@article{ETD, recid = {42385}, author = {Vonada, Anne}, title = {A novel method of drug-mediated in vivo selective hepatocyte expansion for liver-directed gene and cell therapy}, publisher = {Oregon Health and Science University}, school = {Ph.D.}, address = {2023-12-15}, number = {ETD}, abstract = {Liver-directed gene and cell therapies represent a promising therapeutic strategy for many genetic disorders. However, they are hampered by inefficiency. The problem of inefficiency could be overcome by providing a selective growth advantage to corrected cells to allow them to repopulate the liver. This work aimed to characterize a novel method for in vivo selective expansion of hepatocytes using the common medication acetaminophen (APAP). In the liver, APAP is metabolized by cytochrome P450 enzymes to form a hepatotoxic intermediate. Cytochrome P450 enzymes require a cofactor, cytochrome P450 reductase (Cypor), for activity. Therefore, knockout of Cypor prevents APAP toxicity. A rare population of Cypor-deficient cells can thus be selectively expanded in vivo by APAP treatment. This work describes the application of this strategy to both liver-directed viral gene therapy and hepatocyte transplantation.}, url = {http://digitalcollections.ohsu.edu/record/42385}, doi = {https://doi.org/10.6083/bpxhc42385}, }