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Table 2 Different hepatocyte-like cell models for hepatotoxicity testing

From: Advancements in stem cell-derived hepatocyte-like cell models for hepatotoxicity testing

Models

Descriptions

Advantages

Disadvantages

Applications

References

2D monolayer cell culture

Cells adhere to a solid and flat surface

Easy and low-cost operation

Poor cell–cell and cell–matrix interactions, far different from the environment in vivo, limited enzyme activity

Evaluation of drug metabolism and toxicity, drug–drug interactions, high-throughput drug screening, long-term drug toxicity assessment

[62,63,64, 67,68,69]

Complex organoids

Organoids with multiple cell types

Presence of non-parenchymal cells, rich and complex structure

Poor homogeneity and controllability

Specific disease models

[75, 76, 78]

Simplified organoids

Organoids with single-cell type

Good homogeneity and controllability

Relatively simple structure and function

Large-scale drug screening

[82,83,84]

Scaffold-based organoids

Organoids grown in supportive scaffold

Efficient differentiation, intact vasculature, controllable size, shape, permeability, and porosity

Undefined components, lower stability and repeatability, problems of biocompatibility and cytotoxicity, absorption of test compound by scaffold

Studies of drug metabolism, disease modeling, and implantation in vivo

[86,87,88,89,90,91,92, 94, 95]

Scaffold-free organoids

Cells self-aggregate to form organoids

Simple operation, low-cost, high throughput, no compatibility issues, cell–cell and cell–matrix interaction, nutrition, oxygen gradient formation

Hypoxia and necrosis in the center of the organoids

Large-scale drug screening

[97, 99]

Patient-derived organoids

Organoids with patient-specific cells

Donor-specific CYP metabolism and drug responses

Relatively complex operation

Disease modeling, mechanism research, targeted drug screening

[100,101,102,103,104,105]

Organ-on-a-chip

Organ biomimetic system with organoids grown in a microfluidic chip

Precise and dynamic control of the cellular microenvironment

High-cost, complex operation, need of sophisticated equipment

Prediction of drug absorption, metabolism, and clearance

[108, 118,119,120,121]

Chimeric mice with humanized livers

Mouse liver cells are replaced by human hepatocytes

Possessing human drug metabolism and transformation functions, good human relevance

High-cost, time-consuming operation, varying degree of humanization, immune-compromised

Preclinical drug evaluation

[128,129,130, 136,137,138,139]