The liver has an extremely effective regenerative capacity. When 70% of a rat liver is removed by surgery, the liver mass regrows in 7 to 10 days by the compensatory hyperplasia of the remnant part. In case of damage to the surviving hepatocytes, the facultative stem-cell compartment is activated and the liver regenerates by means of oval-cell proliferation/differentiation. In the present study, we demonstrate that when both hepatocyte proliferation and stem-cell activation were prevented by dexamethasone (Dex) administration, the liver mass was restored in the absence of DNA synthesis. The restoration of the liver was accomplished by the preferential enlargement/hypertrophy of the periportal hepatocytes. A similar response was observed when cell proliferation was arrested by 5-fluorouracil (FU) following partial hepatectomy. Therefore, the hepatocytic hypertrophy appears to provide an alternative mechanism of livermass restoration. This hypertrophic condition of the liver is not stable, because following the withdrawal of Dex, the enlarged hepatocytes entered in the cell cycle and the normal liver structure and DNA content was re-established. The liver/body weight ratio is strictly regulated in animals and humans. As observed in both clinical and experimental situations, transplanted livers that are of small size for the recipient grow, while large ones decrease in size. [1][2][3] The most extensively studied model of this accommodation is the partial hepatectomy (PH). When a portion of the liver is removed by surgery or destroyed by toxic injury, the remnant piece reacts with immediate regeneration. The differentiated hepatocytes enter the cell cycle and in 7 to 10 days replace the 70% loss of the liver mass via compensatory hyperplasia. 4 Studies during the last decade revealed that a second backup mechanism for liver regeneration exists. The normally dormant stem-cell compartment of the liver is activated if the hepatocytes are compromised and cannot respond to the proliferative stimulus. 5 The progeny of the stem cells, the so-called oval cells, invade the liver lobule from the periportal space and replace the lost parenchyma by proliferation and differentiation. 6 We have described recently 7 that a single administration of dexamethasone (Dex) is able to reversibly reduce the proliferative response of the hepatocytes following PH. Furthermore, repeated administration of Dex almost completely blocked the oval-cell proliferation/differentiation induced by the 2-acetylaminofluorene/PH reaction. Therefore, Dex is able to inhibit both the hepatocytic-and stem-cell-driven mechanisms of liver regeneration. Based on these observations, we decided to study the effect on the liver when we performed PH and blocked the hepatocyte replication, as well as stem-cell activation, by prolonged Dex administration. Surprisingly, we found that the liver mass was restored in spite of the severe inhibition of DNA synthesis. The reconstitution of the liver occurred by the preferential enlargementhypertrophy-of the periportal hepa...