101. Carcinogenic nitrosamines in traditional beer as the cause of oesophageal squamous cell carcinoma in black South Africans.
- Author
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Pillay V, Isaacson C, Mothobi P, Hale M, Tomar LK, Tyagi C, Altini M, Choonara YE, and Kumar P
- Subjects
- Black People, Carcinogens, Carcinoma, Squamous Cell ethnology, Chemotactic Factors metabolism, Chromatography, High Pressure Liquid, Esophageal Neoplasms ethnology, Humans, Molecular Docking Simulation, N-Nitrosopyrrolidine pharmacology, Nitrosamines analysis, Nitrosamines pharmacology, S100 Proteins metabolism, South Africa, Beer analysis, Carcinoma, Squamous Cell chemically induced, Esophageal Neoplasms chemically induced, Nitrosamines adverse effects
- Abstract
Background: Before the 1930s, squamous cell carcinoma (SCC) of the oesophagus was almost unknown among black South Africans. From the 1930s the annual frequency rose. A dietary cause was sought, the staple diet of black people having changed from sorghum to maize (corn), with traditional beer being brewed from maize. Carcinogenic N-nitrosamines in traditional beer were suggested as a cause of SCC of the oesophagus, with Fusarium moniliforme, a corn saprophyte, thought to play a role., Objectives: To confirm the presence of N-nitrosamines in traditional beer and demonstrate a mechanism for the oncogenesis of oesophageal carcinoma., Methods: Analysis by high-performance liquid chromatography was conducted for the identification of nitrosamines in traditional beer samples, and molecular docking studies were employed to predict the affinity between N-nitrosamines and the S100A2 protein., Results: Carcinogenic N-nitrosamines were identified in all six samples of traditional beer examined (N=18 analyses), and docking studies confirmed a high affinity of the nitrosamine N-nitrosopyrrolidone with the S100A2 protein. This may result in the altered expression of the S100A2 protein, leading to tumour progression and prognosis., Conclusion: It is suggested that carcinogenic N-nitrosamines in traditional beer are a major factor in the causation of SCC of the oesophagus in black South Africans. N-nitrosamines have been shown to produce cancer experimentally, but there has not been conclusive epidemiological evidence that N-nitrosamines are carcinogenic to humans. This study is the first to demonstrate the potential link between N-nitrosamines and a human tumour.
- Published
- 2015
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