TY - JOUR KW - Animals KW - Disease Models, Animal KW - Humans KW - Liver Cirrhosis KW - Mice KW - Non-alcoholic Fatty Liver Disease AU - Tomasz Kostrzewski AU - Sophie Snow AU - Anya Lindström Battle AU - Samantha Peel AU - Zahida Ahmad AU - Jayati Basak AU - Manasa Surakala AU - Aurelie Bornot AU - Julia Lindgren AU - Maria Ryaboshapkina AU - Maryam Clausen AU - Daniel Lindén AU - Christian Maass AU - Lucy May Young AU - Adam Corrigan AU - Lorna Ewart AU - David Hughes AB - Non-alcoholic steatohepatitis (NASH) is a common form of chronic liver disease characterised by lipid accumulation, infiltration of immune cells, hepatocellular ballooning, collagen deposition and liver fibrosis. There is a high unmet need to develop treatments for NASH. We have investigated how liver fibrosis and features of advanced clinical disease can be modelled using an in vitro microphysiological system (MPS). The NASH MPS model comprises a co-culture of primary human liver cells, which were cultured in a variety of conditions including+/- excess sugar, fat, exogenous TGFβ or LPS. The transcriptomic, inflammatory and fibrotic phenotype of the model was characterised and compared using a system biology approach to identify conditions that mimic more advanced clinical disease. The transcriptomic profile of the model was shown to closely correlate with the profile of patient samples and the model displayed a quantifiable fibrotic phenotype. The effects of Obeticholic acid and Elafibranor, were evaluated in the model, as wells as the effects of dietary intervention, with all able to significantly reduce inflammatory and fibrosis markers. Overall, we demonstrate how the MPS NASH model can be used to model different aspects of clinical NASH but importantly demonstrate its ability to model advanced disease with a quantifiable fibrosis phenotype. BT - Communications Biology DA - 2021-09-15 DO - 10.1038/s42003-021-02616-x IS - 1 LA - eng N2 - Non-alcoholic steatohepatitis (NASH) is a common form of chronic liver disease characterised by lipid accumulation, infiltration of immune cells, hepatocellular ballooning, collagen deposition and liver fibrosis. There is a high unmet need to develop treatments for NASH. We have investigated how liver fibrosis and features of advanced clinical disease can be modelled using an in vitro microphysiological system (MPS). The NASH MPS model comprises a co-culture of primary human liver cells, which were cultured in a variety of conditions including+/- excess sugar, fat, exogenous TGFβ or LPS. The transcriptomic, inflammatory and fibrotic phenotype of the model was characterised and compared using a system biology approach to identify conditions that mimic more advanced clinical disease. The transcriptomic profile of the model was shown to closely correlate with the profile of patient samples and the model displayed a quantifiable fibrotic phenotype. The effects of Obeticholic acid and Elafibranor, were evaluated in the model, as wells as the effects of dietary intervention, with all able to significantly reduce inflammatory and fibrosis markers. Overall, we demonstrate how the MPS NASH model can be used to model different aspects of clinical NASH but importantly demonstrate its ability to model advanced disease with a quantifiable fibrosis phenotype. PY - 2021 EP - 1080 T2 - Communications Biology TI - Modelling human liver fibrosis in the context of non-alcoholic steatohepatitis using a microphysiological system VL - 4 SN - 2399-3642 ER -