title: Urinary mutagenicity and colorectal adenoma risk.
abstract: We investigated urinary mutagenicity and colorectal adenoma risk in a clinic-based, case-control study of currently nonsmoking cases (n = 143) and controls (n = 156). Urinary organics were extracted by C18/methanol from 12-h overnight urine samples, and mutagenicity was determined in Salmonella YG1024 +S9 (Ames test). Adenoma risk was 2.4-fold higher in subjects in the highest versus the lowest quintile of urinary mutagenicity (95% confidence interval = 1.1-5.1). Combining urinary mutagenicity with intake of meat-derived mutagenicity (from our earlier analysis) resulted in a 5.6-fold increase in adenoma risk (95% confidence interval = 2.2-13.9, comparing the highest with the lowest quintile). In our study population, diet may have contributed to mutagenic exposure, which was positively associated with colorectal adenoma risk.
authors.affiliation: Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Department of Health and Human Services, Bethesda, Maryland 20892-7273, USA. petersu@mail.nih.gov
authors.forename: Ulrike
authors.initials: U
authors.lastname: Peters
authors.forename: David M
authors.initials: DM
authors.lastname: DeMarini
authors.forename: Rashmi
authors.initials: R
authors.lastname: Sinha
authors.forename: Lance R
authors.initials: LR
authors.lastname: Brooks
authors.forename: Sarah H
authors.initials: SH
authors.lastname: Warren
authors.forename: Nilanjan
authors.initials: N
authors.lastname: Chatterjee
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Rothman
mesh_terms: D000236:Adenoma / Q000209:etiology* / Q000235:genetics*; D000293:Adolescent; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D015179:Colorectal Neoplasms / Q000209:etiology* / Q000235:genetics*; D004032:Diet; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009152:Mutagenicity Tests; D009153:Mutagens / Q000032:analysis*; D012475:Salmonella / Q000235:genetics; D016482:Urinalysis
chemical_list: D009153:Mutagens