Jh. Kang et al., PREVENTION OF SPONTANEOUS HEPATOCELLULAR-CARCINOMA IN LONG-EVANS CINNAMON RATS WITH HEREDITARY HEPATITIS BY THE ADMINISTRATION OF D-PENICILLAMINE, Hepatology, 18(3), 1993, pp. 614-620
Acute hepatitis spontaneously develops in the Long-Evans Cinnamon rat
at the age of 4 mo, and eventually hepatocellular carcinoma develops a
fter the chronic hepatitis that persists for over a year. Previously,
abnormal copper accumulation was found in the livers of Long-Evans Cin
namon rats from birth, and it was reported that short-term administrat
ion of D-penicillamine, a copper-chelating agent, prevented acute hepa
titis in Long-Evans Cinnamon rats. In this study we investigated wheth
er long-term administration of D-penicillamine could also prevent chro
nic hepatitis and subsequent hepatocellular carcinoma in Long-Evans Ci
nnamon rats. During long-term observation, which was continued from 11
to 70 wk after birth, no elevation of serum transaminase levels was o
bserved in the Long-Evans Cinnamon rats treated with D-penicillamine.
Moreover, no histological changes characteristic of the chronic hepati
tis were observed in D-penicillamine-treated Long-Evans Cinnamon rats,
which were killed at 70 wk of age. Furthermore, placental glutathione
S-transferase-positive foci, described as a marker for preneoplastic
lesions in the liver, were not detected, and thus hepatocarcinogenesis
was completely prevented in D-penicillamine-treated Long-Evans Cinnam
on rats. We also found that the amount of 8-hydroxy-deoxyguanosine, on
e of oxidative DNA damage products in the liver, was decreased in the
Long-Evans Cinnamon rats treated with D-penicillamine. These findings
suggest that a process of the prolonged liver-cell injury and regenera
tion was essential for spontaneous development of hepatocellular carci
noma in Long-Evans' Cinnamon rats with abnormal copper metabolism.