RT Journal Article SR Electronic T1 HBV infection-induced liver cirrhosis development in dual-humanised mice with human bone mesenchymal stem cell transplantation JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 2044 OP 2056 DO 10.1136/gutjnl-2018-316091 VO 68 IS 11 A1 Lunzhi Yuan A1 Jing Jiang A1 Xuan Liu A1 Yali Zhang A1 Liang Zhang A1 Jiaojiao Xin A1 Kun Wu A1 Xiaoling Li A1 Jiali Cao A1 Xueran Guo A1 Dongyan Shi A1 ­Jun Li­ A1 Longyan Jiang A1 Suwan Sun A1 Tengyun Wang A1 Wangheng Hou A1 Tianying Zhang A1 Hua Zhu A1 Jun Zhang A1 Quan Yuan A1 Tong Cheng A1 Jun Li A1 Ningshao Xia YR 2019 UL http://gut.bmj.com/content/68/11/2044.abstract AB Objective Developing a small animal model that accurately delineates the natural history of hepatitis B virus (HBV) infection and immunopathophysiology is necessary to clarify the mechanisms of host-virus interactions and to identify intervention strategies for HBV-related liver diseases. This study aimed to develop an HBV-induced chronic hepatitis and cirrhosis mouse model through transplantation of human bone marrow mesenchymal stem cells (hBMSCs).Design Transplantation of hBMSCs into Fah-/-Rag2-/-IL-2Rγc-/- SCID (FRGS) mice with fulminant hepatic failure (FHF) induced by hamster-anti-mouse CD95 antibody JO2 generated a liver and immune cell dual-humanised (hBMSC-FRGS) mouse. The generated hBMSC-FRGS mice were subjected to assessments of sustained viremia, specific immune and inflammatory responses and liver pathophysiological injury to characterise the progression of chronic hepatitis and cirrhosis after HBV infection.Results The implantation of hBMSCs rescued FHF mice, as demonstrated by robust proliferation and transdifferentiation of functional human hepatocytes and multiple immune cell lineages, including B cells, T cells, natural killer cells, dendritic cells and macrophages. After HBV infection, the hBMSC-FRGS mice developed sustained viremia and specific immune and inflammatory responses and showed progression to chronic hepatitis and liver cirrhosis at a frequency of 55% after 54 weeks.Conclusion This new humanised mouse model recapitulates the liver cirrhosis induced by human HBV infection, thus providing research opportunities for understanding viral immune pathophysiology and testing antiviral therapies in vivo.