Department of Pharmacological Science, Stony Brook University, Stony Brook, New York 11794, United States.
Department of Urology, Cleveland Clinic, Cleveland, Ohio 44195, United States.
Chem Res Toxicol. 2024 Feb 19;37(2):340-360. doi: 10.1021/acs.chemrestox.3c00333. Epub 2024 Jan 9.
Air pollution, tobacco smoke, and red meat are associated with renal cell cancer (RCC) risk in the United States and Western Europe; however, the chemicals that form DNA adducts and initiate RCC are mainly unknown. herbaceous plants are used for medicinal purposes in Asia and worldwide. They are a significant risk factor for upper tract urothelial carcinoma (UTUC) and RCC to a lesser extent. The aristolochic acid (AA) 8-methoxy-6-nitrophenanthro-[3,4-]-1,3-dioxolo-5-carboxylic acid (AA-I), a component of herbs, contributes to UTUC in Asian cohorts and in Croatia, where AA-I exposure occurs from ingesting contaminated wheat flour. The DNA adduct of AA-I, 7-(2'-deoxyadenosin--yl)-aristolactam I, is often detected in patients with UTUC, and its characteristic A:T-to-T:A mutational signature occurs in oncogenes and tumor suppressor genes in AA-associated UTUC. Identifying DNA adducts in the renal parenchyma and pelvis caused by other chemicals is crucial to gaining insights into unknown RCC and UTUC etiologies. We employed untargeted screening with wide-selected ion monitoring tandem mass spectrometry (wide-SIM/MS) with nanoflow liquid chromatography/Orbitrap mass spectrometry to detect DNA adducts formed in rat kidneys and liver from a mixture of 13 environmental, tobacco, and dietary carcinogens that may contribute to RCC. Twenty DNA adducts were detected. DNA adducts of 3-nitrobenzanthrone (3-NBA), an atmospheric pollutant, and AA-I were the most abundant. The nitrophenanthrene moieties of 3-NBA and AA-I undergo reduction to their -hydroxy intermediates to form 2'-deoxyguanosine (dG) and 2'-deoxyadenosine (dA) adducts. We also discovered a 2'-deoxycytidine AA-I adduct and dA and dG adducts of 10-methoxy-6-nitro-phenanthro-[3,4-]-1,3-dioxolo-5-carboxylic acid (AA-III), an AA-I isomer and minor component of the herbal extract assayed, signifying AA-III is a potent kidney DNA-damaging agent. The roles of AA-III, other nitrophenanthrenes, and nitroarenes in renal DNA damage and human RCC warrant further study. Wide-SIM/MS is a powerful scanning technology in DNA adduct discovery and cancer etiology characterization.
空气污染、烟草烟雾和红色肉类与美国和西欧的肾细胞癌 (RCC) 风险相关;然而,形成 DNA 加合物并引发 RCC 的化学物质主要是未知的。草本植物在亚洲和全球范围内被用于药用目的。它们是上尿路尿路上皮癌 (UTUC) 和 RCC 的重要危险因素,程度较轻。马兜铃酸 (AA) 的 8-甲氧基-6-硝基菲并-[3,4-]-1,3-二恶唑-5-羧酸 (AA-I) 是草药的一种成分,在亚洲队列和克罗地亚,摄入受污染的小麦粉会导致 UTUC 和 RCC 发生。AA-I 的 DNA 加合物 7-(2'-脱氧腺苷--基)-马兜铃内酰胺 I 经常在 UTUC 患者中检测到,其特征性的 A:T-to-T:A 突变特征发生在 AA 相关 UTUC 的癌基因和肿瘤抑制基因中。鉴定由其他化学物质在肾实质和肾盂中形成的 DNA 加合物对于深入了解未知的 RCC 和 UTUC 病因至关重要。我们采用靶向筛选与宽选择离子监测串联质谱法 (wide-SIM/MS) 联用纳米流液相色谱/轨道阱质谱法,检测大鼠肾脏和肝脏中由 13 种环境、烟草和饮食致癌剂组成的混合物形成的 DNA 加合物,这些致癌剂可能导致 RCC。检测到 20 种 DNA 加合物。大气污染物 3-硝基苯并蒽 (3-NBA) 和 AA-I 的 DNA 加合物最为丰富。3-NBA 和 AA-I 的硝基菲环部分还原为其 -羟基中间体,形成 2'-脱氧鸟苷 (dG) 和 2'-脱氧腺苷 (dA) 加合物。我们还发现了一个 2'-脱氧胞苷 AA-I 加合物和 dA 和 dG 加合物 10-甲氧基-6-硝基-菲并-[3,4-]-1,3-二恶唑-5-羧酸 (AA-III),AA-I 的一种异构体和测定的草药提取物的次要成分,表明 AA-III 是一种有效的肾脏 DNA 损伤剂。AA-III、其他硝基菲和硝基芳烃在肾脏 DNA 损伤和人类 RCC 中的作用值得进一步研究。wide-SIM/MS 是一种强大的 DNA 加合物发现和癌症病因学特征的扫描技术。