In both humans and rodents, males are known to be more susceptible than females to hepatocarcinogenesis. We have previously reported that glycine N-methyltransferase (GNMT) interacts with aflatoxin B 1 (AFB 1 ) and reduces both AFB 1 -DNA adduct formation and hepatocellular carcinoma (HCC) in mice. We also reported that 50% of the males and 100% of the females in a small group of Gnmt null (Gnmt2/2) mice developed HCC, with first dysplastic hepatocellular nodules detected at mean ages of 17 and 16.5 months, respectively. In our study, we tested our hypothesis that male and female Gnmt2/2 mice are susceptible to AFB 1 carcinogenesis, and that the absence of Gnmt expression may accelerate AFB 1 -induced liver tumorigenesis. We inoculated Gnmt2/2 and wild-type mice intraperitoneally with AFB 1 at 7 days and 9 weeks of age and periodically examined them using ultrasound. Dysplastic hepatocellular nodules were detected in six of eight males and five of five females at 12.7 and 12 months of ages, respectively. Dysplastic hepatocellular nodules from 5/8 (62.5%) male and 4/ 5 (80%) female Gnmt2/2 mice were diagnosed as having HCC,~6 months earlier than AFB 1 -treated wild-type mice. Results from microarray and real-time PCR analyses indicate that five detoxification pathway-related genes were downregulated in AFB 1 -treated Gnmt2/2 mice: Cyp1a2, Cyp3a44, Cyp2d22, Gsta4 and Abca8a. In summary, we observed overall higher susceptibility to AFB 1 -related HCC in Gnmt2/2 mice, further evidence that GNMT overexpression is an important contributing factor to liver cancer resistance.Human hepatocarcinogenesis is a multistage process with multifactorial etiology, including genetic and environmental interactions. The risk factors associated with HCC include chronic infection with the hepatitis B or C virus, exposure to dietary aflatoxin B1 (AFB 1 ) on moldy corn and vegetables, and that simultaneous infection with hepatitis B virus and ingestion of AFB 1 leads to a synergistic increase in liver carcinogenesis and HCC.1 Two unusual phenomena have been observed in the epidemiology of human hepatocellular carcinoma (HCC): (i) high morbidity in sub-Saharan Africa and eastern Asia, implying a large prevalence of HBV and the contamination of foodstuffs with AFB 1 and (ii) regardless of region, HCC is more prevalent in males, with reported maleto-female ratios in most countries ranging from 2:1 to 6:1.
1-3Aflatoxin ingestion has been identified as a major risk factor for HCC development in Africa and Asia.4-6 AFB 1 epoxide binds covalently to DNA and induces G-to-T transversions at the third base in codon 249 of the p53 gene. 7,8 Male mice have been shown to be more susceptible than female mice to AFB 1 -induced liver tumor formation, 9,10 and multiple proteins are known to be capable of binding with AFB 1 in rat liver cytosols.
11We recently reported that glycine N-methyltransferase (GNMT) can bind with AFB 1 and inhibits DNA adduct formation. 12 We also used AFB 1 to challenge GNMT transgenic mice intraperitoneally. After 11 months, w...