Cryopreserved PHH (obtained from KalyCell, France or Bioreclamation IVT, USA) or fresh hepatocytes (obtained from patients subject to liver resections at Huddinge University Hospital, Stockholm, Sweden) were used for formation of spheroid cultures. Hepatocytes obtained from patient livers were isolated as previously described42 (link). Use of the liver specimens for this purpose was approved by the Ethics Committee at Karolinska Institutet (Regionala etikprövningsnämnden i Stockholm) and studies were carried out in accordance with the approved guidelines. Written informed consent was obtained from all donors of liver material. Cells were seeded into ultra-low attachment 96-well plates (Corning) at 1,500 viable cells per well and subsequently centrifuged at 100 × g for 2 min. Cells were seeded in 100 μl Williams E medium supplemented with 2 mM L-glutamine, 100 units/ml penicillin, 100 μg/ml streptomycin, 10 μg/ml insulin, 5.5 μg/ml transferrin, 6.7 ng/ml sodium selenite, 100 nM dexamethasone, and 10% FBS. Spontaneous self-aggregation of the hepatocytes initiated spheroid formation. From day 4 or 5 after seeding, when the spheroids were sufficiently compact, 50% of the medium was exchanged daily for serum-free medium. Spheroids were maintained in serum-free medium until day 35, with a medium change every 48–72 h.
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