To determine whether different genetic alterations influenced hepatocyte size within transplant foci, we measured microscopic hepatocyte cross-sectional area in foci
(Table 4). Mean hepatocyte area did not significantly increase for any genetic alteration, although in foci expressing TAg plus either c-myc or TGFα, hepatocyte diameter sometimes was smaller than control hepatocytes. Thus, changes in focus growth were associated with hyperplasia, not cellular hypertrophy. Mean focus area plots (Fig. 2) can be influenced by two aspects of focus growth. First, oncogene expression may alter growth of Selleckchem Smoothened Agonist all donor cells. Median focus size addresses this effect (Table 3) and reveals growth changes for which each oncogene or oncogene combination is sufficient. Second, oncogene expression
may cause development of a few exceptionally large foci (outliers), which will increase mean focus size (Fig. 2) but not affect the distribution median. To quantitate outliers in focus ratio distributions at 12 weeks posttransplantation (the end-stage for check details these studies), we used the method of Tukey.17 In this method, extreme outliers (EOs) are defined as 3 × the interquartile range or more above the third quartile of a distribution, where the interquartile range is the distance between the first and third quartiles. Among single oncogenes, only TAg expression was associated with a significant increase in outliers (Table 3). Coexpression of oncogenes increased
outlier frequency further (even by 2 weeks for TAg/c-myc hepatocyte foci). Note that, for foci coexpressing TGFα and c-myc, all of the mean focus area medchemexpress increase from 4 to 12 weeks (Fig. 2E) was due to outliers, because median focus size did not increase (Table 3). There was no effect of recipient sex on outlier frequency (data not shown), consistent with the slight to minimal gender differences in disease latency in these lines of donor mice. When examined microscopically, most TGFα/c-myc median (non-outlier) foci at 12 weeks posttransplantation resembled normal hepatic parenchyma: only 2 of 10 non-outlier foci displayed a mildly atypical hepatocellular phenotype (two-cell-thick hepatic plates). In contrast, 11 of 11 EO foci were composed of dysplastic hepatocytes that were clearly distinguishable from adjacent parenchyma, including thickened hepatic plates, basophilic, and clear cell phenotypes. In this regard, most resembled classic altered cell foci that develop after carcinogen administration. Transplanted hepatocytes enter the parenchyma by passing through or between endothelial cells to enter liver plates in the host liver, favoring transit and subsequent engraftment of single cells.