Biliary atresia leads to cirrhosis in the vast majority of patients and constitutes
the first cause of paediatric liver transplantation. Animal models allow us to
understand the molecular basis and natural history of diseases. The aim of this study
is to describe a surgically created animal model of biliary atresia with emphasis in
long-term liver function. Forty-two 3-week-old Sprague- Dawley rats were randomly
divided into two groups: bile duct ligature (BDL) and control. The animals were
sacrificed on the 2nd, 4th, and 6th postoperative
weeks. Blood samples were collected for liver function analysis. The spleen to body
weight ratio was determined. Histopathological examination of liver tissue was
performed by hematoxylin-eosin and Sirius red staining. Collagen quantification was
determined by using colorimetric digital image analysis and was expressed as a
percentage of total liver tissue area. Quantitative real-time polymerase chain
reaction was performed to analyse gene expression levels of transforming growth
factor-β1 (Tgfb1) and apeline (Apln) genes.
Statistical analysis was performed where P<0.05 was considered significant.
Animals from BDL group developed increasing cholestasis with clinical and laboratory
features. Splenomegaly was detected at 4th and 6th week
(P<0.05). Histological evaluation of the liver showed ductular reaction,
portal fibrosis and bile plugs. Collagen area to total liver tissue area had a median
of 2.5% in the control group and 6.5 %, 14.3 % and 37.7 % in BDL rats at
2nd, 4th and 6th weeks, respectively
(P<0.001). Tgfb1 mRNA expression level was significantly
higher at 6th week (P<0.001) in BDL group when compared to control.
Apln mRNA expression level was significantly higher at
4th and 6th week (P<0.001) and showed a positive
linear correlation (r = 0.975, P<0.05) in BDL group when compared to control.
Bile duct ligature in young rats is an animal model that recreates clinical,
laboratory, histological and molecular findings of biliary atresia. Bile duct
ligature constitutes a good animal model to investigate therapeutic approaches for
modifying the progression of liver fibrosis in biliary atresia.