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] |