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Toxicologic Pathology
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Articles

Generalized Cellular Hypertrophy is Induced by a Dual-Acting PPAR Agonist in Rat Urinary Bladder Urothelium In Vivo

Martin B. Oleksiewicz, Inger Thorup, Henriette S. Nielsen, Hanne V. Andersen, Anne Charlotte Hegelund, Lars Iversen, Torben S. Guldberg, Peter R. Brinck, Ingrid Sjogren, Ulla K. Thinggaard, Lis Jørgensen and Marianne B. Jensen

Novo Nordisk A/S, Novo Nordisk Park, Maalov, Denmark

Correspondence: Address correspondence to: Martin B. Oleksiewcz, Novo Nordisk A/S, Novo Nordisk Park, Department of Virology and Molecular Toxicology, F9.1.21, 2760 Maalov, Denmark; e-mail:mboz{at}novonordisk.com

Some developmental dual-acting PPAR{alpha}/{gamma} agonists, such as ragaglitazar, have shown carcinogenic effects in the rodent urinary bladder urothelium after months-years of dosing. We examined early (precancerous) changes in the bladder urothelium of rats orally dosed with ragaglitazar, using a newly developed flow cytometric method. Following 3 weeks of oral ragaglitazar dosing, increases in physical size occurred in a generalized fashion in rat bladder urothelial cells, determined by flow cytometry. Protein/DNA measurements confirmed increased protein content of urothelial cells in the bladder, and hypertrophy was observed in the kidney pelvis urothelium by histopathology. In animals exhibiting urothelial hypertrophy, no cell cycle changes were detected in parallel samples of bladder urothelium. Interestingly, urothelial cells from normal rats were found to constitute a unique type of noncycling population, with high G2/M fractions. In summary, our findings showed that in the urothelium of ragaglitazar-treated animals, hypertrophy (increased size and protein content per cell) was an early change, that affected the whole bladder urothelial cell population. The urothelial hypertrophy was primary, i.e., occurred in the absence of similarly pronounced changes in cell cycle distributions. To our knowledge, this is the first report of a direct hypertrophic effect of a PPAR agonist. Urothelial hypertrophy might be a relevant early biological endpoint in mechanistic studies regarding the bladder-carcinogenic effect of PPAR agonists.

Key Words: Dual-acting PPAR{alpha}/{gamma} • agonist • urothelial • carcinogenesis • hypertrophy • flow cytometry • cell cycle

Abbreviations: DNA, deoxyribonucleic acid • EDTA, ethylenediaminetetraacetic acid • FITC, fluorescein isothiocyanate • FSC, forward light scatter • PBS{Delta}FCS, phosphate-buffered saline with 1% heat-inactivated fetal calf serum and 0.05% sodium azide • PI, propidium iodide • PPAR, peroxisome proliferator-activated receptor • PPAR{alpha}, peroxisome proliferator-activated receptor, alpha isoform • PPAR{gamma}, peroxisome proliferator-activated receptor, gamma isoform • RNase A, ribonuclease A

Toxicologic Pathology, Vol. 33, No. 5, 552-560 (2005)
DOI: 10.1080/01926230500214657


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