37 Scopus citations

Abstract

Metabolites of tobacco smoke constituents can be quantified in urine and other body fluids providing a realistic measure of carcinogen and toxicant dose in a smoker. Many previous studies have demonstrated that these metabolites - referred to as biomarkers in this paper - are related to tobacco smoke exposure. The studies reviewed here were designed to answer another question: are these substances also biomarkers of cancer risk? Using a prospective study design comparing biomarker levels in cancer cases and controls, all of whom were smokers, the results demonstrate that several of these biomarkers - total cotinine, total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL), r-1-, t-2,3, c-4-tetrahydroxy-1,2,3,4-tetrahydrophenanthrene (PheT), and total N'-nitrosonornicotine (NNN) - are biomarkers of cancer risk. Therefore, these biomarkers have the potential to become part of a cancer risk prediction algorithm for smokers.

Original languageEnglish (US)
Pages (from-to)34-38
Number of pages5
JournalCancer Letters
Volume334
Issue number1
DOIs
StatePublished - Jun 28 2013

Bibliographical note

Funding Information:
These studies were supported by US National Institutes of Health Grants CA-129534, CA-144034, CA-92025 and CA-81301. We thank Bob Carlson for editorial assistance.

Keywords

  • Biomarkers
  • Cotinine
  • NNAL
  • NNN
  • PheT
  • Tobacco smoke

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