Bickers D R, Kappas A
J Clin Invest. 1978 Nov;62(5):1061-8. doi: 10.1172/JCI109211.
Coal tar products, which are widely used in treating dermatologic disease, contain numerous polycyclic aromatic hydrocarbons, including 3,4-benzo[a]pyrene (BP). BP is among the most potent environmental chemical carcinogens and is known to evoke tumors in the skin of experimental animals and perhaps also of man. In this study the effect of cutaneous application of coal tar solution (U. S. Pharmacopeia) on aryl hydrocarbon hydroxylase (AHH) activity in the skin of patients usually treated with this drug was investigated. AHH, a cytochrome P-450 dependent carcinogen-metabolizing enzyme appears to play an important role in the activation of polycyclic hydrocarbons into reactive moieties that can bind to DNA and that may directly induce cancer. Application of coal tar solution to human skin caused a two to five-fold induction of cutaneous AHH in nine subjects. In further studies, the incubation of human skin with coal tar solution in vitro also caused variable induction of cutaneous AHH. Maximum responses in both systems occurred after 24 h and enzyme activity in vitro was time- and tissue- and substrate-concentration dependent. Studies in experimental animals showed that topical application of coal tar solution caused induction of AHH in skin and, after percutaneous absorption, in liver as well. Assay of several defined constituents of coal tar for AHH induction showed that BP was the most potent inducer of AHH tested. These studies indicate that topical application of coal tar solution in doses ordinarily used in treating dermatologic disease causes induction of AHH in human skin and suggest that such induced enzymatic activity could relate to carcinogenic responses to this agent in skin or, after percutaneous absorption, in other tissues as well.
煤焦油产品广泛用于治疗皮肤病,含有多种多环芳烃,包括3,4-苯并[a]芘(BP)。BP是最具活性的环境化学致癌物之一,已知可在实验动物甚至人类皮肤中诱发肿瘤。在本研究中,调查了皮肤应用煤焦油溶液(美国药典)对通常使用该药物治疗的患者皮肤中芳烃羟化酶(AHH)活性的影响。AHH是一种细胞色素P-450依赖性致癌物代谢酶,似乎在多环烃激活为可与DNA结合并可能直接诱导癌症的反应性部分中起重要作用。在9名受试者中,将煤焦油溶液应用于人体皮肤导致皮肤AHH诱导增加两到五倍。在进一步的研究中,体外将人体皮肤与煤焦油溶液孵育也导致皮肤AHH的不同程度诱导。两个系统中的最大反应均在24小时后出现,体外酶活性与时间、组织和底物浓度有关。对实验动物的研究表明,局部应用煤焦油溶液可导致皮肤中AHH的诱导,经皮吸收后,肝脏中也会诱导。对煤焦油的几种特定成分进行AHH诱导测定表明,BP是测试的最有效的AHH诱导剂。这些研究表明,以治疗皮肤病常用剂量局部应用煤焦油溶液可导致人体皮肤中AHH的诱导,并表明这种诱导的酶活性可能与皮肤对该药物的致癌反应有关,或经皮吸收后在其他组织中也有关。