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Phenobarbital and its Sodium Salt - IARC Monographs on the ...

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208<br />

<str<strong>on</strong>g>IARC</str<strong>on</strong>g> MONOGRAPHS VOLUME 79<br />

mice. No hepatocellular foci or adenomas were seen in groups given phenobarbital<br />

<strong>on</strong>ly or no treatment. The type of initiator <strong>the</strong>refore appears to be important in determining<br />

whe<strong>the</strong>r 15-day-old initiated male B6C3F 1 mice resp<strong>on</strong>d to <strong>the</strong> promoting<br />

effects of phenobarbital (Klaunig et al., 1988b). [The Working Group noted <strong>the</strong> short<br />

durati<strong>on</strong> of exposure <str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>the</strong> small number of animals per group.]<br />

Groups of male C57BL, C3H <str<strong>on</strong>g>and</str<strong>on</strong>g> B6C3F 1 mice [total initial number not given], 15<br />

days of age, were given ei<strong>the</strong>r a single intraperit<strong>on</strong>eal injecti<strong>on</strong> of 5 mg/kg bw NDEA or<br />

an equal volume of saline. At 28 days of age (at weaning), <strong>the</strong>y received ei<strong>the</strong>r normal<br />

drinking-water (c<strong>on</strong>trols) or drinking-water c<strong>on</strong>taining 500 mg/L phenobarbital for 28<br />

weeks. In a sec<strong>on</strong>d study, NDMA was used as <strong>the</strong> initiator instead of NDEA under identical<br />

experimental c<strong>on</strong>diti<strong>on</strong>s. All three strains of mice exposed to phenobarbital after<br />

NDEA developed hepatocellular foci, but <strong>the</strong>ir incidence, number <str<strong>on</strong>g>and</str<strong>on</strong>g> size did not differ<br />

from those in mice given NDEA <strong>on</strong>ly. All C3H mice exposed to NDEA <strong>on</strong>ly or NDEA<br />

plus phenobarbital developed hepatocellular adenomas, but <strong>the</strong> number of adenomas in<br />

<strong>the</strong> latter group (52.5 ± 18.2) was significantly higher (p < 0.05) than that in mice given<br />

NDEA <strong>on</strong>ly (29.8 ± 13.6). B6C3F 1 mice exposed to NDEA plus phenobarbital, however,<br />

showed a significant decrease (p < 0.05) in <strong>the</strong> number of hepatic adenomas (6.4 ± 4.1)<br />

as compared with <strong>the</strong> group given NDEA <strong>on</strong>ly (15.0 ± 5.4), although no difference was<br />

found in <strong>the</strong> incidence or size of <strong>the</strong> tumours. In C57BL/6 mice, phenobarbital treatment<br />

decreased <strong>the</strong> incidence of adenomas in those given NDEA from 90% to 50% (p < 0.05).<br />

The number (18.5 ± 5.4) <str<strong>on</strong>g>and</str<strong>on</strong>g> size of <strong>the</strong> adenomas (20.8 ± 6.5 mm) in C3H mice given<br />

NDMA plus phenobarbital were significantly greater than in <strong>the</strong> NDMA-treated group<br />

(number, 1.7 ± 1.0, p < 0.05; size, 12.3 ± 3.4 mm, p < 0.05). In B6C3F 1 mice, <strong>the</strong> number<br />

but not <strong>the</strong> size of adenomas in animals given NDMA plus phenobarbital was significantly<br />

greater than in mice given NDMA <strong>on</strong>ly (6.2 ± 4.3 versus 0.8 ± 0.8; p < 0.05). In<br />

C57/BL mice treated with NDMA plus phenobarbital, <strong>the</strong> size of <strong>the</strong> adenomas was<br />

significantly decreased as compared with <strong>the</strong> group given NDMA <strong>on</strong>ly (6.5 ± 1.1 versus<br />

11.0 ± 2.8 mm; p < 0.05). Thus, <strong>the</strong> strain of <strong>the</strong> mouse <str<strong>on</strong>g>and</str<strong>on</strong>g> <strong>the</strong> initiating carcinogen<br />

determine <strong>the</strong> ability of phenobarbital to ei<strong>the</strong>r inhibit or promote hepatocellular<br />

carcinogenesis in 15-day-old mice (Weghorst et al., 1989). [The Working Group noted<br />

<strong>the</strong> small number of mice per group.]<br />

Groups of male <str<strong>on</strong>g>and</str<strong>on</strong>g> female B6C3F 1 mice, 15 days of age, were given ei<strong>the</strong>r a single<br />

intraperit<strong>on</strong>eal injecti<strong>on</strong> of 5 mg/kg bw NDEA or an equal volume of saline. At weaning<br />

(28 days of age), some groups received drinking-water c<strong>on</strong>taining 500 mg/L phenobarbital,<br />

while o<strong>the</strong>rs received dei<strong>on</strong>ized water, for 24 weeks. All mice were killed at 28<br />

weeks of age. Hepatocellular foci <str<strong>on</strong>g>and</str<strong>on</strong>g> adenomas were found <strong>on</strong>ly in groups that received<br />

NDEA or NDEA plus phenobarbital. In males, NDEA plus phenobarbital caused a significant<br />

decrease (p < 0.05) in <strong>the</strong> total number <str<strong>on</strong>g>and</str<strong>on</strong>g> size of hepatocellular adenomas when<br />

compared with <strong>the</strong> group given NDEA <strong>on</strong>ly (number, 15.5 ± 4.8 with NDEA <strong>on</strong>ly,<br />

6.4 ± 4.1 with NDEA plus phenobarbital; size, 13.9 ± 1.7 with NDEA <strong>on</strong>ly <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

10.7 ± 3.0 with NDEA plus phenobarbital). N<strong>on</strong>e of <strong>the</strong> female mice exposed to NDEA<br />

<strong>on</strong>ly developed adenomas, but 100% of those exposed to NDEA plus phenobarbital had

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