Review Article

Experimental Abdominal Sepsis: Sticking to an Awkward but Still Useful Translational Model

Table 1


ModelsAdvantagesDisadvantagesReferences

Endotoxin modelSimple to perform, reproducible and controllable, high costProduces endotoxic shock and not sepsis; different from human sepsis in terms of kinetics and amplitude of cytokine production[816]
Fecal pellet modelSimple to perform, high costUncontrollable, nonreproducible: depending on the type of faeces (depending on feeding of the mice) and on the quantity used; undefined qualities and quantities of bacteria populations; fulminant sepsis vs. survival with intra-abdominal abscesses[1719]
Defined bacterial inoculumSimple to perform, reproducible and controllable with type and quantity of bacteria populationNeeds adjuvant substances; lack of pathophysiological mechanisms of the intestinal damage, fulminant sepsis vs. survival with intra-abdominal abscesses[2, 11, 12, 16, 2028]
Caecal slurry peritonitisSimple to perform, reproducible, standardisable, similar to human sepsisNo disadvantages[29, 30]
CL (caecal ligation)Simple to performUncontrollable: depends on the amount of bacteria in the intestine and the timing of bowel rapture[3236]
CLP (caecal ligation and puncture)Better clinical relevance; lower cost; adjustable with the diameter of the needle, the number of perforations and the length of the bound cecumUncontrollable because of too many variables; fulminant sepsis vs. survival with intra-abdominal abscesses; no clinical setting of generalized peritonitis[3, 16, 3739]
CASP (colon ascendant stent peritonitis)Adjustable with the diameter of the stent; generalized peritonitis and no abscesses obtainedUncontrollable: bacterial contamination is continuous[40, 47]
CLI (caecal ligation and incision)Model for severe acute sepsis, overcomes the artificiality of the endotoxin modelAcute onset and high mortality[48]
CLD (cecum ligation and dissection)Standardisable: quantity of faeces is 2 mm2; surgical treatment: more close to clinic, long survivor with septicemiaNo disadvantages[39]