ALLOGENEIC HEPATOCYTE TRANSPLANTATION USING FK-506

Hepatocyte transplantation is an intriguing alternative to orthotopic liver transplantation. While engraftment of syngeneic hepatocytes can be achieved with relative ease, engraftment of allogeneic hepatocytes has been far more complicated, We used FK 506 (Tacrolimus), a novel an d highly efficient immunosuppressant, which has been reported to augme nt liver regeneration in rats. Recipients of isolated syngeneic (LEW) and allogeneic (Wistar F.) rat hepatocytes (major histocompatibility b arrier) recieved different immunosuppressive regiments with FK 506 or Cyclosporine A (CsA). Mature syngeneic hepatocytes could be retrieved up to post op day 300 with the lowest number of hepatocytes on post op day 20. Following allogeneic transplantation, no mature hepatocytes c ould be identified after post op day 10, though ductular like structur es within the spleen were found in FK 506 but not CsA-treated animals, The epithelial cells of ductular like structures exhibit cytological features of CK-19 positive cells. Our results suggest that under CsA o r FK 506 immunosuppression long-term survival of mature allogeneic hep atocytes within the spleen cannot be achieved across a major histocomp atibility barrier though FK 506 allows engraftment of allogeneic donor type ductular cells. Copyright (C) 1997 Elsevier Science Inc.