The genomic evolution of a cohort of WB-F344 rat liver epithelial cell lineages undergoing spontaneous neoplastic transformation was followed to define the mechanistic relationship between genomic instability and progression to the neoplastic phenotype. Eighteen independent populations of WB-F344 cells (initiated from a single diploidfounding population) were subjected to 12 cycles of selective growth at confluent cell density, and cellular DNA contents were measured after each selection cycle. Flow cytometry demonstrated significant gains in the amount of G 1 DNA after selection cycles 3, 6, and 7 in 44% (8 of 18), 89% (16 of 18), and 39% (7 of 18) of the cell populations, respectively. All populations subsequently lost DNA and returned to a diploid or pseudo-diploid DNA content within 1 to 2 selection cycles after the appearance of an increased DNA content. Additionally, appearance and subsequent disappearance of aneuploid or tetraploid subpopulations was observed in 11% (2 of 18) and 83% (15 of 18) of the experimental lineages, respectively. Although perturbations of G 1 DNA content were apparent as early as selection cycle 3, at least 8 cycles of selective growth were required for the acquisition of tumorigenicity. While the independent lineages demonstrated significant fluctuations in G 1 DNA content between selection cycles 3 and 8, the majority (11 of 13) of the populations contained a diploid or pseudodiploid DNA content at the time tumorigenicity was expressed. Genomic instability preceded the acquisition of tumorigenic potential in rat liver epithelial cells subjected to selective growth conditions of maintenance at confluence, and may be required for its expression. (HEPATOLOGY 1998;28:78-85.) DNA content analysis by flow cytometry is a useful prognostic indicator of neoplasia. In many solid tumors, a diploid DNA pattern is associated with better patient survival than an aneuploid DNA pattern, which often predicts poor patient survival. Flow cytometric analyses of the relationship between DNA ploidy pattern and patient prognosis in human hepatocellular carcinoma have produced conflicting results. A positive correlation has been reported between a diploid DNA pattern, small tumor size (Ͻ5 cm), and low tumor grade. [1][2][3][4][5] However, the significance of this correlation as it relates to patient prognosis is not clear. Tumor diploidy has been demonstrated to be positively correlated with long-term patient survival in some, [2][3][4]6,7 but not other studies. 1,5,[8][9][10] In fact, Ng et al. 11 found that a diploid DNA pattern was associated with poorer patient survival than was an aneuploid pattern in large hepatocellular carcinomas. A diploid DNA content in a tumor does not preclude the possibility that small chromosomal alterations such as balanced translocations, point mutations, and deletions are present in the tumorigenic cells. Such subtle lesions may not be detected by flow cytometry. Alternatively, the finding of diploidy in a tumor may not preclude that the tumorigenic cells underwent a ...