(CANCER RESEARCH 50. 142-146. January I. 1990] Experimental Induction of Neoplasia in the Accessory Sex Organs of Male Lobund-Wistar Rats Dennis M. Hoover, Kevin L. Best, Brian K. McKenney, Roy N. I amura, and Blake L. Neubauer IJlly Research laboratories, Division of fili Lilly and Company, (Greenfield, Indiana 46140 ABSTRACT of neoplasia in the dorsolateral prostate (8). F344 rats given a combination of 3,2'-dimethyl-4-aminobiphenyl and ethinyl es- Experimental induction of neoplasia in the urogenital tract was studied in male Lobund-Wistar rats. Animals were given single 30.0-mg/kg i.v. injections of /V-nitroso-/V-methylurea (NMU) followed 7 days later by s.c. implantation of a 2.0-cm Silastic capsule containing testosterone propionate (TP). Additional rats were given the NMU or TP treatments individually. Control animals were given a single i.v. injection of saline followed by implantation of an empty Silastic capsule. The Silastic implants for each group were replaced every 2 months. This hormone treatment regimen produced significantly (/' < 0.05) elevated serum testosterone concentrations relative to control for 42 days following implantation. Animals were killed at 92, 177, 259,361, or 427 days postNMl injection. A high treatment-related incidence of adenocarcinoma occurred in the dorsal and lateral prostatic lobes of animals given the combined NMU-TP treatment. In addition, a few animals had adenocarcinomas of the coagulating gland or the seminal vesicle. The estimated probability of neoplasia in the accessory sex organs by 427 days after initiation of the NMU-TP treatment was 68%, with no occurrence before 9 months. The NMU-TP treatment was also associated with an incidence of focal dysplasia in the accessory sex organs, particularly in the coagu lating gland. These findings indicate that NMU-TP treatment of LobundWistar rats can provide a useful experimental system to study the biochemical and molecular events involved in the induction of accessory sex organ neoplasia. tradiol had an 85.7% incidence of microscopic adenocarcino mas of the ventral lobe of the prostate but no further progres sion of these tumors was evident (9). The present study was done to further evaluate NMU-TP-induced neoplasia in LW rats in order to develop a reliable animal model of induced prostatic neoplasia. The effects of treatment were evaluated in a sequential order to study early stages in neoplastic develop ment. INTRODUCTION Prostatic cancer is the most prevalent form of cancer and the third leading cause of cancer deaths in men (1). Its incidence increases almost logarithmically with age, faster than any other cancer. The impact of this disease on the population is antici pated to increase in the future with an aging population. Appropriate model systems are essential for a better under standing of prostatic carcinogenesis. Most experimental inves tigation of prostatic cancer has been done using implanted tumor systems in rodents (2). These tumor systems have the advantages of consistent reproducibility and comparatively short duration. However, the rodent transplantable tumor models allow evaluation only of progression and metastasis but not of the early stages of initiation and transformation. Establishment of an inducible model system is required to gain an understanding of the initial events in prostatic carci nogenesis (3). Spontaneous neoplasia of the prostate in rats is generally rare. An exception appears to be the spontaneous occurrence of prostate carcinoma in 10% of aged LW rats (4, 5). Treatment of LW rats with TP caused an increased incidence and decreased age of onset of the tumor (6). When NMU and TP implants were combined, large prostatic adenocarcinomas occurred in 77.5% of LW rats (7). Attempts to chemically induce prostatic neoplasia in rat strains other than LW were not as successful. Wistar rats pretreated with cyproterone ace tate and subsequently given NMU and TP had a 35% incidence MATERIALS AND METHODS LW rat breeding stock was a gift from Dr. Morris Pollard (University of Notre Dame) and was maintained as a closed colony at HarÃ-an Industries (Cumberland. IN). Male rats were received at the Lilly Research Laboratories at 30 days of age and maintained until the start of the experiment 60 days later. The animals were housed two or three per wire grid bottom cage, in a light-controlled environment (lights on, 6 a.m.; lights off, 8 p.m.). Water and food (Purina Certified Rodent Chow 5001; Ralston-Purina, St. Louis, MO) were provided ad libitum. The rats were randomly distributed into four groups. Rats of two groups received single i.v. femoral vein injections of NMU (Sigma Chemical Company, St. Louis, MO; 30.0 mg/kg body weight) dissolved in isotonic sterile saline. All rats were anesthetized with methoxyflurane (Metofane; Pittman-Moore, Washington Crossing, NJ) for treatment. Rats of the other two groups received i.v. injections of sterile saline. One week later, one group given the NMU and one group given the saline injection were implanted s.c. in the scapular region with 2.0-cm Silastic (Dow-Corning, Midland, MI) implants of TP (Sigma), while under methoxyflurane anesthesia. Approximately 50.0 mg TP were packed as an acetone (OmniSolv, glass-distilled; EM Science, Cherry Hill, NJ) slurry into 0.062-inch (inside diameter) x 0.125-inch (outside diameter) Silastic tubing sealed at one end with about 1.0 mm Silastic medical grade adhesive (Dow-Corning). The TP-containing Silastic implants were placed in a vacuum oven at room temperature for 24 h to dry. The implants were then packed with additional TP using a round wooden stick and sealed with about 1.0 mm Silastic adhesive. The implants were again dried in a vacuum oven at room temperature for 24 h, washed once with 60% ethanol:water followed by sterile water rinse to remove TP remaining on the capsular surface, and stored at —¿20°C. The TP-containing Silastic implants were replaced at 60-day intervals according to a previously published protocol (10). At 92, 177, 259, 361, and 427 days following NMU treatment, rats from each group were anesthetized with methoxyflurane and blood was collected via cardiac puncture. Serum samples were analyzed for glu cose, urea nitrogen, creatinine, total bilirubin, alkaline phosphatase, and alanine transaminase using an autoanalyzer (Monarch; Instrumen tation Laboratories, Lexington, MA). The animals were sacrificed by CO? asphyxiation and necropsy was performed. The following tissues were collected in 10% neutral buffered formalin and processed for histológica! evaluation: prostate (dorsal, lateral, and ventral lobes); seminal vesicle; coagulating gland; urinary' bladder; urethra; testis; epididymis; lung; liver; heart; kidney; thymus; iliac lymph node; thyroid; adrenal; brain; and pituitary. Animals found moribund were killed and necropsied. Several animals that died following anesthesia early in the Received 6/27/89: revised 9/21/89; accepted 10/3/89. The costs of publication of this article were defrayed in part by the payment study were not evaluated. of page charges. This article must therefore be hereby marked advertisement in All tumors of the seminal vesicle, prostate gland, and coagulating accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1The abbreviations used are: LW rat, Lobund-Wistar rat: TP, testosterone gland were pooled for statistical purposes. The use of interim sacrifices propionate: NMU, ,Y-methyl-iV-nitrosourea. and termination of moribund animals prior to the end of study dictated 142 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1990 American Association for Cancer Research. ACCESSORY SEX ORGAN NEOPLASIA the use of survival function statistical methodology. A cause of death was determined for all animals which died or were killed moribund. All neoplasms which were a cause of death were classified as fatal. Neo plasms found incidental to another cause of death or neoplasms found at scheduled kills were classified as incidental for the purpose of the analysis. Nonparametric estimates of the tumor onset function were calculated for each treatment group by the method of Kodell et al. (11). Tumor onset was defined as the probability of occurrence of a tumor by a specific time. The curves were then tested for equivalence across all groups by the methodology described by Peto et al. (12). To evaluate the time course of androgen release from the TP-treated animals, a separate group of age-matched LW rats was implanted with either TP-containing or empty Silastic capsules as described above. Blood was collected from these animals by orbital sinus puncture at weekly intervals for 3 months beginning on day 7. The blood was allowed to clot and testosterone was measured in the serum using radioimmunoassay (Radioassay Systems Laboratories, Carson, CA) following extraction of steroids from blood by solid phase chromatography. Validation of the radioimmunoassay for this application fol lowed previously published criteria (13). In this assay, blood samples, charcoal-treated rat serum, H3O blanks, and pooled control serum internal standards were measured following extraction using BakerBond octadecyl (C,K) reversed-phase solid matrix extraction columns (J. T. Baker Chemical Company, Phillipsburg, NJ). Charcoal-treated serum blanks representing less than 100-pg standards read between 90 and 95% of the predicted values, and intra- and interassay variations averaged approximately 6 and 15%, respectively. All samples were run in duplicate. Data from the testosterone radioimmunoassay were ana lyzed using a modification of a program developed by Rodbard et al. (14). Significant differences between TP and control values were deter mined by Dunnett's multiple comparison procedure (15). RESULTS No treatment-related abnormalities were found in clinical chemistry parameters. In the sequential pathological evalua tions, animals given TP or NMU-TP had enlargement of the dorsal, lateral, and ventral prostate; the seminal vesicles; and the coagulating glands, evident grossly. Increased luminal se cretion was evident histologically. Large prostatic abscesses with complete obliteration of normal architecture occurred after 6 months of treatment in animals in each treatment group (NMU, 1 of 45; TP, 2 of 42; NMU-TP, 2 of 42) but not in the controls. A treatment-related increase in the incidence of focal epithe lial dysplasia occurred in the ventral, dorsal, and lateral prostate and the coagulating glands of animals given NMU-TP (Table 1). These dysplasias were small singular or multiple lesions characterized by pleomorphism of the epithelium (Fig. 1). The epithelial cells varied in size and shape and were often crowded along the basement membrane. Nuclei were variable in size (often enlarged), irregular in shape, and hyperchromatic. The altered foci in the coagulating gland had prominent cytoplasmic basophilia. Similar changes occurred in the groups given NMU or TP alone but were less frequent. Control animals had a low incidence of focal epithelial dysplasia restricted to the coagu lating gland. Small foci of inflammation and inflammatory associated hyperplasia (Table 1) occurred occasionally in both treated and control animals, particularly in the dorsal and lateral prostatic lobes, but had no apparent treatment relation ship. Neoplasia of the accessory sex organs occurred in each treat ment group but was much higher in the combined NMU-TP group than in groups given either NMU or TP alone (Table 2). The plot of the tumor onset functions (Fig. 2) demonstrated an abrupt increase in tumor probability after 361 days for the NMU-TP group, which reached 0.68 (68%) by 427 days on test. The increased probability of tumors in the NMU-TP group was highly significant (P < 0.01) as measured by Peto's test of homogeneity of tumor onset across the groups. Most of the primary malignant neoplastic masses in the dorsal and lateral prostate and the seminal vesicle ranged in diameter from 1 to 3 cm, were pale and firm, and had irregular surfaces. These neoplasias were adenocarcinomas characterized by pleomorphic epithelial cells in abundant fibrous connective tissue stroma (Fig. 3). The epithelial cells formed irregular and poorly defined acinar structures and had a high mitotic index. A polymorphonuclear leukocytic infiltrate generally accom panied the neoplastic proliferation. The neoplasms obliterated the normal parenchyma of the organ and infiltrated adjacent tissues. Metastasis of these tumors to the musculature of the abdominal wall adjacent to accessory sex organs was common (Fig. 4). Metastasis also occurred to lymph nodes, lung, liver, and adrenal. Urethral obstruction and hydronephrosis com monly occurred secondary to obstruction caused by the adeno carcinomas. Small areas of localized adenocarcinoma in the coagulating gland and in the seminal vesicle were found only microscopi cally. Malignancy of these lesions was demonstrated by epithe lial cell invasion into adjacent smooth muscle. Occasional neo plastic (Table 3) and nonneoplastic lesions in organs other than the accessory sex organs occurred in each group but had no apparent treatment relationship. Implantation of the 2.0-cm TP-containing Silastic capsules s.c. produced significantly (P < 0.05) elevated serum testoster one concentrations over control values from days 7 through 42 (Fig. 5). Peak testosterone concentrations were observed at day 21 postimplantation and declined thereafter. No significant difference in serum testosterone concentrations of the two groups were observed at days 49, 56, or 60. Table 1 Nonneoplastic proliferative lesions in the accessory sex organs ControlInflammatory 77yvis2(11)°0000000178-427276(22)1(4)000004(15)NMU0-177181(5)0000002(11)178-427266(23)0I 0-1 hyperplasiaDorsal associated prostateVentral and lateral prostateSeminal vesicleCoagulating glandFocal (38)1(6)M6)03(19)3(19)010 (5)001(5)008(40)178-427166 (4)01 dysplasiaDorsal epithelial prostateVentral and lateral prostateSeminal vesicleCoagulating glandDay 1Percent of animals affected (4)1(4)1 (4)0013(50)TP0-177182(11)0000002(11)178-4272410(42)01 (4)1 (4)010(42)NMU-TP0-1772001 (63) 143 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1990 American Association for Cancer Research. ACCESSORY SEX ORGAN NEOPLASIA «*. '%'^TätF* |df WZLÃŒ A^i-ijfifer & Fig. 1. Histological section showing an area of focal dysplasia in the coagu lating gland of a rat 427 days after initiation of NMU-TP treatment. The epithelial cells are crowded along the basement membrane and have enlarged nuclei. Note normal adjacent epithelium (arrow). H & E, x 380. Fig. 3. Histological section of an adenocarcinoma of the seminal vesicle of a rat 375 days after initiation of NMU-TP treatment. The epithelial cells form poorly defined aciner structures within an abundant fibrous connective tissue stroma. H & E. x 160. Inset, & HE, x 640. Table 2 Summary of incidental and fatal tumors of the accessory sex organs No. of observed tumors/no, at risk DayInterim sacrifice259-361362-427Interim deaths2622762X1375379TotalControl0/80/190/190/190/190/100/100/45NMU0/111-/150/190/190/190/100/101/45TPl/8b2/16*0/180/180/180/100/103/42NMU-TP0/93/8»-"'1/18'2/17'1/15'1/ " Seminal vesicle adenocarcinoma, localized. * Coagulating gland adenocarcinoma. locali/ed. ' Prostate adcnocarcinoma. " Seminal vesicle adenocarcinoma with metastasis. ' Prostate adcnocarcinoma with metastasis. SALINE* VEHICLE ce O SALINE. TP NMU+VEHICLE * r M : ' Fig. 4. Histological section of a prostatic adenocarcinoma metastatic to the musculature of the adjacent abdominal wall. The neoplastic epithelial cells form ductal structures (O). infiltrating between skeletal muscle (A/). H & E, x 750. NMU*TP Table 3 Neoplasms of organs other than the accessory sex organs NMU-TP Control NMU TP N 45 45 42 42 Benign Granular cell tumor Bronchoalveolar adenoma Intratubular seminoma Adrenocortical adenoma Pheochromocytoma C-cell adenoma Schwannoma m oOC O. DAY ot STUDY Malignant Fibrous histiocytoma Fig. 2. Estimated probability of adenocarcinoma onset plotted against days on test. All probabilities are equal to zero prior to 259 days. DISCUSSION The present study demonstrated a high incidence of adeno carcinoma in the accessory sex organs of male LW rats given a single dose of NMU followed by repeated TP treatments; the estimated probability of occurrence reached 68% by 427 days after initiation. This was comparable to the incidence (77.5%) previously reported in LW rats given NMU-TP (7). Unlike previous studies utilizing NMU-TP treatment, however, malig nant neoplasia was not limited to prostate but also occurred in the seminal vesicles and coagulating glands. This occurrence is not entirely surprising because androgens induce growth and proliferation in the adult seminal vesicle similar to those in the prostate (16), and NMU is known to have effects on many tissues (17). Spontaneous malignancy of the seminal vesicles of both rats and humans is rare (18-20) and has been observed in only a small number of experimental studies (20, 21). Sponta neous malignancy of the coagulating gland in the rat has not 144 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1990 American Association for Cancer Research. ACCESSORY SEX ORGAN NEOPLASIA 8000 -i cates direct alkylation of DNA in the rat prostate as the mech anism by which neoplasia is induced. The involvement of the ras oncogene family in the development of the NMU-induced carcinomas of the accessory sex glands in male LW rats is the subject of ongoing investigation. During the course of the present study, the TP-implanted animals were exposed to bimonthly oscillations in circulatory' testosterone levels. Previous studies have found that androgen depletion/repletion protocols have the capacity to elicit a sig nificant wave of cell proliferation in androgen-sensitive cell lines (25, 26). The direct implication is that the androgensensitive cells of the accessory sex glands went through succes sive waves of proliferation followed by loss of cells. It may be speculated that such cycles select for subpopulations of trans formed cells. The fact that NMU-TP treatment in LW rats induces a high incidence of prostatic adenocarcinoma makes it a valuable model for the study of this disease process. Identification of specific molecular and heterotypic cellular interactive mecha nisms involved in the inductive process may allow further comparison to the disease process in humans and assist in development of effective therapeutic approaches. 7000 - 6000 •¿ U O oc ill Iin 5000 - LU (3 t- o. 4000 3000 E U C/) 2000 CONTROL 1000 —¿I— 10 20 30 40 —¿i— 60 SO 70 80 ACKNOWLEDGMENTS DAY Of STUDY The authors gratefully acknowledge the assistance of K. S. Howell in preparation of the manuscript and J. P. Slaughter and C. E. Sullivan for technical assistance. Fig. 5. Circulating testosterone in male rats implanted with TP in Silastic capsules. Values represent the mean ±SE (bars) of eight observations per group. *. Significantly different from control (P < 0.05). been reported and experimental induction has previously been reported only once (20). Sequential evaluation in this study suggested rapid neoplastic growth following a preliminary latency period. Neoplasia was not found during the first 6 months after NMU-TP treatment and potential preneoplastic changes were limited to a low incidence of dysplasia. During the interim evaluations, only a relatively low incidence of the neoplasia was found in early stages after 9 months. The lack of tumors in early evaluations and the extensive necrosis which occurred at the center of the large primary neoplasms later suggested rapid growth of tumor mass. Experimental induction of nonneoplastic proliferative lesions has been observed previously in the dorsolateral and ventral prostates (8, 9) and also occurred in our study. However, dysplasia has not been reported previously in the coagulating gland. In this study, a 40 and 60% incidence of focal dysplasia before and after 6 months of treatment, respectively, was found in rats given NMU-TP. The coagulating gland of control rats had no dysplasia within the first 6 months and only a 15% incidence after 6 months. Unlike the dorsal and lateral lobes of the prostate, the coagulating gland was comparatively free of spontaneous inflammatory changes. Inflammation may be as sociated with a degree of reactive proliferation sufficient to interfere with the study of other morphological changes. The low incidence of inflammatory lesions and occurrence of dys plasia would make the coagulating gland a suitable target organ for the study of preneoplastic lesions. Such studies would have relevance to prostatic cancer in men because the coagulating gland has homology with regions of the human prostate (22, 23). NMU is a broad spectrum carcinogen (17), potentially caus ing neoplasia in multiple organs. NMU is known to cause direct mutagenesis and activation of Ha-ras-1 oncogenes during the initiation of mammary carcinogenesis in rats (24). This impli- REFERENCES 1. Coffey. D. S., and Pienta. K. J. New concepts in studying the control of normal and cancer growth in the prostate. In: D. S. Coffey. W. A. 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