PMID- 21990949 OWN - NLM STAT- MEDLINE DCOM- 20120117 LR - 20211020 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 17 IP - 32 DP - 2011 Aug 28 TI - Future of liver transplantation: non-human primates for patient-specific organs from induced pluripotent stem cells. PG - 3684-90 LID - 10.3748/wjg.v17.i32.3684 [doi] AB - Strategies to fill the huge gap in supply versus demand of human organs include bioartificial organs, growing humanized organs in animals, cell therapy, and implantable bioengineered constructs. Reproducing the complex relations between different cell types, generation of adequate vasculature, and immunological complications are road blocks in generation of bioengineered organs, while immunological complications limit the use of humanized organs produced in animals. Recent developments in induced pluripotent stem cell (iPSC) biology offer a possibility of generating human, patient-specific organs in non-human primates (NHP) using patient-derived iPSC and NHP-derived iPSC lacking the critical developmental genes for the organ of interest complementing a NHP tetraploid embryo. The organ derived in this way will have the same human leukocyte antigen (HLA) profile as the patient. This approach can be curative in genetic disorders as this offers the possibility of gene manipulation and correction of the patient's genome at the iPSC stage before tetraploid complementation. The process of generation of patient-specific organs such as the liver in this way has the great advantage of making use of the natural signaling cascades in the natural milieu probably resulting in organs of great quality for transplantation. However, the inexorable scientific developments in this direction involve several social issues and hence we need to educate and prepare society in advance to accept the revolutionary consequences, good, bad and ugly. FAU - Sanal, Madhusudana Girija AU - Sanal MG AD - Institute of Liver and Biliary Sciences, D-1, Vasant Kunj, New Delhi 110070, India. sanalmg@gmail.com LA - eng PT - Journal Article PT - Review PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 SB - IM MH - Animals MH - *Cell Differentiation MH - Humans MH - Induced Pluripotent Stem Cells/*physiology MH - Liver Diseases/surgery MH - Liver Transplantation/*methods MH - Organ Culture Techniques/ethics/methods MH - Pan troglodytes MH - *Primates MH - Tissue Engineering/*methods PMC - PMC3181453 OTO - NOTNLM OT - Anencephaly OT - Chimpanzee OT - Fumaryl acetoacetate hydrolase deficient OT - Hepatocytes OT - Hhex OT - Induced pluripotent stem cells OT - Non-human primates OT - Tetraploid EDAT- 2011/10/13 06:00 MHDA- 2012/01/18 06:00 PMCR- 2011/08/28 CRDT- 2011/10/13 06:00 PHST- 2011/02/16 00:00 [received] PHST- 2011/04/20 00:00 [revised] PHST- 2011/04/27 00:00 [accepted] PHST- 2011/10/13 06:00 [entrez] PHST- 2011/10/13 06:00 [pubmed] PHST- 2012/01/18 06:00 [medline] PHST- 2011/08/28 00:00 [pmc-release] AID - 10.3748/wjg.v17.i32.3684 [doi] PST - ppublish SO - World J Gastroenterol. 2011 Aug 28;17(32):3684-90. doi: 10.3748/wjg.v17.i32.3684.