Liver diseases have reached an all-time high limit by being ranked among the top 10 causes of death in the developing countries including India. Though liver has an innate ability to regenerate, the threshold limit to regenerate is breached when the damage to liver cells becomes greater than 65-70%. Liver transplantation an ultimate treatment faces the challenge of fewer donor availability than the recipients. Hence, recent developments are focussed to develop strategies to bridge the gap between transplantation, to generate a platform for effective drug screening and personalised medicine, and to develop regenerative therapeutics.
⚈ EXTRACORPOREAL BIOLOGICAL LIVER SUPPORT SYSTEMS FOR LIVER REGENERATION
This area focuses on the designing of a cryogel-based integrated bioartificial liver support to alleviate the conditions associated with liver failure. This is a single compact system integrating the detoxification property associated with the artificial liver devices and metabolism and biotransformation functions of the bioartificial liver devices into one single compact unit. It is a three-chambered device with first unit consisting of plasma separation unit and a subsequent activated charcoal cloth as a physical adsorbent to reduce the toxic load. The middle unit contains hepatocyte seeded cryogel disc while the lower unit contains a cellulose membrane filter. When the device was extra-corporeally connected to a rodent model of liver failure, it showed appx. 20-40% improvement in liver function parameters. Further, our objective is to improve the performance of the existing design to provide survival benefits during acute and acute-on-chronic liver failure conditions:
a) By integrating modifications in the detoxification unit for efficient removal of toxic substances present in the patient´s plasma, b) Tuning the properties of cryogel matrix supporting the cellular component for better functionality and incorporating a co-culture system, andc) Upscaling the designing parameters of the bioreactor