The role of genotoxic carcinogens and of promoters in carcinogenesis and in human cancer causation

Altered lipid parameters in hepatic subcellular membrane fractions induced by fumonisin B1

Alteration of lipid constituents of cellular membranes has been proposed as a possible mechanism for cancer promotion by fumonisin B(1 )(FB(1)). To further investigate this hypothesis a dietary dosage which initiates and promotes liver cancer (250 mg FB(1)/kg) was fed to male Fischer rats for 21 days and the lipid composition of plasma, microsomal, mitochondrial and nuclear subcellular fractions determined. The effect of FB(1) on the cholesterol, phosphatidylcholine (PC) and phosphatidylethanolamine (PE), as well as sphingomyelin (SM) and the phospholipids-associated fatty acid (FA) profiles, were unique for each subcellular membrane fraction. PE was significantly increased in the microsomal, mitochondrial and plasma membrane fractions, whereas cholesterol was increased in both the microsomal and nuclear fraction. In addition SM was decreased and increased in the mitochondrial and nuclear fractions, respectively. The decreased PC/PE and polyunsaturated/saturated (P/S) FA ratio in the different membrane fractions suggest a more rigid membrane structure. The decreased levels in polyunsaturated fatty acids in PC together with a pronounced increase in C18:1omega9 and C18:2omega6 were indicative of an impaired delta-6 desaturase. The increased omega6/omega3 ratio and decreased C20:4omega6 PC/PE ratio due to an increase in C20:4omega6 in PE relatively to PC in the different subcellular fractions suggests a shift towards prostanoid synthesis of the E2 series. Changes in the PE and C20:4omega6 parameters in the plasma membrane could alter key growth regulatory and/or other cell receptors in lipid rafts known to be altered by FB(1). An interactive role between C20:4omega6 and ceramide in the mitochondria, is suggested to regulate the balance between proliferation and apoptosis in altered initiated hepatocytes resulting in their selective outgrowth during cancer promotion effected by FB(1).

Microbial amino acid metabolites and bladder cancer: no evidence of promoting activity in man

1. Indole, p-cresol and phenol are microbial amino acid metabolites which show co-carcinogenic or promoting activity in animal studies. Their involvement in the development of human bladder cancer has been determined by measuring the urinary excretion of indican (indoxyl sulphate) and conjugated phenols. 2. Thirty-two patients (22 males, 10 females) with histologically confirmed carcinoma of the urinary bladder and a similar number of age and sex matched controls took part in the study. The excretion of indican, p-cresol and phenol showed wide interindividual variability, but did not differ significantly between the two groups. 3. The findings indicate that these endogenous metabolites do not contribute significantly to the development of human bladder cancer.

Role of fat, fiber, nitrate, and food additives in carcinogenesis: a critical evaluation and recommendations

This review presents a critical, select evaluation of the amount and type of fat or fiber in nutritional carcinogenesis, with the emphasis being on cancer development in the mammary gland and large bowel. The role of nitrate and nitrosation is described in relation to risk for cancers of the head and neck (especially the esophagus) and cancers of the stomach and the liver. Systematic tests of increasing complexity to delineate possible carcinogenic risk in food additives and contaminants are described. Specific recommendations stemming from these evaluations are made as to dietary recommendations designed to reduce cancer risk.