Urinary Tobacco Smoke-Constituent Biomarkers for Assessing Risk of Lung Cancer
Identifieur interne : 004D45 ( Main/Exploration ); précédent : 004D44; suivant : 004D46Urinary Tobacco Smoke-Constituent Biomarkers for Assessing Risk of Lung Cancer
Auteurs : Jian-Min Yuan [États-Unis] ; Lesley M. Butler [États-Unis] ; Irina Stepanov [États-Unis] ; Stephen S. Hecht [États-Unis]Source :
- Cancer research : (Chicago, Ill.) [ 0008-5472 ] ; 2014.
Descripteurs français
- KwdFr :
- Analyse multivariée, Cancérogènes (), Cotinine (urine), Fumée (effets indésirables), Glucuronides (urine), Humains, Hydrocarbures aromatiques polycycliques (urine), Marqueurs biologiques (urine), Nicotine (effets indésirables), Nitrosamines (urine), Phénanthrènes (urine), Pyridines (urine), Risque, Spectrométrie de masse, Tabac (), Tabac (effets indésirables), Tumeurs du poumon (diagnostic), Tumeurs du poumon (urine), Études prospectives, Évaluation des risques ().
- MESH :
- diagnostic : Tumeurs du poumon.
- effets indésirables : Fumée, Nicotine, Tabac.
- Pascal (Inist)
- Analyse multivariée, Cancérogènes, Cotinine, Glucuronides, Humains, Hydrocarbures aromatiques polycycliques, Marqueurs biologiques, Nitrosamines, Phénanthrènes, Pyridines, Risque, Spectrométrie de masse, Tabac, Tabagisme, Marqueur biologique, Facteur risque, Bronchopulmonaire, Cancer du poumon, Tumeurs du poumon, Études prospectives, Évaluation des risques.
- Wicri :
English descriptors
- KwdEn :
- Biological marker, Biomarkers (urine), Bronchopulmonary, Carcinogens (chemistry), Cotinine (urine), Glucuronides (urine), Humans, Lung Neoplasms (diagnosis), Lung Neoplasms (urine), Lung cancer, Mass Spectrometry, Multivariate Analysis, Nicotine (adverse effects), Nitrosamines (urine), Phenanthrenes (urine), Polycyclic Aromatic Hydrocarbons (urine), Prospective Studies, Pyridines (urine), Risk, Risk Assessment (methods), Risk factor, Smoke (adverse effects), Tobacco, Tobacco (adverse effects), Tobacco (chemistry), Tobacco smoking.
- MESH :
- chemical , adverse effects : Nicotine, Smoke.
- chemical , chemistry : Carcinogens.
- chemical , urine : Biomarkers, Cotinine, Glucuronides, Nitrosamines, Phenanthrenes, Polycyclic Aromatic Hydrocarbons, Pyridines.
- adverse effects : Tobacco.
- chemistry : Tobacco.
- diagnosis : Lung Neoplasms.
- methods : Risk Assessment.
- urine : Lung Neoplasms.
- Humans, Mass Spectrometry, Multivariate Analysis, Prospective Studies, Risk.
Abstract
Tobacco-constituent biomarkers are metabolites of specific compounds present in tobacco or tobacco smoke. Highly reliable analytic methods, based mainly on mass spectrometry, have been developed for quantitation of these biomarkers in both urine and blood specimens. There is substantial interindividual variation in smoking-related lung cancer risk that is determined in part by individual variability in the uptake and metabolism of tobacco smoke carcinogens. Thus, by incorporating these biomarkers in epidemiologic studies, we can potentially obtain a more valid and precise measure of in vivo carcinogen dose than by using self-reported smoking history, ultimately improving the estimation of smoking-related lung cancer risk. Indeed, we have demonstrated this by using a prospective study design comparing biomarker levels in urine samples collected from smokers many years before their development of cancer versus those in their smoking counterparts without a cancer diagnosis. The following urinary metabolites were associated with lung cancer risk, independent of smoking intensity and duration: cotinine plus its glucuronide, a biomarker of nicotine uptake; 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol and its glucuronides (total NNAL), a biomarker of the tobacco carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK); and r-1-,t-2,3,c-4-tetrahydroxy-1,2,3,4-tetrahydrophenanthrene (PheT), a biomarker of polycyclic aromatic hydrocarbons (PAH). These results provide several possible new directions for using tobacco smoke-constituent biomarkers in lung cancer prevention, including improved lung cancer risk assessment, intermediate outcome determination in prevention trials, and regulation of tobacco products.
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Affiliations:
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biological marker</term>
<term>Biomarkers (urine)</term>
<term>Bronchopulmonary</term>
<term>Carcinogens (chemistry)</term>
<term>Cotinine (urine)</term>
<term>Glucuronides (urine)</term>
<term>Humans</term>
<term>Lung Neoplasms (diagnosis)</term>
<term>Lung Neoplasms (urine)</term>
<term>Lung cancer</term>
<term>Mass Spectrometry</term>
<term>Multivariate Analysis</term>
<term>Nicotine (adverse effects)</term>
<term>Nitrosamines (urine)</term>
<term>Phenanthrenes (urine)</term>
<term>Polycyclic Aromatic Hydrocarbons (urine)</term>
<term>Prospective Studies</term>
<term>Pyridines (urine)</term>
<term>Risk</term>
<term>Risk Assessment (methods)</term>
<term>Risk factor</term>
<term>Smoke (adverse effects)</term>
<term>Tobacco</term>
<term>Tobacco (adverse effects)</term>
<term>Tobacco (chemistry)</term>
<term>Tobacco smoking</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Analyse multivariée</term>
<term>Cancérogènes ()</term>
<term>Cotinine (urine)</term>
<term>Fumée (effets indésirables)</term>
<term>Glucuronides (urine)</term>
<term>Humains</term>
<term>Hydrocarbures aromatiques polycycliques (urine)</term>
<term>Marqueurs biologiques (urine)</term>
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<term>Nitrosamines (urine)</term>
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<term>Spectrométrie de masse</term>
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<term>Tumeurs du poumon (urine)</term>
<term>Études prospectives</term>
<term>Évaluation des risques ()</term>
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<keywords scheme="MESH" type="chemical" qualifier="urine" xml:lang="en"><term>Biomarkers</term>
<term>Cotinine</term>
<term>Glucuronides</term>
<term>Nitrosamines</term>
<term>Phenanthrenes</term>
<term>Polycyclic Aromatic Hydrocarbons</term>
<term>Pyridines</term>
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<keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Tobacco</term>
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<term>Tabagisme</term>
<term>Marqueur biologique</term>
<term>Facteur risque</term>
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<term>Cancer du poumon</term>
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<front><div type="abstract" xml:lang="en">Tobacco-constituent biomarkers are metabolites of specific compounds present in tobacco or tobacco smoke. Highly reliable analytic methods, based mainly on mass spectrometry, have been developed for quantitation of these biomarkers in both urine and blood specimens. There is substantial interindividual variation in smoking-related lung cancer risk that is determined in part by individual variability in the uptake and metabolism of tobacco smoke carcinogens. Thus, by incorporating these biomarkers in epidemiologic studies, we can potentially obtain a more valid and precise measure of in vivo carcinogen dose than by using self-reported smoking history, ultimately improving the estimation of smoking-related lung cancer risk. Indeed, we have demonstrated this by using a prospective study design comparing biomarker levels in urine samples collected from smokers many years before their development of cancer versus those in their smoking counterparts without a cancer diagnosis. The following urinary metabolites were associated with lung cancer risk, independent of smoking intensity and duration: cotinine plus its glucuronide, a biomarker of nicotine uptake; 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol and its glucuronides (total NNAL), a biomarker of the tobacco carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK); and r-1-,t-2,3,c-4-tetrahydroxy-1,2,3,4-tetrahydrophenanthrene (PheT), a biomarker of polycyclic aromatic hydrocarbons (PAH). These results provide several possible new directions for using tobacco smoke-constituent biomarkers in lung cancer prevention, including improved lung cancer risk assessment, intermediate outcome determination in prevention trials, and regulation of tobacco products.</div>
</front>
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<name sortKey="Yuan, Jian Min" sort="Yuan, Jian Min" uniqKey="Yuan J" first="Jian-Min" last="Yuan">Jian-Min Yuan</name>
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