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Portal Application of Autologous CD133 + Bone Marrow Cells to the Liver: A Novel Concept to Support Hepatic Regeneration
Abstract
The liver has a large capacity for regeneration after resection. However, below a critical level of future liver remnant volume (FLRV), partial hepatectomy is accompanied by a significant increase of postoperative liver failure. There is accumulating evidence for the contribution of bone marrow stem cells (BMSCs) to participate in liver regeneration. Here we report on three patients subjected to intraportal administration of autologous CD133(+) BMSCs subsequent to portal venous embolization of right liver segments, used to expand left lateral hepatic segments as FLRV. Computerized tomography scan volumetry revealed 2.5-fold increased mean proliferation rates of left lateral segments compared with a group of three consecutive patients treated without application of BMSCs. This early experience with portovenous application of CD133(+) BMSCs could suggest that this novel therapeutic approach bears the potential of enhancing and accelerating hepatic regeneration in a clinical setting.
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Intraportal transplantation of autologous CD133+ HSPCs in patients following partial hepatectomy led to a 2.5-fold increase in the proliferation rate of left lateral liver segments compared to the control group.
“Am Esch et al. have demonstrated that intraportal transplantation of autologous CD133+ HSPCs in patients following partial hepatectomy led to a 2.5-fold increase in the proliferation rate of left lateral liver segments compared to the control group [58].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [58]
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Metadata
- Authors
- am Esch, J. S., Knoefel, W. T., Klein, M., Ghodsizad, A., Fuerst, G., Poll, L. W., Piechaczek, C., Burchardt, E. R., Feifel, N., Stoldt, V., Stockschläder, M., Stoecklein, N., Tustas, R. Y., Eisenberger, C. F., Peiper, M., Häussinger, D., & Hosch, S. B.
- Affiliations
- Departments of General Surgery, Heinrich‐Heine‐University of Duesseldorf, Duesseldorf, Germany
- Heinrich Heine University Düsseldorf (DE)
- Witten/Herdecke University (DE)
- Corresponding author
- Knoefel, Wolfram Trudo
- Venue
- STEM CELLS
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-04
- Volume
- 23
- Issue
- 4
- Pages
- 463-470
- ISSN
- 1066-5099 (ISSN-L)
- 1549-4918
- OpenAlex
- W1993065115
- Cited by
- 244
- References
- 44
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 6 · 2016: 12 · 2015: 12 · 2014: 21 · 2013: 20 · 2012: 17
- FWCI
- 8.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Stem Cells (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Mesenchymal stem cell research
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Keywords
- autologous stem cell transplantation, intraportal administration, liver regeneration, partial hepatectomy, future liver remnant volume, postoperative liver failure, stem cell proliferation, hepatectomy
- MeSH terms
- AC133 Antigen, Aged, Bone Marrow Cells, Embolization, Therapeutic, Female, Glycoproteins, Hepatectomy, Humans, Liver Neoplasms, Liver Regeneration, Male, Middle Aged, Peptides, Portal Vein, Transplantation, Autologous, Antigens, CD, Bone Marrow Transplantation
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