Title of Invention


Abstract ABSTRACT "A METHOD OF PRODUCING A CHIMERIC MURINE HOST THAT IS SUSCEPTIBLE TO INFECTION BY HCV" IN/PCT/2002/01409/CHE The present invention relates to a method of producing a chimeric murine host that is susceptible to infection by human hepatitis C virus (HCV) comprising: transplanting human hepatocytes into an immunocompromised, transgenic murine host, wherein the murine host is immunodeficient due to lack of functional syngeneic B and T lymphocytes as a result of a genetic defect in immunoglobulin and T cell receptor gene rearrangement, and wherein the murine host is homozygous for a genomically integrated transgene, the transgene providing for expression of a urokinase-type plasminogen activator polypeptide in host murine liver cells; and wherein a chimeric murine host comprising a human-murine chimeric liver.
Full Text

FIELD OF THE INVENTION The present invention relates generally to ±e field of infectious disease, particularly to models for viral pathogens.
Human liver disease caused by the hepatitis C virus (HCV) has emerged over the past decade as one of the most difficult challenges facing the worldwide medical community. Elucidation of the viral sequence m 1989 (Choo, et al. Science 244,359-361 (1989)) initiated the era of concerted study of HCV; presently it is estimated that up to 175,000,000 people are infected CSarbah,etaI. Cell 62,447-456(1990)). HCV is the most common type of chronic viral hepatitis with an estimated prevalence of 1-2 % in developed countries. Chronic HCV hepatitis leads to liver cirrhosis in at least 25% of affected patients and after development of cirrhosis it is estimated that hepatocellular carcinoma develops in 1-4 % of patients each year. In North America HCV is currently the most common indication for Uver transplantation.
Currently antiviral therapy with combination interferon and ribavirin is effective in selected patients, but many either fail to respond or tolerate therapy poorly, underscoring a need for improvement. Sustained response rates for interferon monotherapy range fi-om 20-25%, while combination therapy with interferon and ribavirin has shown sustained response rates of up to 40%. Although newer antiviral drugs targeting different parts of the viral genome are imder development, progress has been severely hampered by the lack of a robust cost-effective animal model of HCV. The only natural hosts for HCV are humans and chimpanzees, neither of which is suitable for large scale antiviral testing.
The lack of a reproducible small animal model for HCV infection has fiirther limited the investigation of various immune factors contributing to the disease, as well as vaccine candidates for the immunotherapy of chronic HCV infections. In the case of HCV infection, a number of reports have demonstrated the presence of Thl -> Th2 switch

and HCV antigens specific CD4+ and CD8+ T cells in in vitro studies on T cells isolated firom the HCV infected individuals. On the other hand, non-viremic HCV infected patients have been found to stimulate smjng Thl response to multiple HCV antigens even many years after infections, suggesting that control of HCV rephcation may depend on effective Thl activation (Cramp et al. Gut 44:424-429 (1999)). Resolution of these questions to provide a better understanding of the immune response to HCV, and thus insight as to the development of effective vaccines and therapies, can not be easily reached without a suitable animal model.
Over the past several years, significant advances have been made in the development of animal models for hepatitis B virus. However, despite their similar sounding names, human hepatitis B virus (HBV) and human hepatitis C virus (HCV) are completely different viruses, and thus research regarding HBV infection can not be readily extrapolated to HCV infection. Both viruses are referred to as "hepatitis" viruses primarily because HBV and HCV infect and rephcate in the liver. Aside fi-om this, HBV and HCV are no more alike than are HIV and EBV, which each affect the immune system. In fact, HBV and HCV are so different that they are not even member of the same phylogenetic family. HBV is a member of the hepadnavirus family with a genome of double-stranded DNA, whereas HCV is a member ofihejlavivinis family, which is based on a single positive-stranded RNA genome.
HBV and HCV also differ in their infectivity. HCV is less infectious daan an equivalent dose of HBV, as evidenced by the differences in acquisition rates in hospital personnel after needlestick injuries. HBV infections occur in 2-40% of HBV-contaminated needlestick events, while HCV infections occur in only 3-10% of HCV-contaminated needlestick events. These observations suggest that HCV is about three to four times less infectious than HBV (Shapiro Surgical Clin North Amer. 75(6): 1047-56 (1995)).
HBV and HCV differ greatly in their requirements for replication as well as in the viral load during infection. HBV is capable of replicating in less differentiated systems ie.g., HepG2 cells, Sells et al. Proc. Natl. Acad Sci. USA 84:1005 (1987)). In contrast, HCV replication may depend upon the presence of nontransformed hepatocytes (see, e.g., Ito et al. J. Gen. Virol. 77:1043 (1995)). The viral titers of patients infected with HCV

are generally lower than those of HBV-infected patients. Patients infected with HBV have levels ranging from 10 to lO' particles per mL, compared to 10 to lO' particles per mL in HCV infections. These diiferences in viral titer may be due at least in part to the relative clearance rates of viral particles.. In addition, the number of viral copies per cell is also very low in HCV infection (e.g., generally less than 20 copies per cell (Dhillon et al. Histopathology 26:297-309 (1995)). This combination of low viral titers and low number of viral copies per cell means that a significant number of human hepatocytes must be infected and producing virus for the infection to even be detected within serum.
The limited host range of human HBV and human HCV has proved problematic in the development of m vitro and in vivo models of infection. Humans and chimpanzees are the only animals susceptible to human HBV infection; human, chimpanzees, and tree shrews are susceptible for infection with human HCV (Xie et al. Virology 244:513-20 (1998), reporting transient infection of tree shrews with HCV). Human HBV will infect isolated hmnan liver cells in culture (see, e.g., Sureau Arch. Virol. 8:-3-14 (1993); Lampertico e/ al. Hepatology JJ;422-6 (1991)). HCV has been reported to infect primary cultures of human hepatocytes; however, the cells do not support the production of progeny virions (Foumier et al. J Gen Virol 79( Pt 10):2367-74 (1998)). The development of a satisfactory in vivo model is required in order to provide a more clinically relevant means for assaying candidate therapeutic agents. The extremely narrow host range of HBV and HCV has made it very difficult to develop animal models. Current animal models of HBV and HCV either do not involve the normal course of infection, require the use of previously infected human liver cells, or both (see, e.g., U.S. Pat. Nos. 5,709,843; 5,652,373; 5,804,160; 5,849,288; 5,858,328; and 5,866,757; describing a chimeric mouse model for HBV infection by transplanting HBV-infected human liver cells under the mouse kidney capsule; WO 99/16307 and Galun et al. J. Infect. Dis. J72:25-30 (1995), describing transplantation of HCV-infected human hepatocytes into liver of immimodeficient mice; Bronowicki et al. Hepatology 28:211-8 (1998), describing intraperitoneal injection of HCV-infected hematopoietic cells mto SCID mice; and Lerta et al. Hepatology 28(4Pt2):498A (1998), describing mice transgenic-for the HCV genome). Infection by human HBV is fairly well mimicked by infection of woodchucks with woodchuck hepatitis virus (WHV) and by infection of

Peking ducks with duck hepatitis virus (DHV). WHV-infected woodchucks and DHV-infected ducks have been successfully used to identify drugs effective against human HBV infection of humans. However, no analogous animal model of infection has been identified for human HCV.
In the absence of a practical non-himian host, the most desirable animal model would be a chimeric animal model that allowed for infection of human Uver cells through the normal route of infection, preferably a mouse model susceptible to viral infection through intravenous inoculation and that could support chronic infection. Unfortunately, the development of mice having chimeric livers with himian hepatocytes susceptible to HBV or HCV infection, and sustaining viral repUcation and virion production at clinically relevant, sustainable levels has proven no simple matter. The field of xenogeneic liver transplantation has moved very slowly and met with many obstacles.
In order to study neonatal bleeding disorders and hypofibrinogenemia, a mouse transgenic for an albumin-urokinase-type plasminogen activator construct (Alb-uPA) was developed(Heckelera/. Cell62:447-56 (1990); Sandgren etaL Cell66:245-56 (1991)). The Alb-uPA transgene includes a murine urokinase gene under the control of the albumin promoter, resulting in the targeting of urokinase production to the liver and producing a profoundly hypofibrinogenemic state. This transgene was also found to be associated with accelerated hepatocyte death. Later work with this transgenic animal demonstrated that individual hepatocytes that spontaneously deleted the transgene acquired a significant survival and replicative advantage, resulting in repopulation of the liver with these nontransgenic cells Sandgren et al., (1991), supra). The Alb-uPA transgenic mouse has proved amenable to transplantation with liver cells fi"om non¬transgenic mice (Rhim et al. Science 263:1149-52 (1994)). The Alb-uPA transgenic mouse was also successfully used to produce mice having chimeric livers with rat hepatocytes (Rhim et al. Proc. Natl. Acad. Sci. USA 92:4942-6 (1995)) or woodchuck hepatocytes (Petersen et al Proc. Natl. Acad. Sci. USA 95:310-5 (1998). However, these developments were still a long step away firom the development of an animal model susceptible to HCV infection. Production of mouse having a xenogeneic transplant firom another member of the Rodentia family is not nearly as difficult or imexpected as production of a mouse having a xenogeneic transplant fi"om an animal of a different

family, e.g., a human, much less would one expect that a high degree of chimerism could be accomphshed, or that such chimeric animals might support HCV infection. For example, hepatocyte growth factor (HGF) is the most potent stimulus of hepatocyte regeneration in vivo; in comparing sequence data, mouse HGF was shown to have 98.5% amino acid sequence homology with rat HGF, and only 90.9% with human HGF (Liu et al. Biochim et Biophys Acta 1216;:299-303 (1993)). There were no guarantees of success.
There is a need in the field for a human-mouse liver chimera susceptible to chronic infection with HCV and with viral production at clinically relevant levels. The present invention addresses this problem.
The present invention features a non-human animal model that is susceptible to infection by human hepatotrophic pathogens, particularly human hepatitis C virus (HCV). The model is based on a non-human, immunocompromised transgenic animal having a human-mouse chimeric liver, where the transgene provides for expression of a urokinase-type plasminogen activator in the liver. The invention also features methods for identifying candidate therapeutic agents, e.g., agents having antiviral activity against HCV infection.
A primary object of the invention is to provide a non-human animal model that is susceptible to infection by human HCV via the normal route of infection.
An advantage of the invention is that the animal model provides the first instance of an animal that is susceptible to infection by HCV via the nomial route of infection, and further that can become chronically, consistently, and stably infected at viral titers that can be equated to viral titers in HCV-infected humans.
Still another advantage of the invention is that production of the aninial model does not require obtaining or handling HCV-infected cells. Thus the invention avoids the need to obtain hepatocytes firom HCV-infected human donors or to culture and infect human hepatocytes in vitro.

These and other objects, advantages, and features of the invention will become apparent to those persons skilled in the art upon reading the details of the animal model and methods of its xise as more fully described below.
Fig. 1 is a Western blot of human albumin (HA) production in recipient serum samples over time in animals carrying or not canying the Alb-uPA transgene
Figs. 2A-2F are photographs of histochemical analysis of human chimerism in mouse livers. Fig. 2 A is a low power H&E section of control mouse liver taken from a nontransplanted homozygous Alb-uPA liver, showing uniform cellular architecture. Fig. 2B is a low power H&E section from a fransplanted homozygous mouse, showing a large nodule of tissue compressing surrounding host-derived liver parenchyma. Figs. 2C and 2D show control sections of mouse and human liver respectively, both immunostained with an anti-human hepatocyte antibody, demonstrating the immunohistochemical procedure clearly stains human cells, but not murine cells. Fig. 2E is a high power H&E stained section of transplanted homozygote liver, showing a nodule of healthy hepatocytes compressing surrounding tissue. Fig. 2F is a consecutive section immunostained for human hepatocyte antigen, showing the darker nodule to be comprised of human cells, with the surrounding parenchyma being of murine origin.
Fig. 3 is a graph illustrating production of albmnin from human hepatocyte grafts (1x10 cells) in four recipients carrying the Alb-uPA transgene.
" Fig. 4 is a Western blot of HA production in an Alb-uPA-positive recipient post-transplant showing sustained signal intensity. HA - human albumin standard (50ng); Con - nontransplanted mouse serum control.
Fig. 5 is a photograph of a Western blot showing detection of human albumin (HA) produced from human hepatocytes in chimeric Uvers (samples represent individual mice). Wild-type (-); transgenic (+) recipients. HA - human albumin standard; MS -nontransplanted mouse serum (negative confrol).
Fig. 6 is a photograph of a Southern blot for determination of Alb-uPA zygosity from genomic DNA; a T/E ratio of ~2 is characteristic of hemizygous mice, while homozygotes have a ratio of ~4.

Fig. 7 is a photograph of a Western blot showing long-term HA production in transplant recipients hemizygous (+/-) or homozygous (+/+) for the Alb-uPA transgene. HA - human albumin standard; MS - nontransplanted mouse serum (negative control).
Fig. 8 is a graph showing a vertical scatterplot of quantified HA production from individual homozygous (closed circles) or hemizygous (open circles) recipient mouse serum samples. Median trend lines are shown for both groups.
Fig. 9 is a graph showing rising serum HCV RNA titers over the first 4-7 weeks post inoculation in homozygous transgenic graft recipients after inoculation with HCV-infected hiraian serum. Each line represents serial titers from an individual graft recipient.
Fig. lOA is a photograph of a gel showing detection of (+) strand RNA (upper panel) or (-) strand RNA (lower panel) by thermostable'rTth reverse transcriptase RNA PCR protocol with strand-specific primers. Letter designations (A through J) are control samples and number designations (1 through 10) represent individual RNA samples isolated from the livers of ten homozygous mice which were transplanted and then inoculated with HCV-infected himian serum. A, wild-type control mouse, nontransplanted, noninfected; B, heterozygous transplanted mouse inoculated with HCV; C, homozygous transplanted mouse, not inoculated with HCV; D, serum taken from an infected human; E, standard DNA ladder; F, binding of labeled probe to target DNA sequences generated from (+) strand (upper panel) or (-) strand (lower panel) viral RNA; G, mouse liver RNA (10 fig) doped with serum RNA fix>m an HCV-positive human; H, mouse liver RNA (10 g) doped with 10 copies radioinert antisense (upper) or sense (lower) riboprobe; I, mouse liver RNA (10 |ig) doped with 10 copies radioinert sense (upper panel) or antisense (lower panel) riboprobe; J, riboprobes hybridized with 10 jig mouse liver RNA, all subsequent steps identical except addition of RNase. Fig. 1 OB is a dilution series analysis.
Fig. 1 OB is a photograph of a gel of a dilution series analysis of selected animals using the thermostable rTth reverse transcriptase RNA PCR protocol. Letter and number designations are the same as in Fig. 1OA.
Fig. 10 C is a photograph of a gel showing detection of (+) sfrand HCV RNA(.upper panel), (-) strand HCV RNA (middle panel) or P-actin RNA (lower panel) by RNase protection assay. Control lanes are as designated above; mouse 10 was analyzed

Fig. 7 is a piiotograph of a Western blot showing long-term HA production in transplant recipients hemizygous (+/-) or homozygous (+/+) for the Alb-uPA ttansgene. HA - human albumin standard; MS - nontransplanted mouse serum (negative control). Fig. 8 is a graph showing a vertical scatterplot of quantified HA production fixim individual homozygous closed circles) or hemizygous (open circles) recipient mouse serum samples. Median trend lines are shown for both groups.
Fig. 9 is a graph showing rising serum HCV RNA titers over the first 4-7 weeks post inoculation in homc-zygous transgenic graft recipients after inoculation with HCV-infected human serum. Each line represents serial titers fi-om an individual graft recipient.
Fig. lOA is a phc-ograph of a gel showing detection of (+) strand RNA (upper panel) or (-) strand RNA Hower panel) by diermostable rTth reverse transcriptase RNA PCR protocol with strand-specific primers. Letter designations (A through J) are control samples and number des: gnations (1 through 10) represent individual RNA samples isolated from the livers c-ften homozygous mice which were transplanted and then inoculated with HCV-infssted human serum. A, wild-type control mouse, nontransplanted, noninfected; B, heterozygous transplanted mouse inoculated with HCV; C, homozygous transplant moxise, not inoculated with HCV; D, serum taken fixim an infected human; E, standiard DNA ladder; F, binding of labeled probe to target DNA sequences generated firorr () strand (upper panel) or (-) strand (lower panel) viral RNA; G, mouse liver RNA (10 iig) doped with serum RNA fiom an HCV-positive human; H, mouse liver RNA (10 jiig) doped with 10 copies radioinert antisense (upper) or sense (lower) riboprobe; I, mous« liver RNA (10 fig) doped withlO6 copies radioinert sense (upper panel) or antisense (lower panel) riboprobe; J, riboprobes hybridized with 10 ng mouse liver RNA, all subsequent steps identical except addition of RNase. Fig. 1 OB is a dilution series analysis.
Fig. 1 OB is a photc7graph of a gel of a dilution series analysis of selected animals using the thermostable rT:x reverse ti-anscriptase RNA PCR protocol. Letter and number designations are the same 2 in Fig. lOA.
Fig. 10 C is a phoicgraph of a gel showing detection of (+) strand HCV RNA(upper panel), (-) strsnd HCV RNA (middle panel) or p-actin RNA (lower panel) by RNase protection assay. Ct>ntrol lanes are as designated above; mouse 10 was analj/zed

only by die RPA method. Letter and number designations are the same as in Fig. lOA.
Figs. 11A and 1 IB are photographs showing immimohistochemical analysis of control (Fig. 11 A) and HCV mfected (Fig. 1 IB) liver sections using ant anti-HCV antibody.
Fig. 12 is a photograph of a Western blot to detect Apo BlOO in serum of a chimeric Alb/uPA, transplanted animal (lane 2). Human serum (lane l).and serum from Alb/uPA a non-transplanted animal (lane 3) served as positive and negative controls, respectively.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS Before the present invention is described, it is Fo be understood that this invention is not limited to particular methodology, protocols, cell lines, animal species or genera, constructs, and reagents described, as such may, of course, vary. It is also to be understood that the tenninology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting, since the scope of the present invention will be limited only by the appended claims.
Where a range of values is provided, it is understood that each intervening value, to the tenth of the unit of the lower limit unless the context clearly dictates otherwise, between the upper and lower limits of that range is also specifically disclosed. Each smaller range between any stated value or intervening value in a stated range and any other stated or intervening value in that stated range is encompassed within the invention. The upper and lower Umits of these smaller ranges may independently be included or excluded in the range, and each range where either, neither or both limits are included in the smaller ranges is also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either or both of those included limits are also included in the invention.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can be used hr the practice or testing of the present invention, the"

preferred methods and materials are now described. All publications mentioned herein are incorporated herein by reference to disclose and describe the methods and/or materials in cormection with which the publications are cited.
It must be noted that as used herein and in the appended claims, the singular forms "a", "and", and "the" include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to "a liver cell" includes a plurality of such liver cells and reference to "the non-hiunan animal" includes reference to one or more non-human animals and equivalents thereof known to those skilled in the art, and so forth.
The publications discussed herein are provided solely for their disclosure prior to the j5Ung date of the present application. Nothing herein is to be construed as an admission that the present invention is not entitled to antedate such publication by virtue of prior invention. Further, the dates of publication provided may be different from the actual pubUcation dates which may need to be independently confirmed.
"Chimeric" as used herein (e.g., "chimeric animal" or "chimeric liver") is meant to describe an organ or animal comprising xenogeneic tissues or cells. Of particular interest is a chimeric animal, wherein the animal is chimeric due to the presence of human hepatocytes engrafted in the animal's liver.
By "immunocompromised" is meant that the animal can not mount a complete or significant immune response against the xenogeneic tissue or cells, e.g., any immune response of the host animal is such that it is ineffective in rejection of the transplanted cells.
The term Atransgene" is used herein to describe genetic material which has been or is about to be artificially inserted into the genome of a mammalian, particularly a manomalian cell of a living animal.
By "transgenic animal" is meant a non-human animal, usually a mammal, having a non-endogenous (/. e., heterologous) nucleic acid sequence present as an extrachromosomal element in a portion of its cells or stably integrated into its genn line DNA (i.e., in the genomic sequence of most or all of its cells). Heterologous nucleic acid is introduced into the germ line of such transgenic animals by genetic manipulation of, for

example, embryos or embryonic stem cells of the host animal according to methods well known in the art. A "transgene" is meant to refer to such heterologous nucleic acid, e.g., heterologous nucleic acid in the form of an expression construct (e.g., for the production of a "loiock-in" transgenic animal) or a heterologous nucleic acid that upon insertion within or adjacent a target gene resiUts in a decrease in target gene expression {e.g., for production of a "knock-out" transgenic animal).
A "knock-out" of a gene means an alteration in the sequence of the gene that results in a decrease of function of the target gene, preferably such that target gene expression is undetectable or insignificant. Transgenic knock-out animals can be comprise a heterozygous knock-out of a target gene, or a homozygous knock-out of a target gene. "Knock-outs" as used herein also include conditional knock-outs, where alteration of the target gene can occur upon, for example, exposure of the animal to a substance that promotes target gene alteration, introduction of an enzyme that promotes recombination at the target gene site {e.g., Cre in the Cre-lox system), or other method for directing the target gene alteration postnatally.
A "knock-in" of a target gene means an alteration in a host cell genome that results in altered expression {e.g., increased (including ectopic) or decreased expression) of a target gene, e.g., by introduction of an additional copy of the target gene, or by operatively inserting a regulatory sequence that provides for enhanced expression of an endogenous copy of the target gene. "Knock-in" transgenics can comprise a heterozygous knock-in of the target gene or a homozygous knock-in of a target gene. "Knock-ms" also encompass conditional knock-ins.
By "operably Unked" is meant that a DNA sequence and a regulatory sequence(s) are coimected in such a way as to permit gene expression when the appropriate molecules (e.g., transcriptional activator proteins) are bound to the regulatory sequence(s).
By "operatively inserted" is meant that a nucleotide sequence of interest is positioned adjacent a nucleotide sequence that directs transcription and translation of the introduced nucleotide sequence of interest.
The term "therapeutic agent" as used herein refers to any molecule, e.g., protein or small molecule, pharmaceutical compound, antibody, antisense molecule, ribozyme, and the like, useful in the treatment of a disease or condition, e.g., a liver condition, including.

but not necessarily limited to infection by HCV. For example, therapeutic agents of the invention include molecules that inhibit, ameliorate, or relieve symptoms associated with viral infection, and in particular HCV.
The term "xmit dosage form" as used herein refers to physically discrete units suitable as unitary dosages for subjects (e.g., animals, usually humans), each unit containing a predetermined quantity of agent(s) in an amount sufficient to produce the desired effect in association with a pharmaceutically acceptable diluent, carrier or vehicle. The specifications for the novel unit dosage forms of the present invention will depend on a variety of factors including, but not necessarily limited to, the particular agent employed and the effect to be achieved, and the pharmacodynamics associated with each compound in the host.
The terms "treatment", "treating" and the like are used herein to generally mean obtaining a desired pharmacologic and/or physiologic effect. The effect may be prophylactic in terms of completely or partially preventing a disease or symptom thereof and/or may be therapeutic in terms of a partial or complete cure for a disease and/or adverse effect attributable to the disease. "Treatment" as used herein covers any treatment of a disease in a mammal, particularly a human, and includes: (a) preventing the disease fix)m occurring in a subject which may be predisposed to the disease but has not yet been diagnosed as having it; (b) inhibiting the disease, i.e., arresting its development; or (c) relieving the disease, i.e., causing regression of the disease.
The present invention is based on the development of a murine animal model for hepatitis C virus (HCV). The murine animal model generally involves transplantation of human hepatocytes into the liver of a transgenic mouse at an appropriate stage of the host's development, preferably shortly after birth of the host. Without being held to theory, success in the development of the model is due at least in part to the following: 1) use of a host having an immunodeficient background, thus avoiding immime destruction of introduced xenogenic (human) cells; 2) the use of a transgenic animal that contains a transgene for urokinase linked to-an albumin promoter, which is present in the homozygous state, thereby providing an ongoing potent stimulus to hepatocyte growth

and cellular division; and, 3) introduction of viable human hepatocytes into the host animal at an appropriate time in the hepatocyte life cycle and at an early stage of the host animal's development to provide for long-term survival of either large numbers and/or a high percentage of human cells in the host.
To the best of the inventors' knowledge, the present invention for the first time provides a non-primate host for use as a model of HCV infection that can be infected through the nonnal route of infection {e.g., by intravenous or intraperitoneal inoculation). This aspect of the invention is particularly important for use in the development of anti¬viral agents. Furthermore, the animal model of the invention does not require the use of pre-infected human hepatocytes, thus avoiding the handling of infected tissue isolated from human donors or infecting the human hepatocytes in vitro prior to implantation.
Accordingly the invention features a chimeric animal as described above, as well as a method of producing a chimeric animal by traiasplanting human hepatocytes into the liver ofan immunocompromised, albumin luaked urokinase transgene-bearing animal. In addition the invention features methods of using the chimeric animal model described herein, including methods of identifying agents for treatment of infections by a hepatotrophic microbial pathogen.
The invention will now be described in more detail.
Host Animals
The host animal is generally a non-human, immimocompromised mammal having an increased production in the liver of urokinase-type plasminogen activator (uPA) and in which human hepatocytes can be engrafted and maintained. Exemplary non-human animals upon which the animal model of the invention can be based include, but are not necessarily limited to, mice, rats, guinea pigs, hamsters, sheep, pigs, primates, and the like. In one embodiment, the host animal is of the genus Rodentia, preferably a mouse. In a preferred embodiment, the host animal is an inununocompromised mouse, preferably an immunocompromised mouse transgenic for urokinase-type plasminogen activator (uPA), more preferably an immunocompromised mouse comprising a transgene that provides for liver-specific production of uPA (e.g., an Alb-uPJl transgene, see, eg., Heckel et al Cell §1:AA1 (1990)). Mice suitable for use in the present invention can be

produced from any ot a vanety of bacicgrouna strains inciuamg, out not necessaniy limited to, the strains C.B-17, C3H, BALB/c, C57131/6, AKR, BA, BIO, 129, etc. The host animal may be either male or female.
Immunocompromised backgromid
As noted above, the host animal is preferably immunocompromised. Immunocompromised mammalian hosts suitable for implantation and having the desired immune incapacity are available. Alternatively, though less preferred, immunocompromised animals can be generated from immunocompetent animals by, for example, administration of one or more compounds (e.g., cyclosporin) and other methods well known in the art. In general, the immunocompromised host can not moimt a complete immune response against the xenogeneic tissue or cells. Of particular interest are animals that are immunocompromised due to a genetic defect that results in an inabihty to undergo germline DNA rearrangement at the loci encoding immunoglobulins and T-ceil antigen receptors. Also of interest are immunocompromised animals that have one or more genetic defects that leads to significantly decreased numbers of or no detectable functional T cells, B cells, and natiural killer (NK) cells relative to normal.
Of particular interest are mice that have a homozygous mutation at the scid locus (scid/scid). The scid mutation is associated with a deficiency in DNA-dependent protein kinase catalytic subunit and prevents VDJ recombination in immunoglobulin and T-cell receptor genes. Animals homozygous for the scid mutation lack fimctionally recombined immunoglobulin and T-cell receptor genes and thus are deficient in both T and B cell lineages. The scid/scid mutation is available or may be bred into a number of different genetic backgrounds, e.g., CB.17, ICR (outbred), C3H, BALB/c, C57B1/6, AKR, BA, BIO, 129, etc. The invention can also take advantage of animals having the beige mutation (bg), which is associated with a natural killer (NK) cell deficiency. In one embodiment, mice are produced having both the scid mutation and the bg beige mutation, resulting in an animal that does not moimt an effective inmiune response to allogeneic or xenogeneic cells or tissues introduced to the organisms.
Other exemplary immunocompromised host that are presently available include transgenic mice genetically engineered to lack the recombinase fimction associated with 7 RAG-1 and/or RAG-2 {e.g., commercially available TIM™ RAG-2 transgenic), to lack

Class I and/or Class IIMHC antigens (e.g., the commercially available CID and C2D transgenic strains), or to lack expression of the Bcl-2 proto-oncogene. Other mice that may be useful as recipients are NOD scid/scid; SGB scid/scid, bh/bh; CB.17 scid/hr, NIH-3 bg/nu/xid and META nu/nu. Transgenic mice, rats and pigs are available which lack functional B cells and T cells due to a homozygous disruption in the CD3F-gene. Immunocompromised rats include HsdHan:RNU-mu; HsdHan:RNU-mu/+; HsdHan:NZNU-mu; HsdHan:NZNU-mu/+; LEW/HanHsd-mu; LEW/HanHsd-mu/+; WAG/HanHsd-mu and WAG/HanHsd-mu/+.
Transgenic expression of urokinase
As discussed above, the chimeric animal of the invention is also a "knock-in" transgenic for expression of urokinase-type plasminogen activator (uPA). In one embodiment, the transgene is the Alb-uPA transgene, which comprises a murine albumin enhancer/promoter, the murine uPA gene coding region, and the 3' untranslated and flimking sequences of the growth hormone gene (Heckel et al. Cell 62:447-56 (1990); Sandgren et al. Cell 66:245-56 (1991)). Preferably the animal is homozygous, rather than heterozygous, for the urokinase-type plasminogen activator transgene. The Alb-uPA transgene results in a lethal insult to hepatocytes that carry it, and also results in a high local (intrahepatic) concentration of urokinase, which in turn processes hepatocyte growth factor to its active form within the Hver. Without being held to theory, viable allogeneic or xenogeneic cells introduced at an appropriate time in the development of an Alb-uPA transgenic animal are stimulated to replicate in this environment. The donor cells thus grow to "replace" the endogenous hepatocytes that die as a result of the lethal insult of the transgene.
Isolation of Hmnan Hepatocytes and Other Cells Suitable for Transplantation
Human hepatocytes for transplantation into the host animals are isolated from human liver tissue by any convenient method known in the art. In general, the human hepatocytes may be fresh tissue (e.g., obtained within hours of death), or freshly frozen tissue (e.g., fresh tissue frozen and maintained at or below about 0°C). Ideally, the cells used are recraitly isolated (zVe., within 2 to 4 hours) from freshly obtained human liver tissue. Human hepatocytes that are placed in a defined cryopreservation media may be

stored for long periods of time {e.g., in liquid nitrogen) and thawed as required, thus permitting the development of banks of stored hepatocytes. In general, it is usiwlly important that the isolation procedure and handling and storage protocol serve to minimize warm ischemia following cessation of blood flow to the liver {e.g., generally less than about 30 min to 60min, preferably less than about 20min to about 40 min) and to minimize cold ischemia that may result from storage {e.g., generally less than about 12 hr, usually less than about 1 hr to 2 hrs). In one embodiment, the human tissue is noraial, e.g., having no detectable pathogens, nonnal in morphology and histology, and essentially disease-free). Usually the period of warm ischemia exposure is not more than about 20-50 minutes.
The liver tissue can be dissociated mechanically or enzymatically to provide a suspension of single cells, or fragments of intact human hepatic tissue may be used. In a preferred embodiment, the hepatocytes are isolated from donor tissue by routine collagenase perftision (Ryan et al. Meth. Cell Biol. 12:29 (1976)) followed by low-speed centrifiigation. Hepatocytes can then be purified by filtering through a stainless steel mesh {e.g., 100 fim), followed by density-gradient centrifiigation. Alternatively, other methods for enriching for hepatocytes can be used, e.g., fluorescence activated cell sorting, panning, magnetic bead separation, elutriation within a centrifugal field, etc. The final suspension used for implantation generally comprises at least about 50-75% hepatocytes, usually at least about 80-99% hepatocytes, generally with viability by trypan blue exclusion of 80 - 99%,
In another embodiment, the cells to be transplanted are human stem cells or hepatocyte precursor cells which, following transplantation into the host animal's liver, develop or differentiate into human hepatocytes susceptible to HCV infection. In one specific embodiment, the human stem cells are obtained from human blood cord cells. Human blood cord cells are not only a source for stem cell reconstitution of hepatocytes, but also for reconstitution of the immune system (see, e.g., Verstegen et al. Blood. 91(6):1966-76 (1998)).

Transplantation of Human Hepatocytes or Other Suitable Cells into Hosts
The timing of the introduction of the donor hepatocytes into the transgenic, immunocompromised host may be important to the production of a chimeric liver populated with a number of human hepatocytes sufficient to render the chimeric liver susceptible to infection by a hepatotrophic pathogen and to support replication of the pathogen. This may be particularly true where the hepatotrophic pathogen exhibits low infectivity and/or low replication rates (e.g., HCV). Where the animal is murine (e.g., a mouse), the host is ideally less than 10 days to 2 weeks in age, and optimally about 7 to 10 days old, or less than or about one week (i.e., less than or about 5 to 7 days old or yoimger), at the time of transplantation. In general, the transplantation is preferably carried out between about 8-10 days and 15 days of age. The window for transplant can be widened to about 7-18 days of age to gain flexibility while maintaining good results. Without being held to theory, the timing of transplantation indicated herein is a compromise between excess technical mortality associated with very early transplantation (i.e., due to the small size of the animals) and the time for maximal replicative stimulus (e.g., the number of cell divisions in the recipient liver that occur before transplant may influence the success and extent of engraftment of the donor human cells). Furthennore, timing of transplantation is also important since the stimulus for liver cell repopulation provided by the transgene diminishes with time, and is generally depleted after the recipient is more than about 6 weeks old (Rhim et al (1994) Science 263:1149-52; about 10-12 weeks for homozygotes).
The human hepatocytes (or other suitable cell, e.g., hepatocyte precursor or stem cell) can be transplanted using any suitable method known in the art. Preferably, the human hepatocytes are injected intraspienically, e.g., into the inferior splenic pole. Successful engrafhnent can be monitored by conventional methods, e.g., by examining the levels of human liver-specific proteins in the host serum, e.g., human serum albumin (HA),or human alpha-1 antitrypsin. The chimeric host can be used for experimentation {e.g., for mfection with a hepatotrophic pathogen, to screen candidate agents, etc.) when suitable. Where the animal is to be infected with a hepatotrophic agent of relative low infectivity and/or low replicative capacity, the chimeric animal can be

inoculated within about four to six weeks post-transplant, generally at about six weeks post-transplant, and may be as early as three weeks post-transplant.
In general, the animal host develops hiraian chimerism within its liver such that the percentage of liver cells that are human liver cells are from at least about 20% to 50%, generally about 40% to 60% or more, and may be optimized to 90% or more. The chimeric animal can be maintained Avith functional transplanted hepatocytes for at least several weeks, generally at least about 5 weeks, more usually at least about 12 weeks to 24 weeks, up to 8 months or more, and may be up to the lifespan of the host. Chimeric animals can be infected with a hepatotrophic pathogen (e.g., HCV), particularly a hepatotrophic pathogen having a host range limited to primates, particularly humans. Depending upon the nature of the pathogen, chronicalFy infected chimeric hosts can be maintained for a period of weeks to months. For example, where the hepatotrophic pathogen is HCV, the chimeric animal can become chronically infected with HCV (e.g., chronically infected) and maintain an active HCV infection for a period of at least about 5 weeks, generally at least about 14 weeks to about 20 weeks or more, up to about 35 weeks or more, and may be for the lifespan of the host.
The viral load of the infected host can be estabUshed such that it is similar to the viral load of an infected human. For example, where the pathogen is HCV, the host animal can support infection at a level of from about 10 or about 10"6 to about 106 viral particles/ml serum, generally from about 10 to about lO' viral particles/ml serum.
The viral load of the infected host over time is substantially consistent, chronic,
and stable, e.g., the number of viral particles that can be isolated from the infected,
untreated host's serum does not radically fluctuate between weekly sampling periods,
e.g., an HCV-infected host of the invention that contains a high number of HCV viral
particles per mL of serum at a first sampling time is positive for HCV infection at
subsequent sampling times and generally has the same or similar high level of HCV
particles per mL of serum, once stable infection is estabUshed in the host, generally within
about 2 to 4 weeks post-infection. In general, the viral load of the infected host does not
fluctuate radically and so allows assessment of the effect of a candidate antiviral agent,
e.lTij the viral titer is chronic and reasonably consistent.

The chimeric animal of the invention can be used in a variety of other screening
assays. For example, any of a variety of candidate agents suspected of causing or
contributing to hepatic disease, as well as the appropriate antagonists and blocking
therapeutic agents, can be screened by administration to the chimeric animal and
assessing the effect of these agents upon function of the engrafted human cells. The
chimeric animal model of the invention can also be used to screen compounds for toxicity
to liver cells, including small molecule therapies for the treatment of liver disorders or for
the treatment of any non liver specific human diseases. In general, any compound can be
administered to evaluate its toxicity to liver cells. For example, evaluation of an
important putative therapy for cancer can be first screened for liver toxicity in the animal
model of the invention. Function of the engrafted human Hver cells can be assessed as
described above {e.g., by assessing levels of human serum albumin, or alpha-1 antitrypsin
in thehost serum). Injury to hver cells can be assessed by assay of liver specific enzymes
in the semm (ALT -alanine aminotransferase), in conjunction with histological
assessment for evidence of injury to human cells in the liver. In short, assays to asses liver toxicity can be either fimctional, histological, or both.
In one embodiment of particular interest, the animal model of the invention can be used to identify candidate agents that, for example, inhibit or prevent infection by, rephcation of, or disease symptoms caused by a hepatotrophic pathogen {e.g., bacteria, virus, parasite, especially a hepatotrophic virus such as HCV). Although the examples provided herein generally involve the use of chimeric murine hosts with a single hepatotrophic pathogen, the invention can also be used to identify a single candidate agent or a cocktail of candidate agents having activity against infection by two or more hepatotrophic agents.
"Candidate agents" is meant to include synthetic, naturally occurring, or recombinantly produced molecules (e.., small molecule; dmgs; peptides; antibodies (including antigen-binding antibody fi-agments, e.g., to provide for passive inunimity) or other immunotherapeutic agents; endogenous factors present in eukaryotic or prokaryotic cells {e.g., polypeptides, plant extracts, and the like)); etc.). Of particular interest are screening assays for agents that have a low toxicity for human cells.

Candidate agents encompass numerous chemical classes, though typically they are organic molecules, preferably small organic compounds having a molecular weight of more than 50 and less than about 2,500 daltons. Candidate agents comprise fimctional groups necessary for structural interaction with proteins, particularly hydrogen bonding, and typically include at least an amine, carbonyl, hydroxyl or carboxyi group, preferably at least two of the functional chemical groups. The candidate agents often comprise cyclical carbon or heterocyclic structures and/or aromatic or polyaromatic structures substituted with one or more of the above functional groups. Candidate agents are also found among biomolecules including, but not limited to: peptides, saccharides, fatty acids, steroids, purines, pyrimidines, derivatives, structural analogs or combinations thereof
Candidate agents are obtained from a wide variety of soxu-ces including libraries of synthetic or natural compounds. For example, numerous means are available for random and directed synthesis of a wide variety of organic compovmds and biomolecules, including expression of randomized oUgonucleotides and oligopeptides. Alternatively, libraries of natural compounds in the form of bacterial, fungal, plant and animal extracts are available or readily produced. Additionally, natural or synthetically produced libraries and compounds are readily modified through conventional chemical, physical and biochemical means, and may be used to produce combinatorial Ubraries. Known pharmacological agents may be subjected to directed or random chemical modifications, such as acylation, alkylation, esterification, amidification, etc. to produce stmctural analogs.
Screening of Candidate Anti-HCV Agents
In one embodiment, the animal model of the invention is used to identify agents that ameUorate symptoms caused by viral hepatitis, and more specifically by HCV infection and/or to more directly affect a pathogenic mechanism of the infecting virus, e.g., inhibit viral infection, decrease viral replication, or otherwise disrupt the cycle of viral propagation. In general, the candidate agent is administered to the animal model of the invention, and the effects oftiie candidate agent assessed relative to a control (e.g., relative to an uninfected animal, relative to an HCV-infected animal treated with an agent . having a known anti-HCV effect (e.g., IL-2a), and the like). For example, the candidate

agent can be administered to an HCV-infected animal of the invention, and the viral titer of the treated animal (e.g., as measured by RT-PCR of serum samples) compared to the viral titer of the animal prior to treatment and/or to a control, untreated HCV-infected animal. In general, a detectable and significant decrease in viral titer of an infected animal following treatment with a candidate agent is indicative of antiviral activity of the agent.
The candidate agent can be administered in any manner desired and/or appropriate for delivery of the agent in order to effect a desired result. For example, the candidate agent can be administered by injection (e.g., by injection intravenously, intramuscularly, subcutaneously, or directly into the tissue in which the desired affect is to be achieved), orally, or by any other desirable means. Normally, the in vivo screen will involve a number of animals receiving varying amounts and concentrations of the candidate agent (fiom no agent to an amount of agent that approaches an upper limit of the amount that can be delivered successfiilly to the animal), and may include delivery of the agent in different formulations and routes. The agents can be administered singly or can be combined in combinations of two or more, especially where administration of a combination of agents may result in a synergistic effect.
The activity of the candidate agent can be assessed in a variety of ways. For example, where the host animal is infected with a hepatotrophic pathogen (e.g., HCV, eic), the effect of the agent can be assessed by examining serum samples for the presence of the pathogen (e.g., titer, as in viral titer) or markers associated with the presence of the pathogen (e.g., a pathogen-specific protein or encoding nucleic acid, etc.) Qualitative and quantitative methods for detecting and assessing the presence and severity of viral infection are well known in the art. In one embodiment, the activity of an agent against HCV infection can be assessed by examining serum samples and/or tissue sections for the presence of a virus (e.g., HCV by RT-PCR, etc.). In another embodiment, the activity of an agent against viral infection can be assessed by examining serum samples for the presence of viral nucleic acid (e.g., HCV RNA). For example, HCV RNA can be detected using, for example, reverse transcriptase polymerase chain reaction (RT-PCR), competitive RT-PCR or branched-DNA (bDNA) assay, detection of negative-strand RNA (the replicative intermediate of HCV) by RT-PCR, or sequencing of viral RNA to detect .

mutation/shift in the viral genome ("quasispecies evolution") with tnerapy. Aitemanveiy or in addition, the host liver may be biopsied and in situ RT-PCR hybridization performed to demonstrate directly any qualitative or quantitative alterations in the amount of viral particles within tissue sections. Alternatively or in addition, the host can be euthanized and the liver examined histologically for signs of infection and/or toxicity caused by the agent.
Identified Agents
The compounds having the desired pharmacological activity may be administered in a physiologically acceptable carrier to a host for treatment. The therapeutic agents may be administered in a variety of ways, orally, topically, parenterally e.g. subcutaneously, intraperitoneally, intravascularly, by inhalation, etc. Depending upon the manner of introduction, the compounds may be formulated in a variety of ways. The concentration of therapeutically active compound in the formulation may vary from about 0.1-100 wt.%.
The pharmaceutical compositions can be prepared in various forms, such as granules, tablets, pills, suppositories, capsules, suspensions, salves, lotions and the like. Pharmaceutical grade organic or inorganic carriers and/or diluents suitable for oral and topical use can be used to make up compositions containing the therapeutically-active compounds. Diluents known to the art include aqueous media, vegetable and animal oils and fats. Stabilizing agents, wetting and emulsifying Agents, salts for varying the osmotic pressure or buffers for securing an adequate pH value, and skin penetration enhancers can be used as auxiUary agents. Vaccine Development
With some modifications, the animal model of the invention can also be used to screen candidate vaccines for their ability to prevent or ameliorate infection by a hepatotrophic pathogen, in general, a "vaccine" is an agent that, following administration, facilitates the host in mounting an immune response against the target pathogen. The humoral, cellular, or humoral/cellular immxme response elicited can facilitate inhibition of infection by the pathogen against which the vaccine is developed. Of particular interest in the present invention are prophylactic vaccines that elicit a protective immune response that inhibits infection by and/or intrahepatic repHcation of a

hepatotrophic pathogen, e.g., a microbial, viral, or parasitic pathogen, particularly a viral pathogen, e.g., HCV. Also of interest are therapeutic vaccines which provide protection through provision of passive immunity or rapidly upregulated specific active immunity(e.g., anti-HCV immunoglobulin, and the hke).
In this embodiment of the invention, the immune system of the immunocompromised chimeric animal is reconstituted using, for example, stem cells, peripheral blood mononuclear cells (PBMCs), blood cord cells, hematopoietc cells, or other suitable cells of human origin to provide for a human immune system in the animal. Methods for isolating human immune cells and reconstitution of the immune system of an immunocompromised animal, e.g., a mouse with an hiunan immime system are well known in the art (see, e.g.. Nature 335:256-59; Proc. Natl. Acad. ScL USA 93(25):14720-25). In one embodiment, the human immune ceils are obtained fixim the same donor as the human hepatocytes used in the production of the chimeric liver. In one embodiment, the human immune cells are introduced into the host according to methods well known in the art, e.g., by intraperitoneal injection.
Screening for an effective vaccine is similar to screening methods described above. In short, the candidate vaccine is administered to the chimeric animal prior to inoculation with the hepatotrophic pathggea. The candidate vaccine is generally administered by providing a single bolus (e.g., intraperitoneal or intramuscular injection, topical administration, or oral administration), followed by one or more booster immimizations. The induction of an immune response can be assessed by examining B and T cell responses that are specific for the antigen according to methods well known in the art. The immunized animal is then challenged with the hepatotrophic pathogen; normally several immunized animals are challenged with increasing titers of the pathogen. The immunized animals and non-immunized control aniniials are then observed for development of infection, and the severity of infection assessed {e.g., by assessi'ig the titer of the pathogen present, examining human hepatocyte fimction parameters as described above, etc.). Vaccine candidates that provide for a significant decrease in infection by the pathogen and/or a significant decrease in the severity of disease that results post-challenge are id_entified as viable vaccines.

Uses of the chimeric animal of the invention that are variations upon or in addition
to those described above will be readily apparent to the ordinarily skilled artisan upon
reading of the present specification. For.example, the chimeric animal can be infected,
preferably chronically infected, with ahepatotrophic agent, and used as a soxirce froin
which the agent can be isolated. This use ofthe chimeric animal ofthe invention is
particularly useful where, for example, isolation ofthe pathogen requires biopsy frorn a
human subject or is difficuU to obtain in useful amounts; the pathogen caimot be readily
cultured in vitro; culturing ofthe pathogen in vitro {e.g., growth in broth culture or in
culturedcells) leads to changes in the pathogen that may affects its pathogenicity and/or
clinical relevance; etc. In general, the chimeric animal is inoculated with the isolated '
pathogen by an appropriate route (e.g., by intravenous, intramuscular, intraperitoneal, or oral administration), preferably by a route of infection that best correlates with the natural route of infection in human disease. After the pathogen establishes infection ofthe human hepatocytes, and after a sufficient amount of time has passed to allow repUcation ofthe pathogen, the pathogen is isolated from the infected chimeric animal by an appropriate method (e.g., isolation from a blood sample, from liver, etc.).
Liver disease diagnosis. The chimeric animal can also be used in the coiu-se of
diagnosis of liver disease in a human. For example, where the patient suffers from a liver
disease of unknown origin or where diagnosis without culturing ofthe pathogen is not
definitive, a sample suspected of containing the causative agent can be isolated fix)m the
patient (e.g., from the patient's serum or from a liver biopsy). The samplecanbe
enriched for the suspected agent, fractionated, or otherwise processed to provide it in an administrable form, and administered to the chimeric animal. The chimeric animal can then be evaluated to assess the effect of administration ofthe sample upon the engrafted human hepatocytes. The effect upon the human hepatocytes can be accompHshed by, for example, isolation and examination of serum samples from the chimeric animal, e.g., to assess function ofthe engrafted human hepatocytes, and/or to detect a pathogen in the animal's serum, e.g., to detect the presence of HCV or other microbial pathogen). The human hepatoc)es can also be examined histologically to-determine the effect of the patient sample.

Screening using patient samples. The invention can also be adapted to provide for diagnosis and rationale therapy designed on an individualized basis. For example, human hepatocytes obtained by biopsy of a patient (e.g., percutaneous needle biopsy) can be used to produce the chimeric murine host. This chimeric murine host can then be used to evaluate the hqiatotrophic pathogen infecting the patient, assess the pathogen's susceptibility to therapeutic agents, and to assess the potential toxicity of the patient's hepatocytes to such therapy. Thus the invention can be designed to facilitate tailoring of therapies most effective against an individual's specific hepatotrophic pathogen complement (e.g., against one or more infecting hepatotrophic pathogens).
Screening for agents that reduce blood lipids. The invention can also be adapted as a system for evaluation of potential therapies of human atherosclerotic vascular (including cardiovascular) disease. Atherosclerosis is the primary cause of heart attack and stroke in the Western world and ultimately is responsible for nearly half the mortality in Canada (Ross (1993) Nature 362: 801-809). A positive correlation between high levels of low density lipoprotein (LDL) and atherosclerosis has been realized for several decades (Brown et ah Ann, Rev. Biochem. 52: 223-261 (1983)), LDL is derived jfrom very low density lipoprotein (VLDL) in the circulatory system by virtue of a complex series of reactions iuvoiving hydrolases, and transfer of Upids and apoproteins among lipoproteins (Fielding et al. (1996) In "Biochemistry of Lipids, Lipoproteins and Membranes", (D.E. Vance and J.E. Vance eds.) pp495-516, Elsevier Science PubUshers, Amsterdam). VLDL is secreted into the blood stream via an intricate secretory pathway (Gibbons, Biochem. J., 268: 1-13 (1990); Dixon et al. J. Lipid Res. 34: 185-1 (1993); Sniderman et al. Arterioscler. Thromb. 13: 629-636 (1993); Yao etal. Biochim. Biophys. Acta. 1212:152-166 (1994); Davis et al.. (1996) In "Biochemistry of Lipids, Lipoproteins and Membranes" (D.E. Vance and J.E. Vance eds.) pp. 473-493, Elsevier, Amsterdam; Innerarity et aL, J. Biol. Chem. 271:2353-2356 (1996)).
Apolipoprotein (apo) B is a major apoprotein of VLDL and, is the sole apoprotein of LDL. A relationship between high levels of apo B in plasma and the risk of cardiovascular disease has been identified (Sniderman et al., Proc. Natl. Acad. Sci. USA 11: 604-608 (1980)). Regression of coronary artery disease has been observed in men aggressively treated with lipid lowering drugs that also cause a decrease in plasma apo B

(Brown et al., N. Engl. J. Med. 323:1289-98 (1990)). Thus, there is a positive link among the secretion of apo B from the liver, the ambient concentration of apo B-containing lipoproteins in plasma and the incidence of atherosclerosis. Apo B is a large glycoprotein that is paramount in the assembly and secretion of lipids, including triglyceride and cholesterol of both dietary and endogenous origin. In addition, apo B is important in the intravascular transport and receptor-mediated uptake and delivery of distinct classes of lipoproteins . The importance of apo B thus spans a range of fiinctions, from the absorption and processing of dietary lipids to the regulation of circulating lipoprotien levels. This latter property underlies its relevance in terms of atherosclerosis susceptibility.
Two forms of apo B exist in mammals. Apo B100 represents the full-length protein containing 4536 amin£ ds and is the exclusive form synthesized in human liver (Young, Circulation 82: 1574-1594 (1990)). Apo BlOO is the major protein constituent of LDL and contains the domain required for interaction of thijiogrotein species with the LDL recgtor_(Young, 1990, supra). In addition, Apo BlOO contains an unpaired cysteine residue, at position 4326, which mediates a covalent interaction with apo(a) and thereby generates another distinct atherogenic lipoprotein, referred to as Lp(a) (Callow et al., Proc. Natl. Acad. Sci. USA 91: 2130-2134 (1994); McCormick et al., J. Biol. Chem. 271:28294-28299 (1996)). The small intestine of all mammals, as well as the liver of certain species, synthesize DO B48. In humans, apo B48 circulates in association with chylomicrons and chylomicron remnants, and these particles, by virtue of their content of apo E are cleared by a distinct receptor referred to as the LDL-receptor related protein (Heiz et al. Curr. Opin. Lipidol 6: 97-103 (1995).
In humans, current evidence indicates that susceptibility to atherosclerosis is most likely due to unfavorable combinations of mutations affecting genes in several pathways, but our knowledge about which genes are involved is limited (Ross, 1993, supra). Due to the ability to introduce or mutate genes, the mouse has become the most common experimental animal model for atherosclerosis research. Wildtype mice on a chow diet do not get atherosclerosis. Three ways to induce atherosclerosis in mice are: diet-induced "(Paigen et al., Proc. Natl. Acad. Sci. USA 84: 3763-3767 (1987)), apo E deficiency-induced (Piedrahita et al., Proc. Natl. Acad Sci. USA. 89: 4471-4475 (1992); Plump et al.,

Cell 71:343-353 (1992); Zhang et al., Science 258:468-471 (1992)), and LDL receptor-deficiency induced (Ishibashi et al., J. Clin. Invest. 92: 883-893 (1993)). Thus murine transgenic models expressing human genes involved in lipoprotein metabolism have increasingly served as small mammalian, models where the spectra of both normal and pathologic human serum lipid profiles can be simulated, and in several instances have demonstrated the formation of atherosclerotic lesions. For example, the atherosclerotic lesions in apo E-deficient mice have been well characterized, and they resemble human lesions in their sites of predilection and progression to the fibroproliferative stage. These mouse models of atherosclerosis are being used to identify genes which modify atherosclerosis susceptibility and in the development of antiatherogenic therapies.
The animal model of the present invention can likewise serve as an animal model for hyperlipidemia and artherosclerosis, and can be used to identify candidate agents having activity in reducing the risk of such diseases {e.g., useful in prophylactic
treatment) or in treatin|uch diseases (g.;?:, by lowering blood lipids). Study of serum fixjm the chimeric, transgenic animal model of the invention has demonstrated the presence of the human lipoprotein apoBlOO. Since this molecule has been established as an important etiologic factor in the development of human atherosclerotic vascular disease, screening for agents that affect apoBlOO levels (either quantitatively or qualitatively) can serve to identify agents that can modulate blood lipid levels and thus provide therapy for disease in humans. The positive control for such screening assays can be human serum and, with non-transplanted homozygous Alb/uPA mouse serum serving as the negative control.
Methods for detection of apoBlOO are well known in the art. Geaerallv. the assav involves detection following contacting a
biological sample firom theanimaL(e.g., blood, serum, plasma, and the like) with an antibody that specifically binds apoB 100. Detection of formation of antibody-apoB 100
compIexMcan be accomplished in a variety of ways {e.g.. Western blot, dot blot, RIA, and the like).

EXAMPLES The following examples are put forth so as to provide those of ordinary skill in the art with a complete disclosure and description of how to make and use the present invention, and are not intended to limit the scope of what the inventors regard as their invention nor are they intended to represent that the experiments below are all or the only experiments performed. Efforts have been made to ensure accuracy with respect to numbers used (e.g. amounts, temperature, etc.) but some experimental errors and deviations should be accounted for. Unless indicated otherwise, parts are parts by weight, molecular weight is weight average molecular weight, temperature is in degrees Centigrade, and pressure is at or near atmospheric.
Example 1: Production of Alb-uPA Transgenic Mice
To generate an Alb-uPA transgenic mouse tolerant to human tissue grafts, mice heterozygous for the transgene (strain TgN(.4/6/P/a«)144Bri (The Jackson Laboratory)) were crossed with animals firom a C.b-17/SCID-beige lineage (strain C.b-17/GbmsTac-scid-bgN7 (Taconic Farms), homozygous). Through a series of backcrosses, the SCED-beige trait was bred to homozygosity as confinned by quantification of total serum IgG using a sandwich ELISA technique to detect mouse IgG according to methods well known m the art. Quantification of IgG was calculated firom a standard curve prepared on each plate using a mouse IgG standard (Cappel). "Leakiness" of the SCID-beige trait was defined as >1% of normal serum IgG (Bosma et al. Ann. Rev. Immun. 9:323 (1991)); animals with serum IgG levels above this cutoff were euthanised. At each step, animals carrying the Alb-uPA transgene were identified by PCR analysis of genomic DNA extracted firom tail biopsies, using two 18-mer primers that amplify a 151 bp product fi-om the 3' UTR of the transgene construct (Jackson Laboratories technical support). Although the homozygous Alb/uPA trait has been previously associated with a high perinatal mortality rate secondary to bleeding complications and liver failure (Heckel et al. Cell 62:447 (1990)), we found that in our scidibg/Alb-uPA animal colony neonatal mortality was approximately 30%. The colony providing animals was developed initially with heterozygous breeders, but with moderate neonatal mortality in homozygous mice, the • colony was evolved to completely homozygous. Animals were housed in virus/antigen-

free conditions, and were cared for in accordance with the guidelines established by the Canadian Council on Animal Care (1993). All animal experiments describe Herein were performed with approval from the University of Alberta Animal Welfare Committee.
Human hepatocytes for transplantation were obtained with approval from the University of Alberta Faculty of Medicine Research Ethics Board. Segments of human liver tissue (15-20 cm) obtained at laparotomy were perfused with ice-cOld Ca/Mg-free PBS containing 0.5 mM NajEDTA. Prominent perfusing vessels were cannulated and the tissue was perfused for 30 minutes with recirculating carrier solution (35 mM NaCl, 3.5 mM KCl, 2.5 mM CaCla, 50mM HEPES, pH 7.6) containing 0.38 mg/mL Liberase CI coUagenase (Boeringer-Mannheim) (Ryan etal Surgery 113:48 (1993); Seglen etal. Meth. Cell Biol. 1:29 (1976)). Hepatocytes were filtered through 100 \im stainless steel mesh, purified by density-gradient centrifligation (PercoU, density 1.04 g/mL; Sigma) at 400 g for 5 minutes, and washed twice in ice-cold HBSS prior to suspension in BeLzer-University of Wisconsin solution (DuPont) at OC for short-term storage prior to transplantation. Cell counts and viability were confirmed by trypan blue exclusion prior to transplantation; final viability was routinely >80%.
In initial experiments, animals homozygous for the SCE) trait and hetero2ygous for the Alb-uPA transgene were crossed, and 7 day-old progeny were transplanted with 1 X 106 freshly isolated viable hiunan hepatocytes. Transplantation was accompUshed by intrasplraiic injection. Intrasplenically injected hepatocytes rapidly translocate to the liver via the portal venous system and engraft into the parenchyma surrounding terminal portal venules (Ponder et al. Proc. Natl. Acad. Sci. USA 88:1217 (1991); Gupta et al. Transplantation 50:472 (1990)). Since the mortahty associated with intrasplenic injection is minimal, the spleen was selected as the optimal site for implantation. Accordingly, offspring (5-17 days old) were anesthetized with Halothane/Oa, and a small left flank incision was made. Under operating magnification, 1x106 viable hepatocytes were injected into the inferior splenic pole with a 27g butterfly injection set (Becton-Dickinson), and a single sterile titanium clip was placed across the injection site for hemostasis. The spleen was returned to the abdomen, and the flank incision was closed in two layers.

Since the production of albumin is an exclusive property of hepatocytes (Clement et al, Hepatology 4:373 (1984); Gunsalas et al. Nature Medicine 3:48 (1997)), detection of human albumin (HA) in serum samples by selective immunoprecipitation and Western blotting was employed as an indicator of graft cell function. Recipient mice were initially sampled by jugular venous puncture at four weeks post-transplant, and at weekly inteivals thereafter. Aliquots of mouse serum (20 \i.\) were incubated with an anti-human albumin monoclonal antibody (Clone HSA-9; Sigma), and antigen-antibody complexes were precipitated with protein G-agarose (Boehringer-Mannheim). Immunoprecipitates were heated for 5 minutes at 98°C in SDS buffer containing 0.2 M dithiothreitol, separated by SDS-polyacrylamide gel electrophoresis and transferred to nitrocellulose. Western blots were prepared in Standard fashion ( Coligan er al. Current Protocols in Immunology (Wiley, New York, 1997), vol. 2, chap. 8.10.7) using a second anti-human albumin monoclonal antibody (Clone HS A-11; Sigma) conjugated to biotin as the primary. A streptavidin-HRP conjugate (Pierce) was employed as the secondary, and chemiluminescent reagents (Pierce) were used for signal detection.
A strong HA signal was demonstrated in the serum of 4/7 transplanted littermates, indicating the presence of significant numbers of functional human hepatocytes; subsequent genotype analysis revealed that all HA-positive animals carried the Alb-uPA transgene, whereas all the animals negative for HA were also negative for the transgene. Clear HA bands were detected as early as two weeks post-transplant, with an increase in intensity over the 4-6 week timepoints, suggesting vigorous expansion of the primary cell grafts (Fig. 1). These findings indicated that the microenvironment within the Alb-uPA liver was sufficient to stimulate human hepatocytes to begin rapid proliferation, and that there was the potential to support the establishment of long-term human grafts.
To confirm proliferation and estimate the extent of replacement of murine parenchyma with human-derived cells, formalin fixed, paraffin embedded sections of recipient livers were obtained at various times after transplantation and iiranunostained with a monoclonal antibody specific for human hepatocytes. Segments of mouse liver were fixed in 10% formalin and embedded in paraffin. Sections 5u thick were stained with hematoxylin and eosin (H&E) in standard fashion. Selected sections were treated with an endogenous avidin/biotin blocking kit (Zymed Laboratories, Inc.) and

immunostained with a monoclonal anti-human hepatocyte antibody (DAKO, 1:20 dilution); bound antibody was detected using the Super Sensitive Immunodetection System (BioGenex)
The results are shown in Figures2A-2F. In animals carrying the transgene, clusters of cells staining positive with the anti human hepatocyte antibody (darkly stained cells) were scattered uniformly throughout the host Hver at two weeks post-transplant, comprising an estimated 2-3% of all hepatocytes. At four weeks the percentage of positive-staining cells had increased, covering firom 20 to 60% of the total surface area of individual sections. The interface between human and mouse cells was distinct, with cords of hxunan cells extending into the surrounding mmine parenchyma. Individual human cells maintained a normal appearance and developed sinusoidal architecture, although portal triad structures were notably absent fi-om the regenerating nodules. This latter observation was not unexpected, since human-derived nodules are the result of clonal expansion of individual hepatocytes (Sandgren et al. Cell 68:245 (1991)). These nodules would contain no bile duct or endothelial precursor cells; such structures would be host-derived and therefore marginalized around proliferating human tissue.
Analysis of human hepatocyte graft function. Two different serum-based assays were used to evaluate the human hepatocyte graft in our chimeric mice. The first assay is a dot blot assay measuring human serum albumin; the second assay is an ELIS A assay measuring human alpha-1 antitrypsin (hAAT). The same mice were assayed at 6 and 12 weeks post transplant.
The dot blot assay was performed by diluting 2 1 of sample or standard into 40 jil of reducing buffer and heat for 5 min at 100 degrees (standards = known amounts of human albumin in blank mouse serum). A 2|il volume of solution was blotted onto Nitrocellulose membrane and allowed to dry for 15 min. The membrane was soaked in Western Transfer Solution for 10 min, and then blocked with 3% TEST for 1 hour. The membrane was washed, and monoclonal antibody applied to reduced human albumin at 1:5000 for 2 hours. After washing, horseradish-peroxidase-streptavidin at 1:10000 was applied for 1 hour, followed by washing and developing with ECL-PLUS chemiluminescent solution. The membrane is then read using a phosphoimager. The standard curve was plotted using standards and use this curve to calculate sample values.

The ELISA was performed by coating plates with polyclonal goat - anti-hAAT antibody at 1:1000 overnight, washing, and then blocking with TBST/milk buifer overnight. After washing, the standards and samples, diluted appropriately in milk buffer, were applied and incubate for 2 hours at RT. After washing, secondary antibody linked to HRP at 1:300 (diluted in milk buffer) was applied and incubated for 2 hours at RT. After washing, TBMD substrate was added, and the reaction stopped at 5 minutes by addition of 1 M H2SO4. The plate was read at 450 rmi. A standard curve was plotted using standards and this curve used to calculate sample values.

HOMO indicates animal is homozygous for the transgene; HETERO indicates the animal is heterozygous for the transgene. Both assays show in general the trends are the same, showing a much higher production of human-derived proteins in the homozygote for the uPA transgene compared with the heterozygotes.
Conclusion. This example demonstrates successful transplantation of the immunocompromised, scid/bg/ Alb-uPA mice with hiunan hepatocytes.
Example 2: Persistence and Proliferation of Engrafted Hmnan Hepatocytes
To determine the long-term outcome of initial successful engraftment and proUferation, a second litter of 8 animals was transplanted in similar fashion. The

hepatocytes available for use at the time of this experiment were obtained from a patient who was a chronic carrier of hepatitis B virus. The patient exhibited both a positive serum HBsAg levels and negative serum HBV DNA, indicating a chronic carrier state without active viral replication (Davis, ou/A. Meii y. 90:866(1997)).
Two randomly selected animals were sacrificed at 4 weeks for histologic analysis, and the remaining 6 animals were followed at weekly intervals. Serum samples were subjected to Westem blot as described above, and the HA bands from Western blots quantified using image analysis software and band densitometry (Umax Astra 1200S scanner and VistaScan DA v. 1.2.2 imaging software (UMAX Copr, Fremont, CA). Quantification of HA peaks was performed using NIH Image 1.60/fat software (National Institute of Health), and normaUzed to a 50 ng HA standard present on each blot.
Again, initial graft proliferation was seen only in the 4 animals which earned the transgene. In these animals, HA signals remained near maximal to 8 weeks at which point two distinct patterns of graft function emerged (Fig. 3; Mouse 3, open square; Mouse 4, closed triangle; Mouse 5, open circle; Mouse 6, closed circle).
In three animals graft function began to slowly decline, with extinction of the HA signal at 10,15 or 16 weeks. In contrast, the fourth transgenic animal (mouse no. 6) showed maximal HA production at all measured timepoints (Figs. 3 and 4), indicating stable engraftment of human hepatocytes. Sustained graft function repeatedly occurred in approximately 25% of animals carrying the transgene. The proliferative signal for the transplanted hepatocytes is likely dependent on overall expression of the transgene, and is reduced as host-derived hepatocytes spontaneously delete the transgene.
In order to assess whether the transplanted mice supported the HBV infection of the HBV-infected, transplanted cells, serum samples from all transplanted mice were screened for hepatitis B surface antigen (HBsAg) production by sandwich ELISA. Aliquots of serum (20 ill) were tested for presence of HBsAg using a sandwich ELISA kit (Heprofile HbsAg; ADI Diagnostics) with plate analysis performed using a Dynatech MRX microplate spectrophotometer (Dynex). Both positive and negative human serum controls, as well as negative murine serum controls were included in assays.

The results are summarized in Table 1. Negative human and mouse serum controls range from 0.04-0.05 absorbance units; positive human controls range from 0.30-0.40 absorbance units.

As expected, control (Alb-uPA negative, nos, 1-2) mice had imdetectable HBsAg levels and the three transgenic animals wi± transient graft fimction showed only sporadic minimal increases during weeks 6-12. However, the transgenic mouse with the pattern of sustained graft fimction (mouse no. 6) demonstrated clearly elevated levels at all time points measured, with an abrupt increase after 8 weeks to persist well within the range of HBsAg levels in actively infected human controls. The abrupt increase was suggestive of restoration of active viral replication.
To confirm active replication samples of serum taken from this animal at 8, 10,12 and 16 weeks were analyzed by PCR for the presence of HBV DNA. DNA isolated from 12.5 nl of mouse serum were subjected to PCR using HBV-spepific primers and amplification conditions previously described (Tipples et al. Hepatology 24:714 (1996)). All analyses were performed in blinded fashion. All four serum samples were strongly positive for the presence of viral DNA (data not shown). This result was of special interest in that despite not actively replicating within its human donor, the virus was reactivated within the immuhodeficient murine liost. This reactivation may have been the result of inadequate antiviral immunity, similar to what is observed in chronic HBV

carriers given pharmacologic immunosuppression after organ transplantation (Terrault et fl/.G«/40:568 (1997)).
This example thus demonstrates that human hepatocytes transplanted into chimeric, transgenic mice can support HBV viral replication.
Example 3: Establishing Primary HCV Infection
The success above in production of a chimeric animal that supports HBV replication in the chimeric mouse supports the use of the animal as a model of HBV. However, the vast differences between HBV and HCV discussed above (Background) meant that there could be no reasonable expectation that the animal model would be susceptible to HCV infection through a normal route of infection (e.g., intravenous transmission) or that the chimeric liver could support an active HCV infection, particularly in view of the failure of others to develop HCV animal models and the rarity of cell systems for HCV. The comparative success with HBV animals models and the repeated failures of others with HCV animal models indicate that one can not simply extrapolate from HBV to HCV. Thus, an attempt was made to establish a primary HCV infection in mice with chimeric livers using virally-infected human serum.
Seven iittermates were transplanted at 7 days of age with human hepatocytes isolated from a patient serologically-negative for both HCV and HBV infection. After confirming initial graft function in 5/7 animals at 6 weeks post-transplant, all mice were inoculated intravenously with 0.25 mL of human serum obtained from an unrelated HCV-positive donor. The HCV-positive status of the human serum donor was confirmed positive for HCV RNA by PCR, with viral titers of 1 x 10 copies per ml serum. Thus, each mouse was inoculated with approximately 2.5 x 10 viral particles. Serum samples taken from all seven mice at 11,12 and 13 weeks post-transplant (5,6 and 7 weeks post¬infection) were analyzed for the presence of HCV RNA by RT-PCR analysis using the Cobas AmpHcor system (Roche Diagnostics), according to the manufacturer's instructions. Two nontransplanted mice served as mock-infected controls.
Of the five animals with good initial engraftment, four showed the pattem of transient graft function and again one animal demonstrated-HA levels at maximal uitensity over all measured timepoints. All three samples taken from the animal with

sustained human chimerism as reflected by persistent human albumin levels in serum were strongly positive for HCV RNA, and persistently positive at weekly intervals to 36 weeks. RT-PCR analysis was uniformly negative for animals negative for the Alb-uPA transgene or that only transiently expressed the HA marker for the transgene.. As 6 animals were negative for HCV RNA, the possibility of the positive RT-PCR signals in the seventh animal originating from residual virus from the inoculum isremote. This example supports the conclusion that this animal had developed and at 23 weeks post¬transplantation and 20-weeks post-infection, is propagating an active HCV infection at 1.2 X 10 - i .8 X 10 virion/ml serum.
This series of experiments estabUshes the capacity of the SCID-beige/AIb-uPA transgenic mouse to generate and sustain a chimeric human liver for prolonged and perhaps indefinite periods of time after transplantation of human hepatocytes. These chimeric organs can be infected de novo with HCV-positive human serum, and can support long-term replication {e.g., for a period of weeks or months as opposed to a few days) of human-specific hepatotrophic viruses at levels that can be equated to clinical levels in humans. HCV viral particles can be detected in serum, blood, or other blood-daived firaction by standard techniques, which techniques can be automated to facilitate more rapid screening. For example, the samples from the HCV-infection host can be diluted with known noninfected serum {e.g., about two to four fold dilution), to provide a sample volume adequate for use in an automated machine, and provide signal strengths in the assays indistinguishable from random human samples.
Long-term replication of HCV in the model of the invention {e.g., for a period longer than about 4 weeks, generally longer than about 12 weeks, e.g., about 3 months to 6 months or more) allows for the use of the model in the testing of drugs over extended periods of time, which period may be necessary for adequate drug development. For example, the effect of adminisfration of interferon-a (particularly interferon-a2b), an anti-HCV therapy, is generally only detectable in humans after about 12 weeks of therapy. In an animal model that sustained viral replication for only a few days or weeks and/or exhibited inconsistent viral production, it would be difficult or impossible to determine if changes in viral titers were due to a candidate therapeutic or to normal fluctuations in titer

inherent in the animal model. The present invention provides a model that avoids this problem.
In summary, to the best of the inventors' knowledge, this is the first report of a non-primate animal model that is susceptible to HCV infection by a normal route of infection. The model is clinically relevant (e.g., can be infected by a normal route of infection, and supports persistent HCV infection similar to that observed in humans), can be produced regularly and reliably in substantial numbers, and will allow investigators to directly explore strategies for inhibiting viral replication in vivo.
Example 4: HCV Infection of Alb-uPA Mice
In this Example, the work above was expanded finther to demonstrate that the animal model of the invention can support replication of HCV.
Methods and Materials
The following Methods and Materials were used in this example.
Development of scid/Alb-uPA strain. Animals were housed in virus/antigen-free conditions, and cared for in accordance with the guidelines established by the Canadian Council on Animal Care (1993). Approval for animal experimentation was obtained from the University of Alberta Animal Welfare Committee.
Hemizygous Alb-uPA mice (strain TgN(AlblPlau)144Bri, The Jackson Laboratory) were crossed with homozygous scid-bg mice (strain C.b-17/GbmsTac-scid-bgN7, Taconic Farms), and progeny carrying the Alb-uPA transgene were identified by PCR analysis of genomic DNA extracted from tail biopsies (Jackson Laboratories technical support). Through backcrossing, the scid trait was bred to homozygosity as confirmed by quantification of total serum IgG using a sandwich ELISA. Animals with >1% of normal serum IgG were euthanized.
Isolation and purification of human hepatocytes. Ethical approval for use of human tissue was obtained from the University of Alberta Faculty of Medicine Research Ethics Board; informed consent was obtained from all hepatocyte donors. Segments of human liver tissue (15-20 cm) were obtained from regions of hepatic resection specimens which would normally be discarded after pathologic examination; the majority of onerations were nerformed for intrahepatic malignancies.

After rapid cooling of resected specimens, hepatocytes were isolated and purified by standard two-step coUagenase-based perfusion (Seglen Methods Cell Biol. 13:29-83 (1976); Ryan et al Surgery 113:48-54 (1993)) using 0.38 mg/mL Liberase CI (Boehringer-Mannheim) m the collagenase perfiisate. After purification, cells were washed and suspended in Belzer-UW solution (DuPont) at 0°C for short-term storage prior to transplantation. Cell counts and viability were confirmed by hemocytometer and trypan blue exclusion; final viability was routinely >80%.
Transplantation of human hepatocytes. Recipients (5-14 days old) were anesthetized with halothane/Oa, and a small left flank incision was made. Under operating magnification, 1x10 viable hepatocytes were injected into the inferior splenic pole with a 27g butterfly injection set (Abbott), with a single sterile titanium clip placed across the injection site for hemostasis. The spleen was replaced and the flank incision closed in two layers.
Detection of HA in mouse serum by immunoprecipitation and Western blot. Mouse serum (20 \i\) was incubated with monoclonal anti-HA antibody (Clone HSA-9, Sigma) and antigen-antibody complexes collected with protein G-agarose beads (Boehringer-Mannheim). Under reducing conditions, immunoprecipitates were separated by SDS-PAGE and transferred to nitrocellulose. Western blots were prepared using a biotinylated monoclonal anti-HA antibody (Clone HSA-11, Sigma), with a streptavidin-HRP conjugate and chemiluminescent substrate (Pierce) for signal detection.
Determination of zygosity of the Alb-uPA ti-ansgene. Mouse DNA (3ug) was digested with PvuII, size fiactionated on 0.7% agarose gel, tiiansferred to Hybond-N+ membrane (Amersham Life Science), and hybridized to a [P] - labeled probe fi-om the final intron of the uPA gene (positions 7312-7920, GenBank accession M17922). A band of 2.88 kb was derived fixim uPA transgenes (T) and a 2.53 kb band fi-om endogenous uPA genes (E); hybridization was quantified with a Fuji phosphoimager and Image Gauge Software.
Immunohistochemistry. Mouse liver biopsies were fixed in 10% formalin and embedded in paraffin. Sections 5\x. thick were stained with hematoxylin and eosin (H&E) in standard fashion. Selected sections were treated with an endogenous avidin/biotin blocking kit (Zymed Laboratories, INC.) and immunostained with a monoclonal anti-

human hepatocyte antibody (DAKO, 1:20 dilution); bound antibody was detected using the Super Sensitive Immunodetection System (BioGenex).
Protein dot-blot assay for quantitation of HA production. Samples of mouse serum (21) were incubated for 5 min at 100°C in 40(il reducing buffer, and 21 aliquots were blotted in triplicate onto nitrocellulose. Dried membranes were soaked in transfer buffer, blocked with 3% PBS-Tween, and prepared as Western blots. Chemiluminescence was quantified using a STORM phosphoimager, fi-om a standard curve prepared on each blot.
Quantitative analysis of positive strand HCV RNA in mouse serum. Quantitative HCV analysis was performed in blinded fashion by the Alberta Provincial Laboratory of Public Health (Edmonton, Alberta, Canada), or the Canadian Center for Disease Control (Winnipeg, Manitoba, Canada). Analysis was performed on serum samples using the Cobas AmpUcor HCV Monitor system (Roche Diagnostics) according to manufacturers instructions.
Detection of negative-stranded HCV RNA by thermostable rTth reverse transcriptase RNA PCR. Total RNA was isolated fi-om mouse liver biopsies or infected buman serum using TRIZOL (Gibco BRL). RT-PCR was performed using a hermostable rTth reverse transcriptase RNA PCR kit (Perkin Ehner) according to nanufacturer's instructions. Positive-strand RNA was detected with an antisense (5'-:TCGCAAGCCCCTATCAGG-3' (SEQ ID N0:1)) primer and negative-strand with a sense (5'-GAAAGCGTCTAGCCATGGCGT-3' (SEQ ID N0:2)) primer for reverse ranscriptionl4. Strand-specific cDNA was amplified by adding the other primer to target 1240-base pair (bp) region of the 5' non-coding region (NCR) and subjected to 35 cycles It 95°C for 30s, 66°C for 45s and 70°C for 90s, followed by 70°C for 5 minutes, leaction products were loaded onto a 2% agarose gel, transferred to Hybond-N+ nylon nembrane (Amersham Pharmacia Biotech) and hybridized vnHh. an a-'P-labelled DNA »robe for HCV 5' NCR at 42'C overnight.
Detection of negative-stranded HCV RNA by RNase protection assay. Total RNA ias isolated from mouse liver using Trizol Reagent (GIBCO/BRL) and firom HCV-afected human serum using QIAamp Viral RNA Mini-Kit (Qiagen), each according to lanufacturer's protocol. Extracted RNA was probed with 32P-Iabeled, sel-purified

antisense riboprobe (detection of (+) strand), sense riboprobe (detection of (-) strand), and/or P-actin antisense riboprobe.
Plasmid Constructs. Three plasmid constructs were prepared for in vitro transcription of truncated HCV RNA. HCVPfix/KS+ is a construct originally developed in our lab for expression studies of HCV serine proteinase. Total RNA prepared from fresh serum obtained from HCV-infected patients (Chomczynski et al. AnalBiochem 162,156-159 (1987)) was denatured at 95'C for 5 min. cDNA synthesis was perfonned in a 20 il reaction volume with AMV super reverse transcriptase (Molecular Genetic Resources) at 42°C for 90 min. The antisense oligonucleotide primer used was 5'-TCTCTGTCGACTCACTGGGGCACTGCTGGTGG-3' (SEQ E) NO:3) (3'primer). PCR was performed in a total volume of 100 nl and contained 2 \i.\ of the final cDNA reaction mixture, 20 mM Tris-HCl (pH 8.4), 50 mM KCl, 1.5 mM MgCb, 200 M of each deoxyribonucleoside triphosphate, 0.5 nM of 3'primer and 5'primer (5'-GGAATTCGCGACGACGATGACAAGGCACCCATTACGGCGTATGCCCAGCAGA CAAGGGGCCTCTT-3' (SEQ E) N0:4)), and 2.5 U Taq DNA polymerase (GIBCO/BRL). The 5' primer added an enterokinase cleavage site, and the entire 623 bp fragment was cloned into the Eco Rl and Sal 1 sites of pBluescript KS+ (Stratagene, PDI).
The remaining two plasmids were constructed using a PCR strategy to obtain a region of the highly conserved 5' noncoding region (NCR) of HCV RNA from pCV-E77C (MasayukietaLJ.Proc Nat Acad Sci USA 94,8738-8743(1994)). PCR components were as above except the template used was 100 ng pCV-H77C and primers were 5'-GAAAGCGTCTAGCCATGGCGTTAG-3' (SEQ ID N0:5) (5' primer) and 5'-GGCACTCGCAAGCACCCTATCAGGC-3' (SEQ ID NO:6)(3' primer). Both orientations of the 245 bp product were TA-cloned into pCR2.1 TOPO using a commercially available TOPO TA Cloning kit (Invitrogen) to generate pCR 2.1/NCRsense and pCR 2.1/ NCRantisense plasmids. All clones were confirmed by DNA sequencing (University of Alberta DNA Core Facility).
PreparationpfRiboprobes and Truncated HCV RNA Transcripts. Riboprobes were prepared by in yifro transcription using T7 RNA polymerase (Promega) according to the manufacturer's instructions, in the presence of [■'PJUTP. For detection of (+) strand

HCV RNA, a 383-nt antisense riboprobe was transcribed from Kpn I digested pCR 2.1/ NCRantisense and for (-) strand, a 636-nt sense riboprobe was transcribed from Sail digested HCVPfixyKS+. For detection of p-actin, linearized pTRI-Actin-Mouse (AMBION) was used to generate a 304 nt riboprobe. To demonstrate specificity of strand-specific detection of HCV RNA, radioinert sense and antisense nboprobes were also prepared. Briefly,pCR2.1/NCR sense/antisense were digested withKpn I and HCVPfix/KS+ was digested with Sal I prior to in vitro transcription using T7 RNA polymerase. Additionally, HCVPfix/KS+ was linearized with Eco Rl and in vitro transcribed using T3 RNA polymerase (Promega). All in vitro transcription reactions were 1 hour at 37°C followed by treatment vdth RNase-free DNasel (RQl DNase, Promega) for 30 min at 37'C. Labeled riboprobes were gel purified and radioinert HCV RNA riboprobes were precipitated with 2.5 volumes of absolute ethanol after adding 0.5 volumes of 7.5 M ammonium acetate. Integrity of radioinert in vitro transcribed RNAs was evaluated by electrophoresis through a 1% agarose gel. RNA samples were denatured and hybridized overnight at 42°C, and RNase digestion was performed using an RNase protection assay kit (AMBION RPA in Kit). Products were resolved on a 5% polyacrylamide gel containing 8 M urea and exposed to Kodak X-Omat AR fihn. Production of Transgenic Mice and Transplantation of Human Hepatocytes Mice carrying Alb-uPA were crossed with animals from a C.b-17/scid-bg lineage, and through selective backcrosses bred the scid trait to homozygosity. In initial sxperiments, homozygous scid animals carrying the Alb-uPA transgene in hemizygous fashion were crossed, and litters of 4-12 day-old progeny were transplanted ntrasplenically vrith 0.5-1 x 10 freshly isolated viable human hepatocytes. Human ilbimiin, produced exclusively by human hepatocytes, was employed as an indicator of p:aft frmction.
In a pilot study of 36 transplants, a strong HA signal at 4-5 weeks post-transplant vas demonstrated in the serum of 19 recipients. HA bands were detected as early as two VQ"'fs post-transplant and increased in intensity over the 4-6 week timepoints suggesting prait expansion (Fig. 5). Blinded genotype analysis revealed that all sfrongly HA-(ositive animals carried Alb-uPA whereas the remainder did not.

Despite initially strong HA signals, some graft recipients had extinction of signal at around 14 weeks, while a second subset maintained strong signals beyond 30 weeks; representative results are shovwi in Fig 7. As these graft recipients were progeny of heterozygous crosses, the divergence in graft survival as the result of zygosity of the Alb-uPA transgene was tested. Using a [P] - labeled probe derived from the final intron of the uPA gene, transgenic and endogenous uPA were distinguishable by Southern blot analysis, and the signal ratio could be used to determine the zygosity of the transgene array (Fig. 6). Genomic DNA analysis confirmed that animals demonstrating sustained human engraftment were homozygous for Alb-uPA, whereas the subset with failing graft fimction were hemizygous.
Examination of sections from transplanted homozygote livers revealed large nodules of hepatocytes arranged in typical cord-like structures. Within nodules, hepatocyte cytoplasm and nuclei appeared histologically normal in contrast to surrounding tissues, where ceils were obviously smaller, with vacuolated cytoplasm and pyknotic nuclei. To delineate human cells, we immunostained sections with a monoclonal anti-human hepatocyte antibody which intensely stained control human liver but had no substantial cross-reaction with non-transplanted homozygous mouse Uver. This demonstrated that the nodules were clearly of human origin, expanding outward into and compressing siuxounding murine-derived tissues. While the large human nodules :ontained healthy hepatocytes, all biliary tract and portal structures appeared to be host-lerived.
HCV Infection
With evidence of prolonged human engraftment, mice were infected with serum from HCV-infected human donors. Non-infected human hepatocytes were transplanted into 27 offepring from heterozygous crosses, and at 6 weeks after transplantation all mice were inoculated intravenously ± intraperitoneally with 0.25 mi of human serum obtained from one of two unrelated HCV-positive donors (viral genotypes la and 6a). Selected serum samples between 3 and 40 weeks after inoculation were analyzed for the presence of positive-stranded HCV RNA by RT-PCR; results of the experiment are summarized in Table 2. Graft duration wasdefined as the period of HA detectability by immunoprecipitationAVestera blot procedure.

All 8 wild-type controls had no evidence of initial graft function and were persistently negative for HCV RNA. Hemizygous animals had initially strong HA signals, but progressively lost signal intensity over time to a median graft duration of 15.5 weeks; (+) stranded HCV RNA was not detected in any of these animals over multiple timepoints. In sharp contrast, all four animals homozygous for the Alb-uPA transgene demonstrated sustained human chimerism (median 30.5 weeks) and were positive for HCV RNA by serum RT-PCR analysis. Quantitative HCV RNA analysis revealed viral levels ranging from 1.4 x 103 to 1.4 x 103 RNA copies/ml, well within the range of infected humans. Successful infections were estabUshed with both genotypes of viral inoculum and duration of infection ranged from 10-21 weeks in this initial cohort of four animals.
HCV Infection of Animals Homozygous or Hemizygous for the Alb-uPA Transgene
While positive-stranded HCV RNA was persistently demonstrable in homozygous animals, HCV RNA was imdetectable in hemizygotes. We hypothesized that henaizygotes fail to support HCV replication at detectable levels as a result of diminished initial engrafhnent and earlier graft loss. To test this hypothesis, a protein dot-blot assay was developed using chemiluminescence and phosphorimaging to more accurately quantify HA production. After transplanting 1 x 103 cryopreserved human hepatocytes from a smgle human donor into 21 recipients (15 homozygotes and 6 hemizygotes), randomly selected animals were sampled for quantitative HA analysis and/or sacrificed for immunohistochemical analysis. Results of this experiment are shown in Fig. 8.

While hemizygous and homozygous animals initially had similar HA signal intensities, by 5-6 weeks a clear dichotomy became apparent and by 10-12 weeks HA signals in homozygous mice were more than an order of magnitude higher than hemizygotes (Fig. 8). Random liver sections from homozygous and hemizygous recipients sacrificed at selected points after transplantation were immunostained with a monoclonal anti-human hepatocyte antibody to estimate the percent replacement of murine liver with human tissue. These immunohistochemical data confirmed the protein dot-blot findings, with human cells occupying substantial portions (>50%) of cross-sectional liver area in homozygous animals. In distinct contrast, examination of multiple sections of tissue from heterozygous recipients revealed only minimal evidence of human engraftment. Together, these studies suggest a substantial advantage in both the magnitude and duration of human hepatocyte engraftment for homozygous Alb-uPA recipients compared to their heterozygous counterparts.
By transplanting into the progeny of heterozygous crosses, successfiil infections were established in 4/27 mice, all homozygotes. This success rate would make the model too cumbersome for routine use. As a result of the quantitative advantage in graft size ascribed to homozygous mice, the breeding colony was shifted towards exclusive production of homozygous Alb-uPA mice. Using the dot-blot assay described above to screen early for high-level hepatocyte engraftment (HA levels >250\ig/ml), -75% of HCV-inoculated animals developed persistent viral titers >3 x lO'6 copies/ml, with many >106 copies/ml. The remainder of the viral studies were performed in homozygous recipients.
Confirmation of long-term persistence of HCV
Long-term persistence of viral titers in humans is the result of ongoing active proliferation. In immunocompromised chimeric animals, however, one might ascribe HCV persistence to slower viral elimination rather than true infection and replication. Five homozygous graft recipients were inoculated with 250jil of infected human serum genotype 3a; 2.95 x 10 viral RNA copies/ml); each animal received therefore an noculum of 7.38 x 10 RNA copies. Results of this experiment are shown in Fig. 9. In 5/5 recipients, viral titers increased by 16-, 27- and 36-fold over the initial inoculum by 5

weeks after inoculation; in the remaining 2 recipients titers increased modestly over 5 weeks (1.6- and 4.3-fold).
Ongoing detection of positive-stranded HCV RNA has been confirmed to beyond 15 weeks after inoculation in four animals (one death after blood sampling). The initial rise in titers coupled with persistently high viral levels at 15 weeks is consistent with viral replication rather than carryover artifact. In fiirther study, a sixth chimeric mouse was infected with a much smaller viral inoculum (1.35 x 10 RNA copies). The total serum viral load at 10 weeks after infection was measured at 1.33 x 10 copies, a 1000-fold increase. A nonproductive "interaction" could not reasonably sustain a 3-log increase in viral load, strongly supporting the occurrence of viral replication.
HCV is a positive-stranded RNA virus replicating through a negative-stranded intermediate; detection of (-) strand HCV RNA within the liver constitutes proof of replication. To reduce the risk of false positive results (Lanford et al. Virology 202:606-614 (1994)), (-) strand analysis was performed using two separate but complementary techniques.
Eight homozygous graft recipients inoculated with 5x10 copies of viral RNA fix)m freshly obtained human serum were confirmed to have (+) strand HCV RNA at 3-4 weeks post inoculation. Samples of liver tissue were obtained by 50% partial hepatectomy at 2-5 weeks post-inoculation in six animals and 12-13 weeks in the remaining two.
Analysis for (-) strand HCV RNA was performed in blinded fashion by an independent laboratory (A.R.) using a thermostable rTth reverse transcriptase RNA PCR protocol and strand-specific primers. The results, shown in Figs. lOA-lOC, confirmed the production of the HCV replicative intermediate (negative-stranded viral RNA) within the livers of transplanted and infected homozygous Alb-uPA mice. Letter designations (A through J, specified below) in Figs. 10A-IOC are control samples; number designations (1 through 10) represent individual RNA samples isolated from the livers often homozygous mice which were transplanted and then inoculated with HCV-infected human serum.
Fig. 10 A shows detection of (+) strand RNA (upper panel)-or (-) strand RNA (lower panel) by thermostable rTth reverse transcriptase RNA PCR protocol with strand-

specific primers. A is a wild-type control mouse, nontransplanted, noninfected; B is a heterozygous transplanted mouse inoculated with HCV; C is a homozygous transplanted mouse, not inoculated with HCV; D is serum taken from an infected human; E is a standard DNA ladder; F represents binding of labeled probe to target DNA sequences generated from (+) strand (upper panel) or (-) strand (lower panel) viral RNA; G is mouse liver RNA (10 ng) doped with serum RNA from an HCV-positive human; H is mouse liver RNA (10 }ig) doped with 10 copies radioinert antisense (upper) or sense (lower) riboprobe; I is mouse liver RNA (10 p.g) doped with 10 copies radioinert sense (upper panel) or antisense (lower panel) riboprobe; J is riboprobes hybridized with 10 |ig mouse liver RNA, all subsequent steps identical except addition of RNase. Fragments in this lane represent undigested riboprobe (arrow), with expected lengths greater than those of corresponding fragments protected by hybridization to their targets. Replication of the HCV genome is clearly seen in 5/9 animals assayed by this method.
Fig lOB shows the results of a dilution series analysis of selected animals using the thermostable rTth reverse transcriptase RNA PCR protocol. Both (+) and (-) stranded RNA are detectable over 2-3 log dilutions. In this experiment only, (-) stranded viral RNA was not detected in mouse 5 although it was seen earlier and was confirmed later in multiple RPA analyses. The results of detection of (+) strand HCV RNA(upper panel), (-) strand HCV RNA (middle panel) or P-actin RNA (lower panel) by RNase protection assay are shown in Fig. IOC. Control lanes are as designated above; mouse 10 was analyzed only by the RPA method. This assay correlated with the above data 5/6 animals, confirming presence of the (-) strand in 3/4. Failure to detect (-) stranded RNA in mouse 6 is likely due to the reduced sensitivity of the RPA assay.
Immunohistochemical analysis.
To confirm localization of HCV within transplanted mouse livers, sections of liver taken from homozygous mice which had been transplanted with human hepatocytes and then inoculated with HCV-infected human serum were immunostained with a monoclonal antibody against the NS3-NS4 region of the viral polyprotein. Control sections of human liver show a granular cytoplasmic appearance, with exclusion of staining from the nuclei (Fig. 1 lA). Areas of fibrosis and portal triad structures did not stain positive for NS3-NS4. Although the majority of hepatocytes did stain positively, there were areas of

sparing. Control sections from nontransplanted mouse livers did not show any evidence at all of staining (not shown). Experimental sections taken from transplanted and infected mice (Fig. 11B) showed areas of hepatocyte staining which were similar in cytoplasmic granular appearance to control human sections, although at a sHghtly reduced staining intensity. This immunohistochemical finding provides evidence that HCV does truly infect human hepatocytes within the chimeric liver of a transplanted Alb-uPA mouse. Conclusion.
These separate and independently-performed assays clearly demonstrate presence of negative-stranded HCV RNA within chimeric livers sampled at 2-5 weeks post-inoculation. Experiments with sequential weekly analysis by quantitative RT-PCR (Fig 9) demonstrated a rapid rise in HCV serum titer at weeks 2-4 after inoculation, corresponding to maximal rates of viral replication within the Hver; this would be expected to be paralleled by maximal amounts of (-) stranded viral RNA. This may explain why the (-) strand is detectable earher in infections (5/6 animals sampled at 2-5 weeks) rather than later (0/2 sampled at 12-13 weeks). Taken in combination, these data conclusively support active viral replication in this animal model. Furthermore, HCV infection is chronic. Most recently, the inventors have demonstrated an animal model of the invention based upon a chimeric, Alb/uPA transgenic mouse having a functional human hepatocyte graft (as determined by detection of high albiunin serum levels at 35 weeks post-transplant (greater than about 800 units by dot blot)) and high titer HCV in serum at 35 weeks post-transplant ( 1.7 x 10 copies/ml). Serial passage of HCV infection
After confirming replication, serial passage of HCV infection from mouse to mouse was attempted. Fresh serum from a human donor (250jil; 4.75 x 10 vkal RNA copies) was inoculated intraperitoneally into a naive chimeric mouse; at four weeks after inoculation, vfral titers were 1.76 x 10 copies/ml. Serum taken from this mouse (125|il; -2.19 X 10 RNA copies) was inoculated intraperitoneally into a second naive chimeric mouse, which developed titers of 1.75 x 10'6 copies/ml at four weeks after inoculation. Serum from this first-passage recipient was then inoculated (lOOjil; -1.75 x 10 RNA copies) into a third naive chimeric mouse. At five weeks after inoculation, this second-passage recipient had viral titers of 3.42 x 106 copies/ml. If one assumes the null

hypothesis that rephcation does not occur but rather the initial human inoculum persists, this second-passage recipient would have received ~6000 copies of virus from the initial inoculum (4.75 x 10 viral copies x 1:8 dilution x 1:10 dilution, assuming mouse serum volume ~1000fxl); the second-passage recipient had 576X more measured viral RNA than would have been received from the original human inoculum. Serum from this second-passage recipient (301) was inoculated into two additional naive mice, both of whom subsequently developed HCV infections (third-passage recipients; quantitation pending). Serial transmission has thus far been demonstrated in 7 animals including 2 animals after three generations of passage. This transmission from human -» mouse ->• mouse ->• mouse -> mouse represents both replication of the HCV genome and production of fiilly-infectious particles.
These experiments establish that homozygous scid/Alb-uPA mice with chimeric human livers can be infected de novo with HCV-positive human serum, support HCV replication at clinically relevant titers, and are capable of transmitting this infection to other chimeric mice. Successfiil infections have been established with viral genotypes la, lb, 3a and 6a, with rapid increases in viral RNA titers to levels easily detectable by standard commercial assays. Homo2ygosity of Alb-uPA is critical to successful establishment of viral infection, and by using homozygotes as recipients, coupled with early screening of graft function by dot blot analysis, HCV infections are routinely established in -75% of all inoculated animals.
The transplantation procedure requires basic microsurgical equipment and technical skills. In our hands a transplant, including anaesthetic induction and recovery time, takes 5-6 minutes per animal. While access to human hepatocytes may be limiting for some investigators, the yields from hepatocyte isolations in our laboratory average 2-3 x 10 viable human cells. The ability to ciyopreserve surplus cells allows for efficient utilization, as well as transportation to centers without human tissue access. While success rates have been lower after transplanting cryopreserved hepatocytes, prescreening these recipients with dot-blot hybridization has allowed for their efficient use in HCV studies, with success in viral infection in approximately 50% of animals with dot blot>250 units at time of inoculation.

Example 5: Human umbilical cord blood cells as source of cells for transplantation
In the current literature, human stem cells are proven to be pluripotent. They have the ability to regenerate into hematopoietic cells as well as hepatocytes given the proper combination of conditions and stimuli. Human stem cells have been shown to have the ability to repopulate the hematopoietic cells in NOD/SCED mice (see, e.g., Bhatia et ai J Exp Med 186(4):619-24 (1997); Bhatia et al Proc Natl Acad Sci USA 94(10):5320-5 (1997); Larochelle et al. Aa/Me2(12):1329-37 (1996). With regards to liver repopuiation, however, clinical studies have used stem cell transplants in pediatric hepatoblastomas to regenerate liver.
Human cord blood is a rich source of stem cells. In addition, they have been reliably cryopreserved and cell integrity is preserved post-thaw. Human cord blood is also much more readily available. Because of the limited availability of fresh liver tissue, an alternate source of human hepatocytes would be usefiil in the development of the animal model of the invention. The human cord blood cells transplanted into our SCID.bg/Alb-uPa mice may be able to regenerate into viable human hepatocytes. Subsequently, they would have the potential to engraft and develop a chimeric mouse/human liver. In addition, the cells would repopulate the immune system of our SCID.bg / Alb-uPa mice.
Materials and Methods
Following the protocol described herein, SCID.bg / Alb-uPa mice are transplanted with human hepatocytes at 10 -14 days of age. Instead of human hepatocytes, 5 million human cord blood monocytes (source of stem cells) are transplanted via intrasplenic injection. The protocol of testing mouse sera for the presence of human albumin via dot blot at four weeks post-transplant is followed as described herein.
In addition, to detennine whether the immime system has also been repopulated, a peripheral blood smear is performed at 4 weeks of age to look for the presence of lymphocytes. At eight weeks, the serum is tested for the presence of human IgG via ELISA and the presence of CD4+ and CD8+ cells with FACS analysis. If these cells are present, to determine the fimctionality of the cells, PHA stimulation will be performed.

Example 6: Interferon Alpha-2b Treatment In Scid/uPA Mice Infected With HCV
The HCV animal models of the invention can be used to screen for anti-HCV activity of candidate chemotherapeutics. Interferon alpha-2b is known to have anti-HCV activity. Thus, treatment of HCV-infected mice of the invention with recombinant interferon alpha-2b will result in a significant decrease in the levels of HCV RNA.
Methods and Materials:
Animals: Human hepatocytes were isolated from pieces of human liver tissue obtained from the operating theater using continuous perfusion with collagenase (Liberase HI, Boehringer Mannheim). Homozygote SCID/uPA mice were transplanted with 0.5 X 106 to 1.0 X 106 fresh human hepatocytes via intrasplenic injection at 10-15 days of age. At 4 weeks post-transplant blood was drawn and assayed for human albumin (HA) concentration using a quantitative dot blot assay. Mice demonstrating >200ug/ml of HA were considered to have a successful graft and used for this experiment.
HCV infection.' At 8 weeks post-transplant, mice were injected intraperitoneally with 50 1 of serum from a HCV positive liver transplant patient, genotype 3. The serum was stored at -70 degrees Celsius and thawed out at time of inoculation. The patient serum demonstrated HCV RNA levels of 2.56 X 10 lU/ral. All HCV quantitation was performed by the Provincial Laboratory at the University of Alberta Hospital using the Cobas Amplicor HCV Monitor version 2.0 (Roche Diagnostics).
Interferon adminisfration: The mice were divided into 3 freatment groups: group 1 = controls (n=5), group 2 = IFN 135 lU/g/d (n=l), group 3 = 1350 lU/g/d (n=2). Treatment was started 2 weeks after HCV inoculation. The IFN (or an equivalent volume of normal saline) was injected IM for 15 consecutive days. Blood was drawn to assay for HCV RNA levels and graft function at the start of treatment, at the end of treatment, and 2 and 4 weeks after treatment had stopped.
Animals received human hepatocyte transplants and, after confirmation of satisfactory engrafhnent by serum dot-blot assay for human albumin of > 250 units, were injected with lOOfil IF of serum from a human carrier of genotype 3 HCV. Baseline values are viral copies/ml mouse serum from 2 weeks post HCV injection, when prior smdies revealedthe greatest absolute rise in HCV copies. Interferon therapy was begun at baseline in 3 animals at dosages of 135 (n=l), or 1350 (n=2) lU/gram body weight/day

for 2 weeks of treatment. Week 2 is HCV titre by RT-PCR at end of interferon therapy, while week 4 is 2 weeks after therapy; assay was by the Roche Amplicor kit run by the Provincial Laboratory of Public Health of Alberta. Samples were blinded and interspersed with human serum samples from clinical analyses. Assay sensitivity is 600nj/ml or approximately 1.2x10"' viral copies/ml. The results are shown in the Table 3 below ("E" indicates the exponent value).

Four of five control untreated mice demonstrate rising titres of HCV over this time period, while 1 shows stable levels. All 3 treated animals demonstrated decreasing viral titres with the 2 at higher dose demonstrating viral clearance (ND = not detected).
Example 7: Passive Immunity to Hepatitis B Infection with administration of HBIg
The HCV model described herein is based on the presence of a chimeric mouse/human liver in an immunocompromised animal, as a specific example, the SCID.bg / Alb-uPa mouse. This model not only supports a replicating hepatitis C virus, but has also supports a hepatitis B infection as well. Because there are no cmrently no proven vaccinations for hepatitis C, HBV-infected mice are used to test the vahdity of the animal model in testing vaccinations. There are currently both passive and active immunizations available for HBV.

for 2 weeks of treatment. Week 2 is HCV titre by RT-PCR at end of interferon therapy, while week 4 is 2 weeks after therapy; assay was by the Roche Amplicor kit run by the Provincial Laboratory of Public Health of Alberta. Samples were blinded and interspersed with human serum samples from clinical analyses. Assay sensitivity is 600rU/ml or approximately 1.2x10 viral copies/ml. The results are shown in the Table 3 below ("E" indicates the exponent value).

Four of five control untreated mice demonstrate rising titres of HCV over this time period, while 1 shows stable levels. All 3 treated animals demonstrated decreasing viral titres with the 2 at higher dose demonstrating viral clearance (ND = not detected).
Example 7: Passive Immunity to Hepatitis B Infection with administration of HBIg
The HCV model described herein is based on the presence of a chimeric mouse/human liver in an immimocompromised animal, as a specific example, the SCID.bg / Alb-uPa mouse. This model not only supports a replicating hepatitis C virus, but has also supports a hepatitis B mfection as well. Because there are no currently no proven vaccinations for hepatitis C, HBV-infected mice are used to test the validity of the animal model in testing vaccinations. There are currently both passive and active immunizations available for HBV.

Hepatitis B Immunoglobuhn (HBIg) is a developed passive vaccine to the hepatitis B surface antigen. It is developed by collecting and poohng the plasma from positive anti- HBs donors. The final result is a high titre anti-HBs preparation. In the clinical setting, it has limited applicability because of 1) partially effective 2) short half-life and 3) interferes with long lasting immunity. However, in certain situations, it has proven to be useful.
In liver transplantation, HBIg immunoprophylaxis is widely used and accepted. It has shown to significantly reduce the recurrence rate of HBV post-transplant in hepatitis B positive patients. Consequently, it has reduced the morbidity in both the graft and the patient. Patients are treated with a large bolus dose during the anhepatic stage of the transplant. Treatment is continued for one year and the dosage is determined by the anti-HBs antibody titre. Post needle-stick exposure, the administration of HBIg has prevented the transmission of HBV in 80% of cases.
The animal model of the invention can be used in vaccine development. As a control to demonstrate the usefulness of the animal model in vaccine development, a proven immunoprophylactic vaccine available for HBV is used. Through injections of hepatitis B immunoglobulin (HBIg), the SCID.bg / Alb-uPa mice will obtain passive immunity to a subsequent inoculation of hepatitis B, thus preventing and active viral infection.
As emphasized above, HBV and HCV are not comparable viruses. However, since there is currently no passive immunotherapy available for HCV, the use of HBV and the HBIg provides an initial screen to show that an immunotherapeutic known to be effective against HBV infection is effective in the aiumal model of the invention provides further evidence that the animal model in fact provides for a valuable screening tool for passive immunotherapy.
Materials and Methods
Following the protocol described in the Examples above, SCID.bg / ALB-uPa
mice are transplanted with human hepatocytes at 10-14 days of age. Four weeks post-
transplant, the mice are tested by dot blot for human albumin. Those animals with a
strong signal are then chosen for experimental use.

Day 0: At eight weeks of age, the mice allotted into the experimental group receive a high dose intramuscular injection of HBIg (Icc/kg) where as the control group receive a injection of normal saline.
Day 1: All mice are inoculated with 100 p,L of high litre HBV serum (intraperitoneal injection).
Day 1-14: Experimental mice are treated with a maintenance dose of HBIg (comparable to that in liver transplant patients) of 0.12cc/kg once a day. Control mice are continued on normal saline injections.
To assay the effect of HBIg, serum samples are obtained for HBV titres at 2,4,6,.8,10 and 12 weeks post-HBV infection. Hepatitis B surface antibody is assayed on day 1 prior to HBV inoculation and again at eight weeks post-infection.
Example 8: Use of Immune Reconstituted HCV Animal Model to Analyze the Immune Response in HCV Infection
The animal model of the invention provides a valuable tool to study human immune responses in context of autologous liver cells infected with HBV or HCV. The mice carrying human liver cells can be immune-reconstituted with autologous peripheral blood mononuclear cells (PBMCs, 2-3 x lO' cells/mouse), to provide a model system of HBV and HCV infection to perform the following studies. This model can then be used in the following exemplary ways.
The experiments described below can provide insights into the critical role of various components of immune system, e.g., antigen presenting cells, certain cytokines and T cells, and mechanisms underlying the immunomodulation in chronic hepatitis infection. These studies can provide the foundation for design and investigation of novel strategies and novel vaccine candidates for the immunotherapy of chronic hepatitis virus infections. These studies will also establish the mouse model system as preclinical model for the evaluation of future chemotherapeutic and/or immunotherapeutic treatment of chronic hepatitis infections.
Evaluation of the immune response and modulation, in chronic HCV infectior
HCV infected mice, which are transplanted with hiunan hver cells and reconstituted with autologous PBMCs, are used to evaluate overall immune cell

competence and/or immune suppression in context of progressive HCV infection. A time course study is performed where splenic or lymph node T cells are obtained jfrom the mice and set up in in vitro culture to examine response against mitogens, allogeneic APCs, promiscuous Th epitopes (e.g., tetanus toxoid, PADRE peptides etc.) are evaluated by T cell prohferation assay. In the same cultures, cytokine secretion in the culture supernatant or intracellular production is examined. In addition, in these cultured cells, T cell activation markers are examined by flow cytometry. These experiments are performed in a time course fashion, so T cells will be recovered from mice at various times (e.g., 1,4,8,12,16 weeks post infection and PBMCs reconstitution) and examined for their response to polyclonal stimuli as stated above. HCV virus load is also evaluated at each time point, so that overall immune response can be correlated with virus load.
Along with polyclonal stimulus, T cell responses against known conserved HCV promiscuous helper epitopes are examined ZK vitro and their stimulation correlates with virus load in time course experiments. Similarly, B cells are isolated at the same time and cultured with polyclonal B cell stimuU, e.g., LPS, a-CD40 etc. and examined for cytokine secretion as well as overall Ig production in culture upon polyclonal stimulation. Uninfected, PBMC reconstituted mice are used as controls. The overall T and B cell competencies in ongoing HCV infections can also be evaluated.
Alternatively, mice are challenged in vivo with promiscuous HCV and non-HCV Th epitopes at various times after infection and PBMCs reconstitution followed by examination of those peptide reactive T cells by cytokine production, activation marker expression and proliferation. Again, in these in vivo challenge experiments, overall T cell responses are correlated with virus load, time from infection etc. T cells obtained from the unimmunized but immune-reconstituted and HCV infected mice are evaluated for overall CD4/CD8 ratios, MHC molecules, and other T cell/activation molecules and compared with uninfected but immune reconstituted mice. In alternate experiments, normal human PBMCs are polyclonally stimulated in the presence of sera from HCV infected mice and examined for any modulation of T cell responses. Following these experiments, phosphorylation of various TCR molecules, Ca2+ mobilization etc., are Kcamined to determine the biochemical basis of any observed T cell response defects. Additionally, we will examine whether T cells undergo apoDtosis upon stimulation.

Cytokines and immunoregulatory molecules in chronic hepatitis virus infections. In order to examine the role of various cytokines (type 1 vs. 2) on HCV infection, sera is collected from mice infected with HCV and reconstituted with PBMCs and examine for 1 vs. 2 type cytokines prevalence. These experiments are performed in a time course manner to correlate cytokine production with HCV virus load, and compared with control non-infected but immune reconstituted mice. On the other, hand, predominant 1 or 2 type cytokines, e.g., IL-2, y-IFT, IL-4, EL-lO and IL-12 are injected or abrogated (by injecting anti-cytokine antibodies) in these mice and their effect on virus load, T cell response to promiscuous HCV and non-HCV peptides as well as polyclonal stimulus evaluated. Additionally, progression in cytokine switch, defects in cytokine production or their modulation, are evaluated immediately after infection or after a longer time (i.e., 2-3 months in mice). In the in vitro experiments, the role of addition of certain cytokines in vitro to the T cell responses.
Antigen presenting cells (dendritic cells, DCs) in chronic HCV infections and modulation of DC function to provide protective immune responses. There is some evidence to suggest that in chronic HCV infection in humans, dendritic cell function is impaired. The dendritic cells (DCs) are the most potent stimulators of CD4+ T cells to induce efficient immunity. Therefore, examination of DC function in context of HCV infection is essential to understand immune response against HCV infection.
From the HCV infected PBL reconstituted mice, monocytes are isolated from spleens or blood and cultured with GM-CSF and IL-4 to generate immature DCs. These immature DCs are matured in presence of y-IFN, a-IFN, LPS or a-CD40 and examined for the expression of DC activation markers by flow cytometry, IL-12 production in the supernatant and ability to stimulate allogeneic T cells & HCV promiscuous Th epitope presentation to autologous T cells. These experiments are performed in a time course manner, and progression in change in DC function examined as a factor of time and HCV virus load.
In additional experiments, mice carrying HCV infection and reconstimted with human PBMCs are injected with in vitro activated mature responses and virus load.

Immunization of promiscuous human helper and CTL epitopes in HCV infection In numerous studies reporting Th and cytotoxic T cell (CTL) responses in chronic HCV infected individuals, a number of promiscuous Th and CTL epitopes from conserved region of HCV have been identified in vitro, suggesting that Th and CTL priming occurs in the HCV infected individuals. However, apparently this ongoing natural T cell response in itself is not sufficient to clear the virus infection and/or replication. The animal model of the invention can be used to evaluate various immunization strategies (as listed below) using known promiscuous Th and CTL epitopes to induce strong immune responses. The mice are evaluated for generation of CTL and Th cell responses after immunization. In parallel, virus load is evaluated. The animal model can thus be used to determine the appropriate modulation of Th and CTL responses to provide immunity against HCV infection.
Immunization with antigens could be examined in context of particulate formulations, e.g:, liposomes; modified antigen peptides, e.g., lipidated peptides; certain adjuvants and cytokine formulations as adjuvants or adjuncts; dendritic cells loaded with antigens; DNA mediated immunizations; T cell adoptive therapy with antigen specific T cells expanded in vitro; and the Uke.
Immunogenicity of synthetic peptides (or modified lipopeptides) derived from structural and non-structural proteins of HBV and HCV An alternative hypothesis for the failure to resolve ongoing HCV infection in HCV chronic carriers focuses on evidence that Th and CTL responses against these epitopes are actually not able to suppress virus replication or clear virus infected cells, and immune responses against other epitope determinants are necessary to generate protective immunity. In order to determine novel T cell epitopes on HCV polyprotein, initial in silico studies are performed to identify putative Th and CTL epitopes from conserved structural as well as fimctional viral proteins. These identified epitopes are then modified and eavluated in the reconstituted animal model of the invention for their ability to generate strong T cell responses, indicating that they are immunotherapeutic vaccine candidates.

Examination of combined therapeutic approaches (antigen-based vaccines and small molecules that inhibit viral replication and/or induce immunomodulation. This approach takes into consideration the immune response in chronic HCV infection, and uses the reconstituted animal model of the invention to identify anti-viral therapeutics that take advantage of a combination of antigen-based therapies and small molecule-based therapy, where there small molecule has activity in inhibition of viral replication and/or in immunomodulation. Combinations that provide effective suppression of virus replication or virus clearance are identified using HCV infected, immune reconstituted animals as described above. Vaccine candidates are evaluated in combination with cytokines (such as IL-2 or liposomal IL-2) to provide efficient immunity to suppress and/or clear HCV infection.
Example 9 Use of the model for evaluation of therapies for hyperlipidemia As discussed above, Apo BlOO is an art-accepted marker for risk of artherosclerosis that results from hyperlipidemia. In order to assess the use of the mouse model of the invention in screening for agents that have activity against hyperlipidemia, a mouse monoclonal antibody specific for human Apo BlOO was used to detect production of human apo BlOO production by the engrafted human cells. Serum samples were collected from a chimeric Alb/uPA transplanted animal and from a Alb/uPA non-transplanted animal (negative control). Human serum served as a positive control. The serum was analyzed by Western blot using an anti-Apo B100 antibody according to methods well known in the art.
As showing in Fig. 12 while antibody binding to Apo BlOO was not detected in the non-transplanted control animal (lane 3), antibody binding was detected in both the human serum positive control (lane 1) and the chimeric Alb/uPA transplanted animal (lane 2). These data show that Alb/uPA mouse Uver with sustained human chimerism secretes human apo BlOO. This observation uidicates that the Alb/uPA mouse model can provide a basis for development of selective treatments that decrease the amoxmt of apo BlOO from the liver and, as a consequence, decrease the risk of cardiovascular disease and stroke via atherosclerosis.

While the present invention has been described with reference to the specific embodiments thereof, it should be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the true spirit and scope of the invention. In addition, many modifications may be made to adapt a particular situation, material, composition of matter, process, process step or steps, to the objective, spirit and scope of the present invention. All such modifications are intended to be within the scope of the claims appended hereto.

We claim:
1. A method of producing a chimeric murine host that is susceptible to infection by
human hepatitis C virus (HCV) comprising:
transplanting human hepatocytes into an immunocompromised, transgenic murine
host, wherein the murine host is immunodeficient due to lack of functional syngeneic
B and T lymphocytes as a result of a genetic defect in immunoglobulin and T cell
receptor gene rearrangement, and
wherein the murine host is homozygous for a genomically integrated transgene, the
transgene providing for expression of a urokinase-type plasminogen activator
polypeptide in host murine liver cells; and
wherein a chimeric murine host comprising a human-murine chimeric liver.
2. The method as clamed in claim 1, which comprises inoculating the host comprising the human-murine chimeric liver with human HCV to produce a human HCV infection.
3. A method of culturing human hepatitis C virus (HCV), the method comprising: inoculating human HCV to the chimeric murine host produced by the method of claim 1 and isolating human HCV from the infected host following a period sufficient for human HCV replication in the host.


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Patent Number 225568
Indian Patent Application Number IN/PCT/2002/1409/CHE
PG Journal Number 52/2008
Publication Date 26-Dec-2008
Grant Date 19-Nov-2008
Date of Filing 05-Sep-2002
Name of Patentee KMT HEPATECH, INC
# Inventor's Name Inventor's Address
PCT International Classification Number AO1K67/027
PCT International Application Number PCT/CA01/00350
PCT International Filing date 2001-03-16
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 09/528,120 2000-03-17 U.S.A.