Table 2. Summary of clinical hepatocyte transplantation in pediatric metabolic liver diseases.
| Disease | Age | Effect/outcome | Reference |
|---|---|---|---|
| Crigler–Najjar syndrome type 1 | 10 years | 50 % reduction in bilirubin/OLT 4 years post-HT | Fox et al. [4] |
| 8 years | 40 % reduction in bilirubin/OLT 20 months post-HT | Darwish et al. [44] | |
| 9 years | 30 % reduction in bilirubin/OLT 5 months post-HT | Ambrosino et al. [45] | |
| 1.5 years | 40 % reduction in bilirubin/OLT 8 months | Dhawan et al. | |
| 3.5 years | post-HT No clear benefit | [46] | |
| 3.5 years | Lowered serum bilirubin/outcome unknown | Hughes et al. [10] | |
| 8 years | 30 % reduction in bilirubin/OLT 11 months post-HT | Allen et al. [47] | |
| 9 years | 35 % reduction in bilirubin/OLT waiting list | Lysy et al. [48] | |
| 1 year | 25 % reduction in bilirubin/OLT 4 months post-HT | ||
| 2 years | 50 % reduction in bilirubin/outcome unknown | Khan et al. [49] | |
| 11 years | 20 % reduction in bilirubin/OLT waiting list | Meyburg et al. [43] | |
| 7 months | 50 % reduction in bilirubin, psychomotor improvement/bilirubin stable at 1 year follow-up | Rbes-Koninckx et al. [50] | |
|
| |||
| Alpha-1 antitrypsin deficiency | 18 weeks | OLT 2 days post-HT/cirrhosis on explant | Strom et al. [41] |
|
| |||
| Familial hypercholesterolemia | 12 years | Ex vivo gene therapy with autologous cells: No benefit | Grossman et al. [51] |
| 7 years | 6 % reduction in cholesterol and LDL | ||
| 11 years | 19 % reduction in cholesterol and LDL | ||
|
| |||
| Factor VII deficiency | 3 months | 70 % reduction in rFVII requirement/OLT 7 months post-HT | Dhawan et al. [52] |
| 35 months | 70 % reduction in rFVII requirement/OLT 8 months post-HT | ||
| 4 months | Reduction in rFVII requirement/outcome unknown | Hughes et al. [10] | |
|
| |||
| Progressive familial intrahepatic cholestasis 2 | 32 months | No benefit (cirrhosis established):OLT 5 months post-HT | Dhawan et al. [46] |
| 16 months | OLT 14 months post-HT | ||
|
| |||
| Phenylketonuria | 6 years old | Reduction in Phe levels and improved dietary tolerance up to 3 months post-HT (cells from “domino” GSD1b liver) | Stéphenne et al. [53] |
|
| |||
| Tyrosinemia type 1 | 45 days | Improved coagulopathy and bilirubin/OLT 45 days post-HT (cirrhosis on explant) | Rbes-Koninckx et al. [50] |
|
| |||
| Glycogen storage disease type 1a | 6 years | Reduction in hypoglycemic episodes/no hypoglycemic admissions at 1 year follow-up | Rbes-Koninckx et al. [50] |
|
| |||
| Glycogen storage disease type 1b | 18 years | Normal G6Pase activity for 7 months/outcome unknown | Lee et al. [54] |
|
| |||
| Infantile Refsum's disease | 4 years | 40 % reduction in pipecolic acid for 18 months/outcome unknown | Sokal et al. [55] |
|
| |||
| Primary hyperoxaluria type 1 | 33 months | Reduction in plasma oxalate/liver-kidney transplant 12 months post- HT | Beck et al. [56] |
|
| |||
| Urea cycle defects | |||
|
| |||
| Ornithine transcarbamylase deficiency | 5 years | Ammonia reduction and protein tolerance/septic death at 42 days post-HT | Strom et al. [57] |
| 10 h | Ammonia reduction and protein tolerance/OLT 6 months post-HT | Horslen et al. [5] | |
| 14 months | Effect unknown (malpositioned catheter)/OLT 73 days post-HT | Darwish et al. [44] | |
| 14 months | Ammonia reduction, increased urea, and psychomotor improvement/OLT 6 months post- HT | Stéphenne et al. [58] | |
| 1 day | Ammonia reduction, increased urea, and protein tolerance/auxiliary partial OLT 7 months post-HT | Puppi et al. [59] | |
| 6 h | Ammonia reduction, increased urea, normal urine orotic acid/death 4 months post-HT | Meyburg et al. [60] | |
| 9 days | Ammonia reduction, protein tolerance, normal urine orotic acid/OLT waitlist 6 months post-HT | ||
| 5 years | Ammonia reduction, normal glutamine/death 45 days post-HT | Bohnen et al. [35] | |
| 1 day | Ammonia reduction, increased urea, and protein tolerance/auxiliary partial OLT 7 months post-HT and neurologically normal | Mitry et al. [61] | |
| 12 years | Ammonia reduction, increased urea, normal glutamine/septic death 30 days post-HT | Rbes-Koninckx et al. [50] | |
| 11 days | Ammonia reduction/neurologically normal 3 months post-HT | Enosawa et al. [19] | |
|
| |||
| Arginosuccinate lyase deficiency | 42 months | Ammonia reduction and psychomotor improvement/OLT 18 months post-HT | Stéphenne et al. [62] |
| 3 years | Ammonia reduction/outcome unknown | Darwish et al. [44] | |
|
| |||
| Carbamoyl phosphate synthase I deficiency | 2.5 months | Ammonia reduction and increased urea /OLT waiting list 11 months post-HT | Meyburg et al. [63] |
|
| |||
| Citrullinemia | 25 months | Ammonia reduced and decreased urea/outcome unknown | Lee et al. (unpublished) |
| 3 years | Ammonia reduction, increased urea, and protein tolerance/outcome unknown | Meyburg et al. [63] | |
Table modified with permission from [39]
OLT orthotopic liver transplantation, HT hepatocyte transplant