# Patent

## Title
Human liver cell line

## Abstract

In this application is described the establishment and maintanence of a normal human hepatocyte cell line able to support complete development of malaria parasite development in vitro. Advantages and uses of the cell line are also described.

## Background
This application claims priority from U.S. Provisional Application No. 60/235,051 filed on Sep. 25, 2000.


INTRODUCTION
Malaria is one of the most serious health risks due to problems of multi-drug resistance and lack of an effective vaccine. Two human malaria parasites that can cause severe disease are known, Plasmodium falciparum (P. falciparum) and Plasmodium vivax (P. vivax). Development of vaccines and drugs against the disease has been difficult since the parasites can develop resistance to most of the drugs quite rapidly and the development of the parasites in the liver where is the first place for transmitting the disease to human has not been well understood. Presently, there is no efficient in vitro human liver model available to support vaccine and drug development.
Malaria sporozoites are injected into human during the blood meal of a female anopheline mosquito and rapidly invade hepatocytes. One sporozoite can develop into 20,000 merozoites, which rupture from hepatocyte, enter the bloodstream and invade erythrocytes. This initiates a cycle of intra-erythrocytic stage development, rupture and re-invasion, leading to 10–20 fold increase in the number of the parasites in the blood stream every 48 hours. These asexual erythrocytic-stage parasites are responsible for the clinical manifestations and pathology of the disease. Some erythrocytic stages differentiate into gametocytes, which are infective for mosquitoes. Fertilization occurs in the mosquito midgut, and form oocysts. Sporozoites rupture from these oocysts and invade the salivary glands of the mosquito from where they are injected into a human host. The hepatic stage of the life cycle is an ideal target for vaccine-induced protective immune responses because this stage lasts for at least 5.5 days and is not associated with pathology. Development of causal prophylaxis drug is important for protection from the disease. The animal models such as mice, monkey and in vitro culture of rat liver cells have been used for efficacy test of new drugs.
Complete development of P. vivax and P. falciparum exoerythrocytic stage was shown in primary culture of human hepatocytes (Mazier et al., 1984, Science 227, 440–442; Smith et al., 1984, Lancet 29, 757–58; Mazier et al., 1984, Nature 307, 367–69). Primary hepatocyte cultures are not feasible to use as a tool to evaluate malarial drugs and vaccines since they are expensive and their delivery schedule is uncertain. Development of P. falciparum exoerythrocytic stage has also been demonstrated in a human hepatoma cell line, HHS-102 (Karnasuta et al., 1995, Am. J. Trop. Med. Hyg. 53, 607–11) and P. vivax in HepG2-A16 (Luo et al., 1994, Chung Kuo chi Sheng Chung Hsueh Yu Chi Sheng Chung Ping Tsa Chin. 12, 8–4) but with low density of growth. In addition, these cell lines are derived from a tumorigenic cell line and would not reflect growth conditions in a normal, non-tumorigenic cell line.
Hence there is a need for a cell line established from normal liver tissue and which can support high density, complete erythrocytic development of both P. falciparum and P. vivax. 
SUMMARY OF THE INVENTION
This application describes such a cell line. The cell line of the present invention, HC-04, has two important chracteristics. First, the cell line was developed from normal liver tissue (hepatocytes) and second, this cell line supports in vitro development of human malaria parasites, Plasmodium falciparum and Plasmodium vivax. 
Therefore, it is an object of the present invention to provide a hepatocyte cell line HC-04, the cell line deposited under the Budapest Treaty at American Type Culture Collection, Manassas, Va. on 8 Jun. 2001, assigned accession no. PTA-3441. The cell has been propagated in vitro for more than 100 passages.
It is another object of the invention to provide a method for making an immortalized human hepatocyte cell line containing cells capable of supporting Plasmodium exoerythrocytic growth.
It is another object of the present invention to provide a method for screening to identify compounds that affect parasite growth. In one embodiment, the method includes incubating components comprising the compound and at least one hepatocyte of the present invention which has been infected with the parasite under conditions sufficient to allow the compound and cell to interact; and determining the effect of the compound on the cell and on the parasite. A function of the parasite or cell that may be modulated (e.g., inhibited or stimulated) by the compound includes, but is not limited to, differentiation, gene expression, production of factors, response to factors. In another aspect, the present invention provides for compounds identified as inhibitory to the development or differentiation of the parasite for use as a malaria drug or vaccine for protection agaisnt malaria.
In another aspect, the invention provides a method of using the cells of the present invention to produce a certain developmental stage of the parasite. In one embodiment, a hepatocyte is cultured under conditions effective to produce a developmental stage of the parasite. By studying gene expression in the presence of a potential vaccine compound, or by producing a compound which reacts directly with an antigen on the surface of the parasite such that its growth is inhibited compounds can be identified for prophylactic or therapeutic use against malaria.
These objects and others which will become obvious to the skilled artisan are deemed to fall within the spirit and scope of the present invention and are intended to be included herein.
These and other features, aspects, and advantages of the present invention will become better understood with reference to the following description and appended claims, and accompanying drawings.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1. Phase contrast micrograph of human hepatocytes (HC-04).
FIG. 2. Chromosomes of HC-04 prepared from cell culture passage #6.
FIG. 3. Early exoerythrocytic parasites (P) were found in cytoplasm of liver cells (N=nucleus of liver cell) 3A. Giemsa staining. 3B. IFA staining with human antibody and mouse monoclonal antibody. The antibodies bind to surface of parasite. Liver cells were counterstained with Evan blue. 3C. The same slides as 3B after being washed and stained with Giemsa.
FIG. 4. Liver schizonts (S) were observed from day 7 t day 28. (4A) 7 days schizont. (4B) 21 days schizont. (4C) 28 days schizont.
FIG. 5. Schizont (S) were observed on day 14 with (5A) IFA staining with human antibody and MAB and compared with (5B) Giemsa staining of the same specimen.
FIG. 6. Liver merozoites (M) were found on day 28.
FIG. 7. Plasmodium falciparum trophozoite was observed in blood smear preparation after adding human red cell to the culture on day 21 and harvesting red cell 24 hours later.



DETAILED DESCRIPTION
In order to provide a clearer and consistent understanding of the specification and claims, including the scope to be given such terms, the following definitions are provided.
A cell line is a population or mixture of cells of common origin growing together after several passages in vitro. By growing together in the same medium and culture conditions, the cells of the cell line share the characteristics of generally similar growth rates, temperature, gas phase, nutritional and surface requirements. The presence of cells in the cell line expressing certain substances, for example G6Pase, can be ascertained, provided a sufficient proportion, if not all, of cells in the line are present to produce a measurable quantity of the substance. An enriched cell line is one in which cells having a certain trait, e.g. expressing G6Pase, are present in greater proportion after one or more subculture steps, than the original cell line.
Clonal cells are those which are descended from a single cell. As a practical matter, it is difficult to obtain pure cloned cell cultures of mammalian cells. A high degree of cell purity can be obtained by successive rounds of cell enrichment. As used herein, a cell culture in which at least 90% of the cells possess a defined set of traits is termed a cloned cell culture.
Hepatocytes constitute about 80% of the cell population of the liver. They are large polygonal cells measuring between 20–30 um. Liver cells are capable of considerable regeneration when liver substance is lost to hepatotaxic processes, disease, or surgery. Hepatocytes have as many as 200–300 peroxisomes per cells which are involved in the breakdown of hydrogen peroxide produced in many of the general cytoplasmic metabolic activities. In addition, peroxisomes have specific oxidative functions in gluconeogenesis, metabolism of purines, alcohol and lipids. The smooth endoplasmic reticulum(sER) in hepatocytes contains enzymes involved in degradation and conjugation of toxins and drugs. Under conditions of hepatocyte challenge by drugs, toxins or metabolic stimulants, the sER may become the predominant organelle in the cells.
This invention is not limited to the cells, compositions, reagents, methods or uses described, as such cells, compositions, reagents, methods or uses may, of course, vary. The terminology used herein is for the purpose of describing particular embodiments only, and the terminology used herein is not intended to limit the scope of the present invention, which will only be limited by the appended claims.
All references cited herein are hereby incorporated by reference in their entirety. Nothing herein is to be construed as an admission that the invention is not entitled to antedate such disclosure by virtue of prior invention. Throughout this description, the preferred embodiment and examples shown should be considered as exemplars, rather than as limitations on the present invention.
In one embodiment, the invention provides human liver cells and a method of producing such cells. A starting material for isolating the cells can be live biopsy samples free of any pathologies evident during pathological examination.
Cells were separated from only normal portions of the liver tissue. Outer surface of the liver tissue specimen was trimmed and washed (2 times) with high concentration antibiotic-PBS buffer. The specimen was perfused by hand with cold Hepes buffer. Then the specimen was cut into small pieces and incubated in collagenase buffer at 37° C. for 30 min. After collagenase digestion, the tissue was minced and passed through 70 um nylon cell strainer (Becton Dickinson Labware). The strainer was washed and liver cells were pooled with MEM+2% FBS medium. The cell suspension was centrifuged at 800 rpm for 3 min. The pellet was washed two times with warm Hepes buffer then was resuspended in complete culture medium. The cells were assessed for viability by trypan blue exclusion and counted. The cells were plated in complete culture medium at a density of 1.3×107 cell per 25 cm2 flask and placed in an incubator with 95% air, 5% CO2 at 37° C. The culture medium was changed daily. After 47 days the cells could be trypsin digested and subcultured to new flask. The medium was changed every other day after subculturing.
When culturing liver cells, the liver biopsy are preferably delivered to the laboratory in the shortest time. Isolation of hepatocytes from liver tissue can be done by any method known in the art but preferably, the primary cell was not cultured on collagen precoated plate. The primary culture media is preferably supplemented with EGF, a growth hormone. Once established, the cells are cultured with media devoid of growth hormones and antibiotics.
Using the methods and materials described herein, a hepatocyte cell line, designated HC-04, has been derived and cultured. The cell line has been deposited at ATCC under the Budapest Treaty on 8 Jun. 2001 and has been assigned accession number PTA-3441.
The hepatocyte cell line is characterized by the presence of hyperdiploid chromosomes (2n=48–50). Abnormal chromosomes including chromosome 1p deletion, chromosome 6 derivative, triplet of chromosome 7 and chromosome 15 derivative.
Other characteristics include hepatocellular functions such as activity of G6Pase, an enzyme that is characteristic of hepatocytes and found in very few other cell types; protein secretion such as albumin, alpha-fetoprotein and transferrin;
The invention utilizes cell culture media, growth factors, and methods for growing and maintaining cultures of hepatocytes. The cell culture media may include a growth medium that is effective to support the growth of the cells; a nutrient serum effective to support the growth of the cells; non-essential and essential amino acids, and a pyruvate salt. The growth medium can include any serum or serum-based solution that supplies nutrients effective to maintain the growth and viability of the cells. Examples of such serum include, without limitation, fetal bovine serum (FBS) and fetal calf serum (FCS). For example, the FBS may be provided in a concentration of between about 0.5% and about 25%. In particular, the FBS may be provided in a concentration of between about 1.0% and about 20%. In one embodiment, hepatocytes cells are grown in 2% FBS.
Once established, the hepatocytes can be cultured under the above-described conditioned medium using a variety of techniques.
Hepatocytes of the present invention support the development of exoerythrocytic stage of malaria-causing parasites, early liver stage, liver schizont, and liver merozoite. Sprorozoites from P. falciparum or P. vivax are added to the liver cells and after the cells are infected, human erythrocytes are added and cocultured with the liver cells. Complete development of the liver stage malaria parasite can be detected in the liver cells and early trophozoites are detected in co-cultured erythrocytes. Once the sporozoites invade the cells, they round up to form early liver stage parasites. The parasites then further develop to form liver schizonts and mature liver merozoite which rupture from the hepatocytes. When co-cultured with human red blood cells, the mature liver merozoites then invade red blood cells and develop to early blood stage parasite called trophozoites.
In another embodiment and use of the invention, hepatocytes are used to screen treatments which promote or inhibit parasite growth. High-throughput screens can be established to assess the effects of chemicals, growth factors, and drugs. A variety of components known to people conducting such test and depending on the compound to be tested can be measured to quantify the effects of the experimental treatment.
The cells are exposed to an agent or vaccine being screened prior to, along with, or after addition of sporozoite parasite stage to the cells. Several parameters can be assessed, i.e., the growth of the parasite, the effect of the parasite on the expression of certain genes in the liver cell, the development of the parasite into merozoites or other stage, the ability of the liver stage merozoites to infect red blood cells. Those substances confirmed to be inhibitory to parasite invasion or growth can also be tested in combination (e.g., combinations of two or three substances) to determine the presence of any synergistic properties among the factors.
In another embodiment, the invention provides a method for identifying a compound which modulates a parasite function in some way (e.g., modulates differentiation, parasite proliferation, production of factors or other proteins, gene expression). The method includes: a) incubating components comprising the compound and hepatocyte(s) under conditions sufficient to allow the components to interact; and b) determining the effect of the compound on the hepatocytes(s) or parasite before and after incubating in the presence of the compound. Compounds that affect parasite function include different soluble immunomodulators eg. Cytokines or interleukins, peptides, peptidomimetics, polypeptides, chemical compounds and biologic agents. Differentiation, gene expression, cell membrane permeability, proliferation and the like can be determined by methods commonly used in the art. The term “modulation” refers to inhibition, augmentation, or stimulation of a particular parasite function.
Different culturing conditions can be applied depending on the desired objective, for example, human red cells can be co-cultured and harvested every 24–48 hr to observe mature merozoite invasion into red blood cells, or different new drug candidates can be added at different time intervals for efficacy studies, or hyperimmune sera of volunteers for vaccine study can be added for vaccine study etc. Infected liver cells can be harvested by trypsin digestion and one or more parameters can then be investigated such as gene expression in parasites or host cells, protein or enzyme expression in parasites or host cells, antigen presentation on the parasite or host cell surface after infection, or parasite development by observation of cell and parasite morphology. To study the effect of any molecules/reagent on parasite invasion, the reagent can be added before or at the same time of sporozoite inoculation. To study the effect of molecules/reagent on the development of parasites the reagents can be added at the same time or after the parasite inoculation.
After inoculation of sporozoites, the medium can be replaced with fresh medium supplemented with different concentration of drugs. Parasite development can be observed, for example, within 3 days after incubation with drug. Parasite number can be determined and compared among different drugs and drug concentrations. Parasite number can be determined by Giemsa staining, quantitative PCR, monoclonal antibody staining which recognize liver stage parasites.
The cell line of the invention can also be used as a screening model to study the effects of drug or other molecules or compounds on human liver cells. The cells of the present invention can also be used to study the Metabolization of drugs. For example, drugs of interest can be added to HC04 culture or mixed with microsomes generated from HC04 cells. Metabolization of drugs can be monitored by detecting a reduction of parent compounds and/or by detecting the apperance of metabolites of said drugs.
In another embodiment of the invention, hepatocytes or their infected derivatives can be used for in vitro tests and biosensors. These can replace various animal models, and form novel human based tests.
Incubating includes conditions which allow contact between the test compound and the parasite or parasite infected cell. For example, it may be desirable to test an array of compounds or small molecules on a single or few hepatocytes or parasite-infected hepatocytes on a “chip” or other solid support.
The test compound may optionally be a combinatorial library for screening a plurality of compounds. Compounds identified in the method of the invention can be further evaluated, detected, cloned, sequenced, and the like, either in solution or after binding to a solid support, by any method usually applied to the detection of a specific DNA sequence such as PCR, oligomer restriction (Saiki et al., Bio/Technology, 3:1008–1012, 1985), allele-specific oligonucleotide (ASO) probe analysis (Conner et al., Proc. Natl. Acad. Sci. USA, 80:278, 1983), oligonucleotide ligation assays (OLAs) (Landegren et al., Science, 241:1077, 1988), and the like. Molecular techniques for DNA analysis have been reviewed (Landegren et al., Science, 242:229–237, 1988).
In another aspect, cells cultured or modified using the materials and methods provided by the present invention are mounted to support surfaces to screen for bioactive substances. In one example, the cells are coupled with a substrate such that electrophysiological changes in the cells or the parasite in response to external stimuli can be measured, e.g., for use as a high-throughput screen for bioactive substances. The cells can be transfected with DNA that targets, expresses, or knocks-out specific genes or gene products in the cell. By providing such chip-mounted cells coupled with measuring devices, such as a computer, many compounds can be screened rapidly and accurately. The biosensor could also be coupled to the measuring device in arrays for large-scale parallel screening.
In another use of the invention, hepatocytes or their infected derivatives can be used as in vitro models for malaria. The effect(s) of manipulation, for example, the parasite genome can be altered and then tested for higher sensitivity to a chemical, or inability to infect a cell. These cells will be especially useful for the study of malaria, where large-scale or serial manipulations are required such as sequential administration of different therapeutic or prophylactic drugs or compounds.
In one aspect, the methods and culture media of the present invention are used to produce hepatocytes having multiple genetic modifications. Multiple genetic alteration of cells is desirable for many reasons, such as providing modified cells for gene therapy and replacement tissues for grafting or implantation (e.g., to avoid host rejection of the cells). This application can be used to model or treat contiguous gene disorders, aneuploidy or other large-scale chromosomal phenomenon.
In another embodiment and use of the invention, multiple changes are made to the cell genome using the above mentioned techniques. Serial transgenic events using different drug selection genes in each construct, followed by appropriate drug selection of the cells, can be used to accomplish this.
Genetic constructs are introduced into cells by electroporation, calcium phosphate, microinjection, lipofection, retroviral or other viral or microbial vector or other means. By design, the constructs are not integrated into the genome or stably propagated as an episome. These constructs have a transient effect on cells. Alternatively, the constructs are allowed to incorporate stably into the genome.
For example, hepatocytes are grown using the culture media and methods described herein. A first gene in at least one of the cells of the cell culture is modified and from the resulting culture a first clone population of modified cells is derived. The first clone population is grown in the culture media of the invention and a second gene in at least one cell of the first clone population is modified to produce a second clone population having modified the first and second genes.
The methods used to perform the genetic modifications to the cells can be any of those known in the molecular biological arts for making genetic alternations. Such methods include, but are not limited to, the use of positive-negative selector vectors, yeast artificial chromosomes (YACs), and others known to persons in the art.
In another use of the invention, hepatocytes or their derivatives are used to repair or supplement damaged tissues or organs. Removal of cell-surface molecules responsible for transplantation rejection in order to generate universal donor cells. Deletion of the Class II MHC genes (Cosgrove et al., Cell, 66:1051–1066, 1991) improves the outcome of transplantation. As an alternative to a universal donor approach to histocompatibility, genetic manipulation could be used to generate “custom” MHC profiles to match individual need. The present invention encompasses all such modifications that reduce or eliminate organ graft rejection when employing cells, cell lines (or any parts or derivatives thereof) derived from the hepatocytes of the present invention. These molecules, termed HLA antigens in humans, comprise MHC class I and II membrane glycoproteins. For non-hematopoietic cells and tissues, elimination or reduction of MHC class I molecules is accomplished by targeted knockout of the human β2-microglobulin gene, as has been accomplished with mouse ES cells (Zijlstra et al, Nature 342:435–438, 1989). Non-hematopoietic cells do not normally produce MHC class II molecules. For hematopoietic cells, the presence of MEC class II glycoproteins may be reduced or eliminated by targeted knockout of the HLA-DP, -DQ, and -DR loci, which are analogous to knockouts of the E and A loci in mouse ES cells (Cosgrove et al, Cell 66:1051–1066, 1991).
In another use of the invention hepatocytes or their derivatives can be used for transplantation to non-human animals. If desired, such cells may be genetically modified for purposes of gene therapy.
In another use of the invention, hepatocytes or their derivatives can be used as a source of genetic material such as nuclei, genomic DNA, chromosomes, genes, RNA, and cDNAs. These materials can be used to construct libraries and screening arrays used to discover markers of liver cells.
In another use of the invention, hepatocytes or their derivatives can be used as a source of cells to develop antibodies useful in the study of human liver or malaria infected hepatocytes. Intact wild type, genetically altered, physically or biochemically altered, or parasite infected cells or their membrane extracts can be used as immuogen for the formation of mono- or polyclonal antibodies to cell surface molecules.
Another use of hepatocytes is in the biosynthetic production of macromolecules. Non-limiting examples of products that could be produced are proteins, hormones, growth factors, cytokines, enzymes, receptors, binding proteins, signal transduction molecules, cell surface antigens, and structural molecules. Biosynthetic products can be secreted into the growth media or produced intracellularly or contained within the cell membrane, and harvested after cell disruption. Genetic modification of the gene coding for the macromolecule to be biosynthetically produced can be used to alter its characteristics in order to supplement or enhance functionality. In this way, novel enhanced-property macromolecules can be created.
Additionally, the hepatocytes or cell lines of the invention are a source of RNA for the construction of hepatocyte cDNA libraries. Gene expression during infection with the parasite has traditionally been difficult to study due to the scarcity of pertinent nucleic acid, molecules, cells and tissues. Using the techniques of the present invention, one of ordinary skill in the art can overcome these difficulties by generating specific nucleic acid, molecules, cells, tissues and genetic material.
Pharmaceuticals, diagnostics, or antibodies, used in manufacturing or processing, are also produced using cells of the present invention. Exogenous foreign or homologous DNA is transferred to hepatocytes by electroporation, calcium phosphate, microinjection, lipofection, retro- or other viral or microbial vector or other means. The hepatocytes are screened for incorporation of this DNA, or are used in nuclear transfer systems. These proteins or other molecules are harvested from resulting cell cultures for further purification. For example, human blood clotting factors VIII and IX may be produced for treatment of hemophilia.
Non-limiting examples of the following pharmaceutical, therapeutic, processing, manufacturing or compositional proteins that may be produced in this manner include: blood proteins (clotting factors VIII and IX, complement factors or components, hemoglobins or other blood proteins and the like); hormones (insulin, growth hormone, thyroid hormone, gonadotrophins, PMSG, trophic hormones, prolactin, oxytocin, dopamine, catecholamines and the like); growth factors (EGF, PDGF, NGF, IGF and the like); cytokines (interleukins, CSF, GMCSF, TNF, TGF.alpha., TGF.beta., and the like); enzymes (tissue plasminogen activator, streptokinase, cholesterol biosynthetic or degradative, digestive, steroidogenic, kinases, phosphodiesterases, methylases, demethylases, dehydrogenases, cellulases, proteases, lipases, phospholipases, aromatase, cytochromes adenylate or guanylate cyclases and the like); hormone or other receptors (LDL, HDL, steroid, protein, peptide, lipid or prostaglandin and the like); binding proteins (steroid binding proteins, growth hormone or growth factor binding proteins and the like); immune system proteins (antibodies, SLA or MHC gene products); antigens (bacterial, parasitic, viral, allergens, and the like); translation or transcription factors, oncoproteins or proto-oncoproteins.
The nucleotide sequence of the transgene may encode a precursor form of the protein ultimately harvested from the transgenic or transformed cells or cell cultures of the present invention. Preferably, expression of the transgene is inducible. Alternatively, cells may be screened by techniques well known to those of ordinary skill in the art to determine the expression of the transgene by using it as a probe for testing mRNA from cell lines.
Production of differentiated cells for replacement, repair or augmentation of damaged, nonfunctional, or impaired cells or tissues are another use provided by the present invention. Exogenous foreign or homologous DNA may be transferred to hepatocytes by electroporation, calcium phosphate, microinjection, lipofection, retro- or other viral or microbial vector or other means. The cells are screened for incorporation for this DNA or used in nuclear transfer systems. These cells and/or tissues are harvested from cell cultures, or resulting cell lines for use in repairing or augmenting a defect. For example, cells, cell products, tissues or the products of cell cultures may be used in treating subjects having liver disease.
The following examples are intended to illustrate but not limit the invention.
EXAMPLE 1
Establishment of Human Hepatocyte Line (HC-04)
Source of liver cells: liver biopsy sample was provided by the Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. The Department of Surgery at Ramathibodi Hospital routinely collects a liver biopsy sample and removes a portion of the liver when a patient has liver disease. The liver tissue was normally sent to the laboratory for pathological examination of the tissue. Excess liver tissue that was not used in the pathological examination was donated to AFRMS.
The method of liver cell preparation and culture was modified from Roberts et al, 1994, Hepatology 19, 1390–1399 and Kono et al., 1995, Experimental Cell Research 221, 478–485. Screening for development of exoerythrocytic stage of human malaria was modified from Karnasuta et al., 1995, Am. J. Trop. Med. Hyg. 53, 607–11.
Liver tissue was aseptically kept at 4° C. in transporting medium (30 ml 1×RPMI 1640, 25 mg gentamycin, 10,000 Unit penicillin, 10 mg streptomycin, 25 ug amphotericinB) before being delivered to AFRIMS. All media and buffers used for processing of liver cells were warm at 37° C. except perfusion and washing buffer were kept cold. After receiving the tissue all processes were done in biological safety hood. HC-04 was processed from the fourth liver tissue received from the hospital. Cells were separated from only normal portion of liver tissue. Outer surface of the liver tissue specimen was trimmed and washed (2 times) with high concentration antibiotic-PBS buffer. The specimen was perfused by hand with cold Hepes buffer (2.38 g Hepes, 8 g NaCl, 0.2 g KCl, 0.1 g NaHPO4, 1.8 g glucose, 0.2 g EGTA, 1,000 ml DW). Then the specimen was cut into small pieces and incubated in collagenase buffer (0.05 g Collagenase type IV, 0.07 g CaCl2, 100 ml Hepes buffer) at 37° C. for 30 min. After collagenase digestion, the tissue was minced and passed through 70 um nylon cell strainer (Becton Dickinson Labware). The strainer was washed and liver cells were pooled with MEM+2% FBS medium. The cell suspension was centrifuged at 800 rpm (Sorvall, model RT 6000B) for 3 min. The pellet was washed two times with warm Hepes buffer then was resuspended in complete culture medium (45 ml 1×MEM, 45 ml 1×F12, 100 ug insulin, 0.36 mg hydrocortisone, 0.5 mg linoleic acid, 12 mg nicotinamide, 0.36 mg thyrotropin releasing factor (TRF), 1 ug L-EGF, 3.48 mg glucagon, 0.129 mg selenous acid, 100 ul dimethylsulfoxide (DMSO), 10 ml FBS, 1 ml 20 mM L-Glu, 1 ml 100× MEM essential amino acid, 1 ml 100×pyruvic acid). The cells were assessed for viability by trypan blue exclusion and counted. The cells were plated in complete culture medium at a density of 1.3×107 cell per 25 cm2 flask and placedin an incubator with 95% air 5% CO2 at 37° C. The culture medium was changed daily. After 47 days the cells could be trypsin digested (12 ml 2.5% trypsin in H2O, 10 ml 10× trypsin diluent, 5 ml 20×EDTA, 90 ml H2O; 10× trypsin diluent=1 g KCl, 0.15 g KHPO4, 0.96 g NaHCO3, 0.15 g NaHPO4, 2 g NaCl, 2.5 g Dextrose, 250 ml H2O) and subcultured to new flask. The medium was changed every other day after subculturing. HC-04 cells have continued to proliferate within this laboratory for more than 2 years. The cells have been trypsin digested and passed to grow in new containers for more than 100 passages. HC-04 cells are able to proliferate after being frozen and thawed.
EXAMPLE 2
Development of Exoerythrocytic Stage Malaria
The liver cells (HC-04) were plated into 96-well tissue culture plates and maintained in complete culture medium supplemented with antibiotics and fetal bovine serum until confluent at 37° C. in an incubator with 95% air 5% CO2. Anopheles dirus (Bangkok colony) mosquitoes were infected by membrane feeding using cultured P. falciparum gametocytes from a Thai isolate or Plasmodium vivax infected blood from patients. Malaria parasites (sporozoites) were harvested from salivary gland of malaria infected mosquitoes. Sporozoites were harvested three weeks post-feeding using semi-sterile techniques. Sporozoites were prepared in culture medium supplement with antibiotics. The sporozoites were added to the liver cells previously cultured for 24–48 hours. Malaria sporozoites are added to confluent cells at 1:1 ratio. Medium was changed 4 hr after sporozoite inoculation and every 48 hr. Development of liver-stage parasite was examined on days 4, 7, 10, 14, 21, and 28 after sporozoite inoculation. The liver cells were harvested and spread on surface of glass slides using cytospin centrifugation. To determine whether the development of liver stage parasites could be completed in HC-04 cells, human erythrocytes were added and co-cultured with the cells. The human erythrocytes were harvested and smear on slides on days 4, 7, 10, 14, 21, and 28 after sporozoite inoculation. The liver cell and human erythrocyte slides were stained with Giemsa. Some of the liver cell slides were selected and parasite development was confirmed by immunofluorescent staining with serum from malaria patients and anti-circumsporozoite protein monoclonal antibodies. Complete development of P. falciparum and P. vivax liver stages were observed in HC-04 cells. Early trophozoites of P. falciparum and P. vivax were observed in human erythrocytes co-cultured with liver cells. Photographs of parasite development in liver cells and in human erythrocytes are presented in FIGS. 3–7.
EXAMPLE 3
Characterization of Hepatocyte Cell Line
Human chromosomes from different passages of HC-04 cells were studied. The major characters from cells prepared from different passages were similar. These cells are all in the hyperdiploid range (2n=48–50) (See FIG. 2). Abnormal chromosomes including chromosome 1p deletion, chromosome 6 derivative, triplet of chromosome 7 and chromosome 15 derivative.
Hepatocellular functions such as G6Pase activity, protein secretion such as albumin, alpha-fetoprotein and transferrin, and function of cytochromes P450 2A1 (Roberts et al., 1994, supra) were identified in this cell line. None of the receptors of hepatitis B, hepatitis A and hepatitis E virus were found on the cell surface. MHC class I, MHC class II, and IFN-gamma receptor were presented on HC-04 cell surface.
Additional characterization of the cell line, e.g. additional cytochrome P450 profile and drug metabolizing capability of the cells, is in progress.

## Claims

1. A continually proliferating cell line established from isolated normal human liver tissue wherein the cell line is not established on a precoated growth surface.

2. The cell line of claim 1 having the ability to support growth of a liver stage malaria parasite.

3. The cell line of claim 2 wherein said malaria parasite is chosen from the group P. falciparum and P. vivax.

4. A continually proliferating cell line established from isolated normal human liver tissue, wherein said cell line is HC-04 having ATCC accession number PTA-3441.

5. A method for developing liver stage malaria parasites in vitro, said method comprising infecting the cell line of claim 1 with sporozoites of said parasites.

6. A method for developing liver stage malaria parasites in vitro, said method comprising infecting the cell line of claim 1 with sporozoites of said parasites; and incubating the infected cell line in the presence of erythrocytes.

7. The method of claim 5 wherein said cell line is HC-04.

8. The method of claim 6 wherein said cell line is HC-04.

9. The method of claim 6 wherein said parasite is chosen from the group consisting of P. falciparum and P. vivax.

10. The method of claim 5 wherein said parasite is chosen from the group consisting of P. falciparum and P. vivax.

11. The method of claim 7 wherein said parasite is chosen from the group consisting of P. falciparum and P. vivax.

12. The method of claim 8 wherein said parasite is chosen from the group consisting of P. falciparum and P. vivax.