1. Genetic polymorphism of CYP2A6 as one of the potential determinants of tobacco-related cancer risk
- Author
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Masaki Fujieda, Shunsuke Iwano, Kazuma Kiyotani, Tetsuya Kamataki, and Hideo Kunitoh
- Subjects
Lung Neoplasms ,Mice, Inbred A ,Biophysics ,Biology ,Lower risk ,Biochemistry ,Tobacco smoke ,Mixed Function Oxygenases ,Cytochrome P-450 CYP2A6 ,Mice ,Risk Factors ,Carcinoma ,medicine ,Animals ,Humans ,Allele ,Lung cancer ,CYP2A6 ,Molecular Biology ,Genetics ,Polymorphism, Genetic ,Smoking ,Case-control study ,Cell Biology ,Odds ratio ,medicine.disease ,Cancer research ,Aryl Hydrocarbon Hydroxylases - Abstract
Analyzing the CYP2A6 gene of subjects who showed a poor metabolic phenotype toward SM-12502, we discovered a novel mutant allele (CYP2A6*4C) lacking the whole CYP2A6 gene. Using genetically engineered Salmonella typhimurium expressing a human CYP, we found that CYP2A6 was involved in the metabolic activation of a variety of nitrosamines such as 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) contained in tobacco smoke. Taking these results into consideration, we hypothesized that the subjects carrying the CYP2A6*4C allele had lower risk of tobacco-related lung cancer. In accordance with our hypothesis, our epidemiological studies indicated that smokers homozygous for the CYP2A6*4C allele showed much lower odds ratios toward cancer risk. Other mutant alleles reducing the CYP2A6 activity, besides CYP2A6*4C, also reduced the risk of lung cancer in smokers, particularly of squamous-cell carcinoma and small-cell carcinoma, both smoking-related cancers. 8-Methoxypsoralen, an inhibitor of CYP2A6, efficiently prevented the occurrence of adenoma caused by NNK in A/J mice.
- Published
- 2005