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Contacts:

Department of Laboratory Medicine and Advanced Biotechnologies
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS – ISMETT)
Via Ernesto Tricomi, 5
90127 PALERMO
mgfrancipane@fondazionerimed.com

Facilities:

Collaborations:

Description

The group focuses on developing regenerative strategies for biliary diseases, guided by two central questions:

  1. Can failing bile ducts be replaced with bioengineered tissue or supported using organoids derived from biliary epithelial cells?
  2. Can organoids that model biliary disease accelerate the development of new therapies?

A major achievement is a patent application and a publication in Advanced Healthcare Materials describing an implantable bile duct substitute. The prototype features a three-layer design:

  1. Core: Electrospun PCL for mechanical stability
  2. Inner layer: Biliary epithelial cells embedded in ColMA, forming a biliary-like epithelium
  3. Outer layer: Acellular ColMA to support host integration

Key innovations include the first reported combination of PCL and ColMA in a biliary construct, the use of biliary epithelial cells as the cellular component, and a reproducible fabrication workflow supported by multidisciplinary characterization. The prototype demonstrated strong mechanical performance, leak-proof function, and bile acid transport, along with a favorable immune profile in ex vivo blood assays. While developed for biliary repair, the materials and fabrication strategy are adaptable to other tubular structures.

Ongoing activities

The prototype initially relied on biliary epithelial cells expanded in 2D. To improve biliary-like epithelium formation, the team has transitioned to 3D organoid systems. These organoids are co-cultured with mesenchymal stromal and endothelial cells to generate a more physiologically relevant cell source that, once integrated, can enhance tissue architecture and support vascularization after implantation. An in vivo safety study of the upgraded prototype is currently planned.

To generate clinically relevant organoid phenotypes, the team is correlating biophysical properties with molecular profiles using the W8 Physical Cytometer and the CASTOR & POLLUX platform.

In parallel, the group has developed scaffold-free and scaffold-based 3D cultures of intrahepatic cholangiocarcinoma cells and is beginning studies on how stress-response pathways influence proliferation, invasion, and chemoresistance.

Impact

By combining medical device development, organoid cultures, and disease modeling, the group aims to advance new therapeutic approaches for biliary disorders.

Team

Publications

Journal Paper
Ex Vivo Cell Therapy By Ectopic Hepatocyte Transplantation Treats The Porcine Tyrosinemia Model Of Acute Liver Failure
Clara T. Nicolas , Robert A. Kaiser , Raymond D. Hickey , Kari L. Allen , Zeji Du , Caitlin J. VanLith , Rebekah M. Guthman , Bruce Amiot , Lukkana Suksanpaisan , Bing Han , Maria Giovanna Francipane, Ph.D. , Amin Cheikhi , Huailei Jiang , Aditya Bansal , Mukesh K. Pandey , Ishan Garg , Val Lowe , Aditya Bhagwate , Daniel O’Brien , Jean-Pierre A. Kocher , Timothy R. DeGrado , Scott L. Nyberg , Eric Lagasse , Joseph B. Lillegard
Molecular Therapy - Methods & Clinical Development, 10(18):738-750, 2020
https://doi.org/10.1016/j.omtm.2020.07.009
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