It has been shown that the magnitude of DNA synthesis and the time at which maximal DNA synthesis occurs after two-thirds partial hepatectomy (PH) is greatly reduced in the liver of aged rodents compared to young animals. This reduction could represent an intrinsic defect in proliferation or a more specialized change in the response to PH. We therefore evaluated the proliferative capacity of hepatocytes in aged animals, following treatment with primary liver mitogens. We show that treatment of 12-month-old CD-1 mice with the hepatomito-gen 1,4-bis[2-(3,5-dichloropyridyloxy)] benzene (TCPOBOP) caused an increase in hepato-cyte proliferation similar to that seen in young (8-week-old) mice. The labeling index was 82% in the livers of aged mice versus 76% in young animals. Histological observation demonstrated that the number of hepatocytes entering mitoses was similar in both groups; the mitotic indices were 2.5 per thousand and 2.7 per thousand, respectively. Additional experiments showed that the timing of DNA synthesis and M phase were nearly identical in both aged and young mice. Stimulation of hepatocyte DNA synthesis was associated with increased expression of several cell cycle-associated proteins (cyclin D1, cyclin A, cyclin B1, E2F, pRb, and p107); all were comparable in aged mice and young mice. TCPOBOP treatment also increased expression of the Forkhead Box transcription factor m l b (Foxmlb) to a similar degree in both groups. In conclusion, hepatocytes retain their proliferative capacity in old age despite impaired liver regeneration. These findings suggest that therapeutic use of mitogens would alleviate the reduction in hepatocyte proliferation observed in the elderly. (HEPATOLOGY 2004;40:981-988.) he liver plays a central role in the metabolic functions of the body, carrying out over 5,000 func-T tions, with a remarkable capacity to adapt to metabolic perturbance. Liver regeneration after partial hepatectomy (PH) typifies one such capacity: the organ Abbreviations: PH, partial hepatectomy; Foxmlb, Forkhead Box mlb; TCPOBOP, 1,4-bis[2-(3,5-dicbloropyridyloxy)]benzene; CAR, constitutive an-drostane receptor; TNF-a tumor necrosis factor (Y IL-6, interleukin 6; mRNA, messenger RNA; B r d u bromodeoyuridine; LI, labeling index; kb, kilobase; cDNA, complementary DNA; P A , R N h e protection assay; SDS, sodium dodecyl suFate. changes instantly from an essentially quiescent state to a rapidly growing one. Experimental models of regenera-tion have been the target of many studies that probed the control mechanisms of liver growth.2-5 This type of re-generative liver growth, termed "compensatory regenera-tion" or "compensatory hyperplasia," also occurs after liver cell necrosis due to chemical, nutritional, vascular, or viral injury. Several studies on the regenerative response of the liver that follows two-thirds PH have shown a striking difference in both the magnitude of the peak response in DNA synthesis and the time at which the maximal DNA synthesis occurs between young (4-8 weeks) and aged (12-15 month...