Skip to main content
Log in

3D human nonalcoholic hepatic steatosis and fibrosis models

  • Research Article
  • Published:
Bio-Design and Manufacturing Aims and scope Submit manuscript

Abstract

This study presents a simple and robust three-dimensional human hepatic tissue model to emulate steatotic and fibrotic conditions and provide an in vitro model for drug testing and mechanistic studies. Using a photolithographic biofabrication method with a photomask featuring hexagonal units, liver cells, including a human hepatic cell line (HepG2-C3A) and a human hepatic stellate cell line (LX-2) were embedded in gelatin methacryloyl hydrogel. Hepatic steatosis was induced by supraphysiological concentration of free fatty acids; hepatic fibrosis was induced by transforming growth factor-β1. Induction of steatosis was confirmed by Oil Red O and BODIPY staining and was inhibited with toyocamycin and obeticholic acid. Induction of fibrosis was confirmed by immunostaining for collagen type I and alpha smooth muscle actin and inhibited by rapamycin and curcumin treatment. This model was further preliminarily validated using primary human hepatocytes in a similar setup. These constructs provide a viable, biologically relevant, and higher throughput model of hepatic steatosis and fibrosis and may facilitate the study of the mechanisms of disease and testing of liver-directed drugs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Availability of data and materials

The datasets that support the findings of this study are available from the corresponding authors upon reasonable request. All requests for raw and analyzed data and materials will be promptly reviewed by the Brigham and Women’s Hospital and University of Florida to verify whether the request is subject to any intellectual property or confidentiality obligations. Any data and materials that can be shared will be released via a Material Transfer Agreement.

References

  1. Wang XJ, Malhi H (2018) Nonalcoholic fatty liver disease. Ann Intern Med 169(9):itc65–itc80. https://doi.org/10.7326/AITC201811060

    Article  Google Scholar 

  2. Friedman SL, Neuschwander-Tetri BA, Rinella M et al (2018) Mechanisms of NAFLD development and therapeutic strategies. Nat Med 24(7):908–922. https://doi.org/10.1038/s41591-018-0104-9

    Article  Google Scholar 

  3. Chalasani N, Younossi Z, Lavine JE et al (2018) The diagnosis and management of nonalcoholic fatty liver disease: practice guidance from the American Association for the Study of Liver Diseases. Hepatology 67(1):328–357. https://doi.org/10.1002/hep.29367

    Article  Google Scholar 

  4. Vuppalanchi R, Chalasani N (2009) Nonalcoholic fatty liver disease and nonalcoholic steatohepatitis: selected practical issues in their evaluation and management. Hepatology 49(1):306–317. https://doi.org/10.1002/hep.22603

    Article  Google Scholar 

  5. Marchisello S, Di Pino A, Scicali R et al (2019) Pathophysiological, molecular and therapeutic issues of nonalcoholic fatty liver disease: an overview. Int J Mol Sci 20(8):1948. https://doi.org/10.3390/ijms20081948

    Article  Google Scholar 

  6. Lonardo A, Sookoian S, Chonchol M et al (2013) Cardiovascular and systemic risk in nonalcoholic fatty liver disease—atherosclerosis as a major player in the natural course of NAFLD. Curr Pharm Des 19(29):5177–5192. https://doi.org/10.2174/1381612811319290003

    Article  Google Scholar 

  7. Gastaldelli A, Cusi K (2019) From NASH to diabetes and from diabetes to NASH: mechanisms and treatment options. JHEP Rep Innov Hepatol 1(4):312–328. https://doi.org/10.1016/j.jhepr.2019.07.002

    Article  Google Scholar 

  8. Gluchowski NL, Becuwe M, Walther TC et al (2017) Lipid droplets and liver disease: from basic biology to clinical implications. Nat Rev Gastroenterol Hepatol 14(6):343–355. https://doi.org/10.1038/nrgastro.2017.32

    Article  Google Scholar 

  9. Koyama Y, Brenner DA (2017) Liver inflammation and fibrosis. J Clin Invest 127(1):55–64. https://doi.org/10.1172/JCI88881

    Article  Google Scholar 

  10. Samuel VT, Shulman GI (2016) The pathogenesis of insulin resistance: integrating signaling pathways and substrate flux. J Clin Invest 126(1):12–22. https://doi.org/10.1172/JCI77812

    Article  Google Scholar 

  11. Ekstedt M, Hagström H, Nasr P et al (2015) Fibrosis stage is the strongest predictor for disease-specific mortality in NAFLD after up to 33 years of follow-up. Hepatology 61(5):1547–1554. https://doi.org/10.1002/hep.27368

    Article  Google Scholar 

  12. Baffy G, Brunt EM, Caldwell SH (2012) Hepatocellular carcinoma in non-alcoholic fatty liver disease: an emerging menace. J Hepatol 56(6):1384–1391. https://doi.org/10.1016/j.jhep.2011.10.027

    Article  Google Scholar 

  13. Schattenberg JM, Galle PR (2010) Animal models of non-alcoholic steatohepatitis: of mice and man. Digestive diseases (Basel, Switzerland) 28(1):247–254. https://doi.org/10.1159/000282097

    Article  Google Scholar 

  14. Adams LA, Angulo P (2006) Treatment of non-alcoholic fatty liver disease. Postgrad Med J 82(967):315–322. https://doi.org/10.1136/pgmj.2005.042200

    Article  Google Scholar 

  15. Machado MV, Michelotti GA, Xie G et al (2015) Mouse models of diet-induced nonalcoholic steatohepatitis reproduce the heterogeneity of the human disease. PLoS ONE 10(5):e0127991. https://doi.org/10.1371/journal.pone.0127991

    Article  Google Scholar 

  16. Kanuri G, Bergheim I (2013) In vitro and in vivo models of non-alcoholic fatty liver disease (NAFLD). Int J Mol Sci 14(6):11963–11980. https://doi.org/10.3390/ijms140611963

    Article  Google Scholar 

  17. Kozyra M, Johansson I, Nordling Å et al (2018) Human hepatic 3D spheroids as a model for steatosis and insulin resistance. Sci Rep 8(1):14297. https://doi.org/10.1038/s41598-018-32722-6

    Article  Google Scholar 

  18. Cole BK, Feaver RE, Wamhoff BR et al (2018) Non-alcoholic fatty liver disease (NAFLD) models in drug discovery. Expert Opin Drug Discov 13(2):193–205. https://doi.org/10.1080/17460441.2018.1410135

    Article  Google Scholar 

  19. Hassan S, Sebastian S, Maharjan S et al (2020) Liver-on-a-chip models of fatty liver disease. Hepatology 71(2):733–740. https://doi.org/10.1002/hep.31106

    Article  Google Scholar 

  20. Gori M, Simonelli MC, Giannitelli SM et al (2016) Investigating nonalcoholic fatty liver disease in a liver-on-a-chip microfluidic device. PLoS ONE 11(7):e0159729. https://doi.org/10.1371/journal.pone.0159729

    Article  Google Scholar 

  21. Ma L, Wu Y, Li Y et al (2020) Current advances on 3D-bioprinted liver tissue models. Adv Healthc Mater 9(24):2001517. https://doi.org/10.1002/adhm.202001517

  22. Sacchi M, Bansal R, Rouwkema J (2020) Bioengineered 3D models to recapitulate tissue fibrosis. Trends Biotechnol 38(6):623–636. https://doi.org/10.1016/j.tibtech.2019.12.010

    Article  Google Scholar 

  23. Leite SB, Roosens T, El Taghdouini A et al (2016) Novel human hepatic organoid model enables testing of drug-induced liver fibrosis in vitro. Biomaterials 78:1–10. https://doi.org/10.1016/j.biomaterials.2015.11.026

    Article  Google Scholar 

  24. Norona LM, Nguyen DG, Gerber DA et al (2016) Editor’s highlight: modeling compound-induced fibrogenesis in vitro using three-dimensional bioprinted human liver tissues. Toxicol Sci 154(2):354–367. https://doi.org/10.1093/TOXSCI/KFW169

    Article  Google Scholar 

  25. Norona LM, Nguyen DG, Gerber DA et al (2019) Bioprinted liver provides early insight into the role of Kupffer cells in TGF-β1 and methotrexate-induced fibrogenesis. PLoS ONE 14(1):e0208958. https://doi.org/10.1371/journal.pone.0208958

    Article  Google Scholar 

  26. Kang K, Kim Y, Jeon H et al (2018) Three-dimensional bioprinting of hepatic structures with directly converted hepatocyte-like cells. Tissue Eng A 24(7–8):576–583. https://doi.org/10.1089/ten.tea.2017.0161

    Article  Google Scholar 

  27. Moroni L, Burdick JA, Highley C et al (2018) Biofabrication strategies for 3D in vitro models and regenerative medicine. Nat Rev Mater 3(5):21–37. https://doi.org/10.1038/s41578-018-0006-y

    Article  Google Scholar 

  28. Ma X, Qu X, Zhu W et al (2016) Deterministically patterned biomimetic human iPSC-derived hepatic model via rapid 3D bioprinting. Proc Natl Acad Sci USA 113(8):2206–2211. https://doi.org/10.1073/pnas.1524510113

    Article  Google Scholar 

  29. Mao Q, Wang Y, Li Y et al (2020) Fabrication of liver microtissue with liver decellularized extracellular matrix (dECM) bioink by digital light processing (DLP) bioprinting. Mater Sci Eng C 109:110625. https://doi.org/10.1016/j.msec.2020.110625

    Article  Google Scholar 

  30. Ivanov VV, Decker C (2001) Kinetic study of photoinitiated frontal polymerization. Polym Int 50(1):113–118. https://doi.org/10.1002/1097-0126(200101)50:1<113::AID-PI594>3.0.CO;2-X

    Article  Google Scholar 

  31. Knight E, Przyborski S (2015) Advances in 3D cell culture technologies enabling tissue-like structures to be created in vitro. J Anat 227(6):746–756. https://doi.org/10.1111/joa.12257

    Article  Google Scholar 

  32. Tsang VL, Chen AA, Cho LM et al (2007) Fabrication of 3D hepatic tissues by additive photopatterning of cellular hydrogels. Faseb J 21(3):790–801. https://doi.org/10.1096/fj.06-7117com

    Article  Google Scholar 

  33. Aubin H, Nichol JW, Hutson CB et al (2010) Directed 3D cell alignment and elongation in microengineered hydrogels. Biomaterials 31(27):6941–6951. https://doi.org/10.1016/j.biomaterials.2010.05.056

    Article  Google Scholar 

  34. Hahn MS, Miller JS, West JL (2006) Three-dimensional biochemical and biomechanical patterning of hydrogels for guiding cell behavior. Adv Mater 18(20):2679–2684. https://doi.org/10.1002/adma.200600647

    Article  Google Scholar 

  35. Bajaj P, Marchwiany D, Duarte C et al (2013) Patterned three-dimensional encapsulation of embryonic stem cells using dielectrophoresis and stereolithography. Adv Healthc Mater 2(3):450–458. https://doi.org/10.1002/adhm.201200318

    Article  Google Scholar 

  36. Pi Q, Maharjan S, Yan X et al (2018) Digitally tunable microfluidic bioprinting of multilayered cannular tissues. Adv Mater 30(43):e1706913. https://doi.org/10.1002/adma.201706913

    Article  Google Scholar 

  37. Ying GL, Jiang N, Maharjan S et al (2018) Aqueous two-phase emulsion bioink-enabled 3D bioprinting of porous hydrogels. Adv Mater 30(50):e1805460. https://doi.org/10.1002/adma.201805460

    Article  Google Scholar 

  38. Gong J, Schuurmans CC, van Genderen AM et al (2020) Complexation-induced resolution enhancement of 3D-printed hydrogel constructs. Nat Commun 11(1):1267. https://doi.org/10.1038/s41467-020-14997-4

    Article  Google Scholar 

  39. Yue K, Li X, Schrobback K et al (2017) Structural analysis of photocrosslinkable methacryloyl-modified protein derivatives. Biomaterials 139:163–171. https://doi.org/10.1016/j.biomaterials.2017.04.050

    Article  Google Scholar 

  40. Xu L, Hui AY, Albanis E et al (2005) Human hepatic stellate cell lines, LX-1 and LX-2: new tools for analysis of hepatic fibrosis. Gut 54(1):142–151. https://doi.org/10.1136/gut.2004.042127

    Article  Google Scholar 

  41. Štampar M, Frandsen HS, Rogowska-Wrzesinska A et al (2020) Hepatocellular carcinoma (HepG2/C3A) cell-based 3D model for genotoxicity testing of chemicals. Sci Total Environ 755(2):143255. https://doi.org/10.1016/j.scitotenv.2020.143255

  42. Ramaiahgari SC, Den Braver MW, Herpers B et al (2014) A 3D in vitro model of differentiated HepG2 cell spheroids with improved liver-like properties for repeated dose high-throughput toxicity studies. Arch Toxicol 88(5):1083–1095. https://doi.org/10.1007/s00204-014-1215-9

    Article  Google Scholar 

  43. Seo W, Jeong W-I (2016) Hepatic non-parenchymal cells: master regulators of alcoholic liver disease? World J Gastroenterol 22(4):1348–1356. https://doi.org/10.3748/wjg.v22.i4.1348

    Article  MathSciNet  Google Scholar 

  44. Friedman SL (2008) Hepatic stellate cells: protean, multifunctional, and enigmatic cells of the liver. Physiol Rev 88(1):125–172. https://doi.org/10.1152/physrev.00013.2007

    Article  Google Scholar 

  45. Prestigiacomo V, Weston A, Messner S et al (2017) Pro-fibrotic compounds induce stellate cell activation, ECM-remodelling and Nrf2 activation in a human 3D-multicellular model of liver fibrosis. PLoS ONE 12(6):e0179995. https://doi.org/10.1371/journal.pone.0179995

    Article  Google Scholar 

  46. Baze A, Parmentier C, Hendriks DFG et al (2018) Three-dimensional spheroid primary human hepatocytes in monoculture and coculture with nonparenchymal cells. Tissue Eng C Methods 24(9):534–545. https://doi.org/10.1089/ten.tec.2018.0134

    Article  Google Scholar 

  47. Loessner D, Meinert C, Kaemmerer E et al (2016) Functionalization, preparation and use of cell-laden gelatin methacryloyl-based hydrogels as modular tissue culture platforms. Nat Protoc 11(4):727–746. https://doi.org/10.1038/nprot.2016.037

    Article  Google Scholar 

  48. Klotz BJ, Gawlitta D, Rosenberg A et al (2016) Gelatin-methacryloyl hydrogels: towards biofabrication-based tissue repair. Trends Biotechnol 34(5):394–407. https://doi.org/10.1016/j.tibtech.2016.01.002

    Article  Google Scholar 

  49. Ying G, Jiang N, Yu C et al (2018) Three-dimensional bioprinting of gelatin methacryloyl (GelMA). Bio-des Manuf 1(4):215–224. https://doi.org/10.1007/s42242-018-0028-82

    Article  Google Scholar 

  50. Hoch E, Schuh C, Hirth T et al (2012) Stiff gelatin hydrogels can be photo-chemically synthesized from low viscous gelatin solutions using molecularly functionalized gelatin with a high degree of methacrylation. J Mater Sci Mater Med 23(11):2607–2617. https://doi.org/10.1007/s10856-012-4731-2

    Article  Google Scholar 

  51. Senoo H (2004) Structure and function of hepatic stellate cells. Med Electron Microsc 37(1):3–15. https://doi.org/10.1007/s00795-003-0230-3

    Article  Google Scholar 

  52. Fausto N, Campbell JS (2003) The role of hepatocytes and oval cells in liver regeneration and repopulation. Mech Dev 120(1):117–130. https://doi.org/10.1016/S0925-4773(02)00338-6

    Article  Google Scholar 

  53. Tsuchida T, Friedman SL (2017) Mechanisms of hepatic stellate cell activation. Nat Rev Gastroenterol Hepatol 14(7):397–411. https://doi.org/10.1038/nrgastro.2017.38

    Article  Google Scholar 

  54. Washington K, Wright K, Shyr Y et al (2000) Hepatic stellate cell activation in nonalcoholic steatohepatitis and fatty liver. Hum Pathol 31(7):822–828. https://doi.org/10.1053/hupa.2000.8440

    Article  Google Scholar 

  55. Takahara I, Akazawa Y, Tabuchi M et al (2017) Toyocamycin attenuates free fatty acid-induced hepatic steatosis and apoptosis in cultured hepatocytes and ameliorates nonalcoholic fatty liver disease in mice. PLoS ONE 12(3):e0170591. https://doi.org/10.1371/journal.pone.0170591

    Article  Google Scholar 

  56. Jung IR, Choi SE, Hong SA et al (2017) Sodium fluorocitrate having protective effect on palmitate-induced beta cell death improves hyperglycemia in diabetic db/db mice. Sci Rep 7(1):12916. https://doi.org/10.1038/s41598-017-13365-5

    Article  Google Scholar 

  57. Friedman SL (2010) Evolving challenges in hepatic fibrosis. Nat Rev Gastroenterol Hepatol 7(8):425–436. https://doi.org/10.1038/nrgastro.2010.97

    Article  Google Scholar 

  58. Mederacke I, Hsu CC, Troeger JS et al (2013) Fate tracing reveals hepatic stellate cells as dominant contributors to liver fibrosis independent of its aetiology. Nat Commun 4:2823. https://doi.org/10.1038/ncomms3823

    Article  Google Scholar 

  59. Gressner AM, Weiskirchen R, Breitkopf K et al (2002) Roles of TGF-beta in hepatic fibrosis. Front Biosci 7:d793–d807. PMID: 11897555. https://pubmed.ncbi.nlm.nih.gov/11897555/

  60. Yang L, Roh YS, Song J et al (2014) Transforming growth factor beta signaling in hepatocytes participates in steatohepatitis through regulation of cell death and lipid metabolism in mice. Hepatology 59(2):483–495. https://doi.org/10.1002/hep.26698

    Article  Google Scholar 

  61. Kim YJ, Lee ES, Kim SH et al (2014) Inhibitory effects of rapamycin on the different stages of hepatic fibrosis. World J Gastroenterol 20(23):7452–7460. https://doi.org/10.3748/wjg.v20.i23.7452

    Article  Google Scholar 

  62. Saadati S, Sadeghi A, Mansour A et al (2019) Curcumin and inflammation in non-alcoholic fatty liver disease: a randomized, placebo controlled clinical trial. BMC Gastroenterol 19(1):133. https://doi.org/10.1186/s12876-019-1055-4

    Article  Google Scholar 

  63. Farzaei MH, Zobeiri M, Parvizi F et al (2018) Curcumin in liver diseases: a systematic review of the cellular mechanisms of oxidative stress and clinical perspective. Nutrients 10(7):855. https://doi.org/10.3390/nu10070855

    Article  Google Scholar 

  64. Arab JP, Arrese M, Trauner M (2018) Recent insights into the pathogenesis of nonalcoholic fatty liver disease. Annu Rev Pathol 13:321–350. https://doi.org/10.1146/annurev-pathol-020117-043617

    Article  Google Scholar 

Download references

Funding

YSZ received funding from National Institutes of Health (K99CA201603, R00CA201603, R21EB025270, R21EB026175, R01EB028143, R03EB027984), National Science Foundation (1935105), Brigham Research Institute New England Anti-Vivisection Foundation, and American Fund for Alternatives to Animal Research (AFAAR). AZ received funding from National Institutes of Health (K08DK113244, R01MD012579). SD received funding from National Institutes of Health (R01MD012579-UT20664DS).

Author information

Authors and Affiliations

Authors

Contributions

SM, SD, AZ, and YSZ were involved in conceptualization. SM, DB, and PS were involved in data curation. SM, DB, and YSZ performed formal analysis. SM, DB, PS, HL, WL, AZ, and YSZ conducted investigation. SM, DB, SD, and YSZ contributed to methodology. AZ and YSZ contributed to project administration. AZ and YSZ contributed resources. AZ and YSZ conducted supervision. SM, AZ, and YSZ were involved in validation. SM and YSZ contributed to visualization. SM, AZ, and YSZ were involved in writing original draft. SM, DB, PS, HL, WL, SD, AZ, and YSZ were involved in writing review and editing.

Corresponding authors

Correspondence to Ali Zarrinpar or Y. Shrike Zhang.

Ethics declarations

Ethical approval

This article does not contain any studies with human or animal subjects performed by any of the authors.

Conflict of interest

The authors have no relevant conflicts of interest to declare.

Consent to participate

Consent to participate is not applicable in this study.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOCX 3602 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Maharjan, S., Bonilla, D., Sindurakar, P. et al. 3D human nonalcoholic hepatic steatosis and fibrosis models. Bio-des. Manuf. 4, 157–170 (2021). https://doi.org/10.1007/s42242-020-00121-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42242-020-00121-4

Keywords

Navigation