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Genetic polymorphism of CYP2A6 as one of the potential determinants of tobacco-related cancer risk.

Abstract
Analyzing the CYP2A6 gene of subjects who showed a poor metabolic phenotype toward SM-12502, we discovered a novel mutant allele (CYP2A6*4C) lacking the whole CYP2A6 gene. Using genetically engineered Salmonella typhimurium expressing a human CYP, we found that CYP2A6 was involved in the metabolic activation of a variety of nitrosamines such as 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) contained in tobacco smoke. Taking these results into consideration, we hypothesized that the subjects carrying the CYP2A6*4C allele had lower risk of tobacco-related lung cancer. In accordance with our hypothesis, our epidemiological studies indicated that smokers homozygous for the CYP2A6*4C allele showed much lower odds ratios toward cancer risk. Other mutant alleles reducing the CYP2A6 activity, besides CYP2A6*4C, also reduced the risk of lung cancer in smokers, particularly of squamous-cell carcinoma and small-cell carcinoma, both smoking-related cancers. 8-Methoxypsoralen, an inhibitor of CYP2A6, efficiently prevented the occurrence of adenoma caused by NNK in A/J mice.
AuthorsTetsuya Kamataki, Masaki Fujieda, Kazuma Kiyotani, Shunsuke Iwano, Hideo Kunitoh
JournalBiochemical and biophysical research communications (Biochem Biophys Res Commun) Vol. 338 Issue 1 Pg. 306-10 (Dec 09 2005) ISSN: 0006-291X [Print] United States
PMID16176798 (Publication Type: Journal Article, Review)
Chemical References
  • Mixed Function Oxygenases
  • Aryl Hydrocarbon Hydroxylases
  • CYP2A6 protein, human
  • Cytochrome P-450 CYP2A6
Topics
  • Animals
  • Aryl Hydrocarbon Hydroxylases (antagonists & inhibitors, genetics)
  • Cytochrome P-450 CYP2A6
  • Humans
  • Lung Neoplasms (drug therapy, enzymology, epidemiology, genetics)
  • Mice
  • Mice, Inbred A
  • Mixed Function Oxygenases (antagonists & inhibitors, genetics)
  • Polymorphism, Genetic
  • Risk Factors
  • Smoking (adverse effects, genetics)

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