Successful transplantation of hepatocytes requires temporary elimination of scavenger and NK cells, partial hepatectomy and ligation of bile duct

Ann Transplant. 2004;9(4):40-2.

Abstract

Isolated syngeneic and allogeneic hepatocytes transplanted to spleen parenchyma are rapidly disintegrated. Host scavenger monocytes and macrophages are responsible for this reaction. We designed a method overcoming early disintegration of the intra-splenic grafted hepatocytes. It consisted of administration of anti-asialoGM I antiserum eliminating NK cells, sublethal whole body irradiation for depletion of scavenging cells and reconstitution with syngeneic bone marrow cells, ligation of host bile duct, intrasplenic hepatocyte transplantation and 3 consecutive partial hepatectomies. Six months after transplantation a glycogen-rich, trabeculae-forming, dividing hepatocytes, situated along strands of newly-formed fibrous tissue and numerous dilated blind bile canaliculae were observed. There was evidently more bile canaliculae in hosts with ligated bile duct than non-ligated controls. This is the first study showing fibrous tissue formed at the site of hepatocyte implantation and stellate cells are presumably responsible for this process.

MeSH terms

  • Animals
  • Bile Canaliculi / cytology
  • Bile Canaliculi / physiology*
  • Bile Ducts / surgery*
  • Glycogen / metabolism
  • Graft Survival
  • Hepatectomy*
  • Hepatocytes / transplantation*
  • Killer Cells, Natural / cytology*
  • Killer Cells, Natural / immunology
  • Ligation
  • Macrophages / cytology
  • Macrophages / immunology
  • Monocytes / cytology
  • Monocytes / immunology
  • Rats
  • Rats, Inbred Lew
  • Spleen / cytology
  • Spleen / physiology

Substances

  • Glycogen