Mutagen sensitivity in upper aerodigestive tract cancer: a case-control analysis

Variability in DNA repair capability may be a determinant of interindividual difference in susceptibility to carcinogenic exposures. A cytogenetic assay which quantifies chromosomal breakage induced by in vitro exposure to a clastogen provides an indirect measure of repair. We report the results of...

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Veröffentlicht in:Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 1993-07, Vol.2 (4), p.329
Hauptverfasser: Spitz, M R, Fueger, J J, Halabi, S, Schantz, S P, Sample, D, Hsu, T C
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container_issue 4
container_start_page 329
container_title Cancer epidemiology, biomarkers & prevention
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creator Spitz, M R
Fueger, J J
Halabi, S
Schantz, S P
Sample, D
Hsu, T C
description Variability in DNA repair capability may be a determinant of interindividual difference in susceptibility to carcinogenic exposures. A cytogenetic assay which quantifies chromosomal breakage induced by in vitro exposure to a clastogen provides an indirect measure of repair. We report the results of a case-control study of upper aerodigestive tract cancers assessing differences in mutagen sensitivity based on this assay. There were 108 cases with previously untreated squamous cell cancers and 108 age and sex frequency-matched controls selected from blood donors to The University of Texas M. D. Anderson Cancer Center. Sixty-nine% of the cases, compared with 44% of the controls, were classified as mutagen sensitive (breaks per cell > or = 0.8). On multivariate analysis, mutagen sensitivity [odds ratio (OR), 2.5], heavy cigarette smoking (OR, 4.8), and heavy alcohol consumption (OR, 3.1) were associated with significantly increased risk. Stratified analyses showed that the combined effects of cigarette smoking (OR, 8.1) and mutagen sensitivity (OR, 3.2) were suggestive of a multiplicative effect (OR, 23.0). The combined estimate for alcohol use (OR, 3.0) and mutagen sensitivity (OR, 3.0) was 5.8. These data confirm those of a previously published preliminary study of upper aerodigestive cancers and underscore the importance of considering interindividual susceptibility in cancer risk characterization, even for those cancers with well quantified exposures.
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source MEDLINE; American Association for Cancer Research; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Alcohol Drinking - adverse effects
Bleomycin - adverse effects
Carcinoma, Squamous Cell - etiology
Carcinoma, Squamous Cell - genetics
Case-Control Studies
Chromosome Aberrations - genetics
Chromosomes - drug effects
Disease Susceptibility
DNA Damage
Female
Humans
Laryngeal Neoplasms - etiology
Laryngeal Neoplasms - genetics
Male
Middle Aged
Mouth Neoplasms - etiology
Mouth Neoplasms - genetics
Mutagens - adverse effects
Odds Ratio
Pharyngeal Neoplasms - etiology
Pharyngeal Neoplasms - genetics
Plants, Toxic
Risk Factors
Smoking - adverse effects
Tobacco, Smokeless - adverse effects
title Mutagen sensitivity in upper aerodigestive tract cancer: a case-control analysis
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