Spontaneous hepatocellular carcinoma has been reported as a relatively common neoplasm in prosimians; however, the cause is unknown. To investigate possible pathogenic mechanisms, the authors performed a review of all adult animals from a captive prosimian population that had postmortem examinations over the past 10 years. They performed a detailed histologic evaluation of all suspected proliferative liver lesions and diagnosed hepatocellular carcinoma in 14 of 145 lemurs (9.7%). Affected animals ranged between the ages of 6 and 40 years old. The tumors had an unusually aggressive growth pattern for animal species; metastasis to the lungs or mediastinum was evident in 7 of 14 animals. Thirty-one animals-9 with hepatocellular carcinomas and 22 age-matched controls without hepatic neoplasia-were tested to evaluate the relationship between hepatic iron stores (as well as other trace metals) and the presence of hepatocellular carcinoma. There was no difference between the hepatic iron, copper, or molybdenum in lemurs with hepatocellular carcinoma and those without, suggesting that iron is not a key element in the pathogenesis of liver tumor formation. Analysis of 22 serum samples from animals with and without liver tumors indicated no evidence of active infection with a hepadnavirus, the virus family that includes hepatitis B virus. Hepatitis C virus and aflatoxin B1 were considered as potential causes and ruled out owing to lack of associated histopathologic lesions. In conclusion, hepatocellular neoplasia is relatively common in captive prosimians, although previously suspected etiologies seem unlikely.
KeywordsHepadnaviridae, hepatocellular carcinoma, iron, lemur, liver cell adenoma, neoplasms, prosimiansLemurs and lorises are members of the suborder Prosimii, the most primitive members of the Primate family. 15 Lemurs are native to the island of Madagascar, whereas lorises are found in southern Asia. 15 Most of these species are endangered in their natural habitat, and small breeding populations are maintained at various sites around the globe. Our understanding of the general background of neoplastic disease in prosimians is limited to a few publications. 17 In a recent publication, hepatocellular neoplasia was identified as the most common spontaneous neoplasm in prosimians.17 Before this review article, spontaneous hepatic neoplasms were sporadically reported in the literature with only occasional mention of metastasis.Liver tumors in domestic animals are uncommon, representing approximately 1% of overall tumor incidence. Similarly, malignant hepatic neoplasia in anthropoid primates is uncommon. Review of the literature reveals descriptions of fewer than 16 hepatocellular carcinomas (HCCs) and 5 cholangiocarcinomas in nonhuman primates. 16 Only 5 chimpanzees with hepatocellular neoplasia have been reported. Three of the tumors were carcinomas: One occurred in a chimpanzee with chronic hepatitis B virus (HBV), a member of the hepadnaviral family, with concurrent hepatitis D virus, a satellite virus of ...