Evidence map›Paper›PMID 34011403›Full record

ArticleStem cell research & therapy2021

Liver development is restored by blastocyst complementation of HHEX knockout in mice and pigs.

M Ruiz-Estevez, A T Crane, P Rodriguez-Villamil, F L Ongaratto, Yun You, A R Steevens, C Hill, T Goldsmith, D A Webster, L Sherry and 7 more

Open access · goldAbstract read
In one paragraph

Article in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.4field-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

26 citing papers in PubMed, 35 citations in OpenAlex.

  1. The making of cells and organs in xenogeneic animal bioreactor.Signal transduction and targeted therapy · 2026
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  19. International journal of stem cells · 2022
    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

17 authors at 2 institutions in 1 country.

M Ruiz-Estevez *Recombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
A T Crane *Department of Neurosurgery, University of Minnesota, Minneapolis, USA.
P Rodriguez-VillamilRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
F L OngarattoRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
Yun YouMouse Genetics Laboratory, University of Minnesota, Minneapolis, USA.
A R SteevensDepartment of Neurosurgery, University of Minnesota, Minneapolis, USA.
C HillRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
T GoldsmithRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
D A WebsterRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
L SherryRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
S LimBioinformatics and Computational Biology Program, University of Minnesota, Minneapolis, USA.
N DenmanStem Cell Institute, University of Minnesota, Minneapolis, USA.
W C LowDepartment of Neurosurgery, University of Minnesota, Minneapolis, USA.
D F CarlsonRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA.
J R DuttonStem Cell Institute, University of Minnesota, Minneapolis, USA.
C J SteerStem Cell Institute, University of Minnesota, Minneapolis, USA. steer001@umn.edu.
O GafniRecombinetics Inc., Stem Cell Technologies, 3388 Mike Collins Drive, Eagan, MN, 55121, USA. ohad.gafni@recombinetics.com.
Recombinetics (United States) · USUniversity of Minnesota · US

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
Generating Exogenic Hippocampal Neural Cells via Blastocyst Complementation for Transplantation in Alzheimer's Disease.R01DK117286 · NIDDK · UNIVERSITY OF MINNESOTA · PI STEER, CLIFFORD JOHN · 2018 to 2021
$2.4M
NCI NIH HHS P30 CA077598NIDDK NIH HHS R01 DK117286
6 · The paper itself

Abstract

backgroundThere are over 17,000 patients in the US waiting to receive liver transplants, and these numbers are increasing dramatically. Significant effort is being made to obtain functional hepatocytes and liver tissue that can for therapeutic use in patients. Blastocyst complementation is a challenging, innovative technology that could fundamentally change the future of organ transplantation. It requires the knockout (KO) of genes essential for cell or organ development in early stage host embryos followed by injection of donor pluripotent stem cells (PSCs) into host blastocysts to generate chimeric offspring in which progeny of the donor cells populate the open niche to develop functional tissues and organs.

methodsThe HHEX gene is necessary for proper liver development. We engineered loss of HHEX gene expression in early mouse and pig embryos and performed intraspecies blastocyst complementation of HHEX KO embryos with eGFP-labeled PSCs in order to rescue the loss of liver development.

resultsLoss of HHEX gene expression resulted in embryonic lethality at day 10.5 in mice and produced characteristics of lethality at day 18 in pigs, with absence of liver tissue in both species. Analyses of mouse and pig HHEX KO fetuses confirmed significant loss of liver-specific gene and protein expression. Intraspecies blastocyst complementation restored liver formation and liver-specific proteins in both mouse and pig. Livers in complemented chimeric fetuses in both species were comprised of eGFP-labeled donor-derived cells and survived beyond the previously observed time of HHEX KO embryonic lethality.

conclusionsThis work demonstrates that loss of liver development in the HHEX KO can be rescued via blastocyst complementation in both mice and pigs. This complementation strategy is the first step towards generating interspecies chimeras for the goal of producing human liver cells, tissues, and potentially complete organs for clinical transplantation.

Indexed as

Organ TransplantationPluripotent Stem CellsAnimalsBlastocystChimeraHomeodomain ProteinsHumansLiverMiceMice, KnockoutSwineTranscription FactorsHHEX protein, humanHhex protein, mouseHomeodomain ProteinsTranscription FactorsDevelopmentEmbryoGene editingStem cellsTransplantation

Identifiers

PMID34011403
PMCPMC8132445
OpenAlexW3163053042

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.