Background: Mitochondria are sensitive indicators of cellular patholog
y. Under certain circumstances, these organelles respond to cellular i
nsult by a marked increase in size, resulting in the formation of gian
t mitochondria (megamitochondria). Ethanol has been implicated in the
induction of giant mitochondria in rat hepatocytes. Since ethanol is r
eported to affect pancreatic mitochondria, we examined this organ for
evidence of mitochondrial giantism in rats administered ethanol and a
relatively small amount of supplementary iron. Methods: Diets were adm
inistered via a chronically implanted gastrostomy catheter. Rats were
segregated in four groups: 1) basic high-fat diet, 2) ethanol and a hi
gh fat diet, 3) carbonyl iron and a high-fat diet, and 4) ethanol and
carbonyl iron combined with a high-fat diet. After the animals were on
their respective diets for 16 weeks, specimens of pancreas were extir
pated and processed for and examined by transmission electron microsco
py. Results: Mitochondria in rats on the basic high fat diet resemble
those in untreated controls. With ethanol and a high-fat diet, some mi
tochondria in virtually every exocrine cell are profoundly altered. Su
ch organelles, which are of normal size, have undergone rearrangement
of their internal membranes, with three or four parallel cristae resid
ing at one or both poles of spherical to ovate mitochondria. In rats r
eceiving both ethanol and carbonyl iron, giant mitochondria are presen
t in pancreatic exocrine cells. Except for their size, these megamitoc
hondria in many cases are virtual likenesses of the altered mitochondr
ia in the alcohol-high-fat rats, having several stacked cristae at eit
her pole and an enhanced matrix compartment. Many of the giant mitocho
ndria have at least one expanded crista, which contains packets of hel
ically coiled filaments. When control rats are fed carbonyl iron witho
ut ethanol, the pancreatic mitochondria display a marked propensity fo
r forming clusters of tightly interlocked organelles, formations that
may be a prelude to mitochondrial fusion. Conclusions: It appears that
iron supplementation sets the stage for organelle fusion, hence enlar
gement, with the ethanol providing the stimulus for fusion to actually
take place, and controlling the final morphology of the resultant meg
amitochondria. (C) 1996 Wiley-Liss, Inc.