Spontaneous proliferative lesions in the nasopharyngeal meatus were id
entified as the cause of death in 12 of 1,600 male and 5 of 1,600 fema
le Fischer 344 (F344) rats used in 2-yr carcinogenicity studies; none
of the lesions were considered treatment related. All the rats showed
dyspnea, abdominal distension, and clinical deterioration. Gross featu
res were characterized by simultaneous occurrence of conspicuous gaseo
us distension of the intestinal tract, especially in the ileum and cec
um, and focal nodular lesions in the nasopharyngeal meatus. Histopatho
logically, the nasopharyngeal meatus was partially obstructed by the f
ollowing proliferative lesions: 3 areas of hyperplasia of the ectopic
sebaceous glands in the soft and hard palate, 4 areas of squamous meta
plasia (SM) with massive hyperkeratosis, 5 squamous cell papillomas (S
CPs), and 5 squamous cell carcinomas (SCCs). No pathological changes w
ere found in the distended portion of the intestinal tract. Formalin-f
ixed, paraffin-embedded samples of the proliferative lesions from the
nasopharyngeal meatus were examined for the presence of mutations in t
he c-H-ras and c-K-rns genes. In vitro amplification of DNA using a po
lymerase chain reaction was combined with a nonisotopic method for sel
ective oligonucleotide hybridization. Two of the 4 SM lesions, 3 of th
e 5 SCPs, and 5 of the 5 SCCs contained 1-3 point mutations in the c-H
-ras and/or c-K-ms gene. Immunohistochemically, overexpression of p53
protein was found in 1 area of SM with a dysplastic lesion and 2 SCCs.
These findings indicate that detailed examination of the upper respir
atory system, including the nasopharyngeal meatus, may be particularly
helpful for identifying primary occult lesions in F344 rats that show
only gut distension at necropsy in long-term toxicity studies. In add
ition, mutations of the ms genes may be an important step in the early
stages of carcinogenesis in the rat nasopharyngeal meatus, whereas p5
3 mutations could occur relatively late.