Review
In vitro and in vivo translational models for rare liver diseases

https://doi.org/10.1016/j.bbadis.2018.07.029Get rights and content
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Highlights

  • Targeting early steps of liver disease progression can lead to more successful therapeutic interventions.

  • Validated animal models reflective of human liver disease phenotypes increase predictability of drug toxicity and efficacy.

  • 3D liver tissue models are being developed as in vitro platforms for drug development and regenerative medicine.

Abstract

A challenge in developing effective treatments is the modeling of the human disease using in vitro and in vivo systems. Animal models have played a critical role in the understanding of disease pathophysiology, target validation, and evaluation of novel therapeutic agents. However, as the success rate from entry into clinical testing to drug approval remains low, it is critical to have high quality and well-validated models reflective of the disease condition. Additional experimental models are being developed based on functional in vitro 3D tissue models such as organoids and 3D bioprinted tissues. Because these 3D tissue models mimic closer the architecture, cell composition and physiology of native tissues, they are now being used as screening platforms in drug discovery and development and for tissue transplant in regenerative medicine. Here we review the current state-of-art of in vitro and in vivo translational models for the development of therapies for rare diseases of the liver.

Abbreviations

AAT
alpha-1-antitrypsin
AATD
alpha-1-anti-trypsin deficiency
ALB
albumin
α-SMA
alpha smooth muscle actin
ALF
acute liver failure
ASO
antisense oligonucleotide
ATP7B
copper-transporting beta ATPase
AVV
adeno-associated virus
CCl4
carbon tetrachloride
CEs
cholesteryl esters
CDS
coding sequence
Cu
copper
CN-1
Crigler–Najjar Syndrome Type 1
CRISPR/Cas9
clustered regularly interspaced short palindromic repeats/CRISPR-associated protein-9 nuclease
4DM
Drug Discovery, Development and Deployment Map
ECM
extracellular matrix
ER
endoplasmic reticulum
ERT
enzyme replacement therapy
FAH
fumarylacetoacetate hydrolase
FDA
Federal Drug Administration
FPN
ferroportin
C6P
glucose-6-phosphate
C6PC
glucose-6-phosphatase
G6Pase-α
glucose-6-phosphatase α
G6PT
glucose-6-phosphate transporter (G6PT)
GRT
gene replacement therapy
GSD-1
glycogen storage disease type I
HCC
hepatocellular carcinoma
HAMP
hepcidin antimicrobial peptide
HH
hereditary hemochromatosis
HFE
high (iron) Fe
hiPSCs
human induced pluripotent stem cells
HO
hepatic organoids
HT-1
Hereditary Tyrosinemia Type 1
HVE
hemojuvelin
IL2rg
Interleukin 2 receptor gamma
JAG1
jagged1
KRT19
keratin 19
LAL
liposomal acid lipase
LALDs
liposomal acid lipase deficiencies
LEC
Long-Evans Cinnamon
LOs
liver organoids
miRNA
micro-ribonucleic acid
MTX
methotrexate
NDR
nodder
NOTCH2
neurogenic locus notch homolog protein 2
PK/PD
pharmacodynamic/pharmacokinetic
NTBC
nitisinone
PI S
protease inhibitor S
PI Z
protease inhibitor Z
PiZZ
protease inhibitor ZZ
PI M
protease inhibitor M
POC
proof of concept
2D or 3D
two or three dimensional
rAAV
recombinant adeno-associated virus
Rag2
recombinate activation gene 2
rh
recombinant human
RNAi
ribonucleic acid interference
SERPINA1
serine protease inhibitor family A member 1
siRNA
silencing ribonucleic acid
SOC
standard of care
TGFβ
transforming growth factor beta
TMD
transmembrane domain
tx
toxic milk
TRF2
transferrin receptor 2
UTR
untranslated region
UGT1A1
uridine diphosphate glucuronosyltransferase 1A1
WD
Wilson's Disease

Keywords

Liver
Rare disease
Translational model
Animal model
3D tissue
Organoids

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This article is part of a Special Issue entitled: Animal Models in Liver Disease edited by Peter Fickert and Martin Wagner.