Fischer W H, Lutz W K
Department of Toxicology, Swiss Federal Institute of Technology, Zurich.
Proc Natl Acad Sci U S A. 1995 Jun 20;92(13):5900-4. doi: 10.1073/pnas.92.13.5900.
The question was addressed whether the risk of cancer of an individual in a heterogeneous population can be predicted on the basis of measurable biochemical and biological variables postulated to be associated with the process of chemical carcinogenesis. Using the skin tumor model with outbred male NMRI mice, the latency time for the appearance of a papilloma was used as an indicator of the individual cancer risk. Starting at 8 weeks of age, a group of 29 mice was treated twice weekly with 20 nmol of 7,12-dimethylbenz[alpha]anthracene (DMBA) applied to back skin. The individual papilloma latency time ranged from 13.5 to 25 weeks of treatment. Two weeks after the appearance of the first papilloma in each mouse, an osmotic minipump delivering 5-bromo-2'-deoxyuridine was s.c. implanted and the mouse was killed 24 hr later. Levels of DMBA-DNA adducts, of 8-hydroxy-2'-deoxyguanosine, and various measures of the kinetics of cell division were determined in the epidermis of the treated skin area. The levels of 8-hydroxy-2'-deoxyguanosine and the fraction of cells in DNA replication (labeling index for the incorporation of 5-bromo-2'-deoxyuridine) were significantly higher in those mice that showed short latency times. On the other hand, the levels of DMBA-DNA adducts were lowest in animals with short latency times. The latter finding was rather unexpected but can be explained as a consequence of the inverse correlation seen for the labeling index: with each round of cell division, the adduct concentration is reduced to 50% because the new DNA strand is free of DMBA adducts until the next treatment. Under the conditions of this bioassay, therefore, oxygen radical-related genotoxicity and the rate of cell division, rather than levels of carcinogen-DNA adducts, were found to be of predictive value as indicators of an individual cancer risk.
问题是,能否根据假定与化学致癌过程相关的可测量生化和生物学变量,来预测异质人群中个体患癌症的风险。使用远交系雄性NMRI小鼠的皮肤肿瘤模型,将乳头状瘤出现的潜伏期用作个体癌症风险的指标。从8周龄开始,一组29只小鼠每周两次接受20 nmol的7,12-二甲基苯并[a]蒽(DMBA),涂抹于背部皮肤。个体乳头状瘤潜伏期在治疗的13.5至25周之间。在每只小鼠出现第一个乳头状瘤两周后,皮下植入一个输送5-溴-2'-脱氧尿苷的渗透微型泵,24小时后处死小鼠。测定治疗皮肤区域表皮中DMBA-DNA加合物、8-羟基-2'-脱氧鸟苷的水平以及细胞分裂动力学的各种指标。在潜伏期短的小鼠中,8-羟基-2'-脱氧鸟苷水平和DNA复制中的细胞比例(5-溴-2'-脱氧尿苷掺入的标记指数)显著更高。另一方面,潜伏期短的动物中DMBA-DNA加合物水平最低。后一发现相当出乎意料,但可以解释为标记指数呈负相关的结果:随着每一轮细胞分裂,加合物浓度降低至50%,因为新的DNA链没有DMBA加合物,直到下一次治疗。因此,在这种生物测定条件下,发现与氧自由基相关的遗传毒性和细胞分裂速率,而非致癌物-DNA加合物水平,作为个体癌症风险的指标具有预测价值。