Aflatoxin 6, has been fed for 6 months t o young rats in low o r high protein diets. In agreement with previous research, it was found that the high protein diet was associated with hyperplastic activity i n the liver, of a type similar t o that usually found i n rats developing aflatoxin 6,-induced hepatoma. During the same period, negligible precancerous-like changes were seen i n the ratsfed the low protein diet with aflatoxin B,. This model has been used t o test the sensitivity of various liver function tests t o the dietary-induced difference i n liver reaction t o atlatoxin 6, feeding. The serum enzymes lactic dehydrogenase and alkaline phosphatase were considerably elevated in rats with precancerous-like lesions, but the former was the most sensitive enzyme. Serum glutamate-oxalate transaminase and serum glutamate-pyruvate transaminase were both raised in the rats with precancerous-like lesions, but much less so than lactic dehydrogenase and alkaline phosphatase. Urinary aflatoxin metabolites were also measured. Aflatoxin M, and atlatoxin P, were both found after feeding aflatoxin 6,. During the feeding period, aflatoxin P, excretion steadily increased, while aflatoxin M, increased between the second and fourth months and then fell.In the first 4 months, rats fed a low protein diet tended to produce a lower ratio of atlatoxin M, t o atlatoxin P, compared t o the rats fed a high protein diet. A t 6 months, the ratio decreased markedly, especially in the rats with the precancerous-like lesions. It was concluded that lactic dehydrogenase, alkaline phosphatase, and the ratio of urinary excretion of aflatoxin M, t o aflatoxin P, could be useful tests for inclusion in a diagnostic procedure for aflatoxin 6,-induced precancerous liver changes that might be expected i n human studies.Aflatoxins are a group of environmental carcinogens that have been attracting incrcased attention recently. The association between aflatoxin contamination of human food and the incidence of liver cancer in several countries has been reviewed by Linsell and Peers (1977), who have further suggested that an intervention study would be a useful test of the relationship between aflatoxins and liver cancer. Both types of study are limited by the argument that many other important factors are varying at the same time as the rate of aflatoxin contamination.Another approach is to study patients during the development of different kinds of cancer simultaneously with the extent of contamination of the same patients' diet, before their admission to hospital. By excluding other variables, it would then be possible to draw conclusions as to the importance of the aflatoxin factor in causation of liver cancer. Preliminary studies in Isfahan have shown higher excretion rates of aflatoxin metabolites among liver cancer patients than among patients with other types of cancer. But, in order to develop such a research programme further on these lines, it is necessary to find some criteria to determine the extent of the precancerous or cancerous conditio...