Castegnaro M, Wild C P
Unit of Environmental Carcinogenesis, International Agency for Research on Cancer, Lyon, France.
Nat Toxins. 1995;3(4):327-31; discussion 341. doi: 10.1002/nt.2620030431.
The creation of the International Agency for Research on Cancer (IARC) in May 1965 occurred only two years after publication of the chemical structure of the aflatoxins, and the investigation of a possible link between exposure to these compounds and liver cancer incidence was initiated by IARC as early as 1968. Thus, mycotoxins were one of the first topics of research at IARC and the Agency's special interest in cancer in developing countries has contributed to a sustained effort in this research field. The work performed comprises a number of aspects including laboratory research into mechanisms of action and methods for destruction of mycotoxins, epidemiological studies, and through evaluation of the carcinogenic potency of these toxins in the "IARC Monographs on the Evaluation of the Carcinogenic Risks to Humans." A particular feature has been the integration into epidemiological studies of biomarkers of mycotoxin exposure (e.g., to aflatoxin, ochratoxin A) developed in the IARC laboratories. The above research areas are described briefly below and future activities are discussed in relation to present knowledge and the possibilities of achieving primary prevention of cancer. Another field of activity in which IARC has been strongly involved is that of quality assurance with the organisation of the mycotoxin check sample programme [Friesen, 1989: J Toxicol-Toxin Reviews 8:363-373]. This activity will, however, not be discussed in this article in view of space limitations.
国际癌症研究机构(IARC)于1965年5月成立,而黄曲霉毒素的化学结构公布仅仅两年之后,IARC早在1968年就开始调查接触这些化合物与肝癌发病率之间可能存在的联系。因此,霉菌毒素是IARC最早的研究课题之一,该机构对发展中国家癌症问题的特别关注促使在这一研究领域持续开展工作。所开展的工作包括多个方面,其中有针对霉菌毒素作用机制和销毁方法的实验室研究、流行病学研究,以及通过《IARC人类致癌风险评估专论》对这些毒素的致癌潜力进行评估。一个特别之处在于将IARC实验室研发的霉菌毒素暴露生物标志物(如黄曲霉毒素、赭曲霉毒素A)纳入流行病学研究。以下将简要介绍上述研究领域,并结合现有知识以及实现癌症一级预防的可能性探讨未来活动。IARC深度参与的另一个活动领域是质量保证,即组织霉菌毒素对照样品计划[弗里森,1989年:《毒理学-毒素评论》8:363 - 373]。然而,鉴于篇幅限制,本文将不讨论这一活动。