Chronic rejection is the most common cause of late graft failure after
solid organ transplantation. A model of chronic rejection, the rat ao
rtic allograft, has histologic features that parallel those in the ves
sels of human transplanted organs. However, the molecular tools requir
ed to dissect the immunology of chronic rejection are unavailable in t
he rat. We developed aortic transplantation in the mouse as a new mode
l of chronic rejection. This will allow the use of the diversity of re
combinant cytokines and monoclonal antibodies available for the mouse
and its well-defined genetics to investigate chronic rejection in grea
ter detail. We describe the perioperative care and surgical technique
for the model in which a 1 cm segment of donor thoracic aorta was used
to replace a section of recipient abdominal aorta below the renal art
eries and above the aortic bifurcation, Mortality rates were initially
high (70%) due to thrombosis and shock, Changes in technique and oper
ator facility resulted in a high rate of success (75%), After 192 oper
ations, the current success rate is >80%. Mice free from complications
at 12 hrs postop had indefinite survival, and after 2 months the typi
cal vascular lesion of chronic rejection was present. This new model o
f chronic rejection will be a valuable tool to study the molecular imm
unology and genetics of chronic rejection. (C) 1995 Wiley-Liss, Inc.