Liver repopulation constitutes an attractive approach for the treatment of
liver disorders or of diseases requiring abundant secretion of an active pr
otein, We have described previously a model of selective repopulation of a
normal liver by Fas/CD95-resistant hepatocytes, in which we achieved up to
16% hepatocyte repopulation, In the present study, we investigated the ther
apeutic efficacy of this strategy. With this aim, apolipoprotein E (ApoE) k
nockout mice were transplanted with Fas/CD95-resistant hepatocytes which co
nstitutively express ApoE, Transplanted mice were submitted to weekly injec
tions of non-lethal doses of the Fas agonist antibody Jo2, After 8 weeks of
treatment, we obtained up to 30% of the normal level of plasma ApoE, ApoE
secretion was accompanied by a drastic and significant decrease in total pl
asma cholesterol, which even fell to normal levels. Moreover, this secretio
n was sufficient to markedly reduce the progression of atherosclerosis, The
se results demonstrate the efficacy of this repopulation approach for corre
cting a deficiency in a protein secreted by the liver.