Evidence map›Paper›PMID 34328417›Full record

ArticleeLife2021

Application of human liver organoids as a patient-derived primary model for HBV infection and related hepatocellular carcinoma.

Elisa De Crignis, Tanvir Hossain, Shahla Romal, Fabrizia Carofiglio, Panagiotis Moulos, Mir Mubashir Khalid, Shringar Rao, Ameneh Bazrafshan, Monique Ma Verstegen, Farzin Pourfarzad and 13 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 1 pooled it
13.4field-weighted citation impact, top 1% 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

90 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. [Advances in the construction and application of a novel liver organoid model for hepatitis B virus infection].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Organoids: physiologically relevantJournal of virology · 2025
    Review
  17. Article
  18. Review
  19. Review
  20. Review

30 more citing papers are in PubMed but not listed here.

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 5 institutions in 3 countries.

Elisa De CrignisDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.
Tanvir Hossain *Department of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.ORCID 0000-0002-4765-6600
Shahla Romal *Department of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.ORCID 0000-0002-6404-0015
Fabrizia CarofiglioDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.
Panagiotis MoulosBiomedical Sciences Research Center 'Alexander Fleming', Vari, Greece.
Mir Mubashir KhalidDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.ORCID 0000-0002-1862-6795
Shringar RaoDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.
Ameneh BazrafshanDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.
Monique Ma VerstegenDepartment of Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.
Farzin PourfarzadFoundation Hubrecht Organoid Technology (HUB), Utrecht, Netherlands.
Christina KoutsothanassisHybridStat Predictive Analytics, Kifisia, Greece.
Helmuth GehartHubrecht Institute-KNAW, University Medical Centre Utrecht, Utrecht, Netherlands.
Tsung Wai KanDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.
Robert-Jan PalstraDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.
Charles BoucherDepartment of Viroscience, Erasmus Medical Centre, Rotterdam, Netherlands.
Jan Nm IJzermansDepartment of Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.
Meritxell HuchMax Plank Institute of Molecular Cell Biology and Genetics, Dresden, Germany.
Sylvia F BojFoundation Hubrecht Organoid Technology (HUB), Utrecht, Netherlands.
Robert VriesFoundation Hubrecht Organoid Technology (HUB), Utrecht, Netherlands.
Hans CleversHubrecht Institute-KNAW, University Medical Centre Utrecht, Utrecht, Netherlands.
Luc Jw van der LaanDepartment of Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.
Pantelis HatzisBiomedical Sciences Research Center 'Alexander Fleming', Vari, Greece.
Tokameh MahmoudiDepartment of Biochemistry, Erasmus University Medical Center, Rotterdam, Netherlands.ORCID 0000-0002-2060-9353
Erasmus MC · NLHubrecht Institute for Developmental Biology and Stem Cell Research · NLAlexander Fleming Biomedical Sciences Research Center · GRErasmus University Rotterdam · NLMax Planck Institute of Molecular Cell Biology and Genetics · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The molecular events that drive hepatitis B virus (HBV)-mediated transformation and tumorigenesis have remained largely unclear, due to the absence of a relevant primary model system. Here we propose the use of human liver organoids as a platform for modeling HBV infection and related tumorigenesis. We first describe a primary ex vivo HBV-infection model derived from healthy donor liver organoids after challenge with recombinant virus or HBV-infected patient serum. HBV-infected organoids produced covalently closed circular DNA (cccDNA) and HBV early antigen (HBeAg), expressed intracellular HBV RNA and proteins, and produced infectious HBV. This ex vivo HBV-infected primary differentiated hepatocyte organoid platform was amenable to drug screening for both anti-HBV activity and drug-induced toxicity. We also studied HBV replication in transgenically modified organoids; liver organoids exogenously overexpressing the HBV receptor sodium taurocholate co-transporting polypeptide (NTCP) after lentiviral transduction were not more susceptible to HBV, suggesting the necessity for additional host factors for efficient infection. We also generated transgenic organoids harboring integrated HBV, representing a long-term culture system also suitable for viral production and the study of HBV transcription. Finally, we generated HBV-infected patient-derived liver organoids from non-tumor cirrhotic tissue of explants from liver transplant patients. Interestingly, transcriptomic analysis of patient-derived liver organoids indicated the presence of an aberrant early cancer gene signature, which clustered with the hepatocellular carcinoma (HCC) cohort on The Cancer Genome Atlas Liver Hepatocellular Carcinoma dataset and away from healthy liver tissue, and may provide invaluable novel biomarkers for the development of HCC and surveillance in HBV-infected patients.

Indexed as

Carcinoma, HepatocellularHepatitis BHepatitis B virusHep G2 CellsHumansLiverLiver NeoplasmsLiving DonorsModels, BiologicalOrganoidsVirus ReplicationHepatitis B virushepatocellular carcinomahumaninfectious diseaseliver organoidsmicrobiology

Identifiers

PMID34328417
PMCPMC8384419
OpenAlexW3184606023

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.