Lung carcinogenesis by tobacco smoke

Masonic Cancer Center, University of Minnesota, Minneapolis, MN. .
International Journal of Cancer (Impact Factor: 5.09). 12/2012; 131(12):2724-32. DOI: 10.1002/ijc.27816
Source: PubMed


Cigarette smoke is a complex mixture of chemicals including multiple genotoxic lung carcinogens. The classic mechanisms of carcinogen metabolic activation to DNA adducts, leading to miscoding and mutations in critical growth control genes, applies to this mixture but some aspects are difficult to establish because of the complexity of the exposure. This article discusses certain features of this mechanism including the role of nicotine and its receptors; lung carcinogens, co-carcinogens and related substances in cigarette smoke; structurally characterized DNA adducts in the lungs of smokers; the mutational consequences of DNA adduct formation in smokers' lungs; and biomarkers of nicotine and carcinogen uptake as related to lung cancer. While there are still uncertainties which may never be fully resolved, the general mechanisms by which cigarette smoking causes lung cancer are well understood and provide insights relevant to prevention of lung cancer, the number one cancer killer in the world, causing 1.37 million deaths per year.

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    International Journal of Bio-Science and Bio-Technology 09/2015; 7(4):179-202. DOI:10.14257/ijbsbt.2015.7.4.18
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    08/2015; 2(6):583-90. DOI:10.1016/j.ebiom.2015.04.003
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    • "Please cite this article in press as: Gui-Zhen Wang, et al., Tobacco smoke induces production of chemokine CCL20 to promote lung cancer, Cancer Letters (2015), doi: 10.1016/ j.canlet.2015.04.005 is needed to identify biomarkers to screen for those most prone to develop lung cancer, and to uncover targets for development of therapeutic and chemopreventive approaches. The key carcinogens of tobacco smoke are NNK and PAHs [3] [35]. These carcinogens induce chronic inflammation to facilitate carcinogenesis . "
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