Although oval cell proliferation is observed prior to the appearance o
f hepatic nodules and hepatocellular carcinomas during ethionine-induc
ed liver carcinogenesis in the rat, the role of these presumptive hepa
tic stem cells during the neoplastic process remains controversial. In
order to investigate this question, we have used a panel of monoclona
l antibodies against antigens associated with normal hepatocytes, oval
cells and transplantable hepatocellular carcinomas (THC) to trace ant
igenic pathways leading to liver cancer. Male ACI rats were fed a chol
ine-deficient diet containing 0.1% DL-ethionine for 4, 16 or 30 weeks.
Immunocytochemical analysis of frozen liver sections revealed a subpo
pulation of hepatic nodules (7/52), carcinomas (8/15) and lung metasta
ses (3/5) containing populations of cells expressing both oval cell, h
epatocyte and neoplastic markers. Carcinomas expressing oval cell mark
ers often appeared as a mosaic of well-defined patches composed of phe
notypically distinct cells. Many of the phenotypes expressed closely m
imicked patterns of expression observed in fetal and neonatal liver. T
HC derived from primary tumors positive for oval cell antigens (4/5) c
ontinued to express these markers. Northern blot analysis and immunocy
tochemical analysis revealed that 4/5 primary hepatocellular carcinoma
s (PHC) and THC expressed a-fetoprotein (AFP) and albumin transcripts
and contained subpopulations expressing AFP together with hepatocyte a
nd oval antigens. In contrast, a well-differentiated PHC and its corre
sponding THC lacked AFP mRNA and oval cell antigens but showed strong
expression of both hepatocyte and neoplastic markers. These results de
monstrate that a subpopulation of malignant and metastatic hepatocellu
lar carcinomas are comprised of cells expressing multiple oval cell ma
rkers in this model system.