Interaction Between Environmental Tobacco Smoke and Arsenic Methylation Ability on the Risk of Bladder Cancer
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2005/03/01
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Description:Objective: Arsenic exposure and environmental tobacco smoke (ETS) have been suspected to be associated with bladder cancer risk. We hypothesize that interaction between ETS and the ability to methylate arsenic, a detoxification pathway, modifies the risk of bladder cancer. Methods: From January 1996 to December 1999, we identified 41 newly diagnosed bladder cancer patients and 202 fracture and cataract patients at the National Cheng-Kung University (NCKU) Medical Center. The levels of urinary arsenic species [As(III), As(V), MMA(V), and DMA(V)] were determined in all subjects. Results: We found significant interaction between ETS and secondary methylation index (SMI) on the risk of bladder cancer (p=0.02). Among non-smokers with a high primary methylation index (PMI), the risk of bladder cancer was lower in subjects exposed to ETS (OR, 0.37; 95% CI, 0.14-0.96) than in subjects without exposure to ETS. Among non-smokers without ETS, the risk of bladder cancer was 4.7 times higher in subjects with a low SMI (95% CI, 1.30-16.81) than in subjects with a high SMI. Conclusions: Ability to methylate arsenic plays an important role in reducing the risk of bladder cancer attributable to the continuation of arsenic exposure from drinking water and from ETS exposure. [Description provided by NIOSH]
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ISSN:0957-5243
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Pages in Document:75-81
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Volume:16
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Issue:2
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NIOSHTIC Number:nn:20054960
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Citation:Cancer Causes Control 2005 Mar; 16(2):75-81
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Contact Point Address:Yen-Ching Chen, Channing Laboratory, Brigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, MA
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Email:karen.chen@channing.harvard.edu
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Federal Fiscal Year:2005
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Performing Organization:Harvard School of Public Health
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Peer Reviewed:True
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Start Date:20030701
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Source Full Name:Cancer Causes and Control
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End Date:20050630
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Main Document Checksum:urn:sha-512:69ac4961a100b83ef0c05ab1b19d0fe8ca6a18fd9ad8d52adc647c23e0545f5be81861e04cc366b5f453a7cdf2a632f2b601d5e26f97a656523c990420043453
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