Reversibility and Irreversibility of Liver Tumors in Mice ... · Nobuyuki Ito, Motoo Hananouchi,...

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[CANCER RESEARCH 36, 2227-2234,July 1976] Reversibility and Irreversibility of Liver Tumors in Mice Induced by the e Isomer of 1,2,3,4,5,6- Hexachlorocyclohexane Nobuyuki Ito, Motoo Hananouchi, Seiichi Sugihara, Tomoyuki Shirai, Hiroyuki Tsuda, Shoji Fukushima, and Hiroshi Nagasaki First Department of Pathology, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467, Japan SUMMARY The characteristics of liver tumors in mice induced by the o~ isomer of 1,2,3,4,5,6-hexachlorocyclohexane (~x-BHC), were studied with emphasis on their reversibility or irrevers- ibility. Male 8-week-old DDY mice were fed basal diet sup- plemented with 500 ppm of e-BHC for 16, 20, 24, and 36 weeks and then were fed basal diet without (x-BHC for 4, 8, 12, 16, 24, or 36 weeks. At various intervals, 13 to 20 mice were killed for light and electron microscopic observations. The incidences of liver tumors in mice induced by o~-BHC increased progressively on continuous administration of o~- BHC, but when its administration was discontinued some tumors disappeared. Histologically, after (x-BHC adminis- tration for 24 weeks, most tumors were nodular hyperpla- sias, and there were only a few well-differentiated hepato- cellular carcinomas. However, 60 or 72 weeks after the beginning of the experiment, most of the liver tumors were hepatocellular carcinomas and there were only a few nodu- lar hyperplasias. At a later stage, 60 or 72 weeks, the liver parenchymal tissue in nontumorous areas was essentially normal, but small foci were occasionally seen in nontumor- ous areas that were composed of remaining hyperplastic nodular cells, phagocytic cells, Kupffer cells, and leuko- cytes. These findings suggest that the reversible tumors were usuarly nodular hyperptasias whereas the irreversible tumors were hepatocellular carcinomas. After o~-BHC ad- ministration was stopped, many mesenchymal cells infil- trated the nodular hyperplastic lesions, and degenerated liver cells were found. These observations indicate that mesenchymal cell elements may be important in reversing the growth of liver tumors induced by e-BHC. INTRODUCTION Increasing numbers of synthetic chemicals including pes- ticides and naturally occurring carcinogens have been iden- tified in our environment. Many of the organochloride pesti- cides are highly stable and persist in the environment and some of them, such as aldrin, dieldrin (3, 5), and DDT (23- 25), have been demonstrated to have carcinogenic activity , Supported in part by grants for scientific research from the Ministry of Educatioh, Culture and Scienceof Japan (001055,001561,001062;1975) and by a grant from the ExperimentalPathological ResearchAssociation (1975). Received October 14, 1975; accepted March 30, 1976. when-given p.o. to experimental animals, especially mice. Recently, the carcinogenic activity of the organochloride pesticide e-BHC 2 has also been observed in mice (11, 12, 16, 20) and rats (10). The question of the nature of the liver tumors induced by chemical carcinogens in mice has frequently been raised (9, 19). One opinion is that liver tumors in mice do not have a neoplastic character because they show no signs of inva- sion or metastasis to distant organs and because their his- tological patterns do not resemble those of malignant tu- mors. That is, some of them do not resemble the lesions described as hepatocellular carcinomas in rats or man (18). With regard to this problem, Kyriazis et al. (14) reported that detection of a high rate of lung metastasis was possible only through detailed histological examination, not simply by macroscopic examination of whole lungs. The observations reported here provide some suggestions for histological criteria of cancer of tumors in mouse liver induced by chem- icals. MATERIALS AND METHODS Three hundred forty-one male 8-week-old DDY mice (Awazu Animal Farm, Osaka, Japan), initially weighing about 18.6 g, were divided into 5 groups of 21 to 140 animals. They were fed basal diet (commercial stock diet; Oriental Yeast Co., Tokyo, Japan) supplemented with 500 ppm of (x-BHC (Tokyo Kasei Chemical Co., Tokyo, Japan) for different periods as shown in Table 1. Twenty-one mice were fed basal diet containing e-BHC for 16 weeks and then sacrificed (Group 1). A total of 300 mice were fed basal diet containing (x-BHC for 20 (Group 2), 24 (Group 3), and 36 (Group 4) weeks. Then a total of 248 animals were killed or maintained on basal diet without (x-BHC for different pe- riods of 4, 8, and 12 (Group 2); 4, 8, 12, 16, 24, and 36 (Group 3); or 12, 24, and 36 (Group 4) weeks. Twenty con- trol mice (Group 5) were fed basal diet without ~x-BHC for 72 weeks. Twelve to 20 mice were killed at these intervals. Mice that died during the experiment were excluded. The sample of o~-BHC used appeared to be over 99.0% pure by gas chromatography. Mixed diets were prepared once a week and kept in a cold room. Mice were housed individually in aluminum cages in an air-conditioned room under natural 2The abbreviation used is: ~-BHC, ~ isomer of 1,2,3,4,5,6-hexachlorocy- clohexane. JULY 1976 2227 Research. on April 7, 2021. © 1976 American Association for Cancer cancerres.aacrjournals.org Downloaded from

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  • [CANCER RESEARCH 36, 2227-2234, July 1976]

    Reversibility and Irreversibility of Liver Tumors in Mice Induced by the e Isomer of 1,2,3,4,5,6- Hexachlorocyclohexane

    Nobuyuki Ito, Motoo Hananouchi, Seiichi Sugihara, Tomoyuki Shirai, Hiroyuki Tsuda, Shoji Fukushima, and Hiroshi Nagasaki First Department of Pathology, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467, Japan

    SUMMARY

    The characterist ics of liver tumors in mice induced by the o~ isomer of 1,2,3,4,5,6-hexachlorocyclohexane (~x-BHC), were studied with emphasis on their reversibil i ty or irrevers- ibility. Male 8-week-old DDY mice were fed basal diet sup- plemented w i th 500 ppm of e-BHC for 16, 20, 24, and 36 weeks and then were fed basal diet wi thout (x-BHC for 4, 8, 12, 16, 24, or 36 weeks. At various intervals, 13 to 20 mice were killed fo r l ight and electron microscopic observations.

    The incidences of liver tumors in mice induced by o~-BHC increased progressively on cont inuous administrat ion of o~- BHC, but when its administrat ion was discont inued some tumors disappeared. Histologically, after (x-BHC adminis- tration for 24 weeks, most tumors were nodular hyperpla- sias, and there were only a few well-dif ferentiated hepato- cellular carcinomas. However, 60 or 72 weeks after the beginning of the experiment, most of the liver tumors were hepatocel lular carcinomas and there were only a few nodu- lar hyperplasias. At a later stage, 60 or 72 weeks, the liver parenchymal t issue in nontumorous areas was essentially normal, but smal l foci were occasional ly seen in nontumor- ous areas that were composed of remaining hyperplastic nodular cells, phagocytic cells, Kupffer cells, and leuko- cytes. These f indings suggest that the reversible tumors were usuarly nodular hyperptasias whereas the irreversible tumors were hepatocel lular carcinomas. After o~-BHC ad- ministration was stopped, many mesenchymal cells infil- trated the nodular hyperplastic lesions, and degenerated liver cells were found. These observations indicate that mesenchymal cell elements may be important in reversing the growth of l iver tumors induced by e-BHC.

    INTRODUCTION

    Increasing numbers of synthetic chemicals including pes- ticides and natural ly occurr ing carcinogens have been iden- tified in our environment. Many of the organochlor ide pesti- cides are h ighly stable and persist in the environment and some of them, such as aldrin, dieldrin (3, 5), and DDT (23- 25), have been demonstrated to have carcinogenic activity

    , Supported in part by grants for scientific research from the Ministry of Educatioh, Culture and Science of Japan (001055, 001561,001062; 1975) and by a grant from the Experimental Pathological Research Association (1975).

    Received October 14, 1975; accepted March 30, 1976.

    when-given p.o. to experimental animals, especia l ly mice. Recently, the carcinogenic activity of the o rganoch lo r ide pesticide e-BHC 2 has also been observed in mice (11, 12, 16, 20) and rats (10).

    The question of the nature of the liver tumors induced by chemical carcinogens in mice has frequently been raised (9, 19). One opinion is that liver tumors in mice do not have a neoplastic character because they show no s igns of inva- sion or metastasis to distant organs and because their his- tological patterns do not resemble those of ma l ignant tu- mors. That is, some of them do not resemble the lesions described as hepatocel lular carcinomas in rats or man (18). With regard to this problem, Kyriazis et al. (14) reported that detection of a high rate of lung metastasis was possib le only through detailed histological examinat ion, not s imply by macroscopic examinat ion of whole lungs. The observat ions reported here provide some suggestions for h isto logical criteria of cancer of tumors in mouse liver induced by chem- icals.

    MATERIALS AND METHODS

    Three hundred forty-one male 8-week-old DDY mice (Awazu Animal Farm, Osaka, Japan), in i t ia l ly weigh ing about 18.6 g, were divided into 5 groups of 21 to 140 animals. They were fed basal diet (commercia l stock diet; Oriental Yeast Co., Tokyo, Japan) supplemented with 500 ppm of (x-BHC (Tokyo Kasei Chemical Co., Tokyo, Japan) for different periods as shown in Table 1. Twenty-one mice were fed basal diet containing e-BHC for 16 weeks and then sacrificed (Group 1). A total of 300 mice were fed basal diet containing (x-BHC for 20 (Group 2), 24 (Group 3), and 36 (Group 4) weeks. Then a total of 248 animals were kil led or maintained on basal diet wi thout (x-BHC for d i f ferent pe- riods of 4, 8, and 12 (Group 2); 4, 8, 12, 16, 24, and 36 (Group 3); or 12, 24, and 36 (Group 4) weeks. Twenty con- trol mice (Group 5) were fed basal diet wi thout ~x-BHC for 72 weeks. Twelve to 20 mice were killed at these intervals. Mice that died during the experiment were excluded. The sample of o~-BHC used appeared to be over 99.0% pure by gas chromatography. Mixed diets were prepared once a week and kept in a cold room. Mice were housed ind iv idua l ly in a luminum cages in an air-condit ioned room under natural

    2 The abbreviation used is: ~-BHC, ~ isomer of 1,2,3,4,5,6-hexachlorocy- clohexane.

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  • N. Ito et al.

    Table 1 Changes of fiver weight and incidence of liver tumors in DDY mice induced by administration of 500 ppm of ot-BHC for different periods

    Observation period (wk) Body wt (g) Liver wt

    With o~- Without No. of Group BHC

  • in these areas had irregular cytoplasm, but mitotic figures were rare (Fig. 4).

    When the d iet containing (x-BHC was discontinued, dark red nodules usually appeared. These were not clearly de- marcated f rom the surrounding liver tissues. These areas were composed of various kinds of cells, such as large phagocytic cells, Kupffer cells, lymphocytes, and polymor- phonuclear leukocytes, and the nodular hyperplastic cells frequently showed nuclear irregularities (Figs. 5 and 6). In these areas, small foci of myeloid metaplasia were occa- sionally seen. A few typical hyperplastic nodules and some areas of well-differentiated hepatocellular carcinoma were also found.

    At a later stage, 60 or 72 weeks in the experiment, almost all the tumors appeared to be well-differentiated hepatocel- lular carcinomas. Areas of tumor showed large trabecular patterns with distended sinusoidal spaces and mitotic fig- ures (Fig. 8). Nuclear irregularities and hemorrhagic changes were seen (Fig. 7). In nontumorous lesions in this stage, hepatic cells and periportal regions were essentially normal, al though small foci of phagocytic cells and histio- cytes were found as the remains of the dark red nodules. Areas of typical nodular hyperplasia were very rare.

    No metastatic foci were found by careful examination of serially sectioned specimen of lungs, kidneys, and regional lymph nodes.

    Ultrastructural Findings in Tumorous or Nontumorous Areas. In areas of nodular hyperplasia, the cytoplasm of the cells was elongated, the mitochondria were irregularly shaped, and the amount of smooth endoplasmic reticulum was greatly increased. The nuclei were usually smooth, and inclusions were frequently seen. Cytoplasmic areas occa- sionally contained concentrated lamellar bodies of various size.

    In areas of well-differentiated hepatocellular carcinoma, the nuclei were irregular in shape, inclusions were fre- quently seen, and the nucleoplasm contained loose chro- matin material and had low electron density. The nucleoli were enlarged and the nucleolonemata were deformed. Gly- cogen granules were not seen, but the number of free ribosomes on cytoplasmic areas was increased. Cells of nonnodular areas had an increased amount of smooth en- doplasmic ret iculum, but nuclear irregularities were rare.

    Areas of dark red nodules had a very peculiar appear- ance. These nodules were occasionally composed of differ- ent kinds of cells, such as phagocytic cells, monocytes, Kupffer cells, and remaining nodular hyperplastic cells. Many lysosomes were noticed in the cytoplasm (Fig. 9).

    The cells in remaining areas of nodular hyperplasia had irregularly shaped mitochondria and a decreased amount of smooth endoplasmic reticulum. Glycogen granules were observed in the cytoplasm of some cells in dark red nod- ules. The nuclei were irregular in shape, and chromatin associated with the nucleolus was increased. Many degen- erated cells were seen in hyperplastic nodules (Fig. 10). Some cells in dark red nodular areas had increased num- bers of glycogen granules in their cytoplasm. Smooth endo- plasmic ret iculum and elongated mitochondria were seen in remaining areas of hyperplasia in mice fed first an o~-BHC diet and then a diet without (x-BHC for 12 weeks.

    ~BHC Carcinogenesis

    At a later stage of the experiment, after the diet contain- ing (x-BHC was stopped, areas of hepatocellular carcinoma contained irregularly shaped cells with irregular or oval nuclei. Their nucleoplasm contained loose chromatin mate- rial, their nucleoli were enlarged, and their nucleolonemata were deformed.

    Characteristic of a-BHC-induced Liver Tumors in Mice. The incidences of liver tumors in mice induced by o~-BHC are shown graphically in Chart 1. The incidence increased progressively on continuous administration of (x-BHC up to 36 weeks, but when its administration was discontinued some tumors disappeared. Thus tumors induced by o~-BHC may show either reversible or irreversible growth. After e- BHC administration for 24 weeks (Group 3), most tumors were nodular hyperplasias, and there were only a few well- differentiated hepatocellular carcinomas. However, 60 or 72 weeks from the beginning of the experiment (Groups 3 and 4), most of the liver tumors were hepatocellular carcinomas and there were only a few nodular hyperplasias. At this stage, the nontumorous liver parenchymal tissue was es- sentially normal, but small foci were occasionally seen in nontumorous areas that were composed of remaining hy- perplastic nodular cells, phagocytic cells, Kupffer cells, and leukocytes. By electron microscopy, nodular hyperplastic cells could still be seen in the areas of dark red nodules containing mixed cells in the stage that most foci of nodular hyperplasia disappeared.

    DISCUSSION

    It has been found that liver tumors in mice induced by chemicals such as o~-BHC continue to show dynamic mac- roscopic, histological, and electron microscopic changes throughout the observation period. Therefore, in studies on chemical carcinogenesis neoplastic changes must be care- fully judged by histological and electron microscopic obser- vations, as well as by macroscopic examinations.

    Tumor cells may arise as a result of both somatic muta- tion and abnormal differentiation of target cells induced by proximate carcinogens (17).

    In carcinogenesis, various changes of the cells induced by carcinogens have been regarded as preneoplastic changes (7, 8). There is much evidence that nodular hyper- plasias may be I site of origin of hepatocellular carcinomas.

    (%) z00 / . . . ... o.. ~ . . . . 41--o

    �9 % t

    49

    with o -BHC

    20 ". . . . . without o -BHC " A

    - I I . . I I �9 �9 I1" 16 20 74 28 72 A 4"0 44 4"8 52 58 52 72 Weeks

    Char t 1. I nc i dence of l iver t u m o r s in male DDY mice t reated w i th (~-BHC, (500 ppm in diet) when administrated for 16 weeks (Group 1, 0), 20 weeks (Group 2, A), 24 weeks (Group 3, II), and 36 weeks (Group 4, �9

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  • N. I to e t a l .

    These p reneop las t i c les ions of the l iver have been analyzed b iochemica l l y , h is to log ica l ly , h is tochemica l l y , b io log ica l l y , and by e lec t ron m ic roscopy , and the revers ib i l i ty or irre- vers ib i l i ty of p reneop las t i c changes has been d iscussed extens ive ly (2, 6, 7, 13, 18, 22, 27). The present wo rk showed c lear ly that the p reneop las t i c change of nodu la r hyperp las ia of the l iver in mice induced by (x-BHC may be e i ther reversible or i r reversib le.

    Several invest igators have repor ted that ep i the l i omesen- chymal i n te rac t ions in f luence the response of the epi the- l ium in ca rc inogenes is (1, 4, 15). The present resul ts show that t u m o r g rowth or p rogress ion is in t imate ly related to the in te rac t ions of mesenchyma l e lements and l iver parenchy- mal cel ls. Because af ter (x-BHC admin is t ra t i on was d iscon- t i nued , many mesenchyma l cel ls in f i l t ra ted the nodu la r hy- perp las t ic les ions of hepa tocy te pro l i fe ra t ion tha t were en- cased in a very th in f i b roconnec t i ve t issue compress ing s u r r o u n d i n g l iver pa renchyma (7). Also degenera ted l iver cel ls were in the co l l ec t i ons of mesenchyma l cel ls. These observa t ions ind ica te tha t mesenchyma l cell e lements may play an impor tan t role in reversing the g rowth of l iver tu- mors induced by (~-BHC.

    However , by e lec t ron m ic roscopy , hyperp las t ic l iver cel ls wi th i r regu lar ly shaped m i t o c h o n d r i a had decreased smoo th e n d o p l a s m i c re t i cu lum and an i r regu lar ly oval nu- c leus wi th several i nden ta t ions , cou ld sti l l be seen in dark red nodu les . Thus it is poss ib le that these remain ing cel ls in the dark red nodu les showed cancer or i r revers ib i l i ty at a re lat ively ear ly stage of the exper imen t (21).

    The apparen t regress ion or p rogress ion of the l iver t u m o r nodu le may be in f luenced by both in t r ins ic and ex t r ins ic fac to rs (17, 26). In t r ins ic fac tors inc lude the immuno log i ca l state of the host , ag ing, ho rmona l ef fects, and species suscept ib i l i t y , wh ich were all f ound to in f luence t umor g row th or p rogress ion . Ext r ins ic fac tors inc lude the nutr i - t iona l state of the host, ca rc i nogen i c or n o n c a r c i n o g e n i c chemica ls , v i ruses, i r rad ia t ion, and pa tho log ica l changes of the o rgans . Hepa toca rc inogenes i s was f ound to be in- h ib i ted by a h igh l ipid d iet . It was also observed that carci - nogen i c or n o n c a r c i n o g e n i c chemica ls , such as 3-methy l - c h o l a n t h r e n e , 3 ,4-benzpyrene, and cz-naphthyl i so th iocya- nate had e i ther inh ib i to ry or p romo t i ng ef fects on l iver ca rc i nogenes i s in exper imenta l an imals . Viral and chemica l i n te rac t i ons on var ious mammary t umors in mice and rats have also been repor ted by many invest igators .

    The re fo re , var ious in t r ins ic and ex t r ins ic fac tors may in- f l uence the revers ib i l i ty or i r revers ib i l i ty of p reneop las t i c les ions. Fu r the r analysis of these fac tors may prov ide an ef fect ive me thod for inh ib i t ing t u m o r g rowth .

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    27. Yasuzumi, G., Sugihara, R., Ito, N., Konishi, Y., and Hiasa, Y. Fine Structure of Nuclei as Revealed by Electron Microscopy. VII. Hyperplas- tic Liver Nodules in Rat by 3'-Methyl-4-Dimethylaminoazobenzene, 2- Fluorenylacetamide and DL-Ethionine. Exptl. Cell Res., 63: 83-95, 1970.

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  • o~-BHC Carcinogenesis

    Fig. 1. Symmetrical cell hypertrophy in the liver of a mouse treated with cx-BHC for 16 weeks. H & E, x 100. Fig. 2. Nontumorous~area of the liver in a mouse fed ot-BHC diet for 24 weeks and then a diet without e-BHC for 12 weeks. H & E, x 100. Fig. 3. Nodular hyperplasia induced by e-BHC diet for 24 weeks. Note compression of surrounding liver parenchymal tissue. H & E, x 100. Fig. 4. Well-differentiated hepatocellular carcinoma in a mouse treated with e-BHC for 36 weeks. H & E, x 100. Fig. 5. Area o f a dark red nodule in a mouse 8 weeks after discontinuation of e-BHC diet. Many mesenchymal cell elements, macrophages, and

    lymphocytes are seen infiltrating the hyperplastic nodular area. H & E, x 100. Fig. 6. Higher magnification of a dark red nodule, showing nuclear irregularities of liver cells and macrophages or giant cells, H & E, • 200. Fig. 7. Typical hepatocellular carcinoma in a mouse fed e-BHC diet for 24 weeks and then basal diet for 36 weeks. Dilation of sinusoidal spaces and an

    increased number of nuclei in cell cords are seen with hemorrhagic necrosis. H & E, x 100. Fig. 8. Higher magnification of typical hepatocellular carcinoma. Tumor cells and nuclei are irregular in size and shape. H & E, x 200. Fig. 9. Liver o f a mouse fed ~x-BHC diet for 24 weeks and then basal diet for 4 weeks. Mesenchymal cells (MC) and phagocytic cells (PC) are seen. Many

    lysosomes are seen in the cytoplasm of macrophages. Degenerated liver cells (DC) are also seen. x 5000. Fig. 10. Cells in a remaining area of nodular hyperplasia (NHC) in a mouse fed o~-BHC diet for 24 weeks. The amount of smooth endoplasmic reticulum is

    decreased. Some degenerated cells are seen. x 5000.

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  • o~-BHC Carcinogenesis

    JULY 1976 2233

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