Basic anatomical and physiological differences between species should be considered when choosing combinations for use in models of hepatic xenotransplantation: an investigation of the guinea pig-to-rat combination.
Published data on the guinea pig-to-rat hepatic xenotransplant model describe problems concerning poor graft reperfusion. To further investigate this phenomenon, orthotopic liver xenotransplantation between weight-matched guinea pigs and rats were performed using Kamada's technique. On reperfusion, all cases had portal venous inflow block with hypoperfusion of the hepatic parenchyma. Histological examination showed no evidence of hyperacute rejection, although deposits of IgG2a and C3 but not IgM were identified within the central area of the liver. To increase blood inflow, arterialized partial liver grafts were performed without changing the outcome. We hypothesize that the hypoperfusion may be related to anatomical and physiological differences between the species. Guinea pig portal vein branches were found to have muscular walls susceptible to spasm, and portal blood flow is four times greater in the guinea pig than in the rat because the guinea pig intestine is both longer (two times as long) and of greater diameter. The combination of reperfusion injury, early immunological events, and the rat's lower portal blood flow induces spasm of the intrahepatic portal system resulting in hypoperfusion. These findings demonstrate the importance of recognizing basic anatomical and physiological differences between species when selecting xenotransplantation models.
Liver Transplant Surgical Service, Institute of Liver Studies, Kings College Hospital, London, England, UK.
L D
LD
Delriviere
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X
Havaux
P
P
Gibbs
P R
PR
Gianello
D000818:Animals; D006168:Guinea Pigs; D007511:Ischemia / Q000209:etiology; D008102:Liver Circulation / Q000502:physiology; D016031:Liver Transplantation; D008297:Male; D011169:Portal Vein / Q000503:physiopathology; D011183:Postoperative Complications; D051381:Rats; D011919:Rats, Inbred Strains; D012039:Regional Blood Flow / Q000502:physiology; D015424:Reperfusion; D013045:Species Specificity; D014183:Transplantation, Heterologous