Rodent hepatocarcinogenic peroxisome proliferators induce proliferation of rat hepatocytes in primary mixed cultures with rat liver epithelial cells

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Cancer Letters 123 (1998) 27–33

         Rodent hepatocarcinogenic peroxisome proliferators induce
         proliferation of rat hepatocytes in primary mixed cultures
                         with rat liver epithelial cells

                                     Carmen E. Perrone, Gary M. Williams*
           Department of Pathology and Toxicology, American Health Foundation, 1 Dana Road, Valhalla, NY 10595, USA

                                           Received 27 June 1997; accepted 18 July 1997

Abstract

   The effect of two members of the hypolipidemic medicine class of hepatocarcinogenic peroxisome proliferators on pro-
liferation of hepatocytes in primary mixed cultures with liver epithelial cells was studied. Rat hepatocytes present in primary
mixed cultures with rat liver epithelial cells were maintained for 3 months retaining their differentiated characteristics and
proliferative potential. Hepatocyte clusters in mixed cultures stained positive for albumin, indicating that they retained some
metabolic functions. Furthermore, in mixed cultures exposed to 0.2 mM clofibric acid or ciprofibrate for 3 months, hepato-
cytes were engaged in proliferation as shown by the expression of proliferating cell nuclear antigen (PCNA) and the presence
of mitotic figures. This in vitro system could be useful to obtain more information about responses of liver cells during
prolonged exposure to peroxisome proliferators.  1998 Elsevier Science Ireland Ltd.

Keywords: Mitogenesis; Cultured rat hepatocytes; Clofibric acid; Ciprofibrate

1. Introduction                                                     increase [13–16] suggesting that other factors potenti-
                                                                    ate the effects of PP in vivo. There is now evidence
   Chronic exposure of rats and mice to diverse per-                showing that PP exert effects in non-parenchymal
oxisome proliferators (PP) has been shown to lead                   cells and in particular in Kupffer cells [17–19]. Nafe-
to development of hepatocellular tumors [1–5].                      nopin and WY14 643 stimulate Kupffer cell prolifera-
Because these non-genotoxic hepatocarcinogens ele-                  tion as well as the secretion of tumor necrosis
vate DNA synthesis in rodent hepatocytes up to 10-                  factor ∝ (TNF ∝ ). TNF ∝ participates in early sig-
fold [1,6–12], induction of mitogenesis has been pro-               naling pathways of liver regeneration after partial
posed as a possible mechanism involved in PP-                       hepatectomy [18] and was recently found to increase
induced hepatocarcinogenesis. In vitro, PP elicit a                 the mitogenic effects of WY14 643 in cultured rat
weak mitogenic effect of only a two- to three-fold                  hepatocytes [18]. Also, other factors potentiate the
                                                                    effect of PP on DNA synthesis in cultured hepatocytes
                                                                    [16]. There are a number of growth factors secreted by
 * Corresponding author.                                            hepatocytes and other liver cells which are involved in

0304-3835/98/$19.00  1998 Elsevier Science Ireland Ltd. All rights reserved
PII S0304-3835 (97 )0 0363-7
28                            C.E. Perrone, G.M. Williams / Cancer Letters 123 (1998) 27–33

liver regeneration and possibly tumor formation [20].          mM NaCl, 5.5 mM d-glucose, 5.4 mM KCl, 15 mM
Whether PP influence the synthesis and release of              NaHCO3, 6 mM CaCl2, 0.9 mg/ml insulin, 0.1 mg/ml
such factors is still unknown. An in vitro system              gentamicin and 100 U/ml collagenase D). After the
could be useful in identifying interactions of liver           collagenase digestion, the liver cells were dispersed in
cells in response to PP exposure. This study presents          ice-cold 2% bovine serum albumin (BSA), filtered
evidence of proliferation of rat hepatocytes in mixed          through cotton gauze and centrifuged at 50 × g for 5
cultures with rat liver epithelial cells exposed to the        min at 4°C. The supernatant fraction was collected
hypolipidemic PP clofibric acid and ciprofibrate. This         and centrifuged three times for 1 min at 50 × g and
in vitro system thus provides a means to study                 once for 5 min at 50 × g. The cell pellet obtained from
responses of liver cells during prolonged exposure             the last centrifugation was resuspended in Hank’s bal-
to PP which can be important in elucidating the pro-           ance saline solution (HBSS) and centrifuged for 5 min
cess(es) involved in PP-induced hepatocarcinogenesis           at 50 × g. The final cell pellet was resuspended in
in vivo.                                                       complete Williams medium E (WME; 10% calf
                                                               serum, 2 mM l-glutamine and 0.1 mg/ml gentamicin),
                                                               plated onto 100-mm tissue culture dishes and main-
2. Materials and methods                                       tained in a humidified 5.0% CO2 incubator at 37°C. At
                                                               7 days post-culture, the cells were treated with com-
2.1. Materials                                                 plete WME containing either sterile deionized water
                                                               (dH2O) or 0.04% dimethylsulfoxide (DMSO) as con-
   Fischer 344 rats were purchased from Taconic,               trols, or one of the PP clofibric acid or ciprofibrate at
Germantown, NY. Collagenase was purchased from                 0.2 mM. The medium was changed once a week. After
Boehringer Mannheim, Indianapolis, IN. Williams                3 months in culture, the cells were fixed in 3.5% buf-
medium E, Hank’s balanced salt solution, calf                  fered formaldehyde, air dried and stored at −20°C
serum, glutamine and gentamicin were from Gibco                until used for immunocytochemistry.
Life Technologies, Grand Island, NY. Clofibric acid
was from Sigma, St. Louis, MO. Ciprofibrate was a              2.2.2. Immunocytochemistry
gift from Sanofi-Winthrop, Malvern, PA. All other                 Before staining, the fixed cells were rinsed twice
chemicals were purchased from Sigma except where               with phosphate buffer saline (PBS) and their endogen-
specified.                                                     ous peroxidase was inactivated with a 9-min incuba-
   This protocol was reviewed and approved by the              tion with 0.6% H2O2/methanol at room temperature.
Institutional Animal Care and Welfare Committee.               Cell proteins were blocked with a 15-min incubation
All animals received humane care in compliance                 with Lipshaw Universal Protein Blocking Agent (Lip-
with the institution guidelines.                               shaw, Pittsburgh, PA). After the proteins were
                                                               blocked, the cells were rinsed twice, immersed in a
2.2. Methods                                                   1:5 dilution of polyclonal rabbit anti-albumin anti-
                                                               serum and incubated at room temperature for 30
2.2.1. Cell cultures                                           min under a humidified atmosphere. The cells were
   Fischer 344 male rat liver cells were isolated using        rinsed twice and incubated with a 1:200 dilution of
the two-stage collagenase digestion technique pre-             biotinylated goat anti-rabbit antibody (Vector Labora-
viously described [14]. Briefly, rats were anesthetized        tories, Burlingame, CA) for 30 min at room tempera-
with 3 mg/kg body weight pentobarbital sodium                  ture under a humidified atmosphere. Finally, the cells
(Abbot Laboratories, North Chicago, IL) and their              were rinsed twice, incubated with strepavidin HRP
livers were perfused in situ with Ca2+-free solution           peroxidase (Lab Vision, Freemont, CA) for 20 min,
(50 mM HEPES–KOH (pH 7.4), 100 mM NaCl, 5.5                    stained with 3-amino-9-ethylcarbazole (AEC chromo-
mM d-glucose, 5.4 mM KCl, 4.4 mM KH2PO4, 15                    gen; Lab Vision, Freemont, CA) and counterstained
mM NaHCO3, 0.5 mM EGTA, 0.9 mg/ml insulin and                  with hematoxylin. All rinses were performed with
0.1 mg/ml gentamicin) followed by collagenase diges-           1 × PBS for 5 min at room temperature.
tion solution (50 mM HEPES–KOH (pH 7.4), 100                      To determine the presence of proliferating cell
C.E. Perrone, G.M. Williams / Cancer Letters 123 (1998) 27–33                                     29

nuclear antigen (PCNA) after inactivation of endo-                      3. Results
genous peroxidase and protein block, the cells were
incubated with a 1:50 dilution of monoclonal anti-                      3.1. Effect of PP in rat liver-derived hepatocyte
PCNA IgG2a (Signet Labs, Dedham, MA) for 30                             clusters in mixed culture epithelial cells
min at room temperature under a humidified atmo-
sphere. The cells were rinsed twice and incubated                          At 24 h post-plating, the mixed cultures contained
with a 1:200 dilution of biotinylated horse anti-                       individual hepatocytes as well as small clusters of
mouse IgG serum (Vector Laboratories, Burlingame,                       hepatocytes (two to five cells) (Fig. 1a). Hepatocytes
CA) for 30 min at room temperature. Following the                       persisted in control and DMSO-treated cultures for 3
incubation with horse anti-mouse IgG serum, the cells                   months (Fig. 1b,c), although the cultures became
were finally rinsed, incubated with strepavidin HRP                     dominated by epithelial-like cells. While hepatocyte
peroxidase (Lab Vision, Freemont, CA) for 20 min,                       clusters consisting of two to five and two to 18 cells
stained with AEC chromogen and counterstained with                      were observed in both control and DMSO-treated
hematoxylin. After staining for albumin or PCNA, the                    cultures, after 3 months the number of hepatocytes
cells were embedded in Crystal Mount (Biomedia,                         in clusters from clofibric acid- and ciprofibrate-treated
Foster City, CA).                                                       cultures ranged (Fig. 1d) from two to 265 and two

Fig. 1. (a) Photomicrograph showing hepatocytes (H) in primary mixed cultures with liver epithelial cells at 24 h post-culture (10×). (b)
Hepatocyte cluster (HC) in 3-month-old control mixed cultures (20×). (c) HC in 3-month-old DMSO-treated mixed culture (20×). (d) HC in
mixed cultures treated with 0.2 mM clofibric acid for 3 months (10×).
30                                     C.E. Perrone, G.M. Williams / Cancer Letters 123 (1998) 27–33

                                                                           whether PP induced cell proliferation in vitro, cells
                                                                           from control and PP-treated cultures were immunos-
                                                                           tained for PCNA. No PCNA-stained hepatocyte
                                                                           nuclei were observed in control cultures treated with
                                                                           sterile dH2O (Table 1). In contrast, an average of one
                                                                           cell per cluster stained for PCNA in DMSO-treated
                                                                           cultures (Table 1). A significant six-fold increase in
                                                                           PCNA-stained nuclei was observed in clofibric acid-
                                                                           and ciprofibrate-treated cultures (Fig. 4) compared
                                                                           with control cultures (Table 1). Induction of hepato-
                                                                           cyte mitogenesis was also confirmed by the presence
                                                                           of mitotic figures (metaphase and anaphase) in
                                                                           DMSO- and PP-treated cultures; an average of one
                                                                           mitotic figure was observed per hepatocyte cluster in
                                                                           both clofibric acid- and ciprofibrate-treated cultures
                                                                           (Table 1).

                                                                           4. Discussion
Fig. 2. Distribution of hepatocyte clusters according to percent of
frequency and cell number in 3-month-old (a) control, (b) DMSO-               This study revealed that clusters of rat hepatocytes
treated, (c) clofibric acid-treated and (d) ciprofibrate-treated mixed
                                                                           can be maintained in long-term mixed cultures in the
cultures.
                                                                           presence of liver epithelial cells. After 3 months in
                                                                           culture, these hepatocytes expressed albumin sug-
to 181, respectively (Fig. 2). Hepatocytes in clusters                     gesting that they retained the capacity to synthesize
found in control and PP-treated cultures stained posi-                     liver-specific proteins. This is consistent with a num-
tive for the liver specific protein albumin (Fig. 3)                       ber of reports showing that the viability of cultured
suggesting that they have retained their differentiated                    hepatocytes can be extended when they are co-cul-
characteristics. These observations were made in four                      tured with non-parenchymal cells of the type domi-
different experiments involving mixed cultures.                            nating the mixed cultures studied here [21–25].
                                                                           Furthermore, the expression of liver-specific pro-
3.2. Effect of PP on hepatocyte mitogenesis                                teins, such as cytochrome P450 enzymes and albu-
                                                                           min, have been found to be modulated by liver
   The presence of large clusters of hepatocytes in PP-                    endothelial, Kupffer and Ito cells [21–27].
treated cultures (Fig. 1d) suggested that these cells                         A novel finding was that in mixed cultures exposed
were probably proliferating in vitro. To assess                            to the PP clofibric acid and ciprofibrate, hepatocyte

Table 1
Effects of clofibric acid and ciprofibrate on mitogenesis in rat hepatocyte clusters in primary mixed cultures with rat liver epithelial cells

Compound                            Average no. of                          Average no. of PCNA                      Average no. of mitotic
                                    cells per 100                           stained cells per 100                    figures per 100

CTRL                                 2.67   ±   0.33                        0                                        0
DMSO                                 4.90   ±   0.881                       0.69 ± 0.35                              0.10 ± 0.08
Clofibric acid                      26.19   ±   3.14*                       7.61 ± 1.53*                             1.48 ± 0.15*
Ciprofibrate                        47.00   ±   6.70*                       8.15 ± 1.41*                             1.44 ± 0.20*

Results were expressed as the mean ± SEM and analyzed by Kruskal–Wallis one way ANOVA on ranks and Dunn’s method. Values were
considered significantly different when *P , 0.05.
C.E. Perrone, G.M. Williams / Cancer Letters 123 (1998) 27–33                                   31

Fig. 3. Hepatocyte cluster from a 3-month-old clofibric acid-treated primary mixed culture immunostained for albumin (dark cytoplasm).
Arrows indicate the presence of mitotic figures within the hepatocyte cluster.

clusters were greater in number and size compared to                  play an important role in PP-induced mitogenesis in
those present in control and DMSO-treated cultures.                   vivo. However, a number of growth factors synthe-
This suggested that hepatocytes in the PP-treated cul-                sized in hepatocytes and other liver cells have been
tures were proliferating. To assess PP-induced mito-                  shown to induce hepatocyte mitogenesis [20,28–30].
genesis of hepatocytes, fixed cells were immuno-                      It is likely that long-term exposure to PP not only
stained for PCNA. An increased number of PCNA-                        influences the release of growth factors from Kupffer
stained nuclei was observed in hepatocyte clusters                    cells but also from other types of liver cells. The liver
from PP-treated cultures compared to control and                      epithelial cell cultures containing hepatocyte clusters
DMSO-treated cultures. Cell proliferation was also                    could be useful to identify other possible growth fac-
established by the presence of mitotic figures in hepa-               tors released from liver cells during prolonged expo-
tocyte clusters from PP-treated cultures. Although                    sure to PP. This could be important to understand the
increases in DNA synthesis have been reported in                      process(es) involved in PP-induced hepatocarcino-
cultured hepatocytes treated with conditioned med-                    genesis in vivo.
ium from PP-treated non-parenchymal cells [18,19],                       In summary, long-term exposure of rat hepatocytes
this is the first report showing mitosis in cultured rat              in mixed cultures with liver epithelial cells to PP was
hepatocytes exposed to PP.                                            shown to induce mitogenesis. This suggests that PP-
   The effects of PP on liver DNA synthesis are atte-                 induced liver hyperplasia in vivo may involve the
nuated in primary hepatocyte cultures suggesting that                 interaction of different liver cell types. Whether this
non-parenchymal or other factors could be involved in                 process involves the release of TNF ∝ and other
this response. In vivo, PP treatment induces prolifera-               growth factors or the direct communication of hepato-
tion not only of hepatocytes, but also of Kupffer cells               cytes with other liver cells is still under investigation.
[17]. In addition, PP treatment was found to stimulate
the secretion of the growth factor TNF ∝ from Kupf-
fer cells, which has been proven to enhance the mito-                 Acknowledgements
genic responses of WY14 643 in cultured rat
hepatocytes [18]. This suggested that Kupffer cells                      We acknowledge Beverly Gambrell for her valu-
32                                   C.E. Perrone, G.M. Williams / Cancer Letters 123 (1998) 27–33

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