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Carcinogenesis Advance Access originally published online on September 24, 2004
Carcinogenesis 2005 26(1):219-227; doi:10.1093/carcin/bgh285
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Carcinogenesis vol.26 no.1 © Oxford University Press 2005; all rights reserved.

ARTICLE

Role of peroxisome proliferator-activated receptor-{alpha} (PPAR{alpha}) in bezafibrate-induced hepatocarcinogenesis and cholestasis

Thomas Hays1, Ivan Rusyn2, Amanda M. Burns1, Mary J. Kennett1, Jerrold M. Ward3, Frank J. Gonzalez4 and Jeffrey M. Peters1,5

1 Department of Veterinary Science and Center for Molecular Toxicology and Carcinogenesis, The Pennsylvania State University, University Park, PA 16802, USA, 2 Department of Environmental Sciences and Engineering, The University of North Carolina, Chapel Hill, NC 27599, USA, 3 Infectious Disease Pathogenesis Section, Comparative Medicine Branch and SoBran, Inc., National Institute of Allergy and Infectious Diseases, Bethesda, MD 20892, USA and 4 Laboratory of Metabolism, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA

5 To whom correspondence should be addressed Email: jmp21{at}psu.edu

Prolonged administration of peroxisome proliferators to rodents typically leads to hepatocarcinogenesis. Peroxisome proliferator-activated receptor-{alpha} (PPAR{alpha}) is required to mediate alterations in PPAR{alpha} target gene expression, repress apoptosis, enhance replicative DNA synthesis, oxidative stress to DNA and hepatocarcinogenesis induced by the relatively specific PPAR{alpha} agonist, Wy-14,643. Interestingly, administration of the less specific PPAR{alpha} agonist, bezafibrate, leads to a modest induction of PPAR{alpha} target genes in the absence of PPAR{alpha} expression. In these studies, the role of PPAR{alpha} in modulating hepatocarcinogenesis induced by long-term feeding of 0.5% bezafibrate was examined in wild-type (+/+) and PPAR{alpha}-null (–/–) mice. The average liver weight was significantly higher in (+/+) and (–/–) mice fed bezafibrate than controls, but this effect was considerably less in (–/–) mice as compared with similarly treated (+/+) mice. Increased levels of mRNA encoding cell cycle regulatory proteins and DNA repair enzymes were found in (+/+) mice fed bezafibrate, and this effect was not found in (–/–) mice. In mice fed bezafibrate for 1 year, preneoplastic foci, adenomas and a hepatocellular carcinoma were found in (+/+) mice, while only a single microscopic adenoma was found in one (–/–) mouse. This effect was observed in both Sv/129 and C57BL/6N strains of mice, although only preneoplastic foci were observed in the latter strain. Interestingly, hepatic cholestasis was observed in 100% of the bezafibrate-fed (–/–) mice, and this was accompanied by significantly elevated hepatic expression of mRNA encoding bile salt export pump and lower expression of mRNA encoding cytochrome P450 7A1, consistent with enhanced activation of the bile acid receptor, farnesoid X receptor. Results from these studies demonstrate that the PPAR{alpha} is required to mediate hepatocarcinogenesis induced by bezafibrate, and that PPAR{alpha} protects against potential cholestasis.


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