BACKGROUND: The acute rejection model of rat liver transplantation is the basic for studying the immunologic tolerance of animals, and the accepted matching pattern was DA to Lewis rats, DA to BN rats, and BN to Lewis rats. The above mentioned matching methods are few in China due to insufficient rat species and immature operation technology.
OBJECTIVE: To establish rat (DA to Lewis) orthotopic liver transplantation model and to explore the skill and experience for establishing this model.
METHODS: A total of 60 rats were established orthotopic liver transplantation models using Kamada two-cuff technique. Male DA rats served as donors, and male Lewis rats were used as recipients. Therapeutic amount of tacrolimus was administrated to recipients during 1 day before operation and 1 week after operation, which was continuously half dose decreasing every day began from eighth day post-operation and stopped administration by thirteenth day post-operation. The operation time was recorded, and the survival status, success rate and survival time was observed. All rats were sacrificed at 7, 14, 21 and 28 days after operation. The gross and histopathologic changes of liver tissues were observed. And rejection activity index of liver tissues was scored.
RESULTS AND CONCLUSION: The cold ischemia time of donor liver was 30-60 minutes, the donor operation time, graft truing time, recipient operation time, and anhepatic period were (18.5±4.0) minutes, (7±3) minutes, (35.0±7.3) minutes, (13.0±3.0) minutes, respectively. The operation success rate and one week survival rate were 98% and 91.6%, respectively. Acute rejection occurred rapidly 2 weeks after liver transplantation due to tacrolimus discontinuation. Recipient’s dead time distributed from 14 to 28 days after the operation and mean survival time were (20.85±0.71)days, and the median survival time was 21 days respectively. Based on improvements in Kamada two-cuff technique and short-term tacrolimus application on perioperative period, DA to Lewis rat acute rejection orthotopic liver transplantation models were stably established.