National University of Medical Sciences, Rawalpindi, Pakistan.
Quaid-I-Azam University, Islamabad, Pakistan.
Cancer Treat Res. 2024;191:33-55. doi: 10.1007/978-3-031-55622-7_2.
Several types of environmental, chemical and metabolic carcinogens exist both exogenously and endogenously. Humans are daily exposed to aforementioned carcinogens through various sources such as through water, air and food or through metabolic and inflammatory products. This chapter will summarize the links between exogenous and endogenous carcinogen exposure and their metabolism with the cancer pathogenesis and associated risks. This chapter will also cover the carcinogens acquired through lifestyle factors like tobacco use and occupational exposures to different chemicals like asbestos, arsenic, chloroform, vinyl chloride, etc. Moreover, environmental carcinogens such as radiation, sunlight, diet, smoke, etc. will also be discussed in this chapter. Furthermore, there are certain carcinogens that require bio-activation and various human enzymes that play a vital role in the metabolic carcinogenesis will also be recapitulated. Necessary preventive measures against carcinogenic exposure from the exogenous environment are significant to be taken into account to reduce the risks associated with the carcinogens.
存在多种类型的环境、化学和代谢致癌物,它们既可以外源性存在,也可以内源性存在。人类通过各种途径,如通过水、空气和食物,或通过代谢和炎症产物,每天都会接触到上述致癌物。本章将总结外源性和内源性致癌物暴露及其与癌症发病机制和相关风险的代谢之间的联系。本章还将涵盖通过吸烟等生活方式因素和接触石棉、砷、氯仿、氯乙烯等不同化学物质等职业暴露而获得的致癌物。此外,还将在本章中讨论辐射、阳光、饮食、烟雾等环境致癌物。此外,还有一些致癌物需要生物激活,在代谢致癌过程中发挥重要作用的各种人类酶也将被概括。需要采取必要的预防措施来防止外源性环境中的致癌物质暴露,以降低与致癌物相关的风险。