Miller J A, Miller E C
Br J Cancer. 1983 Jul;48(1):1-15. doi: 10.1038/bjc.1983.151.
A small (approximately 30) but varied group of organic and inorganic compounds appear to be carcinogenic in both humans and experimental animals. A much larger number and wider variety of chemical carcinogens, primarily synthetic organic compounds, are known for experimental animals. These agents include a small (approximately 30) and varied group of metabolites of green plants and fungi. Many more of these carcinogens must exist in the living world. As with the synthetic carcinogens, the majority of these naturally occurring carcinogens are procarcinogens that require metabolic conversion into reactive electrophilic and mutagenic ultimate carcinogens. These strong electrophiles combine covalently and non-enzymatically with nucleophilic sites in DNAs, RNAs, proteins, and small molecules in target tissues. One or more of the DNA adducts appear to initiate carcinogenesis in an irreversible manner. The subsequent promotion step leading to gross tumours may be completed by further administration of carcinogen or by treatment with non-carcinogenic promoters. Roles for the RNA and protein adducts in the carcinogenic process have not been excluded. Recent data on the metabolic activation and reactivity in vivo of the naturally occurring carcinogens ethyl carbamate and certain of the alkenylbenzene spice flavours are illustrative of these principles. These agents can initiate the carcinogenic process in male mouse liver with small doses given prior to weaning. Subsequent growth of the liver and male hormonal factors appear to function as promoters leading to gross hepatic tumors after one year. Reactive electrophilic metabolites of ethyl carbamate and of safrole and estragole and their nucleic acid adducts formed during initiation in mouse liver have been characterized.
一小群(约30种)种类各异的有机和无机化合物似乎在人类和实验动物中都具有致癌性。对于实验动物而言,已知有大量且种类繁多的化学致癌物,主要是合成有机化合物。这些物质包括一小群(约30种)种类各异的绿色植物和真菌的代谢产物。生物界中必定还存在更多这类致癌物。与合成致癌物一样,这些天然存在的致癌物大多数是前致癌物,需要代谢转化为具有反应活性的亲电和诱变终极致癌物。这些强亲电试剂与靶组织中的DNA、RNA、蛋白质和小分子中的亲核位点共价且非酶促地结合。一种或多种DNA加合物似乎以不可逆的方式引发致癌作用。导致肉眼可见肿瘤的后续促进阶段可通过进一步给予致癌物或用非致癌促进剂处理来完成。RNA和蛋白质加合物在致癌过程中的作用尚未被排除。关于天然存在的致癌物氨基甲酸乙酯以及某些烯基苯香料的体内代谢活化和反应性的最新数据说明了这些原理。这些物质在断奶前给予小剂量时可在雄性小鼠肝脏中引发致癌过程。肝脏随后的生长以及雄性激素因素似乎起到促进作用,导致一年后出现肉眼可见的肝肿瘤。氨基甲酸乙酯以及黄樟素和草蒿脑的反应性亲电代谢产物及其在小鼠肝脏引发过程中形成的核酸加合物已得到表征。