title: Nonsmoking-related arylamine exposure and bladder cancer risk.
abstract: Roughly one-half of bladder cancer incidence in the United States can be attributed to known causes, mainly cigarette smoking, and it has been hypothesized that the aromatic amines in tobacco smoke are important etiological agents. Nonsmokers are also exposed, through unknown sources, to many of the same carcinogenic aromatic amines that are present in cigarette smoke. Previous epidemiological studies have not tested whether either of these aromatic amine exposures are associated with cancer risk. We conducted a population-based case-control study in Los Angeles County, California, involving 761 case patients with bladder cancer and 770 individually matched control subjects. In-person interviews provided information on tobacco smoking and other potential risk factors. Quantitative analysis of hemoglobin adducts of 4- and 3-aminobiphenyl (ABP) was used to assess aromatic amine exposure. Adducts of both aminobiphenyls were significantly higher in cases than in controls, independent of cigarette smoking at the time of blood collection and lifetime smoking history. Adjustment for other risk factors as well as for metabolic differences did not materially alter the associations. Our findings strengthen the connection between exposure to aromatic amines in tobacco smoke and cigarette smoking-related bladder cancer and suggest that environmental exposure to arylamines may account for a significant proportion of nonsmoking-related bladder cancer in the general population.
authors.affiliation: Biological Engineering Division, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA. skipper@mit.edu
authors.forename: Paul L
authors.initials: PL
authors.lastname: Skipper
authors.forename: Steven R
authors.initials: SR
authors.lastname: Tannenbaum
authors.forename: Ronald K
authors.initials: RK
authors.lastname: Ross
authors.forename: Mimi C
authors.initials: MC
authors.lastname: Yu
mesh_terms: D000328:Adult; D024322:Amino Acids, Aromatic / Q000009:adverse effects* / Q000378:metabolism; D000611:Aminobiphenyl Compounds / Q000378:metabolism; D015415:Biomarkers / Q000097:blood; D002274:Carcinogens, Environmental / Q000009:adverse effects / Q000378:metabolism; D016022:Case-Control Studies; D004781:Environmental Exposure / Q000009:adverse effects; D005260:Female; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects* / Q000378:metabolism; D013223:Statistics as Topic; D014028:Tobacco Smoke Pollution / Q000009:adverse effects; D001749:Urinary Bladder Neoplasms / Q000453:epidemiology* / Q000209:etiology* / Q000378:metabolism
chemical_list: D024322:Amino Acids, Aromatic; D000611:Aminobiphenyl Compounds; D015415:Biomarkers; D002274:Carcinogens, Environmental; D006454:Hemoglobins; D014028:Tobacco Smoke Pollution; C006757:4-biphenylamine; C049671:3-aminobiphenyl