Method for treating blood or plasma using hepatocyte spheroids

A method for treating blood or plasma from a mammal, wherein said method comprises:

• (a) providing a bioreactor comprising a selectively permeable barrier separating a fluid treatment compartment and a cell compartment, wherein said fluid treatment compartment is configured to receive said blood or plasma from said mammal,
• (b) providing a cell reservoir comprising fluid and hepatocyte spheroids in said fluid,
• (c) providing a rocking device in contact with said cell reservoir to induce motion to said fluid, wherein said motion results in formation of said hepatocyte spheroids in said cell reservoir and helps maintain said hepatocyte spheroids, wherein said cell reservoir comprises 0.5×107 to 5×107 hepatocytes/mL of said fluid,
• (d) providing said fluid and said hepatocyte spheroids from said cell reservoir to said cell compartment, and
• (e) circulating said blood or plasma from said mammal through said fluid treatment compartment of said bioreactor to thereby treat said blood or plasma.