Li Q, Ding M, Wang H
Department of Infectious Diseases, Third Military Medical University, Chongqing.
Zhonghua Yi Xue Za Zhi. 1995 Oct;75(10):611-3, 639-40.
A new animal model of HDV/HBV infection in adult tupaia (tree shrews) was established to study its pathogenesis and treatment of hepatitis D. In 20 artificially fed adult tupaiae, the positive rate of serum HBsAg was 75% (15/20) after inoculation of human HBV DNA positive serum. After inoculation with positive human serum HBV DNA and positive HDV RNA by way of coinfection and superinfection, serum HBsAg, HDAg and anti-HD were positive one after another in 8 out of 13 tupaiae of the coinfection group and in 6 out of 9 tupaiae of the superinfection group. In some of them HDV RNA was positive in serum or in liver tissue. Transmission of HDV/HBV infection among tupaiae was successful. In group I, animals were inoculated with human HDV/HBV positive serum. In Group II and III, animals were inoculated with tupaia HDV/HBV positive serum of the Group I and II respectively. Serum HBsAg, HDAg and anti-HD became positive one after another in 3 out of 4 tupaiae of the Group II and 4 out 5 tupaiae of the group III. In 2 animals of the Group III, serum HDV RNA was positive and HBsAg and HDAg were detected in the liver tissue. Serum HBsAg was persistantly positive for 16-19 months in the superinfection group. In 2 of them, serum HDAg and anti-HD were alternatively positive and in one of them serum anti-HD was positive persistantly indicating that HDV infection may persist and transform into chronic HDV infection. In the HDV infected tupaiae, there were elevated serum ALT and hepatitis-like pathological changes in the liver tissue which were similar to those in the chimpanzee. We conclude that tupaia may be used as an experimental model of hepatitis D.
建立了一种新的成年树鼩丁型肝炎病毒/乙型肝炎病毒(HDV/HBV)感染动物模型,以研究丁型肝炎的发病机制和治疗方法。在20只人工饲养的成年树鼩中,接种人HBV DNA阳性血清后,血清HBsAg阳性率为75%(15/20)。通过同时感染和重叠感染的方式接种人血清HBV DNA阳性和HDV RNA阳性后,同时感染组13只树鼩中有8只、重叠感染组9只树鼩中有6只血清HBsAg、HDAg和抗-HD先后呈阳性。其中一些树鼩的血清或肝组织中HDV RNA呈阳性。HDV/HBV感染在树鼩之间传播成功。在第一组中,动物接种人HDV/HBV阳性血清。在第二组和第三组中,动物分别接种第一组和第二组的树鼩HDV/HBV阳性血清。第二组4只树鼩中有3只、第三组5只树鼩中有4只血清HBsAg、HDAg和抗-HD先后呈阳性。在第三组的2只动物中,血清HDV RNA呈阳性,肝组织中检测到HBsAg和HDAg。重叠感染组血清HBsAg持续阳性16 - 19个月。其中2只血清HDAg和抗-HD交替阳性,1只血清抗-HD持续阳性,表明HDV感染可能持续并转化为慢性HDV感染。在感染HDV的树鼩中,血清ALT升高,肝组织出现类似肝炎的病理变化,与黑猩猩相似。我们得出结论,树鼩可作为丁型肝炎的实验模型。