Animal Models in Toxicologic Research: Rabbit


Introduction

Throughout modern biomedical research, the rabbit has remained a core laboratory animal species. Studies using rabbits have provided important insights into toxicology, immunology, reproduction, and other fields. Interestingly, despite their common use, many key factors about rabbit biology, physiology, and disease are either poorly documented or difficult to identify in the literature. This chapter will cover some of those lesser-documented topics, as well as recommend selected resources in the literature.

Model Selection

Overview of Toxicology Model Species Selection

Rabbits have an extensive history in biomedical research, extending over several centuries ( ), and continue to be utilized in emerging scientific areas, such as gene editing, including CRISPR/Cas9 ( ; see Genetically Engineered Animal Models in Toxicologic Research , Vol 1, Chap 23 ). Rabbits occupy an intermediate position among laboratory animals, in that they are uniquely endowed with features of both rodents and larger animal models. They are more genetically diverse than rodents and their size allows for enhanced sampling of blood and tissues, as well as being able to receive human-equivalent dose volumes and implanted articles. For rabbits, the human equivalent dose for a 60 kg human (based on surface area) is 3.1, which is the same dose adjustment as for monkeys ( ). While larger than rodents, rabbits remain relatively small and easier to handle and house compared to larger models such as dogs, minipigs, or nonhuman primates (NHPs). A relatively long average lifespan allows rabbits to be used for interventional and recovery studies over several years, which can be highly desirable for research of chronic disease and medical devices.

There are also some key challenges when using rabbits in biomedical research. In general, many research staff are less familiar with rabbit anatomy, physiology, husbandry, and diseases compared to other common laboratory species (e.g., rodents, dogs, NHPs). For those seeking reference material on rabbits, there are fewer resources for spontaneous rabbit pathology, historical control data, and standard tissue sampling and trimming guides than for other common laboratory species. While all of these challenges can be overcome, they remain limitations on effective use of rabbits. Therefore, it is easy for individual scientists to inadvertently misattribute normal structures or background changes to a test article effect (see Spontaneous Findings, section 7).

Another important challenge encountered when working with rabbits is their propensity to respond poorly to stress. This commonly manifests as diarrhea in response to seemingly minimal stress (e.g., new personnel in a vivarium room, ambient noise) ( ). In addition to diarrhea, rabbits may develop cardiac lesions after routine handling ( ; see Spontaneous pathology findings section).

Issues in Data Extrapolation to Human

While rabbits are useful models for many human conditions, it is important to note where there are limitations in mimicking human physiology and disease. For example, while rabbits are generally useful for bone fusion and orthopedic device studies, the common use of autologous bone marrow at fusion sites is more challenging in rabbits than in other species, due to the relatively high bone marrow fat content in mature rabbits. Also, while rabbits have been a key resource in the field of immunology, their anatomic distribution of lymphoid tissue is very different from humans and other species. For example, in the intestine, the sacculus rotundus and vermiform appendix contain abundant lymphoid tissue, and overall the intestines comprise more than 50% of the total lymphoid tissue of the rabbit, while the spleen is relatively small compared to other species.

Basic Biological Characteristics and Common Breeds

Rabbits ( Oryctolagus cuniculus , order Lagomorpha, family Leporidae) are often selected as an in vivo model system when size limitations of smaller mammals such as rodents cannot accommodate the techniques employed in a study while still representing a refinement over larger, phylogenetically higher-ranked mammalian model species (e.g., dog, pig, NHP). Refinements in rodent models have led to declining numbers of rabbits used in biomedical research ( ). Still, the Organisation for Economic Co-operation and Development and United States Environmental Protection Agency (EPA)–preferred nonrodent species in prenatal developmental toxicity studies is the rabbit (per EPA 712–C–98–207, OPPTS 870.3700), for which the New Zealand White (NZW) is the usual strain ( ). Other major applications include dermatological, cardiovascular, infectious disease, ophthalmological, orthopedic (including medical devices), cancer, reproductive biology, and regenerative/interventional biomedical research. Three outbred breeds predominate: the NZW (an albino large breed), the Dutch belted (a pigmented small breed), and the NZW x New Zealand Red (NZR) F1 cross (a pigmented large breed). Coat color genotypes are cc for the NZW, ee for the NZR, and du d du w aa for the black American Dutch ( ).

Requisite housing and husbandry conditions are stipulated by regulatory bodies. In the United States, rabbits are a United States Department of Agriculture–regulated species, elevating them above mice and rats and making them subject to standards set forth in the Guide for the Care and Use of Laboratory Animals, the Public Health Service Policy on Humane Care and Use of Laboratory Animals, and the Animal Welfare Act. One week of acclimation at a study site is generally provided prior to study recruitment. As the rabbit model is often selected for its size, adult animals are recruited within a defined body weight range. For the NZW, the minimum weight is around 2.4–2.7 kg. In the context of toxicology studies, environmental enrichment may include social noncontact enrichment and various forms of physical enrichment to enable gnawing and burrowing behavior; pen and pair housing is usually not possible for instrumented animals or those in dermatology studies ( ; ). Vendor differences have been noted to affect the incidence of background findings ( ) and the strain of a rabbit breed impacts genetic composition ( ). Commercially available, purpose-bred laboratory rabbit strains are regularly screened to be free from a defined set of pathogens, indicated by their vendor health reports. The importance of complete reporting on animal source, as part of the ARRIVE guidelines, cannot be overemphasized ( ). Rabbits are a prey species and as such have evolved with a wide visual field exceeding 330 degrees, auditory and olfactory acuity, and strong fear responses. This nervousness, combined with the high muscle mass and relatively low skeletal mass, necessitates firm and supportive handling to prevent hindleg excursions and subsequent spinal luxation or fracture.

Discussion of salient anatomic features will be limited to those relevant to test article investigation or explanation/implantation; detailed descriptions of lagomorph anatomy and physiology are well-documented in other texts ( ; ; ; ; ). Notable features of general biology ( Table 18.1 ) and reproduction ( Table 18.2 ) are provided in tabular format below.

Table 18.1
Basic Biometrics for the Rabbit ( ; ; ; ; )
Parameter Value
Lifespan 5–8 years
Avg adult bodyweight 3.5–4.5 kg (NZW)
Avg adult body length 48 cm (NZW)
Vertebral formula C7/T12-13/L6-7/S4/Ca14-16
Dental formula I2/1 C0/0 PM3/2 M3/3; second set of maxillary incisors (peg teeth) at the lingual surface of the primary pair
Digits 5 anterior, 4 posterior
Age at skeletal maturity 8–11 months
Relative skeleton weight a 6%–8%
Relative heart weight a 0.30%
Relative total muscle mass a 30%–50%
Neutrophil % (min–max) 28%–44%
Lymphocyte % (min-max) 39%–68%
Mammae 8–10 (4–5 pairs)
Sexual dimorphisms Nipples absent in males
Large dewlap present in mature females
Lung lobation 2 left, 4 right
Midtracheal diameter 4.7 × 5.9 mm (NZW)
Erythrocyte lifespan 50–70 d
Urine fractional calcium excretion 45%–60%
Daily food intake 5% body weight
Daily water intake 50–150 mL/kg (10% body weight)
Water loss tolerance 48% body weight
Coprophagy 3–8 h after meal

a Relative weight refers to the weight of the organ as a percentage of total body weight.

Table 18.2
Reproductive Biometrics for the Rabbit
Parameter Value
Age at sexual maturity 5 mo (F NZW), 6–7 mo (M NZW)
Reproductive life 3 y (F), 5–6 y (M)
Testicular descent Approximately 12 weeks of age; inguinal ring remains open ( )
Mature spermatogenesis 40–70 d after puberty, 48 d spermatogenesis cycle ( )
Ovulation Induced (10–13 h postcoitus)
Female receptivity 4–6 d cycle, includes postpartum estrus
Uterus structure Bicornuate with each horn having a cervical ostia (lacks a true body)
Placenta type Chorioallantoic placenta
Gestation 30–32 d
Litter size 4–5 (Dutch belted), 8–12 (NZW)
Birthweight 50 g
Weaning 50–60 d

The gastrointestinal tract of rabbits has many unique features. The rabbit is a hindgut fermenting herbivore with commensurate large intestinal microbiota and distinctive anatomical features. Compared to other species, adult rabbits have a lower gastric pH (1.9) and higher bile flow rate (130 mL/d/kg) ( ). The ileum adjoins the cecum at the sacculus rotundus, a small, bulbous structure heavily laden with lymphoid tissue. An elongated appendix forms the blind end of the cecum and the cecum adjoins the colon at the ampulla cecalis coli, another small outpouching opposite the sacculus rotundus. The cecum is large, holding approximately 40% of total ingesta ( ). Located between the transverse and descending colon, the nonhaustrated fusus coli serves to segregate fibrous ingesta and has intestinal pacemaker function ( ). Gut-associated lymphoid tissue is extensive ( ) comprising about 50% of the total body lymphoid mass ( ). Expression of rabbit intestinal CYP3A, canalicular multispecific organic anion transporter, and p-glycoprotein is reportedly similar to that in humans ( ). Cecotrophy, the ingestion of “night feces,” facilitates reprocessing of protein and vitamin-rich fecal matter.

Rabbits are lissencephalic, lacking gyri and sulci on the brain surface. Rabbits are obligate nasal breathers. The olfactory ecosystem is important in rabbit behavior and physiology and includes secretion of 2-phenoxyethanol, produced from the submandibular skin gland (“chin gland”) secretion from dominant rabbits ( ). The skin is thin and delicate. Ample subcutaneous space in the cervical and interscapular regions makes this a convenient injection site. The pinnae are highly vascular and provide thermoregulation since they represent approximately 12% total body surface area in the NZW ( ). In the laboratory setting, this facilitates measurement of pulse oximetry and blood pressure, as well as blood collection/injection via the marginal ear vein. Rabbits are prone to fatal cardiac arrhythmias following prolonged exposure to halothane anesthesia ( ).

Rabbits exhibit similar clinical pathology features as other nonclinical species with some exceptions. Lymphocytes are the predominant circulating leukocyte in the baseline state with heterophils (equivalent to neutrophils in other species) superseding in periods of inflammation or infection. Basophils are more prevalent than in most veterinary species, with upward of 30% being within normal limits ( ; ). Heterophils should not be mistaken for eosinophils ( ). The cervicofacial lymph node topography of the NZW is reportedly similar to humans, numbering 12–18 in total ( ). The fractional urinary excretion of calcium for rabbits is 45%–60% as compared to less than 2% in most mammals ( ). Crystalluria is normal, consisting of calcium carbonate and ammonium magnesium phosphate ( ).

Ethics and Animal Welfare Considerations

Rabbits are prey species that are easily stressed by many different changes. Methods to reduce stress and enhance environmental enrichment serve to improve the likelihood of clearer data being collected that better enables identification of potential test article–related effects. Two areas where this is manifested as clinical signs and/or pathologic changes are in the cardiac and gastrointestinal tract. Cardiomyopathy has been recognized in crowded housing ( ) and even simple clinical procedures associated with vaccine studies ( ). Diarrhea is a common and significant clinical ailment in laboratory rabbits. Efforts to control diarrhea can backfire, such as use of antibiotics and higher levels of dietary copper given for antibacterial effects leading to hepatic copper toxicosis ( ).

Housing environments enriched with plastic and metal toys can both reduce stress and encourage obligatory chewing to keep teeth in check, as rabbit teeth grow continuously. Stress can also be reduced through group housing (where appropriate) and limiting the scent of predators and other species. If animals will be restrained for a long period of time during treatment (e.g., ocular examinations for medical device testing, endotoxin, and sensitization testing), habituation to restraint is essential.

Regulatory Aspects and Examples of Use of Rabbits in Biomedical Research

Many guidelines and regulations that apply broadly to use of animals in biomedical research are also relevant to studies with rabbits. There are also specific documents for more specialized studies (e.g., medical devices, regenerative medicine) for which rabbits are a disproportionally popular animal model (reviewed recently by ). Key resources are summarized in Table 18.3 .

Table 18.3
Key Regulatory Documents, Databases, and Welfare Statements Pertaining to Use of Rabbits in Safety Assessment
Regulation source References
Unites States Animal Welfare Act https://www.nal.usda.gov/awic/animal-welfare-act-quick-reference-guides
Registry of Toxic Effects of Chemical Substances (RTECS)
172-C-98–207 EPA Health effects test guidelines OPPTS 870.3700. Prenatal developmental toxicity study (1998)
Europe Animal Research Law Directive https://eur-lex.europa.eu/eli/dir/2010/63/2019-06-26
7th Amendment to the EU Cosmetics Directive http://ec.europa.eu/DocsRoom/documents/13101/attachments/2/translations/en/renditions/pdf#:∼:text=On%2027%20February%202003%2C%20Directive%202003%2F15%2FEC%20on,cosmetic%20finished%20products%20and%20ingredients .
Nongovernmental groups
ISO (International Organization for Standardization) 10993: Biological evaluation of medical devices—Part 6 Tests for local effects after implantation (2016)
10993: Biological evaluation of medical devices—Part 10 Tests for irritation and skin sensitization (2010)
10993: Biological evaluation of medical devices—Part 11 Tests for systemic toxicity (2017)
ASTM (formerly known as American Society for Testing and Materials) F2721-09 ( 2014 ) Standard Guide for Preclinical in vivo Evaluation in Critical Size Segmental Bone Defects
The Association for Research in Vision and Ophthalmology Statement for the Use of Animals in Ophthalmic and Vision Research
ICH (International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use) ICH 2017 S5R3 (Detection of toxicity to reproduction for human pharmaceuticals)
OECD OECD guideline for the testing of chemicals. Prenatal developmental toxicity study. Test guideline 414 (2001)

While rabbits have been used extensively in studies of biopharmaceutical, industrial/environmental chemicals, and medical device products, their use in cosmetics research may be the most widely recognized use outside of research groups. Cosmetic testing involving rabbits has influenced how some regulations/guidances have developed. For example, the seventh Amendment to the European Union (EU) Cosmetics Directive states that cosmetic products and/or their ingredients are not permitted to be marketed in the EU if they underwent testing in animals including sensitization and irritation evaluations commonly still performed in rabbits in the United States. While rabbit use is being replaced with in vitro assays for specific study types (e.g., dermal irritation), these replacement assays may not be accepted by individual regulatory groups.

Pharmacokinetic and Toxicity Studies

Many standard nonclinical studies (e.g., pharmacokinetic and general toxicity studies) are not commonly performed in rabbits in part due to limitations with rabbits compared to rodents including relatively limited historical control data, larger amounts of compound needed, and increased costs. Rabbits are more commonly used as a secondary species for toxicity studies or the primary species for specialized studies such as those for the development of vaccines, medical devices, and regenerative medicine modalities (see Vaccines, Stem Cells and Regenerative Medicine, and Biomedical Materials and Devices , Vol 2 , Chap 9, 10, and 11). Specific areas of focus are discussed in more detail below. For other general references on rabbits in basic research and safety studies, the reader is directed to recent references ( ; ).

Developmental and Reproductive Toxicity Studies

Rabbits are one of the most common nonrodent species used for developmental and reproductive toxicity (DART) studies (see The Role of Pathology in Evaluation of Reproductive, Developmental, and Juvenile Toxicity , Vol 1 , Chap 7 ). Advantages of rabbits in DART studies include accuracy in the timing of conception, a longer fetal period than rodents, and easier semen collection. Additionally, some aspects of the extraembryonic membranes of the rabbit are more similar to those in humans than rodents. Disadvantages include a predisposition to spontaneous abortion, resorption when few implantations are present, and being induced ovulators.

While rabbits can be used in studies to assess effects on fertility (Segment I), embryo–fetal development (Segment II), and pre/postnatal development (Segment III), they are primarily used in embryo–fetal development studies (notably, they are a relatively sensitive species for thalidomide; ). Their larger size aids in the detection of soft tissue and skeletal alterations, as well as changes in cardiac structure.

Important guidances for using rabbits on DART studies are included in Table 18.3 . For a comparison across species, please see Embryo, Fetus, and Placenta , Vol 4 , Chap 11.

Dermal Irritation/Toxicity Studies

The overarching goal of dermal irritation testing is the early identification of materials that are potential human cutaneous and/or mucosal irritants. Primary irritants are those test articles that incite injury (e.g., inflammation and/or necrosis) through direct tissue damage. To date, rabbits remain a preferred animal model and are historically well represented in dermal irritation studies within databases and in the published literature (see Table 18.3 ). Rabbits are often more sensitive than other species in these tests (e.g., petrolatum; ), although it should be noted that rabbits may overestimate absorption/penetration compared to humans ( ).

As part of the effort toward decreasing animal use in research, work has focused on increasing the availability of in vitro replacements for whole animal studies. There has been initial progress in decreasing whole animal testing for certain classes of test articles (e.g., neat chemicals). However, it is important to note that in vitro studies have not been validated for all potential test articles. For example, in vitro tests for skin irritation have been validated for neat chemicals, but not for extracts of medical devices (ISO 10993-10 Annex D, Table 18.3 ). During a period of continued validation, the reader is advised to regularly check for updates on the currently accepted models for each test article type. Some changes may involve adapting existing protocols used to produce extracts (e.g., alterations in extraction techniques or incubation times; ISO 10993-10 Annex D, Table 18.3 ). For a comparison across species, please see chapters in Vol 1, Part 3—Animal and Alternative Models in Toxicologic Research.

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