Acute Liver Failure Organoids
Source Raggi et al., 2025 · CHU Sainte-Justine Research Center, Montreal, Canada · 10.1101/2025.10.08.680796
Abstract
This protocol describes the generation of encapsulated liver tissue (ELT) composed of iPSC-derived liver organoids macroencapsulated in a non-degradable polyethylene glycol-vinyl sulfone (PEG-VS) hydrogel. The ELT achieves functional maturation in vitro and serves as an off-the-shelf allogeneic cell therapy for acute liver failure, providing immediate hepatic function replacement without requiring immunosuppression or vascularization.
Protocol overview
43 steps across 8 phases
- a iPSC Reprogramming from Donor Cells
- b Single Colony Sub-cloning
- c Sendai Virus Removal via Temperature Shift
- d iPSC Culture Maintenance
- a Cell Dissociation and Seeding
- b Endoderm Induction (Days 0-2)
- c Continued Endoderm Specification (Days 2-5)
- d Hepatic Specification (Days 5-10)
- e Hepatoblast Maturation (Days 10-15)
- a Single-Cell Seeding on Laminin-Coated Plates
- b MPC Induction (Weeks 0-2)
- c Passage to Plastic and Expansion (Weeks 2-6)
- a Single-Cell Seeding on Laminin-Coated Plates
- b Initial Endothelial Induction (Days 0-2)
- c Endothelial Specification (Days 2-6)
- d Passage to Endothelial Culture Medium
- e Fluorescence-Activated Cell Sorting (FACS) for CD31+CD144+ Cells
- a Prepare Cell Suspension
- b Seed Cells into Microcavity Plates
- c Organoid Self-Aggregation (Days 0-5)
- d Harvest Organoids
- a Prepare Hydrogel Suspension
- b Cast Organoid-Hydrogel Suspension
- c UVA Photo-Crosslinking (First Layer)
- d Apply Second Thin Layer
- e UVA Photo-Crosslinking (Second Layer)
- a Culture ELT in Appropriate Medium
- b Monitor ELT Viability
- c Measure Albumin Secretion
- d Measure Alpha-Fetoprotein (AFP) Secretion
- e Assess Cytochrome P450 (CYP) Activity
- f Measure Urea Synthesis
- g Measure Ammonia Clearance
- h Gene Expression Analysis
- i Assess Cryopreservation Stability
- a Acute Liver Failure Induction
- b Confirm ALF Establishment (24 hours post-CCl₄)
- c ELT or Control Implantation
- d Post-Operative Monitoring (Days 0-2)
- e Extended Monitoring (Days 2-35)
- f Liver Regeneration Assessment (Day 24)
- g ELT Explantation (Day 35)
- h Post-Explantation Follow-Up (Days 35-90)
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Attribution
This SOP was written by Organthis based on the published method in Raggi et al., 2025. Once the originating laboratory has confirmed it, the SOP is marked Verified.
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