The Numerical Proportions of Cell Types in Rat Liver during Carcinogenesis by 4-Dimethylaminoazobenzene (DAB)* R. D A O U S T t AND A . C A N T E R O (Research Laboratories, Montreal Cancer Institute, Notre Dame Hospital and University of Montreal, Montreal, Canada) For differential counts of cell types in the tissue sections, a reticle delimiting a square field was placed in one of the oculars of a binocular microscope. The field was placed at random on a liver section, and all nuclei included in the field were examined under oil immersion. Differential counts of the following cell types were made: parenchymal cells,~littoral cells, s bile duct cells, cells of connective tissue, and cells of the blood vessel walls. Once all the nuclei in a field had been examined and classified, the counts were pursued in similar fields taken at random on different parts of the liver sections until at least 6,000 nuclei had been examined per animal. The results of these counts represent the apparent distribution of the cell types. Such data must be corrected for the relative nuclear sizes, since bigger nuclei have greater chances to be included in any section (1, 4). To correct the results of the differential counts, the mean nuclear length of each cell type was calculated from measurements made by ocular micrometry on 200 parenchymal nuclei and 50 nuclei of each other type per animal. 4The measurements were made under oil immersion by a microscope which had been adjusted so that one division of the eye-piece micrometer corresponded to 1 micron on the stage micrometer. The objective was placed at random on a liver section, and the latter was displaced perpendicularly to the micrometer scale. The first 25 nuclei of each type, the centers of which fell within the length of the scale (50 #), were measured. All measurements were T h e l i v e r is a n o r g a n w h i c h is f r e q u e n t l y u t i l i z e d for b i o c h e m i c a l i n v e s t i g a t i o n s b e c a u s e of its l a r g e v o l u m e a n d its a p p a r e n t h o m o g e n e i t y . A c t u a l l y , t h e l i v e r is n o t a h o m o g e n e o u s o r g a n , since i t c o n t a i n s , in a d d i t i o n to t h e h e p a t i c cells, a n app r e c i a b l e n u m b e r of o t h e r cells t h e p r e s e n c e of w h i c h m u s t be t a k e n i n t o c o n s i d e r a t i o n w h e n interpreting the biochemical data. Moreover, the h i s t o l o g i c a l a r c h i t e c t u r e of t h i s o r g a n is k n o w n t o be m a r k e d l y a l t e r e d in d i f f e r e n t p a t h o l o g i c a l conditions. During carcinogenesis by 4-dimethyla m i n o a z o b e n z e n e ( D A B ) , for i n s t a n c e , i m p o r t a n t c h a n g e s are o b s e r v e d in t h e r e l a t i v e p r o p o r t i o n s of t h e cell t y p e s as well as in t h e n a t u r e a n d t h e v o l u m e of t h e e x t r a c e l l u l a r spaces (11, 15-17). T h e l i v e r b e c o m e s h i g h l y h e t e r o g e n e o u s in s u c h a condition. I n order to evaluate q u a n t i t a t i v e l y t h e c h a n g e s t a k i n g place in t h e cellular p o p u l a t i o n of t h e l i v e r d u r i n g carcinogenesis, we h a v e u n d e r t a k e n to d e t e r m i n e t h e n u m e r i c a l p r o p o r t i o n s of t h e v a r i o u s cell t y p e s p r e s e n t in t h e l i v e r of n o r m a l r a t s a n d r a t s fed D A B for d i f f e r e n t t i m e i n t e r v a l s . MATERIALS AND METHODS Male, adult, albino rats (Wistar strain, 175-225 gm.) fed Purina Fox Chow and water ad libitum were separated into three groups. The animals of the first group were continued on Purina Fox Chow and water. Those in the second group were transferred to a semi-synthetic, low-protein diet (basal diet, Ref. 14, diet 8). Animals in the third group were transferred to the semi-synthetic diet containing the azo-dye DAB at a concentration of 0.06 per cent. Normal rats were sacrificed in groups of six at 60-day intervals during a 180-day period. Rats fed the basal or DAB-containing diets were sacrificed in groups of six at $0-day intervals during the same period. 1 Under ether anesthesia, the animals were exsanguinated from the abdominal aorta, livers were excised with scissors, weighed, and fixed in Susa fluid. Histological sections of the median and lateral left lobes (5 # thick) were prepared by the usual procedure and stained with eosin and hematoxylin. * This investigation was supported by the National Cancer Institute of Canada. Preliminary reports on the present work have been published (7, 8). t Research Associate of the National Cancer Institute of Canada. Received for publication March 23, 1959. 1 The animals were given injections subcutaneously with 0.1 ml/100 gm body weight of a 0.1 per cent solution of colchicine, 4 hours before sacrifice, for measuring the incidences of mitoses in the same sections as those used in the present study. Colchicine injection had no effect on the cytological composition of the liver, however, since differential counts of cell types in intact and colchicine-injected animals showed no appreciable difference between the two groups. 2 The term parenchymal cells instead of parenchymal nuclei is used throughout the present article, but these terms are not actually equivalent, since many parenchymal cells are binucleated (3, 5, 20, 24). 3 The term littoral cell used here after Abercrombie and Harkness (2) refers to the cells lining the blood slnusoids. They include the Kupffer cells and the so-called undifferentiated cells which cannot be easily distinguished one from the other. 4 The measurements on parenchymal nuclei and those on nuclei of the other types were actually made in two different series. The mean diameters of the parenchymal nuclei were computed from a series of measurements on 200 nuclei per animal carried out for studying the distribution of nuclear sizes in liver parenchyma during DAB carcinogenesis (unpublished results). The nuclear lengths of the four other cell types, i.e., means of 50 nuclei of each type per animal, were determined in a second series of measurements. 757 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1959 American Association for Cancer Research. Cancer Research 758 made in the center of the field after the initial position of the nuclei on the micrometer had been noted. For each nucleus, the lengths of the long and short axes were determined (evaluated to 89 micron), and the nuclear length was taken as the mean of the two values. When $5 nuclei of each type had been measured, the slide was displaced at random, and the measurements were pursued in another part of the section. Hence, the measurements on parenchymal nuclei were made in eight different portions of the sections for a total of $00 nuclei per animal, while those on the nuclei of the other types were carried out in two different portions for a total of 50 nuclei of each type. Mter the mean nuclear length of each cell type had been calculated, the data on the apparent distribution of cell types were corrected according to Abercrombie (1), and the true distribution values were obtained. The results were finally expressed as the per cent distributions of cell types. RESULTS Normal rat liver.--The per cent distributions of cell types in normal rat livers are shown in Table 1. In 200-gm. rats (0 days), the parenchymal Vol. 19, A u g u s t , 1959 The values obtained for these two groups were intermediate between those obtained at 0 and 180 days. This confirms t h a t a quantitative change takes place in the cellular composition of the adult r a t liver as the organ increases in weight. Liver of rats fed the basal dict.--In rats fed the basal diet (Table ~), the body weights and liver weights were observed to decrease between 0 and 60 days and to increase afterward. These changes were accompanied by an initial (statistically significant) decrease in the percentage of littoral cells followed b y a slight increase after the 90-day interval. The percentages of parenchymal cells and other cell types showed reciprocal variations. Feeding the basal diet thus altered the cytological composition of the liver in a direction opposite to t h a t observed in animals fed the normal diet. At the 60-, 1~0-, and 180-day TABLE 1 NUMERICAL PROPORTIONS OF CELL TYPES IN NORMAL ADULT RAT LIVER PER CENT DISTRIBUTION OF CELL TYPES ( • TIME (days) O* 60 180 BODY WEIGHT (gm.+S.D.) ?.0O+6 356 + 14 380 + 35 445 • 55 LIVER WEIGHT (gin. • S.D.) 6.7+0.7 11.4+1.6 10.0+1.4 15.7_+$.4 Parenchymal cells Littoral cells Cells of bile ducts Cells of conn. tissue 60.7+1.7 56.1+1.5 58.7+!$.$ 55.7_+~.4 30.$+~.$ 35.6_+1.$ 34.3+1.9 37.7+$.1 4.1+0.9 3.5+0.9 3.5+1.0 2.6+1.0 ~.$__0.4 !~.9_+0.6 1.9-4-0.4 1.7_+0.3 Cells of blood vessel walls 2.8_1.0 1.9_+0.5 1.6_+0.4 $.3_0.6 * Time at which the animals were separated into three groups for studying the effect of (a) normal diet, (b) the basal diet, and (c) the carcinogenic diet. cells composed 61 per cent of the total number of cells and the littoral cells 30 per cent, the remaining 9 per cent being accounted for by the bile duct cells, the connective tissue cells, and the cells of the blood vessel walls. These proportions were observed to v a r y with age in the normal animals. The percentages of littoral cells were statistically higher in the rats sacrificed at later time intervals and the percentages of parenchymal cells and other cell types correspondingly lower. In the last group of normal rats investigated (180 days, 442 gm. body weight on the average), the parenchymal cells were found to make up 56 per cent of the total number of liver cells, the littoral cells 88 per cent, and the other cell types 6 per cent. I t m a y be noted that, although the rats of the l~0-day group had a higher mean body weight than those of the 60-day group, the mean liver weight in t h a t group (for some unknown reason) was lower than in the latter group, and the percentage of littoral cells was accordingly lower. intervals, times at which both normal rats and rats fed the basal diet were investigated, the percentages of parenchymal cells were all statistically higher and the littoral cell values statistically lower in rats fed the basal diet than in the normal animals. By the end of the experiment (180 days), the values in rats fed the basal diet were close to those obtained at 0 day, b u t much different from the results obtained in the rats fed the normal diet for a corresponding time interval. Liver of rats fed the carcinogenic dict.--The rats fed the DAB-containing diet (Table 3) showed a progressive decrease in body weight and liver weight up to 60 days, as was observed in rats fed the basal diet. These initial decreases were followed by progressive increases. After 180 days, the body weights of the DAB-fed animals were similar to those of animals fed the basal diet, b u t the liver weights were much higher in the former group than in the latter owing to the development of tumor masses, between 90 days and 180 days, in the liver of rats fed DAB. Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1959 American Association for Cancer Research. DAOUST AND CANTERO---Proportiortsof Cell Types in Rat Liver The most striking histological change observed in the liver of DAB-fed animals is the formation of bands of bile duct and connective tissue cells as a result of an extensive proliferation of these tissue elements. The trabeculae surround nodules of parenchymal tissue (cirrhotic liver), and tumor masses develop at later stages from either the 759 from 3 per cent to 17 per cent during the same time interval. These changes were accompanied by striking decreases in the proportions of parenchymal and littoral cells. The livers of rats fed DAB for 90 days were composed, on the average, of ~4 per cent of parenchymal cells, 15 per cent of littoral cells, 43 per cent of bile duct cells, TABLE 2 N U M E R I C A L PROPORTIONS OF CELL TYPES IN T H E LIVER OF RATS F E D BASAL DIET PEa T I M E ON DIET BODY WEIGHT (gin. + S.D.) 211 • 15 180 • 23 155• 177 • 22 201 • 36 173 • 36 190 • (+S.D.) LIVER WEIGHT Parenchymal cells (days) O 3O 60 90* 1~0 150 180t CENT DISTRIBUTION OF CELL TYPES (gm.+S.D.) 8.9• 7.4• 5.2• 7.2+1.7 7.0• 7.8• 7.7• Littoral cells 33.0• 31.5• 30.3• 28.2• 29.6• 30.7• 30.8• 60.5• 61.8• 62.4• 62.6• 64.2• 63.5 • 63.0• Cells of bile ducts Cells of conn. tissue 2.3• 2.5• 2.8• 3.8_+1.3 2.6• 2.4_+1.1 2.7• .8 2.5• 2.2• 2.1• 2.4• 1.6• 1.3• 1.5• .5 Cells of blood vessel walls 1.7+0.4 2.0• .6 2.4• 3.0_+0.6 2.0• 2.1• 2.0• * One animal of that group showed an exceptionally high percentage of bile duct and connective tissue cells, and the results were excluded from the means. The per cent distribution of cell types in that liver was the following: parenchymal, 54.9; littoral, 29.8; bile duct, 7.0; connective tissue, 5.3; blood vessel walls, 3.0. t One animal of that group showed an exceptionally high percentage of littoral cells, and the results were excluded from the means. The per cent distribution of cell types in that liver was the following: parenchymal, 50.8; littoral, 41.4; bile duct, 4.3; connective tissue, 1.9; blood vessel walls, 1.6. TABLE S NUMERICAL PROPORTIONS OF CELL TYPES IN THE LIVER OF RATS FED DAB P E a C E N T DISTRIBUTION O F CELL TYPES TI~ ON DIET BODY WEIGHT LIVER WEIGHT Parenehymalcells I (days) (gm.+S.D.) 0 211 • 15 30 165• 6O 118 • 17 9O 144 • 15 120 163 __+26 150 181• 180 200 • 63 Hepa toma* Cholan giomat (+S.D.) (gin. + S.D.) 8.9• 6.3• 5.2_+1.3 6.8• 9.7• 11.2• 15.7• Littoral cells Cells of bile ducts i Cells of : conn. tissue Cells of blood vessel walls 60.5+2.0 42.3• 35.6• ~.6• 33.6• 28.4• 80.4• 33.0___0.6 34.2• 21.6• 14.8• ?,0.9• 17.3• 21.2• 2.3• 12.7• 28.2• 43.6• 32.1• 38.4• 34.2• 2.5• .5 9.3• ! 13.3• 17.0_+2.0 12.9• 15.3• 13.0_+4.6 1.7+0.4 1.5+0.2 1.3+0.8 1.0• 0.5_+0.8 0.6+0.7 1.2+0.5 57.7• 16.1_+5.6 15.1• 9.9+7.2 1.2+0.7 66.5_+4.9 33.5_+4.9 * Means of counts on seven different hepatomas which developed in animals between 90 and 180 days. 'f Means of counts on two cholangiomas which arose after 120 and 150 days of DAB feeding. hyperplastic parenchyma (hepatomas) or the hyperplastic bile ducts (cholangiomas). The present quantiative analyses revealed that the proportion of bile duct cells increased progressively from an original value of ~ per cent to one of 43 per cent during the first 90 days of DAB feeding, and the percentage of connective tissue cells increased 17 per cent of connective tissue cells, and 1 per cent of cells in the blood vessel walls (Table 5). Such a composition is entirely different from those observed in rats fed normal or basal diets. The variations in the distribution of cell types were maximal after 90 days of DAB feeding, and the proportions observed in cirrhotic liver Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1959 American Association for Cancer Research. 760 Cancer Research Vol. 19, August, 1959 at later time intervals were about equivalent to clusively of parenchymal cells. In fact, such data those obtained at the 60-day period. cannot be translated in terms of any structural The tumor masses which developed from 90 unit unless it is determined by histochemical methdays on, in the liver of the DAB-fed animals, ods in which tissue element the analyzed subpresented particular distributions of cell types. stances are located (9, 10). The numerical proportions of cell types in the In hepatomas, the parenchymal cells made up 58 per cent of the total number of cells, a value liver were found to be greatly altered during close to the normal one; the littoral cells 16 per carcinogenesis by DAB. The percentage of parencent, a value lower than normal; the bile duct chymal cells in cirrhotic liver was as low as 24 cells 15 per cent and the connective tissue cells per cent on the average, after 90 days of DAB 10 per cent, values higher than normal; and the feeding, and the nonparenchymal elements were cells of the blood vessel walls 1 per cent. The present in a proportion of 76 per cent. The liver cholangiomas, on the other hand, were composed tumors, for their part, showed particular cell disalmost exclusively of bile duct and connective tributions differing from those observed in both tissue cells in proportions of 67 and 88 per cent, the normal and the cirrhotic livers. Grant and respectively. Rees (12) have recently confirmed the preliminary DISCUSSION results obtained in the present study (7) and found The number of parenchymal cells in the liver that the changes taking place in the cell population of young adult rats accounted for only 61 per of the liver during carcinogenesis by thioacetamide cent of the total number of cells (although they were of the same order as those described for represent 85 per cent of the total volume [~2]) DAB-fed animals. From a quantitative point of and the nonparenchymal cells were present in view, therefore, the normal, the cirrhotic, and the a proportion of 39 per cent. Similar percentages neoplastic livers show entirely different cytological of parenchymal cells in normal rat liver were compositions and cannot be considered as "homolreported by Abercrombie and Harkness, 59 per ogous" tissues. Since cells of different types usually cent (~); Stowell, 60 per cent (21); Sibatani show quantitative differences in their chemical and Fukuda, 65 per cent (19); and Grant and composition, changes in the proportions of cell Rees, 67 per cent (12). Figures of the same order types probably alter the average chemical comwere also reported for mouse liver, 56 per cent position of a tissue. It follows that variations (~5), and beef liver, 70 per cent (18). The results in the composition of the "average liver cell" during obtained in different laboratories vary whether: DAB carcinogenesis may be due, in part at least, (a) young or older animals are used, (b) the nuclear to changes in the cellular composition of the tissue counts are carried out exclusively on the cells and that they do not necessarily reflect actual composing the liver lobules or on both the lobular variations in the cells. The present analyses have dealt exclusively and interlobular cells, (e) blood elements are included in the counts or excluded, and (d) the with the cell types which are permanent structural results of the crude counts on tissue sections are units of liver tissue. The blood cells were not corrected or not for the relative nuclear sizes. included in the counts, since the percentage of Each of the first three factors usually affects the these cells varies depending on whether the aniresults to only a small extent, but correcting the mals are exsanguinated or the livers perfused data for relative nuclear sizes decreases appreci- before carrying on analyses. Other cell types which ably the percentage of parenchymal cells. In the have been excluded from the counts are the necrotpresent work, for instance, the crude counts gave ic cells and the inflammatory cells which may be an apparent percentage of parenchymal cells of found in the necrotic areas of cirrhotic and neo69 per cent (7), in agreement with the high (un- plastic livers. The number of these cells was judged corrected) figures reported by some authors, while to be negligible in cirrhotic liver but appreciable a true percentage of 61 per cent was obtained in some tumors. Necrotic and inflammatory cells after correction. In any case, the different in- are probably included in varying numbers in the vestigations lead to the same conclusion, namely, samples of neoplastic livers taken for biochemical that the normal liver contains a high number assays, since it is impossible to dissect liver tumors of nonparenchymal cells and that, for an organ so as to exclude all the necrotic regions. In addition to the important variations taking which is often considered as homogeneous, the liver shows an appreciable degree of cellular het- place in the cell population of the liver during erogeneity. The biochemical data obtained with carcinogenesis, changes are also observed in the liver homogenates cannot, therefore, be inter- amount of fibrous elements as well as in the nature preted as though the organ were composed ex- and the relative volume of extracellular fluids Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1959 American Association for Cancer Research. DAOUST A N D CANwERo--Proportionsof Cell Types in Rat Liver 761 (11, 15-17). The elastic and collagen fibers are in liver sections of rats fed (a) a normal diet, present in amounts higher than normal in cirrhotic (b) a low-protein, basal diet, or (c) a diet conliver and the fibrous tissue becomes especially raining the carcinogen 4-dimethylaminoazobenabundant in some tumors. The bile ducts enlarge zene (DAB). progressively during DAB feeding and sometimes 1. The liver of young adult (~00 gm.) normal form huge cysts lined by a single layer of epithelial rats contained 61 per cent parenchymal cells, cells and filled with serous fluid. Areas of necrosis 30 per cent littoral ceils, and 9 per cent of other containing disintegrated cells and abundant fluid cell types. The relative number of littoral cells are observed in other regions and may occupy was observed to increase with age. relatively large volumes in liver tumors. The ratio 2. In rats fed the low-protein, basal diet, the of extracellular fluid to cellular material thus losses of body weights and liver weights were increases during the carcinogenic process and may accompanied by slight increases in the proportion reach high values in neoplasia. It is likely that of parenchymal cells and decreases in the perthe samples of normal, cirrhotic, and neoplastic centage of littoral cells. livers used for assays on homogenates contain 3. The cytological composition of the liver different quantities of extracellular fluid. showed striking changes in rats fed DAB, due It may be concluded from the histological anal- mainly to an extensive proliferation of the bile yses that the biochemical data obtained with ducts and connective tissue dements. In c/rhomogenates of liver tissue represent the mean rhotic liver, after 90 days of DAB feeding, the composition or activity of several cell types and parenchymal ceils accounted for only 24 per cent different extracellular fluids. The biochemical anal- of the total number of ceils and the littoral ceils yses do bring valuable information on the chemical for 15 per cent, while the other cell types were properties of organs and tissues, and there is no present in a proportion of 61 per cent. Liver need to discuss here the importance of the bio- tumors (hepatomas and cholangiomas) which arose chemical contributions. It should be realized, how- between 90 and 180 days of DAB feeding showed ever, that assays on homogenates do not give cellular distributions different from those of both any insight into the properties of the various the normal and the cirrhotic livers. tissue elements and that the results, therefore, The results were discussed in relation to the cannot be directly translated in terms of the interpretation of the biochemical data derived structural units. Attempts to deduce the chemical from assays on homogenates of normal, cirrhotic, properties of tissue elements from analyses on and neoplastic livers. homogenates are generally hazardous and can be ACKNOWLEDGMENTS grossly misleading when normal and pathological tissues are compared, even if precautions are taken The authors wish to thank Miss Yolande Poirier for valuto use the best reference bases available for ex- able technical assistance. pressing the biochemical data (8, 13, 23). 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