Hepatic Lipoprotein Metabolism: Current and Future In Vitro Cell-Based Systems
Open accessAbstract
Changes in hepatic lipoprotein metabolism are responsible for the majority of metabolic dysfunction-associated disorders, including familial hypercholesterolemia (FH), metabolic syndrome (MetS), metabolic dysfunction-associated fatty liver disease (MAFLD), and age-related diseases such as atherosclerosis, a major health burden in modern society. This review aims to advance the understanding of state-of-the-art mechanistic concepts in lipoprotein metabolism, with a particular focus on lipoprotein uptake and secretion and their dysregulation in disease, and to provide a comprehensive overview of experimental models used to study these processes. Human lipoprotein research faces several challenges. First, significant differences in lipoprotein metabolism between humans and other species hinder the reliability of non-human model systems. Additionally, ethical constraints often limit studies on human lipoprotein metabolism using tracers. Lastly, while 2D hepatocyte cell culture systems are widely used, they are commonly of cancerous origins, limiting their physiological relevance and necessitating the use of more physiologically representative models. In this review, we will elaborate on key findings in lipoprotein metabolism, as well as limitations and challenges of currently available study tools, highlighting mechanistic insights throughout discussion of these models. These include human tracer studies, animal studies, 2D tissue culture-based systems derived from cancerous tissue as well as from induced pluripotent stem cells (iPSCs)/embryonic stem cells (ESCs). Finally, we will discuss precision-cut liver slices, liver-on-a-chip models, and, particularly, improved 3D models: (i) spheroids generated from either hepatoma cancer cell lines or primary human hepatocytes and (ii) organoids generated from liver tissues or iPSCs/ESCs. In the last section, we will explore future perspectives on liver-in-a-dish models in studying mechanisms of liver diseases, treatment options, and their applicability in precision medicine approaches. By comparing traditional and advanced models, this review will highlight the future directions of lipoprotein metabolism research, with a focus on the growing potential of 3D liver organoid models.
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In vitro models express human apolipoproteins, lipoprotein receptors, and lipid transport proteins, providing a metabolically relevant context for studying lipid accumulation pathways relevant to MASLD.
“In contrast, in vitro models express human apolipoproteins, lipoprotein receptors, and lipid transport proteins [43,44,45,46], providing a metabolically relevant context for studying lipid accumulation pathways relevant to MASLD.”
From The HepG2 Cell Line as a Model for Studying Metabolic Dysfunction-Associated Steatotic Liver Disease (2026) · cites this paper as [43]
Section 4.5 reports that liver organoids express several apolipoproteins and have lipoprotein receptors, and proposes using them to study lipid-droplet formation and MAFLD progression. The paper discusses lipid transport proteins, but the cited passages do not establish their expression in these in vitro models; that part of the attributed claim remains unsupported. (LLM, conf=0.82)
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- Authors
- Kiss, I., Neuwert, N., Oberle, R., Hengstschläger, M., Osmanagic-Myers, S., & Stangl, H.
- Affiliations
- Medical University of Vienna (AT)
- Institute of Medical Chemistry, Center for Pathobiochemistry and Genetics, Medical University Vienna, Vienna 1090, Austria
- Corresponding author
- Stangl, Herbert
- Venue
- Biomolecules
- Publisher
- MDPI AG
- Published
- 2025-07-02
- Volume
- 15
- Issue
- 7
- Pages
- 956
- ISSN
- 2218-273X (ISSN-L)
- PMC
- PMC12292278
- OpenAlex
- W4411961046
- Cited by
- 11
- References
- 252
- Citations by year
- 2026: 9 · 2025: 2
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Biomolecules (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Austrian Science Fund (P 37003, Austrian Science Fund)
- 10.55776/PAT1364323 (P 37003, Austrian Science Fund)
- The Margaretha Hehberger-Cancer Research Fund (P 37003, Austrian Science Fund)
- Topics
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Health Sciences › Medicine › Hepatology › Liver physiology and pathology
- Keywords
- hepatic lipoprotein metabolism, lipoprotein uptake, lipoprotein secretion, in vitro liver models, liver spheroids, precision-cut liver slices, liver-on-a-chip, induced pluripotent stem cells, embryonic stem cells, familial hypercholesterolemia, non-alcoholic fatty liver disease, metabolic syndrome, atherosclerosis, primary human hepatocytes
- MeSH terms
- Animals, Humans, Lipoproteins, Liver, Hepatocytes
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