Enhanced Susceptibility of Ogg1 Mutant Mice to Multiorgan Carcinogenesis
Abstract: The role of deficiency of oxoguanine glycosylase 1 (Ogg1) Mmh homolog, a repair enzyme of the 8-hydroxy-2’-deoxyguanosine (8-OHdG) residue in DNA, was investigated using the multiorgan carcinogenesis bioassay in mice. A total of 80 male and female six-week-old mice of C57BL/6J background carrying a mutant Mmh allele of the Mmh/Ogg1 gene (Ogg1−/−) and wild type (Ogg1+/+) mice were administered N-diethylnitrosamine (DEN), N-methyl-N-nitrosourea (MNU), N-butyl-N-(4-hydroxybutyl) nitrosamine (BBN), N-bis (2-hydroxypropyl) nitrosamine (DHPN) and 1,2-dimethylhydrazine dihydrochloride (DMH) (DMBDD) to induce carcinogenesis in multiple organs, and observed up to 34 weeks. Significant increase of lung adenocarcinomas incidence was observed in DMBDD-treated Ogg1−/− male mice, but not in DMBDD-administered Ogg1+/+ animals. Furthermore, incidences of lung adenomas were significantly elevated in both Ogg1−/− males and females as compared with respective Ogg1−/− control and DMBDD-treated Ogg1+/+ groups. Incidence of total liver tumors (hepatocellular adenomas, hemangiomas and hemangiosarcomas) was significantly higher in the DMBDD-administered Ogg1−/− males and females. In addition, in DMBDD-treated male Ogg1−/− mice, incidences of colon adenomas and total colon tumors showed a trend and a significant increase, respectively, along with significant rise in incidence of simple hyperplasia of the urinary bladder, and a trend to increase for renal tubules hyperplasia in the kidney. Furthermore, incidence of squamous cell hyperplasia in the forestomach of DMBDD-treated Ogg1−/− male mice was significantly higher than that of Ogg1+/+ males. Incidence of small intestine adenomas in DMBDD Ogg1−/− groups showed a trend for increase, as compared to the wild type mice. The current results demonstrated increased susceptibility of Ogg1 mutant mice to the multiorgan carcinogenesis induced by DMBDD. The present bioassay could become a useful tool to examine the influence of various targets on mouse carcinogenesis.
1.Introduction
DNA damage and disruption of DNA repair are considered key factors in the susceptibility of mammals to endogenous and exogenous carcinogens, as well as processes of aging and cancer development [1]. The oxidative DNA damage includes a variety of oxidative lesions in DNA and the main attack site of reactive oxygen species (ROS) is at the 8 position of guanine, producing strongly mutagenic base 8-hydroxy-2′-deoxyguanosine (8-OHdG) [2]. 8-OHdG is used as an oxidative DNA damage marker which mispairs with adenine (A) residues, thus resulting in increase of spontaneous G:C to T:A transversion mutations [3].Three DNA repair enzymes from various bacteria and Saccharomyces cerevisiae, namely, the MutM (Fpg), MutY and MutT DNA glycosylase homologs are known to prevent spontaneous mutagenesis induced by 8-OHdG [4]. In mammalian cells, the MutM homolog (MMH; the glycosylase/apurinic, apyrimidinic (AP) lyase), MutY and MutT homolog enzymes have also been identified [5–7]. In both mammalian and yeast cells, cloned human and mouse cDNAs encode distinct nuclear and mitochondrial forms of the DNA glycosylase, the product of the Ogg1 gene, which is generated by alternative RNA splicing [8–10]. MutY and MutM homologs prevent G:C to T:A transversions in DNA, while MutT protein hydrolyzes 8-oxo-dGTP to 8-oxo-dGMT and pyrophosphate, thus avoiding the occurrence of A:T to C:G transversion mutations during DNA replication [11,12]. Analysis of the mutation spectrum revealed that the frequency of G:C to T:A transversions increased five-fold in Ogg1 mutant mice compared with wild-type animals [8].
Mmh/Ogg1 homozygous mutant (Ogg1−/−) mice used in our studies have physically normal appearance but exhibit three- and seven-fold increased accumulation of 8-OHdG adduct at 9 and 14 weeks of age, respectively, in comparison with or heterozygous or wild-type animals [13]. We have previously demonstrated that treatment of Ogg1−/− mice with dimethylarsinic acid (DMA) and phenobarbital (PB) for 78 weeks resulted in enhancement of lung and liver carcinogenesis, respectively [14,15]. The tremendous increase of 8-OHdG levels with consequent G:C to T:A transversions and deletions in the kidney DNA of Ogg1−/− mice were reported following administration of potassium bromate (KBrO3) [8]. Furthermore, a significant increase of mutation frequency in Ogg1−/− mice livers was observed during liver regeneration after partial hepatechtomy following KBrO3 treatment [16]. In addition, Sakumi et al. and Xie et al. demonstrated spontaneous development of lung, ovary tumors and lymphomas in Myh and Ogg1 knockout mice [5,17]. However, it is still unknown how the ablation of these enzymes affects the tumorigenicity of various chemical carcinogens.Previously, several in vivo bioassay systems for carcinogenicity detection of test compounds have been developed. However, these bioassays usually predict carcinogenicity of test chemicals only in single organs with known strategies of carcinogenesis initiation.
To develop the experimental approach for the determination of carcinogenicity in numerous target organs, multiorgan wide-spectrum initiation bioassay (namely, the multiorgan carcinogenicity bioassay: DMBDD model) has been established [18–21]. This bioassay was applied in rats and included treatment with five genotoxic carcinogens, N-diethylnitrosamine (DEN), N-methyl-N-nitrosourea (MNU), N-butyl- N-(4-hydroxybutyl) nitrosamine (BBN), N-bis (2-hydroxypropyl) nitrosamine (DHPN) and 1,2-dimethylhydrazine dihydrochloride (DMH) (DMBDD), as initiators of liver, lungs, kidneys, urinary bladder, stomach, small intestine, colon and thyroid gland carcinogenesis [19,22,23]. It has been demonstrated that DMBDD-induced organ-specific DNA damage could be attributed to free radicals, methylation, and accumulation of non-repaired DNA damage [23]. In rats, DEN is usually used as initiator of liver carcinogenesis, BBN as initiator of bladder carcinogenesis, DMH as initiator of intestine carcinogenesis, and MNU as initiator of stomach, bladder and liver carcinogenesis [24]. DHPN is a wide-spectrum carcinogen in rats, which induces lung, thyroid, kidney, bladder and liver cancers [23,25]. In previous studies, DMBDD treatment has been proposed to inactivate the tumor suppressor p53 in the bladder tumors of Zucker diabetic rats [26]. However, to our knowledge, the DMBDD model was never applied in mice and there is no information how the DMBDD treatment influences oncogenes and tumor suppressor genes.
The aim of the present study was to investigate the differences in susceptibility of Ogg1 mutant and wild type mice of C57BL/6J background to the treatment with five types of genotoxic carcinogens (DEN, MNU, BBN, DHPN and DMH: DMBDD) by applying the multiorgan carcinogenesis bioassay in mice.
2.Results
All control Ogg1−/− male or female mice were alive at the end of the study. They were healthy and long-lived as compared to the control Ogg1+/+ mice. Three DMBDD-treated Ogg1 knockout male and three female mice were found moribund at Weeks 11, 12, and 17, and 10, 20 and 25, respectively. The causes of death of Ogg1−/− male mice were malignant lymphomas/leukemia, lung adenocarcinoma and fibrosarcoma, while Ogg1−/− female mice died due to the development of lymphoma/leukemia. Four DMBDD-administered Ogg1+/+ male and one female mice died at Weeks 16, 29, 33, 35 and 32, respectively. The main causes of death in male and female wild type mice were malignant lymphoma/leukemia, T cell lymphoma and bladder transitional cell carcinoma (TCC). One non-treated control Ogg1+/+ male mouse was found moribund at Week 27 due to a urinary tract infection.As lung, liver and colon tumors were observed in the DMBDD-treated Ogg1−/− mice thatwere found moribund during the study, effective number of animals used for the histopathological analysis included all mice. Body weight and survival curves, final body weight and absolute and relative organ weights of mice are shown in Table 1 and Figure 1. Body weights of control Ogg1 mutant male and female mice were significantly lower than those of wild type mice all through the experiment. DMBDD treatment induced significant decrease of body weight of both Ogg1 mutant and wild type mice, However, at Experimental Week 14, mean body weight of Ogg1−/− mice became equal to that of the corresponding control animals of the same genotype, while the body weight of the DMBDD-administered Ogg1+/+ mice continued to be significantly lower compared to the control Ogg1+/+ until the end of the study (Figure 1A).
Therefore, at Week 34, final body weight of the DMBDD-treated Ogg1+/+ but not Ogg1−/− mice were significantly decreased as compared with the control mice of the same genotype.DMBDD administration inhibited food intake of the Ogg1+/+, but not the Ogg1−/− mice comparedwith the control mice of the same genotype (Figure S1A). Water intakes were similarly decreased in all DMBDD-treated Ogg1−/− and Ogg1+/+ animals (Figure S1B). Thus, the body weight of the DMBDD-administered Ogg1+/+ mice appeared to be significantly lower than the control Ogg1+/+ due to the inhibited food intake. The absolute and relative liver, kidneys and spleen weights of the control Ogg1−/− male and female mice were significantly lower than those of the control Ogg1+/+ mice (Table 1). DMBDD treatment induced significant increases of relative liver, kidneys and spleen weights of Ogg1 mutant but not wild type both male and female mice in comparison with corresponding Ogg1−/− controls. The absolute and relative weights of the lungs were significantly increased in both Ogg1−/− and Ogg1+/+ male and female mice (Table 1).Survival curves for the DMBDD-administered and control Ogg1−/− and Ogg1+/+ mice are presented in Figure 1B. In the present model, there were no significant differences in survival between the control Ogg1 homozygous mutant and wild type mice. Trends for decrease in survival were observed in both Ogg1−/− and Ogg1+/+ DMBDD-treated animals.
However, in DMBDD-treated Ogg1−/− male and female mice earlier decrease in survival (males: Week 11; females: Week 10), respectively, as compared to the wild type mice (males: Week 16; females: Week 32) was found (Figure 1B). Importantly, the earlier development of tumors in DMBDD-administered Ogg1−/− males and females, mostly malignant lymphomas/leukemias, lung adenocarcinoma and subcutaneous tumors (fibrosarcomas) was the reason for their earlier mortality.Table 2 summarizes the data on the incidence of preneoplastic, neoplastic and some non-neoplastic lesions and general distribution of tumors induced by DMBDD administration in Ogg1 knockout and wild type mice. Representative pictures of neoplastic lesions observed in the lungs, livers and colons of mice are presented in Figure 2. Neoplastic nodules induced in the DMBDD-treated group ofMacroscopically, no tumors were found in the non-treated control Ogg1+/+ mice, however, spontaneous development of lung nodules (hyperplasia and adenoma) was detected in the control Ogg1−/− animals. Furthermore, DMBDD-treated Ogg1−/− mice were more susceptible to the induction of different tumors as compared to Ogg1−/− control and wild type mice. DMBDD treatment induced elevation of total tumor incidence and number of tumor bearing mice in mutant, predominantly Ogg1−/− female animals (males, 100%, 5.9 ± 3.5/mouse; females, 100%, 4.6 ± 2.1/mouse, p < 0.0001), as compared to the wild type mice (males, 85%, 3.5 ± 2.8/mouse; females, 40%, 0.7 ± 0.9/mouse). All DMBDD-treated male and female Ogg1−/− mice developed many nodules in the lungs, while incidences and multiplicities of lung nodules in DMBDD-treated Ogg1+/+ was lower as compared to the Ogg1−/− DMBDD-administered animals. Furthermore, the incidence of liver lesions in Ogg1−/− mice, as well as their multiplicity was also increased after carcinogens treatment as compared to the corresponding controls. Moreover, in male, but not female DMBDD-treated Ogg1−/− mice, incidences of colon tumors and fibrosarcomas, were elevated.Histopathological examination demonstrated significant elevation of incidences and multiplicities of lung adenoma and total lung tumors in DMBDD-treated Ogg1−/− male and female mice lungs (total tumors: males, 100%, 4.1 ± 2.7/mouse; females, 100%, 4.1 ± 2.2/mouse; adenoma: males, 100%, 4.0 ± 2.3/mouse; females, 95%, 2.7 ± 2.8/mouse) as compared to both respective Ogg1−/− controls (total tumors: males, 5%, 0.1 ± 0.2/mouse; females, 0%, 0/mouse; adenoma: males, 5%, 0.1 ± 0.2/mouse; females, 0%, 0/mouse ) and DMBDD-treated Ogg1+/+ mice (total tumors: males, 75%,3.0 ± 2.7/mouse; females, 60%, 1.4 ± 2.2/mouse; adenoma: males, 70%, 2.7 ± 2.8/mouse; females, 60%, 1.4 ± 2.0/mouse) (Table 2). Interestingly, significant increase of lung adenocarcinoma incidence and multiplicity was found in DMBDD-administered Ogg1−/− male mice (35%, 0.5 ± 0.7/mouse, p < 0.01), but not in the wild type males (10%, 0.1 ± 0.3/mouse) as compared to corresponding controls of the same genotype. Furthermore, incidences and multiplicities of lung adenocarcinoma were higher in female Ogg1−/− mice of DMBDD group as compared to the DMBDD-treated wild type counterparts. In addition, increases of lung hyperplasia incidences due to the DMBDD application were observed in both Ogg1 homozygous mutant and wild type mice.In the liver of Ogg1 knockout and wild type mice, DMBDD treatment caused development of putative preneoplastic foci of mostly basophilic phenotype, hepatocellular adenomas (HCAs), hemangiomas and hemangiosarcomas. Importantly, hemangiosarcomas were detected only in the Ogg1−/− mice (males, 15%, 0.6 ± 1.4/mouse; females, 5%, 0.1 ± 0.2/mouse). No hepatocellular carcinomas were apparent in DMBDD-treated Ogg1 knockout and wild type animals. Increases of HCA incidences (males, 20%; females, 20%; p = 0.05) and multiplicities (males: 0.3 ± 0.6/mouse, p = 0.05; females, 0.2 ± 0.4) were detected in livers of the DMBDD-initiated Ogg1−/− mice as compared to the Ogg1−/− controls (males, 0%, 0.1 ± 0.2/mouse; females, 0%, 0/mouse) and DMBDD-treated Ogg1+/+ groups (males, 5%, 0.1 ± 0.2/mouse; females, 0%, 0/mouse). Significant elevations of total liver tumor incidences were observed in Ogg1−/− males (25%, p < 0.05) and females (25%, p < 0.05), but not Ogg1+/+ mice as compared to the corresponding controls of the same genotype (0%). Furthermore, a trend for increase and a significant elevation of total liver tumors multiplicity were observed in DMBDD-treated Ogg1−/− males (0.9 ± 2.0/mouse, p = 0.05) and females (0.3 ± 0.6/mouse, p < 0.05), in respect of control Ogg1−/− group. In addition, DMBDD administration caused elevation of bile duct proliferation in the liver of Ogg1−/− mice as compared to the Ogg1−/− and Ogg1+/+ counterparts. Significant increases of biliary cysts formation in the DMBDD groups were observed in the liver of both Ogg1−/− and Ogg1+/+ animals in respect of corresponding controls (Table 2).In kidneys, significant increase of renal tubular degeneration (80%, p < 0.05) and a trend for increase of tubular renal cell HPL was found in the DMBDD-treated Ogg1−/− male mice as compared to corresponding controls of the knockout and wild type genotypes (Table 2). Only one Ogg1+/+ DMBDD-treated mouse developed renal adenoma.In the urinary bladder, significant increase of simple hyperplasia (25%, p < 0.05) and a trend for increase of papillary and nodular (PN) hyperplasia (20%) incidences as compared to the corresponding controls of the same genotype was detected (Table 2).The incidence of total colon tumors (25%, p < 0.05) was significantly increased in the DMBDD-treated Ogg1−/− male mice but not in the DMBDD-administered wild type males (10%). Development of adenocarcinoma (5%) was found in one male Ogg1−/− mouse of the DMBDD group. Furthermore, incidences of small intestine total tumors showed a trend for increase in the DMBDD-administered Ogg1−/− male mice (20%) as compared to the Ogg1−/− control group and DMBDD-treated Ogg1+/+ animals (5%). In females, incidences and multiplicities of colon tumors induced by DMBDD were comparable with that of observed in wild type mice, pointing out the sex differences in susceptibility to colonic tumorigenesis.In the forestomach, the DMBDD treatment resulted in significant elevation of the squamous cell HPL incidence in Ogg1−/− (male, 70%, p < 0.0001; female, 55%, p < 0.001) and Ogg1+/+ (male, 35%, p < 0.01; female, 40%, p < 0.01) mice as compared to the corresponding controls of the same genotype.Furthermore, in male mice, it was significantly increased in comparison to wild type DMBDD-treated males (p < 0.05).Trends for increase of malignant lymphomas/leukemias were observed in Ogg1 homozygous mutant males (15%) and females (20%) treated with DMBDD, as compared to wild type mice (Table 2). One Ogg1+/+ female mouse in DMBDD group developed T cell lymphoma (5%).The results of the blood biochemistry analysis are shown in Table 3. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels in the blood of both Ogg1 null and wild type mice showed strong trends for increase, or were significantly elevated by the DMBDD treatment. Furthermore, this induction was higher in Ogg1−/− animals. Serum sodium (Na) levels were elevated by the DMBDD administration in both Ogg1 mutant and wild type mice. Moreover, creatinine level was higher in the blood of DMBDD-treated Ogg1−/− mice as compared to the respective Ogg1−/− control groups. Alkaline phosphatase (ALP), T-cholesterol and chloride (Cl) levels were lowered in the wild type DMBDD-treated animals, but not altered in DMBDD Ogg1−/− mice. Serum calcium (Ca) level was significantly decreased in the DMBDD-treated Ogg1 knockout male mice as compared to the wild type males administered DMBDD. In addition, inorganic phosphorus (IP) levels showed a trend for increase or the significant elevation in the blood of DMBDD-treated and control Ogg1−/− male and female mice, respectively, as compared to the wild type groups receiving the same treatment.(mg/dL)Values are means ± SD; * p < 0.05; ** p < 0.01; (i) p = 0.05 vs. respective control group of mice of same genotype. a p < 0.05; b p < 0.01 vs. respective wild type control or DMBDD group. TG, triglycerides; T-Bil, T-bilirubin; IP, inorganic phosphorus.In the blood serum of Ogg1 mutant and wild type mice, levels of total protein showed a trend (Ogg1−/− males, females and Ogg1+/+ males) and a significant decrease (Ogg1+/+ females) as compared to the non-treated respective control groups. Furthermore, albumin levels were lower in DMBDD-treated Ogg1−/− and Ogg1+/+ groups, with significant differences observed for Ogg1−/− and Ogg1+/+ DMBDD-administered males. Albumin/globulin (A/G) ratio was significantly lower in the Ogg1+/+ male DMBDD group. 3.Discussion The present study revealed that Ogg1 mutant mice are more susceptible to the induction of tumors due to the treatment with DMBDD, than wild type C57Bl/6J mice. In the DMBDD-treated Ogg1−/−mice, main causes of death besides malignant lymphoma/leukemia were lung adenocarcinoma and skin/subcutis fibrosarcoma, while Ogg1+/+ animals died from malignant lymphoma/leukemia and urinary bladder carcinoma. Furthermore, the earlier mortality of DMBDD-administered Ogg1−/− mice appeared to be due to the earlier tumor development. Importantly, DMBDD caused significant increases of incidences and multiplicities of lung adenocarcinoma in Ogg1−/− males, liver tumors in Ogg1−/− males and females and colon tumors in Ogg1−/− male mice as compared to the Ogg1−/− controls. In the kidneys, urinary bladder, stomach, small intestine and subcutis of Ogg1 mutant mice, increases of carcinogenicity as compared to the DMBDD-treated wild type animals were obvious. Lungs of Ogg1 null mice were strongly affected by DMBDD initiation, which could be concluded from significant increases of lung adenocarcinoma incidence in DMBDD-treated Ogg1−/− male mice and incidences and multiplicities of adenomas and total lung tumors in Ogg1−/− males and females. As lungs are strongly exposed to molecular oxygen, it is likely the most carcinogenicity sensitive organ in Ogg1 knockouts. Furthermore, in the lung of non-treated Ogg1−/− animals, spontaneously developed tumors were observed, possibly due to the accumulation of non-repaired oxidative DNA base modifications even in the absence of initiation. Several authors have reported an increase of spontaneous lung tumors in MutM, MutY and MutT-deficient mice [5,14,15,27]. Previously, lung tumors were also shown to be significantly induced in Ogg1−/− mice by the DMA treatment [14]. Furthermore, significant enhancement of spontaneous lung tumorigenesis was observed when the Ogg1 mutation was combined with a MutY homolog (MUTYH) or MSH2-deficient condition, and the G:C to T:A transversions in the K-ras gene were detected in the lung tumors [17]. In our previous study, genes related to cancer, cellular growth, proliferation and cell cycle (e.g., polymerase (DNA-directed), delta 4 (Pold4), cyclin C and mitogen activated protein kinase 8) and angiogenesis (e.g., matrix metalloproteinases 13, 14, and 17) were found to be up-regulated in non-treated Ogg1−/− mice lungs, but those involved in free radical scavenging, lipid metabolism, drug and endocrine system development and function were suppressed comparing to the Ogg1+/+ case [14]. From the present and previous results, MutM, MutY and MutT homologs responsible for the repair of oxidative DNA modifications are extremely important for suppression of lung tumorigenesis in mammal. DMBDD treatment induced significant increases of relative liver weights in Ogg1 homozygous mutant but not wild type mice. Furthermore, higher elevation of AST and ALT serum levels reflecting the pathological processes in the liver supported our histopathological findings in the DMBDD-treated Ogg1 knockout mice. The mechanism of DMBDD carcinogenicity in the liver of Ogg1−/− mice might be accumulation of non-repaired oxidative base modifications in DNA leading to increase of cell proliferation, occurrence of mutations and further elevation of cell proliferation, resulting in promotion and progression of liver carcinogenesis [14]. Interestingly, hemangiosarcomas were detected only in the DMBDD-treated Ogg1−/− mice. Hemangiomas and hemangiosarcomas are known to arise as primary vascular neoplasms in the liver and could be initiated in mice by DHPN [28]. They are usually not sharply demarcated from the surrounding parenchyma and the neoplastic cells are generally elongated or spindle-shaped and may form solid areas occupying dilated hepatic sinusoids and are typically locally invasive (Figure 3). Tsutsumi et al. previously demonstrated that incidences and multiplicities of hemangiomas and hemangiosarcomas in the liver were markedly higher in the poly(ADP-ribose) polymerase-1 (Parp-1)-null mice, while Parp-1 is one of the poly(ADP-ribose) polymerase family proteins taking part in genomic stability, DNA repair and cell death triggered by DNA damage [29]. Thus, the relationship between defective DNA repair and development of hemangiosarcomas may exist.Increase of DNA 8-OHdG levels has been previously reported by the DEN treatment in the livers of rats and mice [3,30]. Furthermore, mutT-deficient mice were also reported to be susceptible to liver carcinogenesis [27]. Moreover, the effect of potassium bromate, which has been reported to induce oxidative stress, was investigated in Ogg1−/− mouse liver after partial hepatectomy [16], and the results indicated a significant increase of mutation frequency and liver tumorigenicity being consistent with our present and previous data showing the promotion and progression of hepatocarcinogenesis in DMBDD and PB-treated Ogg1−/− mice [15]. Arai et al. suggested that high levels of cell proliferation are very important for the fixation of mutations induced by oxidative stress conditions in the liver [16]. Furthermore, in our previous study, it has been detected that cell proliferation and DNA 8-OHdG levels in the liver of Ogg1−/− mice treated with PB are much higher than that of wild type mice. Therefore, they are highly susceptible to the carcinogens treatment [15]. Thus, it could be suggested that accumulation of unrepaired 8-OHdG in the livers of DMBDD-treated Ogg1−/− animals might cause a significant increase of cellular proliferation, resulting in acceleration of hepatocarcinogenesis. With regard to specific elevation of cell proliferation in DMBDD target organs, elevation of cell proliferation has been previously shown in the lung, liver, colon, urinary bladder, thyroid and kidney by initiation with BBN, DEN, DMH, DHPN and MNU [31].From our previous results, in contrast to the wild type mice, in the livers of Ogg1-deficient animals, Nrf2 phosphorylation, and likely, its transformation to the nuclear did not occur, resulting in increase of oxidative stress and DNA damage of liver cells [15]. The accumulation of reactive oxygen species and non-repaired DNA oxidative base modifications in the Ogg1−/− livers, thus, could become the reason of higher susceptibility to liver tumorigenesis. At present, Nrf2 is recognized as important protein involved in regulation of broad transcriptional response preventing DNA, proteins and lipids damage, recognition, repair and removal of macromolecular damage, and tissue renewal after application of toxic substance. Mice that lack the Nrf2 transcription factor were more sensitive to the genotoxic and cytotoxic and effects of foreign chemicals and oxidants than wild-type animals [32]. Multiple studies demonstrated enhanced tumorigenicity in Nrf2-disrupted mice compared to wild-type in models of lung disease and cancer, hepatocarcinogenesis, colon cancer, stomach cancer, bladder cancer, mammary cancer, skin cancer, and inflammation [33]. Furthermore, Nrf2 has been shown to upregulate the activity of multiple DNA repair, including the process of removal of oxidative stress-induced endogenous DNA interstrand cross-links [33,34].The histological examination revealed a trend and a significant increase of renal tubular hyperplasia and degeneration, respectively, in DMBDD-treated Ogg1−/−, predominantly male mice. The observation of an increased kidney weights and blood biochemistry data supported the finding concerning serious kidneys dysfunction in Ogg1 mutant mice administered DMBDD. It has been previously suggested that Ogg1 plays a major role in renal tumorigenesis [35], thus the observed increase of renal tubular hyperplasia could be related to the insufficient repair of 8-OHdG in kidneys. Furthermore, significantly elevated sodium (Na), creatinine and IP level and lowered calcium (Ca) in the blood serum of DMBDD-initiated Ogg1−/− mice signified about the impaired kidney function or kidney disease. It has been reported that the incidence of bladder cancer induced by BBN is significantly higher in C57BL/6 mouse strains [36]. In this study, we observed development of simple, preneoplastic nodular (PN) hyperplasia and TCC in both DMBDD-administered Ogg1 homozygous mutant and wild type mice. However, a trend either significant increase for PN and simple urinary bladder hyperplasia incidences was observed, indicating increased susceptibility to bladder carcinogenesis in DMBDD-treated Ogg1−/− male and female mice.In DMBDD-treated Ogg1−/− male mice, significantly enhanced incidence and multiplicity of colon tumors as compared to the Ogg1−/− control has been found. However, in females, inductions of colon tumors induced by DMBDD in Ogg1−/− and Ogg1+/+ animals were comparable, pointing out the sex differences in susceptibility to colonic tumorigenesis. Furthermore, in our study, an increase of carcinogenicity in the small intestine of Ogg1−/− male mice was also observed. Previously, the MutY homolog (MUTYH)-null mice have been reported to have a higher susceptibility to intestinal adenoma and adenocarcinoma [37]. Thus, both the MutM and MutY deficiency leading to high levels of 8-OHdG in the colonic mucosa could be responsible for the tumorigenesis in the colon and small intestine.In the study with mutT homolog-1 (MTH1)-deficient mice, 18 months after birth, increases of tumorigenicity were also detected in stomachs, as compared with wild type mice [27]. These data support our results on enhancement of forestomach squamous cell HPL in DMBDD- treated Ogg1−/− male mice, suggesting that mutT and Ogg1 deficiency may promote carcinogenesis in the forestomach. Ogg1-null mice have been reported to show an increased susceptibility to UVB-induced skin tumorigenesis [38]. They developed more malignant tumors (squamous cell carcinomas and sarcomas) than did wild-type mice. In line with these results, in the present study, we observed increase of fibrosarcoma incidence in DMBDD-treated Ogg1−/− male mice. Furthermore, trends for increase of incidences of malignant lymphomas/leukemias induced by the DMBDD treatment in Ogg1−/− mice as compared to the Ogg1−/− controls and DMBDD-treated Ogg1+/+ animals were found. One DMBDD-treated female Ogg1+/+ mouse developed T cell lymphoma, likely due to the MNU treatment, as previously reported in C57Bl/6J mice [39], but in our study no such thymic lymphomas were observed in Ogg1−/− mice. It is necessary to mention, that no increased risk of thyroid cancer in DMBDD-treated Ogg1 knockout mice was found in this study.It is important to note that mutations in the tumor genome induced by the Ogg1 deficiency could also cause tumors to express large number of mutant tumor specific proteins (neoantigens) which have been recently demonstrated to become one of key elements for efficacy of immuno-checkpoint inhibitors as anticancer therapeutics [40]. In conclusion, this study provides the experimental evidence for a strong relationship between repair of the oxidative base modifications and multiorgan carcinogenesis. The mechanism of DMBDD carcinogenicity in the tissues of Ogg1−/− mice could be related to the accumulation of non-repaired oxidative DNA modifications leading to mutations and elevation of cell proliferation what likely resulted in promotion and progression of carcinogenesis. The multiorgan carcinogenesis bioassay is concluded to become an important tool to examine the effects of different factors on N-butyl-N-(4-hydroxybutyl) nitrosamine carcinogenicity in mice.