title: Correlation of DNA adducts in blood mononuclear cells with tobacco carcinogen-induced damage in human lung.
abstract: The formation of carcinogen-DNA adducts within the respiratory epithelium is thought to be a critical factor in the induction of lung cancer from tobacco smoke. A reliable surrogate measure of carcinogen damage to the lung would be of great value in molecular epidemiological studies of cancer risk. The validity of measurements of DNA adducts formed from hydrophobic aromatic hydrocarbons in peripheral blood mononuclear cells (MNCs) was investigated by comparing the levels of aromatic DNA adducts detected in lung tissue from 31 lung cancer patients with those detected in MNCs from the same individuals using the 32P-postlabeling assay. The associations of smoking history and intake of dietary antioxidants with adduct levels also were assessed. Tissue-specific, as well as common DNA adducts were detected in lung and blood; total MNC adduct levels were highly correlated with total lung adducts. After smoking cessation, adduct levels appeared to decay in both tissues at similar rates. Multivariate analyses (Poisson regression modeling) indicated that dietary antioxidant intake (carotenoids, vitamin A, and retinol) modified the levels of aromatic DNA adducts in both the lungs and blood. Of all models tested, the optimal one for predicting lung adduct levels included the measure of blood MNC adduct levels only. Therefore, blood MNCs are a valid surrogate tissue for estimating the burden of DNA adducts in respiratory tissue in molecular epidemiological studies.
authors.affiliation: Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco 94143-0560, USA.
authors.forename: J K
authors.initials: JK
authors.lastname: Wiencke
authors.forename: K T
authors.initials: KT
authors.lastname: Kelsey
authors.forename: A
authors.initials: A
authors.lastname: Varkonyi
authors.forename: K
authors.initials: K
authors.lastname: Semey
authors.forename: J C
authors.initials: JC
authors.lastname: Wain
authors.forename: E
authors.initials: E
authors.lastname: Mark
authors.forename: D C
authors.initials: DC
authors.lastname: Christiani
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002273:Carcinogens / Q000378:metabolism* / Q000633:toxicity; D004247:DNA / Q000097:blood / Q000187:drug effects*; D018736:DNA Adducts / Q000097:blood*; D004249:DNA Damage; D005260:Female; D006801:Humans; D006838:Hydrocarbons / Q000378:metabolism / Q000633:toxicity; D007963:Leukocytes, Mononuclear / Q000187:drug effects / Q000378:metabolism*; D008168:Lung / Q000187:drug effects* / Q000378:metabolism; D008175:Lung Neoplasms / Q000097:blood / Q000209:etiology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015203:Reproducibility of Results; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation; D013997:Time Factors
chemical_list: D002273:Carcinogens; D018736:DNA Adducts; D006838:Hydrocarbons; D004247:DNA