Bridging a patient with acute liver failure to liver transplantation by the AMC-bioartificial liver

被引:44
|
作者
van de Kerkhove, MP
Di Florio, E
Scuderi, V
Mancini, A
Belli, A
Bracco, A
Scala, D
Scala, S
Zeuli, L
Di Nicuolo, G
Amoroso, P
Calise, F
Chamuleau, RAFM
机构
[1] Acad Med Ctr, Surg Lab, NL-1105 AZ Amsterdam, Netherlands
[2] Acad Med Ctr, Dept Surg, NL-1105 AZ Amsterdam, Netherlands
[3] Acad Med Ctr, Dept Hepatol, NL-1105 AZ Amsterdam, Netherlands
[4] D Cotugno Hosp, Virol Lab, Naples, Italy
[5] D Cotugno Hosp, Div Infect Dis 11, Naples, Italy
关键词
acute liver failure; bioartificial liver; hepatocyte; transplantation; human; porcine; clinical trial;
D O I
10.3727/000000003108747163
中图分类号
Q813 [细胞工程];
学科分类号
摘要
Recently a phase I clinical trial has been started in Italy to bridge patients with acute liver failure (ALF) to orthotopic liver transplantation (OLT) by the AMC-bioartificial liver (AMC-BAL). The AMC-BAL is charged with 10 X 109 viable primary porcine hepatocytes isolated from a specified pathogen-free (SPF) pig. Here we report a patient with ALF due to acute HBV infection. This patient was treated for 35 It by two AMC-BAL treatments and was bridged to OLT. There was improvement of biochemical and clinical parameters during the treatment. No severe adverse events were observed during treatment and follow-up of 15 months after hospital discharge. Possible porcine endogenous retrovirus (PERV) activity could not be detected in the patient's blood or blood cells up to 12 months after treatment.
引用
收藏
页码:563 / 568
页数:6
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