2014
DOI: 10.1016/j.stem.2014.01.003
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Direct Reprogramming of Human Fibroblasts to Functional and Expandable Hepatocytes

Abstract: The generation of large numbers of functional human hepatocytes for cell-based approaches to liver disease is an important and unmet goal. Direct reprogramming of fibroblasts to hepatic lineages could offer a solution to this problem but so far has only been achieved with mouse cells. Here, we generated human induced hepatocytes (hiHeps) from fibroblasts by lentiviral expression of FOXA3, HNF1A, and HNF4A. hiHeps express hepatic gene programs, can be expanded in vitro, and display functions characteristic of m… Show more

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Cited by 464 publications
(437 citation statements)
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“…The technology may be an alternative to iPSCs, but some potential outcomes must be addressed before translating it to the clinic. These may stem from the use of both oncogenes for producing certain cell types (9,12,27,28) and a viral system for integrating exogenous reprogramming factors into the somatic cell genome (9 -11, 28 -40). For example, insertional mutagenesis may occur and lead to the continuous expression of exogenous reprogramming factors in directly converted cells, potentially affecting cellular functionality (41).…”
Section: Discussionmentioning
confidence: 99%
“…The technology may be an alternative to iPSCs, but some potential outcomes must be addressed before translating it to the clinic. These may stem from the use of both oncogenes for producing certain cell types (9,12,27,28) and a viral system for integrating exogenous reprogramming factors into the somatic cell genome (9 -11, 28 -40). For example, insertional mutagenesis may occur and lead to the continuous expression of exogenous reprogramming factors in directly converted cells, potentially affecting cellular functionality (41).…”
Section: Discussionmentioning
confidence: 99%
“…By contrast, direct reprogramming of mouse and human fibroblasts into hepatocytes was successfully demonstrated with mostly overlapping combinations of three transcription factors. For mouse cells, the factor combination Hnf4a, Foxa1, Foxa2/Foxa3 [43] or Gata4, Hnf1a, Foxa3 [44] showed similar results and the combination FOXA3, HNF1A, HNF4A was effective in human cells although the maturation stage of induced hepatic cells may not be equivalent [45]. Of note, another study by Du et al claimed that a combination of HNF1A, HNF4A and HNF6 together with the factors ATF5, PROX1 and CEBPA was required to generate more mature hepatocytes [46].…”
Section: Generation Of Human-induced Neuronal Cellsmentioning
confidence: 95%
“…Recently, researchers used such liver specific transcription factors for generation of hepatocyte cells from skin fibroblast cells in vitro. [8][9][10][11][12] The ultimate aim of generation of hepatocytes from skin cells to treat liver diseases. If we know the transcription factors and small molecules which have potential to convert hepatocyte from fibroblast, why not to explore transcription factors and small molecules in vivo directly to repair or regenerating the tissue or organs.…”
Section: Commentsmentioning
confidence: 99%