Abstract |
Cigarette smoking is a major risk factor for squamous cell carcinoma of the head and neck (SCCHN), but only a fraction of those exposed to cigarette smoke develops SCCHN, suggesting variation in individual susceptibility. Tobacco smoke contains a number of carcinogens that cause various kinds of damage to DNA. In this study, we simultaneously measured benzo[a]pyrene diol epoxide-induced DNA damage and chromosomal aberrations by the comet assay and the mutagen sensitivity assay, respectively, in cultured primary lymphocytes from newly recruited 123 patients with SCCHN and 136 age- and sex-matched controls. Using the control median as the cut-off, the elevated risk of SCCHN was 2.35 (95% CI, 1.37-4.03), 2.28 (95% CI, 1.34-3.98) and 3.25 (95% CI, 1.85-5.07) for high levels of tail extension, tail length and oliver tail moment of the comet assay, respectively, and 1.75 (95% CI, 1.04-2.94) for high levels of chromosomal aberrations of the mutagen sensitivity assay. The effects of these 2 types of measurements were additive; subjects with high levels of both DNA damage and chromosomal aberrations had a 4.77-fold increased risk (95% CI, 2.73-8.36) of SCCHN. Cigarette smoking further elevated this risk to more than 20-fold (OR 23.6; 95% CI, 8.92-62.3). These data support our previous finding that suboptimal repair contributed to susceptibility to SCCHN and the new data further suggests a possible gene-environment interaction that may play an important role in the etiology of SCCHN. Further validation studies are warranted.
|
Authors | Ping Xiong, Zhibin Hu, Chunying Li, Li-E Wang, Adel K El-Naggar, Erich M Sturgis, Qingyi Wei |
Journal | International journal of cancer
(Int J Cancer)
Vol. 121
Issue 12
Pg. 2735-40
(Dec 15 2007)
ISSN: 1097-0215 [Electronic] United States |
PMID | 17724733
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
|
Copyright | (c) 2007 Wiley-Liss, Inc. |
Chemical References |
- Carcinogens
- Mutagens
- 7,8-Dihydro-7,8-dihydroxybenzo(a)pyrene 9,10-oxide
|
Topics |
- 7,8-Dihydro-7,8-dihydroxybenzo(a)pyrene 9,10-oxide
(toxicity)
- Adult
- Aged
- Carcinogens
(toxicity)
- Carcinoma, Squamous Cell
(epidemiology, etiology, genetics)
- Case-Control Studies
- Chromosome Aberrations
(chemically induced)
- Comet Assay
- DNA Damage
(drug effects)
- DNA Repair
- Female
- Genetic Predisposition to Disease
- Head and Neck Neoplasms
(epidemiology, etiology, genetics)
- Humans
- Lymphocytes
- Male
- Middle Aged
- Mutagens
(toxicity)
- Odds Ratio
- Risk Assessment
- Risk Factors
- Smoking
(adverse effects)
- Texas
(epidemiology)
|