A transgenic mouse strain that expresses the hepatitis B virus (HBV) large envelope protein in the liver was used to determine the extent of oxidative DNA damage that occurs during chronic HBV infection. This mouse strain develops a chronic necroinflammatory liver disease that mimics the inflammation, cellular hyperplasia, and increased risk for cancer that is evident in human chronic active hepatitis. When perfused in situ with nitroblue tetrazolium, an indicator for superoxide formation, the liver of transgenic mice displayed intense formazan deposition in Kupffer cells, indicating oxygen radical production, and S-phase hepatocytes were commonly seen adjacent to the stained Kupffer cells. Similar changes were not observed in nontransgenic control livers. To determine whether these events were associated with oxidative DNA damage, genomic DNA from the livers of transgenic mice and nontransgenic controls was isolated and examined for 8-oxo-2'-deoxyguanosine, an oxidatively modified adduct of deoxyguanosine. Results showed a significant, sustained accumulation in steady-state 8-oxo-2'-deoxyguanosine that started early in life exdusively in the transgenic mice and increased progressively with advancing disease. The most pronounced increase occurred in livers exhibiting microscopic nodular hyperplasia, adenomas, and hepatocellular carcinoma. Thus, HBV transgenic mice with chronic active hepatitis display greatly increased hepatic oxidative DNA damage. Moreover, the DNA damage occurs in the presence of heightened hepatocellular proliferation, increasing the probability of fixation of the attendant genetic and chromosomal abnormalities and the development of hepatocellular carcinoma.Chronic inflammatory diseases affect millions of people world-wide and may be a primary factor in the development of up to one-third of all cancers (1). A major association between a persistent infection and cancer is evident in chronic active hepatitis B virus (HBV) infection (2). Epidemiological studies show that incidence of hepatocellular carcinoma (HCC) correlates strongly to geographical areas of endemic HBV infection (3). Furthermore, patients with chronic hepatitis have a much higher incidence of liver cirrhosis and HCC than individuals not infected with HBV (4). Also, HBV antigens in sera of patients are associated with HCC (5). Because the virus infects >300 million people throughout the world, HBV has been described as second only to tobacco as a known human carcinogen (6).Despite the apparent epidemiological association of chronic active hepatitis infection and cancer, the mechanisms involved are still not entirely understood. Research has been hampered due to the long latency period between the onset of infection and cancer development, and the lack of suitable animal models that mimic chronic active human hepatitis.HBV does not contain any known acutely transforming oncogenes, and only rarely do integrated HBV sequences activate cellular protooncogenes (7-10). In contrast, persistent inflammation associated with chro...