Evidence map›Paper›PMID 40824256›Full record

ReviewHepatology communications2025

Bioartificial liver: Where lies the path ahead-A review.

Qi Jiang, Yuanshuai Su, Xiaoyan Cao, Haonan Zhang, Jingyi Zhang, Lanjuan Li

Abstract readReview
In one paragraph

Review in Hepatology communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Observational
  2. Review
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

6 authors.

Qi JiangState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0009-0004-6011-156
Yuanshuai SuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Xiaoyan CaoInstitute of Obstetrics and Gynecology, Hospital of Obstetrics and Gynecology, Fudan University, Shanghai, China.ORCID 0009-0006-3815-5587
Haonan ZhangDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, China.ORCID 0009-0007-2185-1583
Jingyi ZhangResearch Unit of Infectious Disease and Microecology, Chinese Academy of Medical Sciences and Peking Union Medical College, Hangzhou, China.
Lanjuan LiState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, National Medical Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0000-0001-6945-0593

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite its proven effectiveness in treating liver failure, liver transplantation is often impractical due to its high surgical risks involved and the limited availability of donor organs. Blood purification technologies used in non-bioartificial liver (NBAL) systems have improved clinical cure rates, but they do not substitute for the complex biosynthesis, detoxification, metabolism, and biological transformation roles of the liver. To overcome these challenges brought by NBAL systems, bioartificial liver (BAL) systems have been developed with repeated optimization of both hepatocyte sources and bioreactors to emulate a "fully functional liver"." Large biomedical research centers are eager to conduct clinical trials on the developing BAL systems to validate their safety and efficacy, and eventually bring BAL systems to market for clinical practice. Notably, the successful xenotransplantation of genetically modified porcine livers has provided valuable insights for the novel BAL system design. Chinese researchers have established a progressive series of world-first milestones in pig-to-human liver transplantation. Attempts to create genetically modified porcine BAL systems are promising to explore a path for solving the problem of seeking the most ideal cell sources and bioreactors. This review outlines the current clinical application of artificial liver support systems and summarizes the innovative advancements in BAL technology. Prospects of genetically modified porcine BAL systems are adequately discussed, with the expectation that multidisciplinary collaboration in BAL research will yield more promising therapeutic options for liver failure.

Indexed as

Liver, ArtificialLiver FailureAnimalsBioreactorsHepatocytesHumansLiver TransplantationSwineTransplantation, Heterologousartificial liver therapyclinical applicationhepatic insufficiencypig-to-human liver xenotransplantationtransgene porcine liver

Identifiers

PMID40824256
PMCPMC12363447

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.