Cited by 1Pluripotent Stem Cells ResearchDrug-Induced Hepatotoxicity and ProtectionLiver physiology and pathology

Cryopreservation of Hepatocyte Organoid-Derived Cells Generated from Human iPS Cells

Open access
Nagai, Wakana, Inui, Jumpei, Ueyama-Toba, Yukiko, Asano, Rei, Mizuguchi, Hiroyuki·2025·Biological and Pharmaceutical Bulletin

Abstract

Hepatic organoids (iHOs) generated from human-induced pluripotent stem cell-derived hepatocyte-like cells (HLCs) have attracted attention as a new source of hepatocytes to replace primary human hepatocytes (PHHs) in drug discovery research. Recently, we established iHOs from HLCs, which proliferated for more than 10 passages, and developed a two-dimensional (2D) culture protocol for iHOs, by which the cells showed much higher hepatic functions. In this study, we examined the cryopreservation of iHOs for the purpose of improving their versatility. Cryopreserved iHOs had comparable cell proliferative capacity to fresh iHOs. Hepatocyte marker gene expression levels in the cryopreserved iHOs were comparable to those without cryopreservation. When cryopreserved iHOs were directly matured by our 2D culture protocol, they showed higher hepatocyte marker gene expression levels and higher CYP3A4 activity than HLCs. Some of the hepatic functions in 2D-cultured cryopreserved iHOs were at levels comparable to those in PHHs. These results suggest that cryopreserved iHOs also differentiated into mature hepatocytes by 2D culture. We expect cryopreserved iHOs to be used as a user-friendly cell source for drug discovery research in many laboratories.

AI snapshot

Written from the paper’s full text.

TL;DR

Cryopreserved human iPS cell-derived hepatic organoids (iHOs) retained viability, proliferative capacity, and hepatocyte marker expression comparable to fresh iHOs. When directly matured under a 2D protocol, cryopreserved iHOs generated hepatocyte-like cells with hepatic functions similar to fresh iHO-derived cells and some functions comparable to primary human hepatocytes.

Key findings

  • Post-thaw viability of cryopreserved iHOs was approximately 70%; they showed morphology similar to fresh iHOs and grew to 10^4-fold in 18 d, though with slightly slower growth than fresh iHOs.
  • Hepatocyte marker genes (ALB, HNF4α, CYP3A4, CYP2C9, CYP2C19, NTCP, UGT1A1) and proliferation/stem cell markers (Ki67, LGR5, EpCAM, CK19) in cryopreserved iHOs were comparable to fresh iHOs, with no significant differences reported.
  • Cryopreserved iHOs directly differentiated into Cryo-iHO-Heps under 2D culture; hepatocyte marker gene expression was not significantly different from Fresh-iHO-Heps, and all genes except ALB were higher than in original HLCs.
  • CYP3A4 activity in Cryo-iHO-Heps was similar to Fresh-iHO-Heps, much higher than HLCs, and comparable to PHHs; CYP2C9 and CYP2D6 activities were not as high as PHHs but were higher than HLCs and similar or higher than Fresh-iHO-Heps. Urea and ALB secretion were the same as Fresh-iHO-Heps, though ALB secretion was lower than in HLCs and PHHs.

Methods

  • Human iPS cell lines Tic and YOW-iPS were differentiated into HLCs, then iHOs were established and passaged 1–5 times; iHOs were dissociated, suspended in STEM-CELLBANKER DMSO-free GMP grade, cooled to −80°C overnight, then stored at −150°C for at least 2 weeks before thawing.
  • Cryopreserved iHOs were either cultured as organoids or directly seeded for 2D differentiation into iHO-Heps using a stepwise medium protocol; assays included CellTiter-Glo 3D viability, Countess viability, real-time RT-PCR, LC-MS/MS CYP activity with midazolam/diclofenac/bufuralol, P450-Glo CYP3A4 assay, immunofluorescence, ALB ELISA, and urea measurement.
  • PHH comparison used one cryopreserved lot (HC4-24, XENOTECH); all results are based on three biological replicates, analyzed by unpaired two-tailed Student’s t-test with p < 0.05 considered significant.

Limitations

  • The paper states that ALB secretion in Cryo-iHO-Heps and Fresh-iHO-Heps was lower than in HLCs and PHHs and “warrants further investigation in a future study.”
  • The paper notes cryopreserved iHOs showed “a little slower growth than fresh iHOs” and that CYP2C9 and CYP2D6 activities were not as high as in PHHs.
  • Evident from the text: PHH comparison relied on a single lot (HC4-24), and all results are based on three biological replicates; no in vivo or broader drug-toxicity validation is reported.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1248/bpb.b25-00276

Cites

21 of 21 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

4 of 12 cited sources checked · 2 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Highly functional hepatocyte-like cells from iHOs were developed by a 2D culture protocol using a stepwise optimal culture medium.

    “We also developed highly functional hepatocyte-like cells from iHOs by the two-dimensional (2D) culture protocol using a stepwise optimal culture medium.15)”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [15] 15) Inui J, Ueyama-Toba Y, Imamura C, Nagai W, Asano R, Mizuguchi H. Two-dimensionally cultured functional hepatocytes generated from human induced pluripotent stem cell-derived hepatic organoids for pharmaceutical research. <i>Biomaterials</i>, <b>318</b>, 123148 (2025). source
  • Premisecitation

    The predictive accuracy of hepatotoxicity in animal studies is only 50%.

    “However, the predictive accuracy of hepatotoxicity in animal studies is only 50%.1,5)”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [1] 1) Ruoß M, Vosough M, Königsrainer A, Nadalin S, Wagner S, Sajadian S, Huber D, Heydari Z, Ehnert S, Hengstler JG, Nussler AK. Towards improved hepatocyte cultures: progress and limitations. <i>Food Chem. Toxicol.</i>, <b>138</b>, 111188 (2020). source
    • cites [5] 5) Ware BR, Khetani SR. Engineered liver platforms for different phases of drug development. <i>Trends Biotechnol.</i>, <b>35</b>, 172–183 (2017). source

      In “The Drug Development Pipeline” (page not provided), the paper says animal models are not always good predictors of human drug-induced liver injury. It does not give animal studies a 50% predictive accuracy; its <50% figure refers to the sensitivity of primary human hepatocytes in conventional culture. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Findingown data

    Cryopreserved iHOs grew to 10^4-fold in 18 days.

    “Cryopreserved iHOs grew to 10 4 -fold in 18 d”
    Quote in the paperSubstantial claim
  • Findingown data

    Gene expression in other drug-metabolizing enzymes and transporters was maintained at levels equivalent to or higher than those in HLCs.

    “Gene expression in other drug-metabolizing enzymes and transporters was maintained at levels equivalent to or higher than those in HLCs (Supplementary Figs.S3A, S3B).”
    Quote in the paperSubstantial claim
  • Findingown data

    CYP3A4 activity in Cryo-iHO-Heps was much higher than in the original HLCs.

    “The CYP3A4 activity in Cryo-iHO-Heps was similar to that in Fresh-iHO-Heps, but much higher than that in the original HLCs and comparable to that in PHHs (Fig. 3A).”
    Quote in the paperSubstantial claim
  • May combine two claims. 6
  • Classified as probably not a substantial claim. 4
  • May combine two claims.

    Premisecitation

    iHOs from HLCs maintained high cell proliferative capacity and expression of hepatocyte marker genes for a long time.

    “The hepatic organoids (iHOs) from HLCs maintained high cell proliferative capacity and expression of hepatocyte marker genes for a long time.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [15] 15) Inui J, Ueyama-Toba Y, Imamura C, Nagai W, Asano R, Mizuguchi H. Two-dimensionally cultured functional hepatocytes generated from human induced pluripotent stem cell-derived hepatic organoids for pharmaceutical research. <i>Biomaterials</i>, <b>318</b>, 123148 (2025). source
  • Classified as probably not a substantial claim.

    Premisecitation

    PHHs are the best in vitro hepatocyte models in current drug discovery research.

    “Primary (cryopreserved) human hepatocytes (PHHs) are the best in vitro hepatocyte models in current drug discovery research.7,8)”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [7] 7) Gómez-Lechón MJ, Tolosa L, Conde I, Donato MT. Competency of different cell models to predict human hepatotoxic drugs. <i>Expert Opin. Drug Metab. Toxicol.</i>, <b>10</b>, 1553–1568 (2014). source
    • cites [8] 8) Yokoyama Y, Sasaki Y, Terasaki N, Kawataki T, Takekawa K, Iwase Y, Shimizu T, Sanoh S, Ohta S. Comparison of drug metabolism and its related hepatotoxic effects in HepaRG, cryopreserved human hepatocytes, and HepG2 cell cultures. <i>Biol. Pharm. Bull.</i>, <b>41</b>, 722–732 (2018). source

      The paper’s introductory passage (labelled Abstract in our copy; page unavailable) calls human hepatocytes the gold standard of human hepatic models for toxicological studies. It does not say cryopreserved hepatocytes are the best models across current drug discovery research: the Discussion notes their variability and says HepaRG cells may be more feasible for early drug-discovery screening. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Findingown data

    CYP2C9 and CYP2D6 activities in Cryo-iHO-Heps were similar or higher than in Fresh-iHO-Heps.

    “the CYP2C9 and CYP2D6 activities in Cryo-iHO-Heps were not as high as those in PHHs, although they were higher than those in the original HLCs and similar or higher than those in Fresh-iHO-Heps (Fig. 3A).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    CYP2C9 and CYP2D6 activities in Cryo-iHO-Heps were higher than in the original HLCs.

    “the CYP2C9 and CYP2D6 activities in Cryo-iHO-Heps were not as high as those in PHHs, although they were higher than those in the original HLCs and similar or higher than those in Fresh-iHO-Heps (Fig. 3A).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Similar results were obtained in another set of experiments.

    “Similar results were obtained in another set of experiments (Supplementary Fig. S4B).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Up to 85% of cardiovascular and gastrointestinal adverse effects and more than 90% of adverse effects related to hematologic toxicity in drug development can be predicted in animal studies.

    “Up to 85% of cardiovascular and gastrointestinal adverse effects and more than 90% of adverse effects related to hematologic toxicity in drug development can be predicted in animal studies, 2)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [2] 2) Olson H, Betton G, Robinson D, Thomas K, Monro A, Kolaja G, Lilly P, Sanders J, Sipes G, Bracken W, Dorato M, Van Deun K, Smith P, Berger B, Heller A. Concordance of the toxicity of pharmaceuticals in humans and in animals. <i>Regul. Toxicol. Pharmacol.</i>, <b>32</b>, 56–67 (2000). source
  • May combine two claims.

    Premisecitation

    HLCs have lower hepatic function than PHHs and almost no proliferative capacity.

    “However, HLCs have lower hepatic function than PHHs and almost no proliferative capacity. 13)”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [13] 13) Song Z, Cai J, Liu Y, Zhao D, Yong J, Duo S, Song X, Guo Y, Zhao Y, Qin H, Yin X, Wu C, Che J, Lu S, Ding M, Deng H. Efficient generation of hepatocyte-like cells from human induced pluripotent stem cells. <i>Cell Res.</i>, <b>19</b>, 1233–1242 (2009). source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Animal studies remain the gold standard for preclinical study.

    “and this remains the gold standard for preclinical study.3,4)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [3] 3) Tralau T, Luch A. Drug-mediated toxicity: illuminating the “bad” in the test tube by means of cellular assays? <i>Trends Pharmacol. Sci.</i>, <b>33</b>, 353–364 (2012). source
    • cites [4] 4) Hartung T, Daston G. Are <i>in vitro</i> tests suitable for regulatory use? <i>Toxicol. Sci.</i>, <b>111</b>, 233–237 (2009). source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    All results are based on three biological replicates.

    “All results are based on three biological replicates.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Cryopreserved iHOs can be directly seeded onto plates and matured with the 2D culture protocol, making it possible to prepare highly functional hepatocytes without complicated manipulations.

    “In addition, cryopreserved iHOs can be directly seeded onto plates and matured with our 2D culture protocol, making it possible to prepare highly functional hepatocytes without complicated manipulations.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Culturing organoids is more technically demanding than culturing conventional cells.
    • Rests on an assumption: Organoids embedded in Matrigel are difficult to apply to pharmaceutical research due to sequestration of drugs in the gels, low throughput, and limited available model systems.
10 of 10
  • The paper relies on this without support.

    PHHs rapidly lose hepatic functions after seeding and lack proliferative capacity.

    “They rapidly lose hepatic functions after seeding and lack proliferative capacity.”
  • The paper relies on this without support.

    Long-term culture of PHHs is difficult.

    “In addition, long-term culture of PHHs has been considered difficult.”
  • The paper relies on this without support.

    Culturing organoids is more technically demanding than culturing conventional cells.

    “Culturing of organoids is more technically demanding than culturing conventional cells, and this drawback has hindered the widespread use of organoids and their derivatives.”
  • The paper relies on this without support.

    Organoids embedded in Matrigel are difficult to apply to pharmaceutical research due to sequestration of drugs in the gels, low throughput, and limited available model systems.

    “In addition, organoids embedded in Matrigel are difficult to apply to pharmaceutical research due to sequestration of the drugs in the gels, low throughput, and limited available model systems.”
  • The paper relies on this without support.

    Cryopreservation would facilitate transportation, making iHOs available to a larger number of facilities.

    “Moreover, cryopreservation would facilitate transportation, making iHOs available to a larger number of facilities.”
5 of 5

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Authors
Nagai, W., Inui, J., Ueyama-Toba, Y., Asano, R., & Mizuguchi, H.
Affiliations
  • The University of Osaka (JP)
  • National Institute of Biomedical Innovation, Health and Nutrition (JP)
Venue
Biological and Pharmaceutical Bulletin
Published
2025-09-17
Volume
48
Issue
9
Pages
1391-1398
ISSN
  • 0918-6158 (ISSN-L)
  • 1347-5215
OpenAlex
W4414224775
Cited by
1
References
21
Citations by year
2026: 1
FWCI
0.26
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Biological and Pharmaceutical Bulletin (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
Keywords
cryopreservation, hepatocyte organoids, induced pluripotent stem cells, hepatocyte-like cells, monolayer culture, hepatocyte differentiation, CYP3A4 activity, primary human hepatocytes, drug discovery
MeSH terms
Cell Differentiation, Cells, Cultured, Humans, Organoids, Cryopreservation, Cell Culture Techniques, Hepatocytes, Cell Proliferation, Cytochrome P-450 CYP3A, Induced Pluripotent Stem Cells

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