A STUDY OF SPONTANEOUS TUMORS O F T H E MOUSE BY THE TISSUE CULTURE METHOD MARGARET REED LEWIS AND LEONELL C. STRONa (From the Mount Desert Island Biological Laboratory and the Department Embryology of the Carnegie Zmtitution of Tashington, und from the Roscoe B. Jackson Memorial Laboratory, Bar Harbor, Maine) 6f Descriptions of the cytology and behavior of a number of transplantable tumors of the mouse in tissue cultures have been published, but in only a few instances have similar studies been undertaken on the spontaneous tumors arising in this animal. The wide range of tumor-susceptible as well as tumor-refractory inbred strains of mice available at the Roscoe B. Jackson Memorial Laboratory offered an unusual opportunity f o r such observations upon spontaneous tumors arising in these mice.l MATERIALA N D METHOD The investigations extended over a period of two summers spent at the Maine laboratories. Forty-eight tumor-bearing mice were used, 7 of which had more than one tumor. Two of the mice died, and one tumor regressed. I n all, cultures of 52 different tumors were prepared. The tumor-bearing mice were selected from representatives of several distinct genetic stocks. The majority of them belonged to inbred stocks ; the others were in hybrids of the first or second filial generation produced by crossing mice of the inbred stocks. The tumor mice may be grouped, therefore, into eight distinct classes as follows : 5. A 6. AF, ( A X D ) 7. DF, ( D X A) 4. D 8. F, ( D X B ) These classes will be briefly described (Strong). (1) Stock C,H: These mice belonged to a relatively inbred stock produced by brother-to-sister matings for twenty generations. The mice are all wild type, black-agouti. I n this stock practically all females used for breeding purposes develop spon1. C,H 2. EI 3. L 1 The writers wish to express their thanks to Dr. Clarence C. Little, director of the Roscoe B. Jackson Memorial Laboratory, and to the members of the laboratory, for their generous help in this investigation. 72 A STUDY OB SPONTANEOUS TUMORS OP THE MOUSE 73 taneous tumors of the bread. The tumors are usually medullary mrcinomata or adenocarcinomata of moderate malignancy. The mice live an average of fifty-three days after the appearance of the tumor. Metastases into the lungs occur, but infrequently. Three females of this strain with spontaneous tumors were used in the culture work (S58815, 558104, 558814). (2) Stock E l : This stock is less inbred than any of the others. Tbe mice are in the eighth generation of brother-to-sister matings. !he tumors are relatively benign, never infiltrating adjacent tissue, and never metastasizing. The mawes gradually increase in size until death occurs. In many instances the weight of the tumor exceeds the weight of the host. One representative of this stock was used in cultures (555779). (3) Stock L: These mice are in the fourteenth generation of inbreeding. The individuals never have carcinoma of the breast, but both males and females have enlargements of the lymph nodes. The diagnosis of the pathological condition (by Warthin) was lymphoblastoma. One individual ( 55843%’) showing enlargements of the superficial lymph nodes was used in tissue culture. (4) Stock D : This is the highly inbred dilute brown stock which has been used extensively in studies on cancer. Adenocarcinoma of the breast occurs in more than 80 per cent of all breeding females. Eleventeen affected mice were used in this study. Of these, 11 were obtained from Dr. W. S. Murray, 4 from Dr. J. B. Bittner, and 2 from Dr. L. C. Strong. The mice from Murray’s laboratory were W76781, W75664, W81138, W80568, W79777, W80453, W80088, W79778, W79354, W74053, and W81126 ; those from Bittner were B5495, B5770, B3378 and B4427; while those from Strong’s colony were 558090 and S54386. ( 5 ) Stock A: These mice are descendents of the Bagg albinos which have been in Dr. Strong’s laboratory for eleven years. They are a t present in the fortieth generation of brother-to-sister matings. Approximately 85 to 90 per cent of all breeding females develop carcinoma of the breast. Clinically, these A mice give rise to the most malignant of all the mouse tumors that have been investigated by Strong. Mice with these spontaneous tumors die of advanced cancer on an average of forty-five days after the tumor appears. Multiple nodules, as well as metastases into the lungs, occur. Twelve affected individuals of this stock were used in this study. Of these, 8 were obtained from Bittner, B4558, 85117, B5798, B10207, B11119, B11436, B6166 and B5786, and 4 from Strong, 553378,554012, S60 and 862. (6 and 7) Stocks BPI am’ DP,: These mice belonged to the first filial generation from a cross between individuals of the A and the D stocks. If an A female was mated to a D male, the resulting 74 MARGARET REED LEWIS A N D LEONELL 0. STRONG 15 - 13 - 12 - 14 11 10 I - , , I 9 - e 7 - k + 5 6 - g53 @ 4 - , 8 2 - s z 1 - I 4 progeny were called A F , ; whereas if a D female wm mated to an A male, the progeny were then called DF,. Spontaneous tumors occur quite frequently in individuals of each of these F, generations. The tumors are clinically malignant, with frequent metastases into the lungs. A STUDY OF SPONTANEOUS TUM0R.S O F THE MOUSE 75 Tumors from these two hybrid generations are of importance in genetic investigations on the nature of cancer. If it could be demonstrated that peculiarities of tumors were genetic in nature, then it should be possible to trace the transmission of these genetic determiners into the hybrid-mice that eventually give rise to spontaneous tumors. The 8 AF, mice used in the culture work were B5465, B5916, B5254, B5690, B4052, €33746, I315013 and R14465. The DF, were B820.5, B3493, and R7921. These mice were all received from Bittner. (8) Stock P, (DX B ) : The three mice from this strain that were used, F,4649, F,4086, and F,4634, belonged to the second filial generation of a cross between mice of the dilute brown and the black C,, stocks. In the dilute browns the incidence of spontaneous breast carcinoma is high, while the C,, blacks are practically immune to all neoplasia. These hybrids were obtained from Murray’s laboratory. There was a wide variation in the age at which the tumor appeared and also in the age of the different tumors used (Chart J). The youngest mouse used was a dilute brown, 193 days old; the oldest was also a dilute brown, 588 days old. The majority of mice were less than a year old, the average length of life being 350 days. They were examined for tumors about once a week. Where the record shows the age of the tumor as one day, it means that the tumor was used one day after its appearance had been observed, although it may have appeared several days before it was recorded (Table I ) . The oldest tumor used had been present in an albino mouse for 66 days; the youngest ones were recorded as present in a dilute brown mouse for one day (Table I). Sixteen tumors were used in the first weck of their growth, 14 in the second week, 8 in the third week, 5 in the fourth week, 1 in the fifth week, 6 in the sixth week, 1in the seventh week, and 1in the tenth week. As may be seen in Table 1, there was no marked difference in the strains used as regards age of the animal or age of the tumors. The mice of the albino strain were, on the whole, a little older than those of the other strains. The tumors selected for this investigation were not open to the surface. Although they contained some cystic and some necrotic areas, none of them was infected, as is frequently the case with tumors in the rat that originate from Cysticercus infestation or that are transplanted. With the exception of L58436, they were all found in female mice and were located in one of the mammary glands. The tumors were characteristic for the mouse, and, as a group, differed quite markedly from the spontaneous tumors of human beings or of other animals. They were all circumscribed, radiating growths, composed largely of epithelial cells, with a delicate 76 MARQARET REED LEWIB AND LEONELL C. STRONG TABLE I Strain of Mouse Genetic No. C3H S 58815 A S 58104 S 58814 186 205 232 224 213 238 38 8 6 s 54012 286 305 'I 11 s 53378 326 447 447 335 454 455 19 19 9 7 8 4558 6166 5786 5798 10207 272 359 287 309 305 501 338 371 301 330 326 537 11 'I I1 B 11436 B 11119 476 500 519 522 W 76781 361 366 1' 16 I' 8 S 62 60 I3 5117 B B B B B D Age of Mouse Age of Mouse Tumor Noticed Cultures Made Age of Tumor I1 W 75664 W 81138 W 80568 66 12 14 21 21 36 36 43 22 5 5 7 1 1 4 13 12 2 26 370 192 216 257 263 273 308 294 Died at 402 586 377 193 217 26 1 276 285 310 320 409 588 8 54386 210 294 213 299 3 5 B B B B 307 286 481 Died at 367 332 309 493 394 25 23 12 27 w 79777 W 80453 w 80088 w 79354 w 79778 W 74053 W 81126 S 58080 5495 5770 3378 4427 7 2 capsule made up of several layers of cells (Fig. 2). The tumors were profusely supplied with blood vessels but had little stroma and almost no fibrous tissue. Most of them were hematophorous and contained large lakes and sinuses of circulating blood (Fig. 3). Some were hemorrhagic and contained regions of freshly extravasated blood and of old blood clots. I n all of the tumors there were regions of closely packed white epithelial cells, sometimes growing as a spongy mass within the bloody part of the tumor, again as firmer white areas occupying a considerable portion of the growth. A few of the tumors mere composed almost entirely of the compact 77 A STUDY OF SPONTANEOUS TUMORS OF THE MOZTSE TABLEI (Continued) Strain of Mousr Cknrtic No. A It‘, B 5916 I3 5254 11 Age of Mouse Age of Mouse Tumor Noticed Cultures Made Age of Tumor 250 314 29 1 325 41 11 11 16 21 8 10 21 11 11 II 1I 282 404 27 1 426 403 439 298 425 279 436 424 450 1‘ I1 446 486 I I It B 8205 B 7921 233 530 Itegressed 565 35 EI s 55779 284 290 6 L 8 58438 257 262 5 W 4086 391 365 394 371 3 6 6 17 D 5690 I3 4052 B 5465 B 3746 B 15013 B 14465 II D 141‘ I3 3493 ‘I DBF2 w 4649 I1 11’ 4634 11 I1 365 382 40 40 RevumE of Table: Forty-eight tumor bearing mice were received. Seven had two tumors, making a total of 55 tumors. One tumor regressed and the mouse wm returned alive. Two mice died and their tumors were not used. Forty-five mice bearing 52 tumors were used for cultures. One tumor proved to be an enlarged lymph node. One tumor (D X BF24649) was a carcinoma containing some cartilage and bone and the other 50 tumors were of the adenocarcinoma type. cancerous tissue. The masses of epithelial cells were soft and, in the few cases where there was considerable stroma, this also was soft-and pliable, so that none of these growths were fibrous or hard, as is often characteristic of spontaneous tumors of human beings or of other animals. FIXED AND STAINED SECTIONS A small piece of the more solid part of the tumor was removed for tissue cultures, after whirh tlic remainder was fixed in Helly’s solution o r 10 per cent formalin. Sections were cut and stained with hematoxylin a i d eosin. Stained preparations were made of 42 of the tumors used. All but two of these tumors, T) X B F,4649 and LS58438, exhibited what may be termed an adeiiocarcinoma type of growth, with some regions made up of ramifying masses of cuboidal cells and others of atypical tnbular epithelial cells. I n some regions of certain of the tumors the tubular cpithelial growth resembled the 78 MARQARET -ED LEWIS AND LEONELL C. STRONG papillary form, in others the growth approached a type of only slightly irregular glandular tissue (Fig. 4), while in other tumors the ramifying masses of cells were more solid and approached the type of growth that has been termed medullary cancer (Fig. 5). All of these tumors had relatively little stroma; in places the irregular tubular growth seemed to be separated only by the endothelium of the intermediate blood vessels. I n many instances the epithelial cells mere rather small, and closely packed together, but not greatly changed from the normal mammary gland cells. They were, however, slightly larger, with larger nuclei containing a little more nucleolar material, a slightly crumpled nuclear wall, and occupying a greater proportion of tho cell than normally. On the other hand in some tumors, as for instance A62 and A53378, the cells were quite large and contained large, somewhat granular nuclei with heavily marked, crumpled walls and enlarged nucleoli. The stained preparations show that many dividing cells were present in the epithelium, but only a few were found among the stroma or in the capsule. Many of the dividing epithelial cells had nn increased number of chromosomes with correspondingly larger mitotic figures. None of the tumors was characterized by the presence of a definite abnormal number of chromosomes, such as tetraploid described by Lewis and Lockwood (21), although most of them contained many cells with double the normal number of chromosomes. From the sections it was difficult to classify the tumors as more or less malignant growths according to the strain of mice in which they were found. While all of the tumors were encapsulated, some of them showed infiltrations of the epithelial cells into the tissue of the capsule, with the formation of a new capsule around them. The majority of the tumors were used within the Arst or second week of their growth, which may account for the fact that in only one of the mice did a metastasis develop. This was found as a minute nodule in the lung. The two exceptions to this general description of the cancerous growths occurred in LS58436 and I3 X B F,4649. The tissue mass removed from LS58436 for culture purposes proved to be an enlarged lymph node. D X B F,4649 (Fig. 6) was a large, soft tumor composed of large round and somewhat spindle-shaped cells, and resembled certain so-called medullary carcinomata, particularly Walker No. 256. The tumor contained little fibrous tissue, but there were some fragments of bone and cartilage in it. It occurred as a large white growth just beneath the skin in the vaginal region, and was separated from the abdominal wall and from the skin by a thin capsule. Adjoining it, in the region of the lymph node of the groin, was a small, soft, bloody tumor, composed of A STUDY OF SPONTANEOUS TUMORS OF THE MOUSE 79 FEWTVMORS STVDlED BY THE TISSUECULTURE METHOD ( X 200) Fig. 1, stock D, shows a region with papillary type of growth; Fig. 2, stock EI, the capsule; Fig. 3, stock C,H, cystic areas and soine blood spaces; Pig. 4, stock AF,, tubular growth; Fig. 5, stock A, a more malignant type of growth with some stroma; Fig. 6, the hybrid D X B F., a type of carcinoma different from the others. FIG$. 1-6. SECTIOSS OF A cells of the same type, which may have been an infiltration from the larger tumor, although the two were no longer connected. The more or less cancerous nature of the different tumors studied could not always be attributed to the period of growth of the tumor. One of the most malignant of the tumors had been noticed for only eight days, another for eleven days ; while a tumor 80 MAROARET REED LEWIS AND LEONELL 0. STRONG present in the same strain of mice ( A s , ) for forty-one days was not as malignant in appearance as either of these. The least malignant tumor used had been present in a mouse of the dilute brown strain for twenty-seven days. TAB^ I1 -1- 7 8-14 16-21 Age of mice from which tumors of given number of days growth were taken 193 200-250 251-300 301-350 351-400 401450 451-500 601-650 651-800 1 3 1 4 1 5 4 3 3 1 22-28 0 1 1 1 1 3 2 1 1 1 1 1 29-35 36-42 43-49 86 1 1 - 2 2 1 4 4 1 I1 ~~~ 9 14 9 0 2 16 tumors were in let week of 14 tumors were in 2nd week of 8 tumors were in 3rd week of 5 tumors were in 4th week of 1 tumor waa in 5th week of 6 tumors were in 6th week of 1 tumor was in 7th week of 1 tumor waa in 10th week of growth. growth. growth. growth. growth. growth. growth. growth. A number of these tumors were comparatively benign, aa is indicated by the length of time preeent aa compared with the span of life of the host. TISSUECULTURES Cultures were prepared by the usual hanging drop method. Pieces of tumor, free from capsule and from bloody areas, were explanted into various media, some into chicken plasma, some into mouse plasmrs, and borne into a mixture of the two. They were incubated at 38” C. About 800 of the cultures, showing typical growths, were selected at various times and fixed and stained for further study. Various fixatives were used, including methyl alcohol, absolute alcohol, alcohol sublimate, Zenker ’s fluid without acid, Zenker ’s with one per cent up to 5 per cent glacial acetic acid, Hells’s solution, silver nitrate and Tellyesniczky’s fluid. The stains used were Harris ’a hematoxylin, hematoxylin with various counterstains such as eosin, acid fuchsin, orange G, light green and safranine, gentian violet, Gram’s stain, methyl green and acid fuchsin, methyl blue and eosin, Van Gieson’s stain, Wright’s blood stain, and Oiemsa’s stain. A STUDY OF SF'ONTANECOUS TUMORS OF THE MOUSE 81 Fischer (11) studied a large series of primary spontaneous carcinomata of the mouse in tissue cultures but found that these tumors grew poorly and that the inoculation into normal mice, not only of the tissue cultures which grew but also of pieces o€ the spontaneous tumors, failed to produce tumors in the inoculated animals. I n our investigation all of the 51 tumors studied grew well in tissue cultures; in fact, most of these tumors grew quite as well as some of the mouse transplantable tumors, as for instance M63 and CRF18O. A n abundant growth of stroma and sometimes a fairly good growth of epithelial cells took place in the cultures in mouse plasma and in the mixtures of mouse and chicken plasma. However, as these cultures rapidly became liquefied and frequently failed to exhibit a growth of cancer cells, only the cultures made in chicken plasma have been considered in this publication. I n the chicken plasma the tumors almost always exhibited an extensive growth of epithelial cells free from any growth of stroma cells. However, in a few of the tumors that contained more stroma than usual it was not always possible to avoid including these stimulated cells in selecting the pieces for explantation. I n such cultures an extensive growth of stroma cells occurred within fortyeight hours. This growth began quite as soon as that of the malignant cells, increased as rapidly, and remained in a healthy condition after the malignant cells had degenerated. The growth of these cells was quite different from that exhibited by the stroma or connective tissue taken from a normal region of the same mouse. The normal stroma, as, for instance, that from a mammary gland or from a lymph node, did not begin to grow until after one or two days ; the cells multiplied slowly, attained an extensive growth only after seven to ten days, and continued to grow for several weeks. The normal cells of the mouse grew well in mouse plasma but only moderately in chicken plasma, while the stimulated stroma grew as abundantly in one medium as in the other, and in cultures of a few of the tumors it grew even more extensively in the chicken plasma than did the malignant epithelium in the same culture. It could not be said that the epithelial cells outgrew the stroma cells nor that the stroma cells outgrew the cancer cells, but rather that the type of cell that predominated in a given culture depended upon the piece of tumor selected for explantation and upon the tumor from which it was taken. I n most of the cultures the growth took the form of membranes of epithelial cells without any growth of stroma cells (Figs. 8, 9, 10, and 11). Except in the case of D X B F,4649, the type of growth exhibited by the malignant cells of these mammary gland tumors in tissue cultures was the same. The epithelial cells grew 82 MARGARET REED LEWIS AND LEONELL 0. STRONG in the form of thin, wiclespread membranes, usually only one or two cells thick. There were often two membranes, one growing on the cover glass from the upper surface of the esplant and the other proliferating from the lower part of the piece out along the surface of the hanging drop. Occasionally there were finger-like and narrow membranes stretching out a little way from the explant between the two larger membranes. These membranous growths remained in good condition for only three or four days, after which proliferation of the cells ceased and the growth degenerated within two or three daya. The epithelial membranes grew out with the cells closely joined together (Fig. 13). The intercellular boundaries were difficult to determine, but when stained with silver nitrate they became sharp brown lines, showing that the cells were clearly separated from one another (Fig. 12). The edges of the membranes were quite irregular unless the membrane had contracted back as it frequently did. The cells forming the edge had broad, irregular processes ending in wavy filamentous sheets, somewhat like those of the macrophages. In a few instances the growth of epithelium resembled that lrorn the normal mammary gland, and in such growths the cells contained large fat globules (Fig. 13). Many of the membranes, however, were free from these globules and resembled, in general, the usual growth of epithelium i n vitro except that the cells degenerated within a few days, while the normal cells lived ten days to two weeks. As may be seen in Figures 14 to 39 in the epithelium proliferated from the tumors the nuclei were somewhat larger and the cytoplasm less in proportion to the size of the cell. The nuclear membranes were slightly more marked and the nuclei a little folded and irregular ; the nuclei were more granular and contained more nucleolar material than those of normal cells. The chromatin of the resting cells was slightly increased in amount, but not as much as one would expect considering that many of these cells had more than the normal number of chromosomes. I n a few of the growths the nucleoli were enlarged, but in none did they assume the large size and brilliant non-chromatin staining that have been observed in some of the rat carcinomata, particularly in the Walker adenocarcinoma 76 and medullary carcinoma 256 (Lewis, 17). On the whole, the cells forming the growths from the spontaneous mouse tumors did not exhibit as great cytological abnormalities as did those from many of the spontaneous human and rat tumors previously studied. The most outstanding characteristic of cancerous growth, both in vivo and i 9 ~vitro, is not alone the uncontrolled proliferation of the cells, but also the rapidity with which many of these vigorously growing cells die here and ther? throughout the membrane, while 83 A STUDY OF SPONTANEOUS TUMORS OF THE MOUSE TOTALCULTURES OF TUMORSFRON DIFFERENT STIlAINS OF MICE, SHOWING ABOUT THE SIZE AND MANNER OF GROWTH OF TITE EPITHELIAL MENBUANES 24) FIGS.7-11. (x Figs. 7, 8, 9, 10, and 11 show cultures of tumors from micc of the D X B F,, AF,, D, EI, and C,H, respectively. FIGS.12-13. IIIGHER nfAGNIFICATION OF THE MEMBRANE FROM CULTURES OF T U MORS OF STOCKS DF, AND A RESPECTIVELY, WITH TIIE SILVER NITRATE STAIN AND WITH THlP USUAL SPAIN ( X 480) in cultures of normal tissue the cells grow f o r periods of ten days to two weeks and remain in good condition until death of the culture takes place. The degenerated cells were rapidly ingested by the surrounding tumor cells or by macrophages. The results from the study of the many tissue cultures prepared 84 MARGARET REED LEWIS AND LEONELL C. STRONG from these tumors showed that the type of growth exhibited was similar except in two of the tumors. One of these was the LS58436, which grew as a stimulated lymph node with extensive outgrowth of stroma and abundant proliferation of mononuclear cells. These cultures, prepared in chicken plasma, exhibited greatly stimulated growth, which in some instances was more extensive than that generally shown by the normal lymph node growing in autoplasma. The other was D X B F24649. The cultures of this tumor had large outgrowths of stroma accompanying the growth of epithelial cells (Fig. 7 ) . These malignant epithelial cells did not grow in the form of the membrane characteristic of the growth in vitro of adenocarcinomata. They were larger and migrated out more o r less separately, although in places they were loosely joined together into sheets. Some of the cells contained an increased number of chromosomes and some exhibited abnormal mitotic figures. All of the other 50 tumors exhibited growth composed of membranes of epithelial cells, usually free from any growth of stroma cells but in a few instances accompanied by a more or less luxuriant outgrowth of stroma cells. Some of the D X B F, tumors exhibited in cultures the type of growth that is usually shown by glandular tissue. It was composed of an abundant proliferation of large spindle cells, of macrophages, and of mononuclear cells, with a rather meager growth of epithelium. Cultures of other F, tumors, however, exhibited the usual growth of epithelial membranes, without an accompanying growth of stroma (Fig. 10). Cultures of the EI tumor contained more growth of stroma than did those of the CRH,the A, the D, or the F, strains, but many of them had rather extensive membranes of epithelial cells, and in some instances the growth was composed of only epithelial membranes without any spindle-shaped cells (Fig. 8). The epithelial cells of these cultures were only slightly less atypical than those that grew from some of the tumors of the other strains of mice. The growth from the tumors of the A, D, C,H, and AF, strains of mice took the form of extensive membranes of rapidly dividing epithelial cells (Figs. 9 and l l ) , usually free from stroma cells. Many of the epithelial cells had an increased number of chromosomes and, except in the cultures of the tumors from the D strain, there was present an occasioiial abnormal mitotic figure. The three tumors of the DF, strain each behaved differently. DF,3493 grew in the form of membranes of epithelial cells with large fa t globules and resembled the growth from mammary gland tissue. These cells grew slowly and did not show abnormal mitoses. The cultures of DB’,7921 exhibited growth quite like that from the more malignant tumors of the A and the AF , strains. A STUDY OF SPONTANEOUS TUMORS OF THE MOUSE 85 They had extensive membranes of somewhat atypical epithelial cells with many mitotic figures, some of which were abnormal. One cell had five spindles massed together and many times the normal number of chromosomes. The tumor in one mouse (DF,8205) regressed, so that cultures could not be made from this tissue. MITOSIS While all but 58 of the 2550 cultures grew, the extent of the growth and the number of days (3-5) that the cells remained in a good condition varied greatly with the different tumors. Also, although the membranes that grew around the explant were large, the growth from some of the tumors exhibited few mitotic figures. The growths from tumors of all the strains varied greatly in the number of dividing cells exhibited, some of each strain having many and others few mitotic figures. The cells growing in tissue cultures made as hanging drop preparations become spread out as a thin layer along the cover glass. In consequence the mitotic figures assume a position parallel to the cover glass and during metaphase the spindles form horizontally along the plane of the cover glass with the equatorial plate flattened into an ellipsoid. In the thin epithelial cells forming the membranous growths of the cancerous tissue, all the phases of the mitotic division were clearly depicted (Figs. 15, 16, 26, 27, and 28). I n these cells there were no so-called polar views of the equatorial plate, although the late prophase and beginning metaphase often assumed a ring form. All the chromosomes were present, not scattered through one or more sections, and although they were often overlapping or massed in the metaphase, they could usually be counted in the late prophase (Figs. 14, 25, and 26). Also, it was possible to determine the approximate number of chromosomes in the other stages of division by the general size of the mitotic figure. The cells of these spontaneous tumors did not have enlarged centrospheres (Plimmer’s body; see Lewis, 22) nor aster rays in the living condition, nor was it possible to produce centrospheres or aster rays by gelation of the cells with acid or other coagulative agents. Neither was it possible to demonstrate spindles or to show the position of the spindle in the prophase. The spindle area became clearly evident in the living cells at metaphase. It did not contain spindle fibers and could be seen only as a slightly clearer zone within the granular cytoplasm. I n the fixed preparations the spindle could usually be seen in the metaphase. It did not contain fibrils unless care had been taken to gelate it. The spindle fibrils could be rather clearly observed when an acid fixative was selected; 86 MARGARET REED LEWIS AND LEONELL 0. STRONQ however, all of the coagulative fixing solutions used brought about some distortion of the chromosomes and of the mitotic figures, The most beautiful preparations which exhibited the spindle area and the chromosomes most nearly as they were in the living state, were obtained by fixing the cultures in Helly’s solution for fifteen minutes and then passing them directly into weak alcohol without washing them in water. Although theoretically the chromosomes are supposed to become split longitudinally as they form in the early prophase, so that the individual chromosomes of the prophase and of the metaphase are in reality pairs of chromosomes rather than single ones, this phenomenon is seldom evident during the division of somatic cells. Lewis (18), however, found that the malignant cells of the tumors studied in tissue cultures showed a split condition of the chromosomes previous to the metaphase, and this was also found to be true in the growths of these spontaneous mouse tumors (Figs. 14,27,and 36). The growths from the 51 tumors taken from seven strains of mice exhibited chromosomes that were so widely split during prophase and metaphase that they often appeared as pairs of chromosomes of the same shape and size. The longitudinal division of the chromosomes was sometimes evident in the early prophase, usually in the late prophase, and practically always in the metaphase. At the beginning of anaphase the halves of the chromosomes became separated, .one half going to each anaphase plate. The split condition of the chromosomes was evident in mitotic figures in which the number of chromosomes was increased, as well as those that had the normal number (Figs. 27 and 34). The chromosomes that lagged behind during the migration to form the metaphase were split (Fig. 36), but those that lagged in the separation to form the anaphase, telophase, and daughter nuclei were usually separated and appeared singly rather than split (Fig. 39). Although many of these tumors, both in sections and in cultures, exhibited more dividing cells with an increased than with a normal number of chromosomes, there was no given number of chromosomes characteristic for any one tumor or for the tumors of any one strain of mice. Most of the membranes growing in cultures contained some cells of both types (Figs. 30-39 and 2530). In no instance were mitotic fignres found in which the chromosomes were increased in size rather than in number. Where more than the normal number were present, the whole nuclear picture was usually correspondingly larger. These cancerous cells growing in tissue cultures showed rather clearly that the size of the resting nucleus of a given kind of cell under given conditions depended upon the number of chromosomes that took A STUDY OF hlPONTANEOUS TUMORS OF THE MOUSE 87 ABNORMAL TYPESOF MITOB~S FOUND IN CULTURES OF TUMORS DIFFEXENT STRAINS OF MICE( X 600) Fig. 14, stock C,H, shows a double ring of chromosomes; Fig. 15, stock A, a double ring in which each ring had an increased nuniber of chromosomes; Fig. 16, stock AF,, a prophase with a n increased number of chromosomes. Figs. 17, 18, and 19, each from a different tumor from stock A, show dividing cells, each with three spindles arranged in a tripolar figure. Figs. 20 and 21, from two tumors of stock A, show t h e telophase of two cells, in each of which the daughter cells rereive fewer chromosomes than were present in the mother cell. R g . 22, stock A, shows those cliromosomes t h a t do not become arranged on the spindle and a r e known as aberr:int cliroinosomes. Fig. 23, stock A, shows two dividing cells, each contaiuing four spindles with four times the normal number of chromosomes. Fig. 24, from a different tumor of stock A, shows the telophase of a dividing cell similar t o the ones i n Fig. 23. The four daughter cells each receive chromosomes from two spindles, and, therefore, have twice the normal number of chromosomes or one-half the number that the mother cell had. 6 FIQB.14-24. SOME FROM 88 MARQARET REED LEWIS AND LEONELL 0. STRONQ part in its formation, and that the size of its later mitotic structures, prophase, metaphase, spindle, anaphase, and telophase, corresponded to some extent to the number of chromosomes involved (Figs. 15, 30,32, and 38). During the early prophase the chromosomes began to appear within the nuclear areas, where they became concentrated into definite chromatin bodies. They remained in this region for some time after the nuclear wall had disappeared. During the prophase, as the chromosomes began to take on the appearance of long and short rods and threads, they frequently became radially arranged, more or lees into a ring. In some instances the ring was thicker at one side, where it was composed of more-than one layer of chromosomes, but thinned out into a single layer on the opposite side (Figs. 25 and 26). There was often a space free from chromosomes just opposite the thickest part of the ring. The chromosomes at this stage extended out beyond the original nuclear area. However, they never became scattered out into the cytoplasm except under the abnormal condition known as aberrant chromosomes (Fig. 22). Aberrant chromosomes are difficult to explain. They are not present in many tumors but were abundant in the rat sarcoma 338, described by Lewis and Lewis (20). They are usually found in tumors and even normal tissue that has been subjected to radium (Whitman, 42). Aberrant chromosomes were seldom found in growth from spontaneous mouse caroinomats unless they had been exposed to radium (Lewis and Hunt, 19). However, a few abnormal mitoses of this type were observed in the present study. These chromosomes were sometimes split, sometimes single ; they were gathered into large or small groups or remained as single rods, but they were always located away from the zone of the spindle, as though they had been propelled away from the center of mitotic activity rather than drawn toward it. I n some instances there were only a few aberrant chromosomes in a cell, while in others there were about as many chromosomes scattered in the cytoplasm as there were on the spindles taking part in the division (Fig. 22). The aberrant chromosomes did not take part in the division, but later, when the daughter groups of chromosomes developed into daughter nuclei, the aberrant chromosomes also swelled up and formed nuclear bodies, some large, some small, and some single chromosomal vesicles (Lewis and Lewis, 20). Some of the nuclear bodies that arose in this way were quite large and contained nucleoli. It is probably such swollen chromosomal vesicles that Levine (14)interpreted as the dissolution of chromosomes. Soon after the broken ring arrangement of the chromosomeR A STUDY OF SPONTANEOUS TUMORS OF THE NOUSE 89 FIQS.25-39. DfVIDINQ CANCER CELLS, SOME WITH TEE N O R M A L NUMBER OF CHROMOMIMES AND SOME WITH AN INCREASED NUMBER OF CHRQMOBOMEf4 ( X 800) Except for Fig. 27, which is from stock DF,, Figs. 31 and 35 from AF,, and Fig. 37 from stock C,H, all the mitoses shown are from cultures of tumors of the A stock. Figs. 25-29 show mitotic figures with about the normal number of chromosomes, while Figs. 30-39 show mitotic figures with an increased number of chromosomes. Several of those figures show the split condition of the chromosomes, but Fig. 27 shows this clearly. Fig. 86 shows the chromosomes lagging in metnphase and Fig. 39 shows two chromosomes delayed in telophase. took place, the beginning indication of the formation of spindle material with its apex and centrioles located in the portion of the ring free from chromosomes could be vaguely determined. Fischer noted in cultures of Ehrlich’s mouse carcinoma that the 90 MARGARET REED LEWIS AND LEONELL C. STRONG chromosomes assumed a ring-shaped figure with an empty place in the ring. He attributed this to the absence of certain chromosomes in the malignant cell. In our culture of the mouse spontaneous tumors it was possible to demonstrate bymeans of acidfixing solutions that the beginning of the formation of the spindle was taking place in the region of the ring free from the chromosomes. Also such empty spaces among the chromosomes occurred in prophases that had more than the normal number and the normal number, as well as in those that had less than the normal number of chromosomes. The beginning formation of the spindle became clearer when the chromosome began to move toward a more equatorial region. From this time on the spindle gradually could be more dehitelp determined, usually with one pole sharper and clearer than the other, until a distinct spindle became present in the metaphase. M. R. Lewis (15) demonstrated the reversible gelation of living cells by means of acid solutions (pH 4.4 to 4.6) and showed that during the gelation of cells fibrils appeared in the spindle. I n these tumor cells the spindle could be gelated readily in all the stages of division where migration of the chromosomes toward the equatorial region had begun. As the chromosomes migrated, they became arranged in a position at a slight angle to or parallel with the surface of the spindle. During metaphase the individual chromosomes sometimes shifted hack and forth across the equatorial plate (as is shown in the Lewis (W. H.) cinema of dividing tumor cells), a little toward one pole, then a little toward the other pole, until all of them became arranged in a more or less straight band along the equatorial region, after which the two portions of each split chromosome moved apart toward opposite poles. The size of the spindle formed depended largely upon the size of the nucleus from which it arose and the number of chromosomes present. When the cell had twice the normal number of chromosomes, the spindle was not only broader but also considerably longer than usual (Figs. 15 and 36). Some cells had two (Figs. 14 and 31), and one cell had three (Fig. 15) rings of chromosomes with the thicker region of the rings overlapping. These cells had more than the normal number of chromosomes and probably developed more than one spindle. Most of the tumors from A, D, C,H, AF,, and DB’, strains of mice exhibited, both ia vivo and in vitro, many cells with more than the normal number of chromosomes. Such abnormal mitosis usually had a bipolar spindle arrangement (Fig. 28). Certain of the tumors, especially those from the A, C,H, and the AF, strains, exhibited a number of abnormal spindle figures. On the other hand, only one abnormal spindle, a tripolar spindle, was found in the cultures of tumors from the D strain. A STUDY OF SPONTANEOUS TUMOBS OF THB MOUSE 91 The abnormal arrangements of the spindles were of many kinds (Yigs. 17 to 24). Usually the spindle itself was difficult to see in the stained preparations, and its position had to be determined from the arrangement of the chromosomes. Sometimes two spindles lying parallel were present in a cell, so that the chromosomes were continuous across the two spindles, but giving rise to two binucleate cells, each nucleus with the normal number of chromosomes. Sometimes the spindles Bormed a V, so that the chromosomal equatorial plate was continuous but bent and the anaphase showed one double group of chromosomes passing to the junction of the two limbs of the V and one single group passing to each end of the limbs of the V. This resulted in three nuclei, one with twice the norm91 number of chromosomes and two each with half that number. I n some instances one spindle was double in size and the other one was of normal size (Fig. 37), but they had one pole in common. This resulted in one nucleus with three times the normal number of chromosomes and two others, one with a n increased and one with a normal number of chromosomes. I n some cells three spindles were present. These might be equal in size, or again one was large and two were small or two were large and one was small. The three spindles usually formed a tripolar figure with the chromosomes arranged in the form of a Y, either with limbs of equal size forming three nuclei each with twice the number of chromosomes (Fig. 20), or with one long limb and two short ones (Fig. 18) resulting in one nucleus with double the number of chromosomes and two with three times the number, or with two long limbs .and one short one (Fig. 17), giving rise to one nucleus with four times and two with three times the normal number of chromosomes. Sometimes there were four spindles (Fig. 23), resulting in four nuclei each with twice the normal number of chromosomes (Fig. 24). Usually the cells with three spindles and those with four spindles divided into three and into four daughter cells, but in one cell which probably had four spindles the four nuclei became clumped into a cross forming a single nucleus. I n some cells several spindles, arranged irregularly, were present. One of the well known characteristics of malignant growths is the appearance of abnormal figures of mitosis and abnormal numbers of chromosomes during the division of the cells (Levine, 14). Most of the abnormal mitotic figures that arise in tumor growth seem to indicate that at some previous time there occurred a duplication of some or of all of the chromosomes of the cell. Boveri (7) advanced. the idea that more than the normal number of spindles and of chromosomes had been introduced into a cell possibly by the entrance of more than one spermatozoon into the egg, and that later 92 MARGARET REED LEWIS AND LEONELL C. STRONG divisions of such a cell led to the duplication, in a given cell, of the proper combination of those chromosomes necessary to produce a particular type of malignant cell. The further growth of such a cell brought about the given type of tumor. Our observations in tissue cultures, however, show that it is possible to derive most of the abnormal mitotic figures met with in the tumors from mitosis of binucleate cells. Binucleate cells occur both in normal and in malignant tissue, and the investigations of Kozhukhova (13) and Rosenfeld (29) show that binucleate and potentially double nucleate cells can be produced at will in tissue cultures of normal cells by simple chemical procedure. However, any theory that attempts to explain the cancer cell on the basis of a particular combination of chromosomes ,must take into account the fact that in many types of tumors various sorts of abnormal mitotic divisions (Figs. 30 to 39) giving rise to cells with various numbers of chromosomes, often different even from that of the mother cell (Figs. 20, 21, and 24), continue to take place throughout the growth of the tumor, while in other tumors most of the mitotic divisions may be on the whole quite normal. Geneticists have hoped that the cancer factor may be found to be attached to some particular chromosome. Unfortunately investigations have so far failed to demonstrate any one chromosomal or even any one cytological picture common to all or to one type of malignant growth, In addition to this, there is the tissue and the species susceptibility to be explained ( Apolant, 1 ; Bullock and Curtis, 8; Slye, 31; Little, 24). However, the results of the study, by the tissue culture method, of the spontaneous tumors of the carefully inbred strains of mice of the colonies of the members of the Roscoe B. Jackson Memorial Laboratory, indicate that with one exception (Figs. 6 and 7), which occurred in a hybrid mouse, the mutant cell that forms the cancerous growth had become changed in much the same manner in all these tumors (Figs. 1 to 11). These results are different from what we have found in tissue cultures of human tumors and of the spontaneous tumors of the inbred rats of the Philadelphia albino strain carried on for a number of years by Dr. George Walker. In Dr. Walker’s colony there arose many different types of tumors, some sarcoma, some carcinoma, and some Cysticercus tumors. Instead of the majority of the tumors being adenocarcinoma of the mammary gland, as they were in the mouse tumors studied, the prevailing type was a benign tumor of the mammary gland grading from adenoma to adenofibroma to fibroma. The spontaneous tumors of man and of the rat behaved differently one from another not only irt v i m hut also irc uitro. A STUDY OF SPONTANEOUS TUMORS OF THE MOUSE 93 DISCUSSION (Strong) These studies on tissue cultures of mouse carcinoma are suggestive for an analysis of the factors that undoubtedly underlie the cancer problem. Biologists recognize that both extrinsic and intrinsic factors are involved in all living phenomena. The cancer cell, as a unit of structure, must obey these same biological laws. The extensive genetic work on transplantation, initiated by Tyzzer (41) and Little (24-28), elaborated by Strong (32-39), and continued by Bittner (2-6) and Cloudman (%lo), suggests rather convincingly that certain genetic or intrinsic determiners control the physiological behavior of the tumor cell. There must be a definite intrinsic mechanism within the structure of the cell, else it could not perpetuate its own specificity during years of transplantation both in viva and in vifro. The meaning of the irregular mitoses is not clear. This process would lead to an irregular distribution of chromosomes and may be involved in the cancer process, as Boveri (7) maintained. It is significant, however, that the-cancer cell can grow and reproduce itself without undergoing irregular mitosis. I n some tumors the irregularity of the mitotic process is an exception and not the rule. Thus from the study of tissue cultures it is evident that peculiarities of chromosome behavior may be not fundamental but only coincident or the result of the original production of certain types of cancerous tissue. Thus the intrinsic factors, such as must be assumed to explain the findings of transplantation, may also be called upon to explain the retention of tissue specificity found to persist in tissue cultures. It is evident that if genetic determiners control the constitution of individuals that give rise to nmplasia, then by selective inbreeding from different sources one ought to be able to produce different “constitutional” types, each one of which eventually develops peculiar tumors. We used tumors from various genetic stocks of mice and could not detect genetic dissimilarities. This was rather disappointing, but nevertheless, something of a significant nature may have been detected. In the first place, all the tumors were carcinomata of the breast. This condition is a rather variable quantity-ranging all the way from adenocarcinomn to medullary carcinoma, depending upon the relative frequency and arrangement of the cancer cells. I n spite of this diversity of histological structure, we are probably dealing with one condition-a progresgive alteration from gland-like arranged cells to more rapidly dividing packed sheets of cells. Consequently, even if genetic determiners were a t the basis of the neoplastic condition, the end product-adenocarcinoma or medullary carcinoma-may not have 94 MARGARET REED LEWIR A N D LEONELL C. STRONG enough variability to be fixed by the selective mating of the individuals that give rise to cancer. We did not encounter the variability that was found in the rat and in the human material, either in sections or in tissue cultures. This may be involved in the peculiarities of mouse physiology. If not, one would have to conclude that certain agencies other than genetic determiners were instrumental in the production of the neoplastic state. It is an interesting observation that many abnormal mitoses were found in tumors from the Strong albino strain. On the other hand, abnormal mitoses were exceedingly rare in tumors from the Little dilute brown strains. These are well established genetic stocks and it may well be that this difference is genetic. At the same time, however, it must be kept in mind that the albinos develop the most malignant of all the tumors encountered, the dilute browns show somewhst less malignancy (as determined by the rate of growth of the tumor and the survival time of the mouse growing the spontaneous tumor). One would have to conclude, therefore, that degrees of malignancy also must be genetic-a point of view that is not inconsistent with the evidence obtained from several fields. 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