Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic Rats

Cirrhosis, a marker of severe liver diseases, limits future liver remnant (FLR) growth, preventing many cancer patients from undergoing surgery. While portal vein blockade (PVB) techniques are used to stimulate liver regeneration, 20–30% of patients still fail to achieve the required growth. Althoug...

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Main Authors: Dominic Karl M. Bolinas, Allan John R. Barcena, Archana Mishra, Marvin R. Bernardino, Vincent Lin, Francisco M. Heralde, Gouthami Chintalapani, Natalie W. Fowlkes, Steven Y. Huang, Marites P. Melancon
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Language:English
Published: MDPI AG 2025-03-01
Series:Gels
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Online Access:https://www.mdpi.com/2310-2861/11/4/250
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author Dominic Karl M. Bolinas
Allan John R. Barcena
Archana Mishra
Marvin R. Bernardino
Vincent Lin
Francisco M. Heralde
Gouthami Chintalapani
Natalie W. Fowlkes
Steven Y. Huang
Marites P. Melancon
author_facet Dominic Karl M. Bolinas
Allan John R. Barcena
Archana Mishra
Marvin R. Bernardino
Vincent Lin
Francisco M. Heralde
Gouthami Chintalapani
Natalie W. Fowlkes
Steven Y. Huang
Marites P. Melancon
author_sort Dominic Karl M. Bolinas
collection DOAJ
description Cirrhosis, a marker of severe liver diseases, limits future liver remnant (FLR) growth, preventing many cancer patients from undergoing surgery. While portal vein blockade (PVB) techniques are used to stimulate liver regeneration, 20–30% of patients still fail to achieve the required growth. Although mesenchymal stem cell (MSC) therapy improves PVB, its efficacy is limited by poor cell retention. To address this, we utilized alginate hydrogels to deliver MSCs and improve their retention. MSCs were loaded in the hydrogel and injected intraportally in cirrhotic rats. Liver volume, weights, enzyme levels, and histology were monitored. Results showed that the hydrogel maintained 89.0 ± 3.0% cell viability and gradually released MSCs for over two weeks. Furthermore, the rats injected with the MSC-loaded hydrogel demonstrated higher liver volumes (FLR ratio of 0.57 ± 0.32) and weights (FLR ratio of 0.84 ± 0.05). The treated rats exhibited more improved liver enzymes (AST: 72.75 ± 14.17 U/L, ALP: 135.67 ± 41.20 U/L, ALT: 46.00 ± 2.94 U/L) and decreased fibrotic areas in the liver (4.52 ± 0.22%) compared to the control group. Histology revealed increased retention when MSCs were delivered with the hydrogel (37.30 ± 16.10 MSCs/mm<sup>2</sup>) compared to cells alone (21.70 ± 22.10 MSCs/mm<sup>2</sup>). Overall, the MSC-loaded hydrogels enhanced the growth and reduced the fibrosis of the liver by promoting cell retention and efficacy in cirrhotic rats. This approach holds significant potential for improving outcomes among cancer patients, offering a promising therapeutic strategy for liver regeneration and treatment of liver diseases.
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spelling doaj-art-ecc03e8622a34151bbfe26fcf350c61c2025-08-20T02:28:28ZengMDPI AGGels2310-28612025-03-0111425010.3390/gels11040250Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic RatsDominic Karl M. Bolinas0Allan John R. Barcena1Archana Mishra2Marvin R. Bernardino3Vincent Lin4Francisco M. Heralde5Gouthami Chintalapani6Natalie W. Fowlkes7Steven Y. Huang8Marites P. Melancon9Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USACollege of Medicine, University of the Philippines Manila, Manila 1000, PhilippinesDepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Veterinary Medicine and Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USACirrhosis, a marker of severe liver diseases, limits future liver remnant (FLR) growth, preventing many cancer patients from undergoing surgery. While portal vein blockade (PVB) techniques are used to stimulate liver regeneration, 20–30% of patients still fail to achieve the required growth. Although mesenchymal stem cell (MSC) therapy improves PVB, its efficacy is limited by poor cell retention. To address this, we utilized alginate hydrogels to deliver MSCs and improve their retention. MSCs were loaded in the hydrogel and injected intraportally in cirrhotic rats. Liver volume, weights, enzyme levels, and histology were monitored. Results showed that the hydrogel maintained 89.0 ± 3.0% cell viability and gradually released MSCs for over two weeks. Furthermore, the rats injected with the MSC-loaded hydrogel demonstrated higher liver volumes (FLR ratio of 0.57 ± 0.32) and weights (FLR ratio of 0.84 ± 0.05). The treated rats exhibited more improved liver enzymes (AST: 72.75 ± 14.17 U/L, ALP: 135.67 ± 41.20 U/L, ALT: 46.00 ± 2.94 U/L) and decreased fibrotic areas in the liver (4.52 ± 0.22%) compared to the control group. Histology revealed increased retention when MSCs were delivered with the hydrogel (37.30 ± 16.10 MSCs/mm<sup>2</sup>) compared to cells alone (21.70 ± 22.10 MSCs/mm<sup>2</sup>). Overall, the MSC-loaded hydrogels enhanced the growth and reduced the fibrosis of the liver by promoting cell retention and efficacy in cirrhotic rats. This approach holds significant potential for improving outcomes among cancer patients, offering a promising therapeutic strategy for liver regeneration and treatment of liver diseases.https://www.mdpi.com/2310-2861/11/4/250alginatehydrogelmesenchymal stem cellsliver cirrhosis
spellingShingle Dominic Karl M. Bolinas
Allan John R. Barcena
Archana Mishra
Marvin R. Bernardino
Vincent Lin
Francisco M. Heralde
Gouthami Chintalapani
Natalie W. Fowlkes
Steven Y. Huang
Marites P. Melancon
Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic Rats
Gels
alginate
hydrogel
mesenchymal stem cells
liver cirrhosis
title Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic Rats
title_full Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic Rats
title_fullStr Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic Rats
title_full_unstemmed Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic Rats
title_short Mesenchymal Stem Cells Loaded in Injectable Alginate Hydrogels Promote Liver Growth and Attenuate Liver Fibrosis in Cirrhotic Rats
title_sort mesenchymal stem cells loaded in injectable alginate hydrogels promote liver growth and attenuate liver fibrosis in cirrhotic rats
topic alginate
hydrogel
mesenchymal stem cells
liver cirrhosis
url https://www.mdpi.com/2310-2861/11/4/250
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