A neonatal mouse model of meconium peritonitis generated using human meconium slurry

Mariko Ashina1, Takumi Kido1, Keisuke Shirai1

  • 1Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.

Pediatric Research
|August 21, 2024
PubMed
Abstract

Insights

Researchers developed a neonatal mouse model for meconium peritonitis using human meconium slurry (MS). This model, distinct from sepsis, identified digestive enzymes as the primary pathogenic agent, aiding pathophysiology research.

Area of Science:

  • Neonatology
  • Peritonitis Research
  • Animal Modeling

Background:

  • Meconium peritonitis is a noninfectious chemical peritonitis resulting from fetal intestinal perforation.
  • Pathophysiology remains unclear due to a lack of suitable animal models.
  • This study aimed to establish a neonatal mouse model using human meconium slurry (MS).

Purpose of the Study:

  • To create a reproducible neonatal mouse model of meconium peritonitis.
  • To investigate the pathophysiology of meconium peritonitis.
  • To differentiate the systemic response from neonatal sepsis.

Main Methods:

  • Intraperitoneal administration of human meconium slurry (MS) to 4-day-old mice.
  • Determination of LD40, hematological, biochemical, and gene expression changes.
  • Validation of MS content via antibiotic and heat inactivation; comparison with sepsis models.

Main Results:

  • A dose-dependent mortality was observed, with an LD40 of 200 µL/body weight.
  • Significant hematological and hepatorenal abnormalities and increased inflammatory gene expression were noted.
  • Enzymatic inactivation of MS improved survival, unlike antibiotic treatment, and responses differed from sepsis models.

Conclusions:

  • The MS mouse model accurately reflects human neonatal meconium peritonitis pathology.
  • Digestive enzymes in MS were identified as the primary pathogenic agents.
  • This simple, reproducible model is valuable for elucidating meconium peritonitis pathophysiology.

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