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JNCI Journal of the National Cancer Institute 1994 86(16):1222-1227; doi:10.1093/jnci/86.16.1222
© 1994 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 86, No. 16, 1222-1227, August 17, 1994
© 1994 Oxford University Press

Chronic Active Hepatitis and Associated Liver Tumors in Mice Caused by a Presistent Bacterial Infection With a Novel Helicobacter Species

Jerrold M. Ward, James G. Fox, Miriam R. Anver, Diana C. Haines, Cathi V. George, Michael J. Collins, Jr., Peter L. Gorelick, Kunio Nagashima, Matthew A. Gonda, Raymond V. Gilden, Joseph G. Tully, Robert J. Russell, Raoul E. Benvensite, Bruce J. Paster, Floyd E. Dewhirst, John C. Donovan, Lucy M. Anderson, Jerry M. Rice*,

*Affiliations of authors: Office of Laboratory Animal Science, National Cancer Institute Federick and Bethesda, Md
Massachusetts Institute of Technology Cambridge, Mass
Laboratory of Comparative Carcinogenesis, Division of Cancer Research and Development Center (NCI- FCRDC) Frederick, Md
Program Resources. Inc./DynCorp, NCI-FCRDC Frederick, Md
Mycoplasma Section, Laboratory of Molecular Microbiology, National Institute of Allergy and Infectious diseases Frederick
Harlan Sprague-Dawley, Inc., NCI-FCRDC
Laboratory of Viral Carcinogenesis, Division of Cancer Etiology, NCI-FCRDC
Frosyth Dental Center Boston Mass

Correspondence to: J. M. Ward, D. V. M., Ph.D., NCI-FCRDC, Fairview 201, Frederick MD 21702-1201.

Background: In the autumn of 1992, a novel form of chronic, active hepatitis of unknown etiology was discovered in mice at the national Cancer Institute-Frederick Cancer Research and Development Center (NCI-FCRDC), Frederick, Md. A high incidence of Hepatocellular tumors occured in affected animals. The disease entity was orginally identified in A/JCr mice that were untreated controls in a long-term toxicologic study. Purpose: Our original purpose was to determine the orgin and etiology of the chronic hepatitis and to quantify its association with hepatocellular tumors in mice of low liver tumor incidence strains. After a helical microorganism was discovered in hepatic parenchyma of diseased mice, we undertook charcterization of the organism and investigation of its relationship to the disease process. Methods: Hepatic histopathology of many strains of mice and rats, as well as guinea pigs and Syrian hamsters, in our research and animal production facilities was reviewed. Steiner's modification of the Warthin-Starry stain and transmission electron microscopy were used to indentify bacteria in the liver. We transmitted the hepatitis with liver suspensions from affected mice and by inoculation with bacterial cultures. Bacteria were cultivated on blood agar plates maintained under anaerobic or microaerophilic conditions and characterized morphologically, biochemically, and by 16S rRNA sequence. Results: We report here the isolation of a new species of Helicobacter (provisionally designated helicobacter hepaticus sp. nov.) that selectively and persistently colonizes the hepatic bile canaliculi of mice (and possibly the intrahepatic biliary system and large bowel), causing a morphologically distinctive pattern of chronic, active hepatitis and associated with a high incidence of hepatocellular neoplasms in infected animals. Conclusions: The novel Helicpbacter is a likely candidate for the etiology of hepatocellular tumors in our mice.The Helicobacter associated chronic active hepatitis represents a new model to study mechanisms of carcinogenesis by genus of bacteria.implications: Adenocarcinoma of the stomach, the second most prevalent of all human malignancies worldwide, is associated with infection at an early age with helicobacter pylori. Infection leads to several distinctive forms of gastritis, including chronic atrophic gastritis, which is a precursor of adenocarcinoma. H. hepaticus infection in mice constitutes the only other parllel association between a persistent bacterial infection and tumor development known to exist naturally. Study of the H. Hepaticus syndrome of chronic activehepatitis and liver tumors in mice may yield insights into the role of H. pylori in human stomach cancer and gastric lymphoma [J. NatL Cancer Inst 86: 1222–1227, 1994]



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Infect. Immun.Home page
J. G. Fox, P. L. Gorelick, M. C. Kullberg, Z. Ge, F. E. Dewhirst, and J. M. Ward
A Novel Urease-Negative Helicobacter Species Associated with Colitis and Typhlitis in IL-10-Deficient Mice
Infect. Immun., April 1, 1999; 67(4): 1757 - 1762.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
M. C. Kullberg, J. M. Ward, P. L. Gorelick, P. Caspar, S. Hieny, A. Cheever, D. Jankovic, and A. Sher
Helicobacter hepaticus Triggers Colitis in Specific-Pathogen-Free Interleukin-10 (IL-10)-Deficient Mice through an IL-12- and Gamma Interferon-Dependent Mechanism
Infect. Immun., November 1, 1998; 66(11): 5157 - 5166.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
X. Li, J. G. Fox, M. T. Whary, L. Yan, B. Shames, and Z. Zhao
SCID/NCr Mice Naturally Infected with Helicobacter hepaticus Develop Progressive Hepatitis, Proliferative Typhlitis, and Colitis
Infect. Immun., November 1, 1998; 66(11): 5477 - 5484.
[Abstract] [Full Text] [PDF]


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Toxicol PatholHome page
J. R. Hailey, J. K. Haseman, J. R. Bucher, E. Radovsky, D. E. Malarkey, R. T. Miller, A. Nyska, and R. R. Maronpot
Impact of Helicobacter hepaticus Infection in B6C3F1 Mice from Twelve National Toxicology Program Two-Year Carcinogenesis Studies
Toxicol Pathol, September 1, 1998; 26(5): 602 - 611.
[Abstract] [PDF]


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Infect. Immun.Home page
M. T. Whary, T. J. Morgan, C. A. Dangler, K. J. Gaudes, N. S. Taylor, and J. G. Fox
Chronic Active Hepatitis Induced by Helicobacter hepaticus in the A/JCr Mouse Is Associated with a Th1 Cell-Mediated Immune Response
Infect. Immun., July 1, 1998; 66(7): 3142 - 3148.
[Abstract] [Full Text] [PDF]


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J. Clin. Microbiol.Home page
J. G. Fox, J. A. MacGregor, Z. Shen, X. Li, R. Lewis, and C. A. Dangler
Comparison of Methods of Identifying Helicobacter hepaticus in B6C3F1 Mice Used in a Carcinogenesis Bioassay
J. Clin. Microbiol., May 1, 1998; 36(5): 1382 - 1387.
[Abstract] [Full Text]


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Toxicol PatholHome page
J. K. Haseman, J. R. Hailey, and R. W. Morris
Spontaneous Neoplasm Incidences in Fischer 344 Rats and B6C3F1 Mice in Two-Year Carcinogenicity Studies: A National Toxicology Program Update
Toxicol Pathol, May 1, 1998; 26(3): 428 - 441.
[Abstract] [PDF]


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Clin. Microbiol. Rev.Home page
D. G. Baker
Natural Pathogens of Laboratory Mice, Rats, and Rabbits and Their Effects on Research
Clin. Microbiol. Rev., April 1, 1998; 11(2): 231 - 266.
[Abstract] [Full Text] [PDF]


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Toxicol PatholHome page
A. Nyska, R. R. Maronpot, S. R. Eldridge, J. K. Haseman, and J. R. Hailey
Alteration in Cell Kinetics in Control B6C3F1 Mice Infected with Helicobacter hepaticus
Toxicol Pathol, November 1, 1997; 25(6): 591 - 596.
[Abstract] [PDF]


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Toxicol PatholHome page
B. A. Diwan, J. M. Ward, D. Ramljak, and L. M. Anderson
Promotion by Helicobacter hepaticus-Induced Hepatitis of Hepatic Tumors Initiated by N-Nitrosodimethylamine in Male A/JCr Mice
Toxicol Pathol, November 1, 1997; 25(6): 597 - 605.
[Abstract] [PDF]


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Toxicol PatholHome page
D. E. Malarkey, T.-V. Ton, J. R. Hailey, and T. R. Devereux
A PCR-RFLP Method for the Detection of Helicobacter hepaticus in Frozen or Fixed Liver from B6C3F1 Mice
Toxicol Pathol, November 1, 1997; 25(6): 606 - 612.
[Abstract] [PDF]


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Toxicol PatholHome page
R. R. Maronpot
Laboratory Animal Pathology--Emphasis on an Area of Relevance to the Toxicologic Pathologist
Toxicol Pathol, July 1, 1996; 24(4): 506 - 506.
[PDF]


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Toxicol PatholHome page
J. M. Ward, M.-A. Shibata, and D. E. Devor
Emerging Issues in Mouse Liver Carcinogenesis
Toxicol Pathol, January 1, 1996; 24(1): 129 - 137.
[Abstract] [PDF]



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