Summary Earlier we demonstrated that short-term feeding of methapyrilene hydrochloride (MPH) and of a choline deficient (CD) diet to rats induced peroxidative damage of microsomal membrane lipids of liver cells. In the present study, we investigated whether a CD diet modifies the extent of MPH-induced lipid peroxidation and whether the modifications lead to changes in the initiating and promoting action of these agents using assays of the induction of y-glutamyltranspeptidase (GGT)-positive hepatocyte foci. Addition of 0.1% MPH to a CD diet enhanced the extent of microsomal lipid peroxidation induced by a CD diet alone. Feeding a choline supplemented (CS) or a CD diet containing 0.1% MPH for 2 weeks followed by 7 weeks promotion by a CD diet plus phenobarbital was ineffective in inducing GGT-positive foci. Feeding MPH in a CS or a CD diet for 4 weeks, however, resulted in the development of substantial numbers of GGT-positive foci. There was a 3 fold increase in the number of foci in rats initiated with a CD+ MPH diet over that in rats initiated with a CS+MPH diet. 0.1% MPH in a CS diet or a CD diet exerted significant promotional effects on the induction of GGT-positive foci in rats initiated with a single injection of diethylnitrosamine. Addition of MPH to a CD diet was additive in inducing GGT-positive foci. The results suggest that lipid peroxidation of the liver may be involved in the carcinogenic and/or promoting effects of MPH and a CD diet.Methapyrilene hydrochloride (MPH) is a competitive H1 histamine antagonist which has been shown to induce liver tumours in Fischer F344 rats after feeding for over a year . The mechanism of its carcinogenic action remains unclear. In short term in vivo animal studies, MPH acts as a promoter of the induction of enzyme altered foci and hepatomas in the liver of carcinogen initiated rats, but a single injection of MPH was ineffective in inducing foci in the liver when followed by a liver tumour promoter (Couri et al., 1982;Furuya et al., 1983). In several in vitro carcinogenicity tests such as the Salmonella mutagenesis test, the transformation assays with hamster embryo cells and the quantitation of induction of sister chromatid exchanges, MPH yielded negative results (Andrews et al., 1980;Pienta et al., 1977; lype et al., 1982). Although earlier reports indicated that MPH was ineffective in inducing DNA repair synthesis in cultured rat hepatocytes (Probst & Neil, 1980;McQueen & Williams, 1981), positive results were reported more recently (Althaus et al., 1982). There is no evidence to indicate that MPH or its metabolites covalently interact with cellular DNA (Lijinsky & Muschik, 1982).We demonstrated that MPH is a potent inducer of membrane lipid peroxidation in rat hepatocytes (Perera et al., 1985a). In a number of studies, free radical injury either leading to or deriving from peroxidative damage of lipids has been implicated as the underlying mechanism of carcinogenic and/or promotional actions of many agents (Pryor, 1973;Reddy & Warren, 1981;Troll et al., 1982;Cer...