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Liver-Bile Duct Hyperplasia 508

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Liver, Bile duct – Hyperplasia

Figure Legend: Figure 1 Bile duct hyperplasia in a female F344/N rat from a subchronic study.
Figure 2 Bile duct hyperplasia in a female F344/N rat from a subchronic study (higher
magnification of Figure 1).

Comment: Bile duct hyperplasia is not commonly seen in prechronic studies but is a common
aging lesion. In chronic studies, the occasional occurrence of bile duct hyperplasia in the
absence of any differences in incidence or severity among study groups likely represents a
background lesion. It is more commonly seen in rats than in mice. Only some portal areas may
be affected. Biliary hyperplasia may be associated with peribiliary fibrosis. When accompanied
by inflammatory cells and/or oval cell proliferation, bile duct hyperplasia may be the
consequence of a toxic insult. Figure 1 and Figure 2 show a single focal area of hyperplasia;
similar lesions were not present in the other liver sections examined from this rat. This degree of
bile duct hyperplasia is not commonly present in control rats in subchronic studies.

Recommendation: Bile duct hyperplasia should be diagnosed and assigned a severity grade
whenever present as a treatment-associated change or when excessive, as in this example.
Since bile duct hyperplasia is a common age-related change, the decision to diagnose it will
depend upon the age of the animal. Associated lesions, such as inflammation, fibrosis, or bile
duct dilation, should be diagnosed separately if warranted by the severity of these lesions.

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Liver, Bile duct – Hyperplasia

References:

Eustis SL, Boorman GA, Harada T, Popp JA. 1990. Liver. In: Pathology of the Fischer Rat
(Boorman GA, Eustis SL, Elwell MR, Montgomery CA, MacKenzie WF, eds). Academic Press,
San Diego, 71–94.
Abstract: http://www.ncbi.nlm.nih.gov/nlmcatalog/9002563

Evans JG, Lake BG. 1998. The digestive system II. Hepatobiliary system. In: Target Organ
Pathology (Turton J, Hooson J, eds). Taylor and Francis, London, 61–98.
Abstract: http://www.amazon.com/Target-Organ-Pathology-Basic-Text/dp/0748401571

Greaves P. 2007. Histopathology of Preclinical Toxicity Studies: Interpretation and Relevance in


Drug Safety Evaluation, 3rd ed. Elsevier, Amsterdam.
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Harada T, Enomoto A, Boorman GA, Maronpot RR. 1999. Liver and gallbladder. In: Pathology
of the Mouse: Reference and Atlas (Maronpot RR, Boorman GA, Gaul BW, eds). Cache River
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Hardisty JF, Brix AE. 2005. Comparative hepatic toxicity: prechronic/chronic liver toxicity in
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Full-Text: http://tpx.sagepub.com/content/33/1/35.full.pdf

Haschek WM, Rousseaux CG, Wallig MA. 2010. Fundamentals of Toxicologic Pathology, 2nd
ed. Academic Press, San Diego, 197–235.
Abstract: http://www.sciencedirect.com/science/book/9780123704696

Thoolen B, Maronpot RR, Harada T, Nyska A, Rousseaux C, Nolte T, Malarkey D, Kaufmann


W, Kutter K, Deschl U, Nakae D, Gregson R, Winlove M, Brix A, Singl B, Belpoggi F, Ward JM.
2010. Hepatobiliary lesion nomenclature and diagnostic criteria for lesions in rats and mice
(INHAND). Toxicol Pathol 38:5S–81S.
Full-Text: http://tpx.sagepub.com/content/38/7_suppl/5S.full

Author:

Robert R. Maronpot, DVM, MS, MPH, DACVP, DABT, FIATP


Senior Pathologist
Experimental Pathology Laboratories, Inc.
Research Triangle Park, NC

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