Major histopathological patterns of lung cancer related to arsenic exposure in German uranium miners

Objective The mechanisms of action of arsenic in the development of lung cancer are still not yet elucidated. Considering the relationship between arsenic and squamous cell carcinomas of the skin, we hypothesized that arsenic exposure may be more closely associated with squamous cell carcinoma of th...

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Veröffentlicht in:International archives of occupational and environmental health 2009-07, Vol.82 (7), p.867-875
Hauptverfasser: Taeger, Dirk, Johnen, Georg, Wiethege, Thorsten, Tapio, Soile, Möhner, Matthias, Wesch, Horst, Tannapfel, Andrea, Müller, Klaus-Michael, Brüning, Thomas, Pesch, Beate
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container_issue 7
container_start_page 867
container_title International archives of occupational and environmental health
container_volume 82
creator Taeger, Dirk
Johnen, Georg
Wiethege, Thorsten
Tapio, Soile
Möhner, Matthias
Wesch, Horst
Tannapfel, Andrea
Müller, Klaus-Michael
Brüning, Thomas
Pesch, Beate
description Objective The mechanisms of action of arsenic in the development of lung cancer are still not yet elucidated. Considering the relationship between arsenic and squamous cell carcinomas of the skin, we hypothesized that arsenic exposure may be more closely associated with squamous cell carcinoma of the lung. Methods A comprehensive histopathological database and a detailed job-exposure matrix developed for former German uranium miners with exposure to arsenic, radon, and quartz were analyzed to quantitatively assess the effect of arsenic regarding cell type of lung cancer. The distributions of major lung cancer cell types in 1,786 German uranium miners were associated with levels of arsenic exposure under control for the other lung carcinogens. To evaluate the arsenic effects in association with a frequent occupational lung disease in miners stratification by silicosis was performed. Results There was an arsenic-related increase of the proportion of squamous cell carcinoma of the lung but restricted to miners without silicosis. The increase was found at all levels of co-exposure to radon and quartz dust. In miners with silicosis, the proportion of adenocarcinoma increased with rising arsenic exposure. Arsenic exposure was associated with non-small cell lung cancer. Silicosis turned out as major determinant of the cell type related with arsenic. Conclusion These results indicate a cell type characteristic effect of arsenic in the development of lung cancer.
doi_str_mv 10.1007/s00420-008-0386-1
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Considering the relationship between arsenic and squamous cell carcinomas of the skin, we hypothesized that arsenic exposure may be more closely associated with squamous cell carcinoma of the lung. Methods A comprehensive histopathological database and a detailed job-exposure matrix developed for former German uranium miners with exposure to arsenic, radon, and quartz were analyzed to quantitatively assess the effect of arsenic regarding cell type of lung cancer. The distributions of major lung cancer cell types in 1,786 German uranium miners were associated with levels of arsenic exposure under control for the other lung carcinogens. To evaluate the arsenic effects in association with a frequent occupational lung disease in miners stratification by silicosis was performed. Results There was an arsenic-related increase of the proportion of squamous cell carcinoma of the lung but restricted to miners without silicosis. The increase was found at all levels of co-exposure to radon and quartz dust. In miners with silicosis, the proportion of adenocarcinoma increased with rising arsenic exposure. Arsenic exposure was associated with non-small cell lung cancer. Silicosis turned out as major determinant of the cell type related with arsenic. 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Toxic occupational diseases ; Dust ; Earth and Environmental Science ; Environment ; Environmental Health ; Germany - epidemiology ; Humans ; Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.) ; Lung cancer ; Lung Neoplasms - chemically induced ; Lung Neoplasms - epidemiology ; Lung Neoplasms - pathology ; Male ; Medical sciences ; Metals and various inorganic compounds ; Middle Aged ; Mining ; Mining industry ; Occupational diseases ; Occupational Diseases - chemically induced ; Occupational Diseases - epidemiology ; Occupational Diseases - pathology ; Occupational exposure ; Occupational hazards ; Occupational Medicine/Industrial Medicine ; Original Article ; Pneumology ; Quartz ; Quartz - adverse effects ; Radon ; Radon - adverse effects ; Rehabilitation ; Silicosis ; Silicosis - epidemiology ; Silicosis - etiology ; Silicosis - pathology ; Toxicology ; Tumors of the respiratory system and mediastinum ; Uranium</subject><ispartof>International archives of occupational and environmental health, 2009-07, Vol.82 (7), p.867-875</ispartof><rights>Springer-Verlag 2008</rights><rights>2009 INIST-CNRS</rights><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-448a0446b12bbd82a735e73ec1166ab1e0024c1ea8978f440693d92e281c2b9b3</citedby><cites>FETCH-LOGICAL-c430t-448a0446b12bbd82a735e73ec1166ab1e0024c1ea8978f440693d92e281c2b9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00420-008-0386-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00420-008-0386-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21647222$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19020892$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Taeger, Dirk</creatorcontrib><creatorcontrib>Johnen, Georg</creatorcontrib><creatorcontrib>Wiethege, Thorsten</creatorcontrib><creatorcontrib>Tapio, Soile</creatorcontrib><creatorcontrib>Möhner, Matthias</creatorcontrib><creatorcontrib>Wesch, Horst</creatorcontrib><creatorcontrib>Tannapfel, Andrea</creatorcontrib><creatorcontrib>Müller, Klaus-Michael</creatorcontrib><creatorcontrib>Brüning, Thomas</creatorcontrib><creatorcontrib>Pesch, Beate</creatorcontrib><title>Major histopathological patterns of lung cancer related to arsenic exposure in German uranium miners</title><title>International archives of occupational and environmental health</title><addtitle>Int Arch Occup Environ Health</addtitle><addtitle>Int Arch Occup Environ Health</addtitle><description>Objective The mechanisms of action of arsenic in the development of lung cancer are still not yet elucidated. Considering the relationship between arsenic and squamous cell carcinomas of the skin, we hypothesized that arsenic exposure may be more closely associated with squamous cell carcinoma of the lung. Methods A comprehensive histopathological database and a detailed job-exposure matrix developed for former German uranium miners with exposure to arsenic, radon, and quartz were analyzed to quantitatively assess the effect of arsenic regarding cell type of lung cancer. The distributions of major lung cancer cell types in 1,786 German uranium miners were associated with levels of arsenic exposure under control for the other lung carcinogens. To evaluate the arsenic effects in association with a frequent occupational lung disease in miners stratification by silicosis was performed. Results There was an arsenic-related increase of the proportion of squamous cell carcinoma of the lung but restricted to miners without silicosis. The increase was found at all levels of co-exposure to radon and quartz dust. In miners with silicosis, the proportion of adenocarcinoma increased with rising arsenic exposure. Arsenic exposure was associated with non-small cell lung cancer. Silicosis turned out as major determinant of the cell type related with arsenic. 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Considering the relationship between arsenic and squamous cell carcinomas of the skin, we hypothesized that arsenic exposure may be more closely associated with squamous cell carcinoma of the lung. Methods A comprehensive histopathological database and a detailed job-exposure matrix developed for former German uranium miners with exposure to arsenic, radon, and quartz were analyzed to quantitatively assess the effect of arsenic regarding cell type of lung cancer. The distributions of major lung cancer cell types in 1,786 German uranium miners were associated with levels of arsenic exposure under control for the other lung carcinogens. To evaluate the arsenic effects in association with a frequent occupational lung disease in miners stratification by silicosis was performed. Results There was an arsenic-related increase of the proportion of squamous cell carcinoma of the lung but restricted to miners without silicosis. The increase was found at all levels of co-exposure to radon and quartz dust. In miners with silicosis, the proportion of adenocarcinoma increased with rising arsenic exposure. Arsenic exposure was associated with non-small cell lung cancer. Silicosis turned out as major determinant of the cell type related with arsenic. Conclusion These results indicate a cell type characteristic effect of arsenic in the development of lung cancer.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19020892</pmid><doi>10.1007/s00420-008-0386-1</doi><tpages>9</tpages></addata></record>
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ispartof International archives of occupational and environmental health, 2009-07, Vol.82 (7), p.867-875
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subjects Adenocarcinoma - chemically induced
Adenocarcinoma - epidemiology
Adenocarcinoma - pathology
Aged
Air Pollutants - adverse effects
Arsenic
Arsenicals - adverse effects
Biological and medical sciences
Carcinoma, Non-Small-Cell Lung - chemically induced
Carcinoma, Non-Small-Cell Lung - epidemiology
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Squamous Cell - chemically induced
Carcinoma, Squamous Cell - epidemiology
Carcinoma, Squamous Cell - pathology
Chemical and industrial products toxicology. Toxic occupational diseases
Dust
Earth and Environmental Science
Environment
Environmental Health
Germany - epidemiology
Humans
Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.)
Lung cancer
Lung Neoplasms - chemically induced
Lung Neoplasms - epidemiology
Lung Neoplasms - pathology
Male
Medical sciences
Metals and various inorganic compounds
Middle Aged
Mining
Mining industry
Occupational diseases
Occupational Diseases - chemically induced
Occupational Diseases - epidemiology
Occupational Diseases - pathology
Occupational exposure
Occupational hazards
Occupational Medicine/Industrial Medicine
Original Article
Pneumology
Quartz
Quartz - adverse effects
Radon
Radon - adverse effects
Rehabilitation
Silicosis
Silicosis - epidemiology
Silicosis - etiology
Silicosis - pathology
Toxicology
Tumors of the respiratory system and mediastinum
Uranium
title Major histopathological patterns of lung cancer related to arsenic exposure in German uranium miners
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