long-term administration of the agent. The copper level Trientine dihydrochloride (trientine) is an alternative in the liver of treated rats was reduced by 33% at 87 medicinal copper chelating agent for patients with Wilweeks of age. Development of HCC in LEC rats might be son's disease of penicillamine intolerance. We examined partly, but not totally, because of copper accumulation. the effects of trientine on the spontaneous development No effects on the levels of copper, iron, or zinc in the of hepatitis and hepatic tumors, by its short-term and liver of LEA rats was detected, and no adverse effects long-term administration to Long-Evans cinnamon were detected in either LEC or LEA rats after both short-(LEC) rats with an accumulation of copper in the liver, and long-term administration of trientine in drinking as animal models of Wilson's disease. Male rats were water. (HEPATOLOGY 1996;23:764-770.) given trientine in their drinking water at 1500 ppm for 18 weeks, from 6 weeks to 24 weeks of age in short-term experiment, and 1500 ppm for 27 weeks then 750 ppmThe mutant strain of rats, LEC (Long-Evans cinnafor 52 weeks, from 8 to 87 weeks of age in the long-term mon) was first found after sudden death of a number experiment. Development of hepatitis was observed in the control LEC rats at 18 weeks of age. They had high of them at 18-20 weeks of age, following their developlevels of plasma transaminases (glutamic oxaloacetic ment of hepatitis. This strain of rats consistently develtransaminase [GOT], glutamic pyruvic transaminase ops hepatitis with varying degrees of severity. The hep-[GPT]), and on pathological examination, hepatocyte de-atitis is characterized by an increase in the serum struction was observed. Histological findings revealed levels of glutamic oxaloacetic transaminase (GOT) and that short-term administration of trientine inhibited the glutamic pyruvic transaminase (GPT), hyperbilirubidevelopment of hepatitis remarkably. The plasma GOT nemia, and massive necrosis without an inflammatory and GPT levels of treated animals were only slightly cells response. [1][2][3] Most of the rats surviving the hepati- In the long-term administration of trientine, the inci-accumulate copper in their livers. 5 By linkage analysis dence of hepatic cell carcinoma (HCC) in the treated rats of F 1 back-crosses, we found that the genetic trait leadwas 67% that of the untreated LEC rats, and the number ing to the accumulation of copper in the liver is tightly of HCCs per rat in the treated group was 0.7 { 0.5, being linked with development of hepatitis. 6 Linkage analysignificantly lower as compared with 4.7 { 3.5 in the sis of F 1 back-crosses has also suggested that the gene untreated rats. Additionally, the development of cholan-responsible for Wilson's disease (Wc1/pWD), which engiofibrosis in LEC rats was completely prevented by codes a copper transporting P-type ATPase (ATP7B), is a candidate gene for hepatitis development in LEC rats. 7,8 Actually, a deletion in the rat Atp7b was found. 9Abbreviations: LEC, Lon...