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. Author manuscript; available in PMC: 2020 Mar 15.
Published in final edited form as: Int J Radiat Oncol Biol Phys. 2018 Nov 29;103(4):922–934. doi: 10.1016/j.ijrobp.2018.11.016

Table C.

Approaches to derive transplantable hepatocytes for the treatment of genetic diseases

Approach Strengths Limitations Reference
Primary hepatocyte + ex vivo gene therapy Lifelong immunosuppression not required Isolation of cells is challenging. Expansion requires unsafe immortalization. Fox et al. 1995 [88]
Somatic cell →iPSC + gene correction →iHep Simple, non-invasive isolation of somatic cells. Lifelong immunosuppression not required. Easily expandable cell population. Possible teratoma formation. Maturity profile currently uncertain. Si-Tayeb et al, 2010 [58] Tomizawa et al. 2013 [41] Ma et al. 2013 [57] Takayama et al. 2012 [56]
Somatic cells + gene correction→ tHep Low tumorigenic potential. Potential for rapid, efficient, scalable production. Maturity profile currently uncertain. More work needed to confirm feasibility for hepatocyte application. Sekiya et al. 2011 [69] Huang et al. 2011 [67] Du et al. 2014 [66] Huang et al. 2014 [68] Simeonov et al. 2014 [70]