Increased 5‐lipoxygenase activity in massive hepatic cell necrosis in the rat correlates with neutrophil infiltration

Rats were treated with heat‐killed Propionibacterium acnes and subsequent injection of a small amount of lipopolysaccharide after 7 days. After 24 hr most of the rats died of massive liver cell necrosis. Nonparenchymal liver cells were isolated from this liver injury model and incubated with arachidonic acid. Reverse‐phase high‐pressure liquid chromatography detected the 5‐lipoxygenase metabolites (leukotriene B 4 and 5‐hydroxy‐arachidonic acid), whereas these compounds were produced in negligible amounts when the rats were treated with P. acnes only. Immunohistochemical studies with 5‐lipoxygenase antiserum revealed that the injured livers contained a large number of positively stained round cells with segmented nuclei, which were rarely found in the livers treated with P. acnes only. These positively stained cells were histologically identified as neutrophils. The results suggested that the increased 5‐lipoxygenase activity in the injured rat liver is attributable to the infiltrating neutrophils rather than to nonparenchymal hepatic cells. (H EPATOLOGY 1992;16:462–468.)