
- Oakley, Fiona
- Venue
- Hepatology
- Published
- 2019-05-28
- Volume
- 70
- Issue
- 4
- Pages
- 1377-1391
- ISSN
- 0270-9139 (ISSN-L)
- 1527-3350
- PMC
- PMC6852483
- OpenAlex
- W2804042123
- Cited by
- 106
- References
- 33
- Citations by year
- 2026: 13 · 2025: 12 · 2024: 20 · 2023: 10 · 2022: 12 · 2021: 20 · 2020: 12 · 2019: 7
- FWCI
- 8.13
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Hepatology (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TeesRep (Teesside University) (publishedVersion, cc-by)
- Lirias (KU Leuven) (submittedVersion, cc-by)
- Teesside University Research Portal (Teesside University) (submittedVersion, cc-by)
- Funders
- Wellcome Trust (203105, 203105/Z/16/Z)
- Cancer Research UK (26813, 23390, A23390, C18342/A23390)
- National Institute for Health and Care Research (203105/Z/16/Z)
- Newcastle University (203105/Z/16/Z, L016354)
- European Commission (634413, HORIZON2020)
- National Centre for the Replacement, Refinement and Reduction of Animals in Research (NC/K000748/1)
- Directorate for Biological Sciences
- SmithKline Beecham Pharma
- AbbVie Biotherapeutics
- Medical Research Council (MR/R023026/1, 203105/Z/16/Z, MR/L016354/1, MC_PC_13071, MK/K001949/1, MC_PC_14101, L016354/1, L016354)
- Engineering and Physical Sciences Research Council (L016354/1, 634413)
- Biotechnology and Biological Sciences Research Council (L016354)
- Economic and Social Research Council (L016354/1)
- NIHR Newcastle Biomedical Research Centre (634413)
- Wellcome Trust Centre for Mitochondrial Research (203105, 203105/Z/16/Z)
- Topics
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Keywords
- precision-cut liver slices, liver fibrosis, bioreactor cultivation, fibrogenesis, TGF-β1, antifibrotic therapy, nintedanib, obeticholic acid, ALK5 inhibitor, hepatic myofibroblasts, extracellular matrix, albumin secretion, tissue viability
- MeSH terms
- Animals, Biopsy, Needle, Disease Models, Animal, Gene Expression Regulation, Humans, Immunohistochemistry, Liver Cirrhosis, Male, Random Allocation, Sensitivity and Specificity, Time Factors, Rats, Sprague-Dawley, Coculture Techniques, Bioreactors, Tissue Culture Techniques, Rats
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