Evidence map›Paper›PMID 29109530›Full record

ArticleScientific reports2017

A clinical-scale BioArtificial Liver, developed for GMP, improved clinical parameters of liver function in porcine liver failure.

Clare Selden, James Bundy, Eloy Erro, Eva Puschmann, Malcolm Miller, Delawir Kahn, Humphrey Hodgson, Barry Fuller, Jordi Gonzalez-Molina, Aurelie Le Lay and 13 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Extended Double Plasma Molecular Adsorption Sessions and Bilirubin Clearance: A Case Report.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
    Article
  3. [Research progress on bioartificial liver].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. End-stage liver failure: filling the treatment gap at the intensive care unit.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2020
    Review
  14. Article
  15. Review
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 2 institutions in 2 countries.

Clare SeldenUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom. c.selden@ucl.ac.uk.ORCID 0000-0003-2648-443X
James BundyUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Eloy ErroUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Eva PuschmannUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Malcolm MillerFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
Delawir KahnFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
Humphrey HodgsonUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Barry FullerDept. of Surgery, UCL Medical School, Royal Free Hospital, London, NW3 2QG, UK.
Jordi Gonzalez-MolinaUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Aurelie Le LayUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Stephanie GibbonsUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Sherri ChalmersUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Sunil ModiUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Amy ThomasUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Peter KilbrideUCL Institute for Liver and Digestive Health, UCL - Royal Free Hospital Campus, UCL Medical School, London, United Kingdom.
Agnes IsaacsFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
Richard GinsburgFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
Helen IlsleyFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
David ThomsonFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
Galya ChinneryFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
Ncedile MankahlaFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.ORCID 0000-0001-8482-0847
Lizel LooFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
C Wendy SpearmanFaculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.
The Royal Free Hospital · GBUniversity of Cape Town · ZA

Funding

Medical Research CouncilWellcome Trust
6 · The paper itself

Abstract

Liver failure, whether arising directly from acute liver failure or from decompensated chronic liver disease is an increasing problem worldwide and results in many deaths. In the UK only 10% of individuals requiring a liver transplant receive one. Thus the need for alternative treatments is paramount. A BioArtificial Liver machine could temporarily replace the functions of the liver, buying time for the patient's liver to repair and regenerate. We have designed, implemented and tested a clinical-scale BioArtificial Liver machine containing a biomass derived from a hepatoblastoma cell-line cultured as three dimensional organoids, using a fluidised bed bioreactor, together with single-use bioprocessing equipment, with complete control of nutrient provision with feedback BioXpert recipe processes, and yielding good phenotypic liver functions. The methodology has been designed to meet specifications for GMP production, required for manufacture of advanced therapy medicinal products (ATMPs). In a porcine model of severe liver failure, damage was assured in all animals by surgical ischaemia in pigs with human sized livers (1.2-1.6 kg liver weights). The BioArtificial liver (UCLBAL) improved important prognostic clinical liver-related parameters, eg, a significant improvement in coagulation, reduction in vasopressor requirements, improvement in blood pH and in parameters of intracranial pressure (ICP) and oxygenation.

Indexed as

Liver, ArtificialAcidosisAnimalsBilirubinBioreactorsBlood CoagulationCell Culture TechniquesCell SurvivalDisease Models, AnimalFemaleHep G2 CellsHumansIntracranial PressureIschemiaLiverLiver FailureBilirubin

Identifiers

PMID29109530
PMCPMC5674071
OpenAlexW2766277529

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.