1. A small animal model of chronic hepatitis E infection using immunocompromised rats
- Author
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Siddharth Sridhar, Shusheng Wu, Jianwen Situ, Estie Hon-Kiu Shun, Zhiyu Li, Anna Jin-Xia Zhang, Kyle Hui, Carol Ho-Yan Fong, Vincent Kwok-Man Poon, Nicholas Foo-Siong Chew, Cyril Chik-Yan Yip, Wan-Mui Chan, Jian-Piao Cai, and Kwok-Yung Yuen
- Subjects
HEV ,Rat hepatitis E ,HEV-C1 ,Ribavirin ,Immunosuppression ,Orthohepevirus C ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Background & Aims: HEV variants such as swine genotypes within Paslahepevirus species balayani (HEV-A) and rat HEV (Rocahepevirus ratti; HEV-C1) cause chronic hepatitis E in immunocompromised individuals. There are few reliable and accessible small animal models that accurately reflect chronic HEV infection. We aimed to develop an immunocompromised rat model of chronic hepatitis E infection. Methods: In this animal model infection study, rats were immunosuppressed with a drug combination (prednisolone, tacrolimus, and mycophenolate mofetil) commonly taken by transplant recipients. Rats were challenged with human- and rat-derived HEV-C1 strains or a human-derived HEV-A strain. Viral load, liver function, liver histology, humoural, and cellular immune responses were monitored. Results: A high-dose (HD) immunosuppressive regimen consistently prolonged human- and rat-derived HEV-C1 infection in rats (up to 12 weeks post infection) compared with transient infections in low-dose (LD) immunosuppressant-treated and immunocompetent (IC) rats. Mean HEV-C1 viral loads in stool, serum, and liver tissue were higher in HD regimen-treated rats than in LD or IC rats (p
- Published
- 2022
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