SPP2311

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SimLivA II – SIMulation supported LIVer Assessment for donor organs II - Continuum-biomechanical modeling for staging of ischemia-reperfusion injury during liver transplantation and machine perfusion

PIs: Uta Dahmen, Matthias König, Tim Ricken, Hans-Michael Tautenhahn

Circulatory systems in the liver. The liver is perfused by oxygenated blood from the hepatic artery and by nutrient-rich blood from the
portal vein. In the liver lobules, blood flows from the terminal branches of these vessels to the central vein, which is located in the center of
the hexagonal structure. Bile is produced in the liver and drained from the liver in a separate biliary system. Drainage occurs in the opposite
direction to blood flow and is driven by diffusion due to concentration differences. Image created with BioRender.com.

Aim:

SimLivA aims to model the impact of mechanical alterations due to steatosis and ischemia on early ischemia reperfusion injury during liver transplantation and machine perfusion. Experimental and clinical data is used to validate the multiphase and multiscale PDE-ODE model of the liver lobule.

Flow chart of key steps of liver transplantation i) Organ procurement. Donor condition (e.g. obesity) affects graft quality (e.g. hepatic steatosis). ii)
Organ transport. Graft is stored in a cold preservation solution for the transport (cold ischemia time), leading to energy depletion and ischemic
damage of unknown severity. iii) Organ transplantation. Reconnecting graft and recipient blood vessels initiates reperfusion and reoxygenation
of the transplanted graft, resulting in ischemia reperfusion injury (IRI). iv) Outcome. Within 48h after transplantation, severity of IRI (damage and function
of the graft) can be assessed (delayed graft function/primary non-function), indicative of graft and patient survival. The three time-critical
decision points to accept or reject a liver graft are (1) before procurement; (2) after procurement and (3) immediately before transplantation.

Description:

Background and Motivation:
Liver transplantation (LTx) is a life-saving treatment for end-stage liver disease, but a critical shortage of donor organs remains a persistent challenge. The growing number of marginal donors—often older, multimorbid individuals—and the simultaneous increase in multimorbid recipients complicate clinical decision-making. Marginal liver grafts, typically affected by hepatic steatosis, exhibit impaired perfusion, metabolism, and function, increasing the risk of post-transplant complications.
Ischemia-reperfusion injury (IRI) during transplantation significantly impacts graft and patient outcomes. Machine perfusion has emerged as a promising strategy to mitigate these effects, extending preservation times and enabling ex vivo repair. However, there remains considerable uncertainty about the optimal perfusion method—normothermic or hypothermic oxygenated perfusion – and how to tailor these approaches to specific clinical scenarios.

Objective:
Building on the success of SimLivA I, which developed a coupled continuum-biomechanical model for IRI on liver lobule and cell scale, SimLivA II aims to refine this model to better predict IRI and support decision-making in LTx. Specifically, the project will extend the existing model to simulate different machine perfusion strategies and incorporate bile production as an indicator of liver function. SimLivA II seeks to develop a robust simulation-supported scoring system for organ allocation, enabling clinicians to optimize outcomes for marginal grafts.

Methods:
The project employs an iterative co-design approach to integrate modeling, experimental, and clinical perspectives. The project begins by developing finite element meshes based on experimental and clinical samples, enabling detailed simulations of liver tissue. Lobular geometries will be extracted, and zonated quantifications of proteins, damage, and steatosis will be incorporated to create simulation-ready geometries.
To capture the complexity of liver graft perfusion, the existing model will be extended to couple ordinary and partial differential equations across organ, lobule, and cellular scales. Temperature-dependent tissue properties, including deformation, permeability, and solute diffusivity, will also be incorporated to refine the simulation’s realism under varying machine perfusion conditions. A key extension involves adding bile transport and metabolism as a second diffusive pathway, complementing the blood transport mechanism and providing a more comprehensive representation of liver function under stress.
To support clinical decision-making, a surrogate modeling framework will be developed, leveraging a physics-informed, data-driven operator learning approach. This framework will enable near real-time predictions based on the complex multi-scale model. Experimental and clinical validation will be conducted using ex vivo liver perfusion and archived clinical samples, ensuring the model’s accuracy and applicability. The experimental findings will also guide parameterization, focusing on the effects of donor pathology, cold storage, and machine perfusion conditions.
The project culminates in the development of a simulation-supported scoring system that translates model outputs into actionable clinical insights. This scoring system will synthesize existing scoring methodologies with new data derived from the model, enhancing decision-making for marginal liver graft allocation and optimizing patient outcomes.

Impact:
SimLivA II will advance predictive modeling for LTx by mapping machine perfusion strategies into a multi-scale, continuum-biomechanical simulation framework. The project aims to provide clinicians with a robust decision-support tool to optimize the use of marginal grafts, ultimately improving patient outcomes and addressing the organ shortage crisis.

Involved Institutions:

Experimental Transplantation Surgery, Department of General, Vascular and Visceral Surgery, Jena University Hospital;
Institute of Structural Mechanics and Dynamics in Aerospace Engineering (ISD), University of Stuttgart;
Institute for Theoretical Biology, Humboldt University Berlin;
Experimental Hepatobiliary Surgery, Department of Hepatobiliary Surgery and Visceral Transplantation, University of Leipzig Medical Center

Applicants:

Prof. Dr. med. Uta Dahmen

Prof. Dr. med. Uta Dahmen

Experimental Transplantation Surgery, Department of General, Vascular and Visceral Surgery, Jena University Hospital
Dr. rer. nat. Matthias König

Dr. rer. nat. Matthias König

Institute for Biology, Institute for Theoretical Biology, Humboldt University Berlin
Prof. Dr.-Ing. Tim Ricken

Prof. Dr.-Ing. Tim Ricken

Institute of Structural Mechanics and Dynamics in Aerospace Engineering, University of Stuttgart
PD Dr. med. Hans-Michael Tautenhahn

PD Dr. med. Hans-Michael Tautenhahn

Experimental Hepatobiliary Surgery, Department of Hepatobiliary Surgery and Visceral Transplantation, University of Leipzig Medical Center
Luis Mandl

Luis Mandl

Institute of Structural Mechanics and Dynamics in Aerospace Engineering, University of Stuttgart & Experimental Hepatobiliary Surgery, Department of Hepatobiliary Surgery and Visceral Transplantation, University of Leipzig Medical Center

Publications

2025

Eckel, Julian Connor; Seidemann, Lena; Albadry, Mohamed; Schicht, Gerda; Skvoznikova, Marija; Nickel, Sandra; Hänsel, René; Seehofer, Daniel; Hiller, Grit Gesine Ruth; Tautenhahn, Hans-Michael; Dahmen, Uta; Damm, Georg

Application of rapid evaporative ionization mass spectrometry in preclinical and clinical analyses of steatotic liver tissues and cells Artikel

In: Sci Rep, Bd. 15, Nr. 1, 2025, ISSN: 2045-2322.

Abstract | Links | BibTeX

Wrigge, Rasmus; Sucher, Robert; Haak, Fabian; Meyer, Hans-Jonas; Unruh, Julia; Hau, Hans-Michael; Mehdorn, Matthias; Tautenhahn, Hans-Michael; Seehofer, Daniel; Scheuermann, Uwe

Hyperspectral imaging in living and deceased donor kidney transplantation Artikel

In: BMC Med Imaging, Bd. 25, Nr. 1, 2025, ISSN: 1471-2342.

Abstract | Links | BibTeX

Eissazadeh, Samira; Fikrova, Petra; Rathouska, Jana Urbankova; Nemeckova, Ivana; Tripska, Katarina; Vasinova, Martina; Havelek, Radim; Mohammadi, SeyedehNiloufar; Sa, Ivone Cristina Igreja; Theuer, Charles; König, Matthias; Micuda, Stanislav; Nachtigal, Petr

Anti-Endoglin monoclonal antibody prevents the progression of liver sinusoidal endothelial inflammation and fibrosis in MASH Artikel

In: Life Sciences, Bd. 364, 2025, ISSN: 0024-3205.

Links | BibTeX

Xu, Fengming; Albadry, Mohamed; Döding, Annika; Chen, Xinpei; Dirsch, Olaf; Schulze-Späte, Ulrike; Dahmen, Uta

The effects of saturated and unsaturated fatty acids on MASLD: a Mendelian randomization analysis and in vivo experiment Artikel

In: Eur J Nutr, Bd. 64, Nr. 1, 2025, ISSN: 1436-6215.

Abstract | Links | BibTeX

Mandl, Luis; Goswami, Somdatta; Lambers, Lena; Ricken, Tim

Separable physics-informed DeepONet: Breaking the curse of dimensionality in physics-informed machine learning Artikel

In: Computer Methods in Applied Mechanics and Engineering, Bd. 434, 2025, ISSN: 0045-7825.

Links | BibTeX

Arasteh-Khoshbin, O.; Seyedpour, S. M.; Mandl, L.; Lambers, L.; Ricken, T.

Comparing durability and compressive strength predictions of hyperoptimized random forests and artificial neural networks on a small dataset of concrete containing nano SiO2 and RHA Artikel

In: European Journal of Environmental and Civil Engineering, Bd. 29, Nr. 2, S. 331–350, 2025, ISSN: 2116-7214.

Links | BibTeX

2024

Brodbeck, Maximilian; Egli, Franziska S.; Suditsch, Marlon; Seyedpour, Seyed Morteza; Ricken, Tim

On the influence of non-linearity within two-phase poro-elasticity: Numerical examples and counterexamples Artikel

In: Examples and Counterexamples, Bd. 6, 2024, ISSN: 2666-657X.

Links | BibTeX

Reisch, Cordula; Nickel, Sandra; Tautenhahn, Hans-Michael

Building up a model family for inflammations Artikel

In: J. Math. Biol., Bd. 89, Nr. 3, 2024, ISSN: 1432-1416.

Abstract | Links | BibTeX

Azhdari, Mohammad; Rezazadeh, Ghader; Lambers, Lena; Ricken, Tim; Tautenhahn, Hans-Michael; Tautenhahn, Franziska; Seyedpour, Seyed Morteza

Refining thermal therapy: Temperature distribution modeling with distinct absorption in multi-layered skin tissue during infrared laser exposure Artikel

In: International Communications in Heat and Mass Transfer, Bd. 157, 2024, ISSN: 0735-1933.

Links | BibTeX

Pathak, Raghav; Seyedpour, Seyed Morteza; Kutschan, Bernd; Thom, Andrea; Thoms, Silke; Ricken, Tim

Modeling freezing and BioGeoChemical processes in Antarctic sea ice Artikel

In: Proc Appl Math and Mech, Bd. 24, Nr. 2, 2024, ISSN: 1617-7061.

Abstract | Links | BibTeX

Albadry, Mohamed; Küttner, Jonas; Grzegorzewski, Jan; Dirsch, Olaf; Kindler, Eva; Klopfleisch, Robert; Liska, Vaclav; Moulisova, Vladimira; Nickel, Sandra; Palek, Richard; Rosendorf, Jachym; Saalfeld, Sylvia; Settmacher, Utz; Tautenhahn, Hans-Michael; König, Matthias; Dahmen, Uta

Cross-species variability in lobular geometry and cytochrome P450 hepatic zonation: insights into CYP1A2, CYP2D6, CYP2E1 and CYP3A4 Artikel

In: Front. Pharmacol., Bd. 15, 2024, ISSN: 1663-9812.

Abstract | Links | BibTeX

Höpfl, Sebastian; Albadry, Mohamed; Dahmen, Uta; Herrmann, Karl-Heinz; Kindler, Eva Marie; König, Matthias; Reichenbach, Jürgen Rainer; Tautenhahn, Hans-Michael; Wei, Weiwei; Zhao, Wan-Ting; Radde, Nicole Erika

Bayesian modelling of time series data (BayModTS)—a FAIR workflow to process sparse and highly variable data Artikel

In: Bd. 40, Nr. 5, 2024, ISSN: 1367-4811.

Abstract | Links | BibTeX

Gerhäusser, Steffen; Lambers, Lena; Mandl, Luis; Franquinet, Julian; Ricken, Tim; König, Matthias

Simulation of zonation-function relationships in the liver using coupled multiscale models: Application to drug-induced liver injury Artikel

In: [PrePrint], bioRxiv, 2024.

Abstract | Links | BibTeX

Lambers, Lena; Waschinsky, Navina; Schleicher, Jana; König, Matthias; Tautenhahn, Hans-Michael; Albadry, Mohamed; Dahmen, Uta; Ricken, Tim

Quantifying Fat Zonation in Liver Lobules: An Integrated Multiscale In-silico Model Combining Disturbed Microperfusion and Fat Metabolism via a Continuum-Biomechanical Bi-scale, Tri-phasic Approach Artikel

In: Biomechanics and Modeling in Mechanobiology, 2024.

Abstract | Links | BibTeX

König, Matthias

Python utilities for porous media analysis and visualization Online

Zenodo, (Hrsg.): 2024.

Abstract | Links | BibTeX

Tautenhahn, Hans-Michael; Ricken, Tim; Dahmen, Uta; Mandl, Luis; Bütow, Laura; Gerhäusser, Steffen; Lambers, Lena; Chen, Xinpei; Lehmann, Elina; Dirsch, Olaf; König, Matthias

SimLivA–Modeling ischemia-reperfusion injury in the liver: A first step towards a clinical decision support tool Artikel

In: GAMM-Mitteilungen e202370003, 2024.

Abstract | Links | BibTeX

Höpfl, Sebastian; Tautenhahn, Hans-Michael; Wagner, Vincent; Radde, Nicole Erika

Marginal Percentile Intervals in Bayesian Inference are Overconfident Artikel

In: IFAC-PapersOnLine, Bd. 58, Nr. 23, S. 19–24, 2024, ISSN: 2405-8963.

Links | BibTeX

2023

Albadry, Mohamed; Kuettner, Jonas; Grzegorzewski, Jan; Dirsch, Olaf; Kindler, Eva; Klopfleisch, Robert; Liska, Vaclav; Moulisova, Vladimira; Nickel, Sandra; Palek, Richard; Rosendorf, Jachym; Saalfeld, Sylvia; Settmacher, Utz; Tautenhahn, Hans-Michael; König, Matthias; Dahmen, Uta

Cross-Species Variability in Lobular Geometry and Cytochrome P450 Hepatic Zonation: Insights into CYP1A2, CYP2E1, CYP2D6 and CYP3A4 Artikel

In: [PrePrint], bioRxiv, 2023.

Abstract | Links | BibTeX

Azhdari, Mohammad; Seyedpour, Seyed Morteza; Lambers, Lena; Tautenhahn, Hans-Michael; Tautenhahn, Franziska; Ricken, Tim; Rezazadeh, Ghader

Non-local three phase lag bio thermal modeling of skin tissue and experimental evaluation Artikel

In: Heat and Mass Transfer (149), 2023.

Abstract | Links | BibTeX

Mandl, Luis; Mielke, André; Seyedpour, Seyed Morteza; Ricken, Tim

Affine transformations accelerate the training of physics-informed neural networks of a one-dimensional consolidation problem Artikel

In: Nature Scientific Reports, 2023.

Abstract | Links | BibTeX

Maheshvare, M. Deepa; Raha, Soumyendu; König, Matthias; Pal, Debnath

A pathway model of glucose-stimulated insulin secretion in the pancreatic β-cell Artikel

In: Frontiers in Endocrinology, 2023.

Abstract | Links | BibTeX

König, Matthias

Hepatocyte model of ischemia reperfusion injury (IRI) Online

Zenodo, (Hrsg.): 2023, besucht am: 30.06.2023.

Abstract | Links | BibTeX

König, Matthias; Gleeson, Padraig; Golebiewski, Martin; Gorochowski, Thomas E.; Hucka, Michael; Keating, Sarah M.; Myers, Chris J.; Nickerson, David P.; Sommer, Björn; Waltemath, Dagmar; Schreiber, Falk

Specifications of standards in systems and synthetic biology: status and developments in 2022 and the COMBINE meeting 2022 Artikel

In: Journal of Integrative Bioinformatics, 2023.

Abstract | Links | BibTeX

Rauchfuß, Falk; Tautenhahn, Hans-Michael; Dondorf, Felix; Ali-Deeb, Aladdin; Settmacher, Utz

Critical Evaluation of Discarded Donor Livers in the Eurotransplant Region: Potential Implications for Machine Perfusion Artikel

In: Annals of Transplantation, 2023.

Abstract | Links | BibTeX

Tautenhahn, Hans-Michael; Kindler, Eva Marie; Volmer, Katharina; Zipprich, Alexander; Settmacher, Utz

Lebertransplantation bei alten Patient:innen Buchkapitel

In: Bd. Die Chirurgie, S. 28-35, Springer Berlin, Heidelberg, 94, 2023.

Abstract | Links | BibTeX

2022

Albadry, Mohamed; Höpfl, Sebastian; Ehteshamzad, Nadia; König, Matthias; Böttcher, Michael; Neumann, Jasna; Lupp, Amelie; Dirsch, Olaf; Radde, Nicole; Christ, Bruno; Christ, Madlen; Schwen, Lars Ole; Laue, Hendrik; Klopfleisch, Robert; Dahmen, Uta

Periportal steatosis in mice affects distinct parameters of pericentral drug metabolism Artikel

In: Nature Scientific Reports, 2022.

Abstract | Links | BibTeX

Welsh, Ciaran; Xu, Jin; Smith, Lucian; König, Matthias; Choi, Kiri; Sauro, Herbert M

libRoadRunner 2.0: a high performance SBML simulation and analysis library Artikel

In: Bioinformatics, Bd. 39, Ausg. 1, 2022.

Abstract | Links | BibTeX

Grzegorzewski, Jan; Brandhorst, Janosch; König, Matthias

Physiologically based pharmacokinetic (PBPK) modeling of the role of CYP2D6 polymorphism for metabolic phenotyping with dextromethorphan Artikel

In: Frontiers in Pharmacology, 2022.

Abstract | Links | BibTeX

Bertrand, Fleurianne; Brodbeck, Maximilian; Ricken, Tim

On robust discretization methods for poroelastic problems: Numerical examples and counter-examples Artikel

In: Examples and Counterexamples (2), 2022.

Abstract | Links | BibTeX

Ricken, Tim; Schröder, Jörg; Bluhm, Joachim; Bartel, Florian

Theoretical formulation and computational aspects of a two-scale homogenization scheme combining the TPM and FE² method for poro-elastic fuid-saturated porous media Artikel

In: International Journal of Solids and Structures, 2022, 2022.

Abstract | Links | BibTeX

2021

Christ, Uta Dahmen Maximilian Collatz Bruno; König, Matthias; Lambers, Lena; Marz, Manja; Meyer, Daria; Radde, Nicole; Reichenbach, Jürgen R.; Ricken, Tim; Tautenhahn, Hans-Michael

Hepatectomy-induced alterations in hepatic perfusion and function – Towards multi-scale modeling for a better risk assessment in liver surgery Artikel

In: Frontiers in Physiology (12), 2021.

Abstract | Links | BibTeX

Seyedpour, Seyed M.; Nabati, Mehdi; Lambers, Lena; Nafisi, Sara; Tautenhahn, Hans-Michael; Sack, Ingolf; Reichenbach, Jürgen R.; Ricken, Tim

Application of Magnetic Resonance Imaging in Liver Biomechanics: A Systematic Review Artikel

In: Frontiers in Physiology (12), 2021.

Abstract | Links | BibTeX