“…In some cases, such as the FAH model, it appears that the donor-derived hepatocytes are generated almost entirely through the process of cell fusion, in which the transplanted HSC fuse with the host’s endogenous hepatocytes, generating cells that morphologically and phenotypically appear to be hepatocytes, yet contain the DNA from both the donor HSC and the host hepatocytes [292, 307, 314]. In other models, including the non-injury fetal sheep model, the hepatocytes appear to be generated almost exclusively through what seems to be true reprogramming/trans-differentiation of the transplanted cells into hepatocytes without exchange of any genetic or cellular elements between the host and the engrafted human cells [293, 297, 306, 308, 315, 316]. Another important caveat is that the phenotype and purity of the cell population transplanted also plays a role in whether hepatocytes are generated and, if so, whether donor-host cell fusion occurs [317–320].…”