Bacterial endotoxin (lipopolysaccharide; LPS) given to animals in large dos
es results in pronounced, midzonal liver injury. Exposure to smaller, non-i
njurious doses of LPS augments the toxicity of certain hepatotoxicants. Thi
s study was conducted to delineate the development of injury in a rat model
of augmentation of aflatoxin B-1 (AFB(1)) hepatotoxicity by LPS. At large
doses (i.e., > 1 mg/kg, ip), AFB(1) administration resulted in pronounced i
njury to the periportal regions of the liver. Male, Sprague-Dawley rats (25
0-350 g) were treated with 1 mg AFB(1)/kg, ip or its vehicle (0.5% DMSO/sal
ine) and 4 h later with either E. coli LPS (7.4 x 10(6) EU/kg, iv) or its s
aline vehicle. Liver injury was assessed 6, 12, 24, 48, 72, or 96 h after A
FB(1) administration. Hepatic parenchymal cell injury was evaluated as incr
eased alanine aminotransferase (ALT) and aspartate aminotransferase (AST) a
ctivities in serum and from histologic examination of liver sections. Bilia
ry tract alterations were evaluated as increased concentration of serum bil
e acids and activities of gamma-glutamyltransferase (GGT), alkaline phospha
tase (ALP), and 5'-nucleotidase (5'-ND) in serum. At all times and for all
markers, injury in rats treated with either AFB(1) or LPS alone was absent
or modest. In the AFB(1)/LPS cotreated group, hepatic parenchymal cell inju
ry was pronounced by 24 h and had returned to control values by 72 h. The i
njury began in the periportal region and spread midzonally with time. Furth
ermore, changes in serum markers indicative of biliary tract alterations we
re evident by 12 h and had returned to control values by 72 h. Thus, the na
ture of the hepatic lesions suggested that LPS potentiated the effects of A
FB(1) on both parenchymal and bile duct epithelial cells.