Jm. Sauer et al., SUPPRESSION OF KUPFFER CELL-FUNCTION PREVENTS CADMIUM-INDUCED HEPATOCELLULAR NECROSIS IN THE MALE SPRAGUE-DAWLEY RAT, Toxicology, 121(2), 1997, pp. 155-164
Exposure of humans to toxic metals and metalloids is a major environme
ntal problem. Many metals, such as cadmium, can be hepatotoxic. Howeve
r, the mechanisms by which metals cause acute hepatic injury are in ma
ny cases unknown. Previous reports suggest a major role for inflammati
on in acute cadmium induced hepatotoxicity. In initial experiments we
found that a non-hepatotoxic dose of cadmium chloride (CdCl2; 2.0 mg/k
g, i.v.) markedly increased the clearance rate of colloidal carbon fro
m the blood, which is indicative of enhanced phagocytic activity by Ku
pffer cells (resident hepatic macrophages). Thus, the objective these
studies was to determine the involvement of Kupffer cells in cadmium i
nduced liver injury by inhibiting their function with gadolinium chlor
ide (GdCl3). Male Sprague-Dawley rats were administered GdCl3 (10 mg/k
g, i.v.) followed 24 h later by a single dose of CdCl2 (3.0 and 4.0 mg
/kg, i.v.). Twenty four hours after CdCl2 administration animals were
killed and the degree of liver toxicity was assessed using plasma alan
ine aminotransferase (ALT), as well as light microscopy. Cadmium chlor
ide administration produced multifocal hepatocellular necrosis and inc
reased plasma ALT activity. Pretreatment with GdCl3 significantly redu
ced both the morphological changes and hepatic ALT release caused by C
dCl2. However, the protection was specific to the liver, and did not a
lter CdCl2 induced testicular injury, as determined by histopathologic
al damage. In many cases, the inducible cadmium-binding protein, metal
lothionein (MT) is often an essential aspect of the acquisition of cad
mium tolerance in the liver. Although cadmium caused a dramatic induct
ion of hepatic MT (32-fold), GdCl3 caused only a minor increase (2-fol
d). Combined CdCl2 and GdCl3 treatment did not induce levels to an ext
ent greater than CdCl2 alone. As expected, GdCl3 also caused a slight
increase in the amount of cadmium associated with the liver. In cultur
ed hepatocytes isolated from GdCl3 pretreated rats, CdCl2 induced cyto
toxicity was not significantly altered compared to control hepatocytes
, indicating that the mechanism of tolerance required the presence of
other cell types. Thus, GdCl3 attenuation of CdCl2 induced hepatotoxic
ity does not appear to be caused by increased tissue MT content or a d
ecreased susceptibility of hepatocytes to cadmium. From these data, we
concluded that tolerance to cadmium induced hepatotoxicity involves t
he inhibition of Kupffer cell function which results in a decreased in
flammatory response and an altered progression of hepatic injury. Thes
e data further indicate that Kupffer cell function is critical to cadm
ium induced hepatocellular necrosis. (C) 1997 Elsevier Science Ireland
Ltd.