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. 1996 Oct;104(Suppl 5):921–925. doi: 10.1289/ehp.96104s5921

Utilization of biomarker data for clinical and environmental intervention.

D C Christiani 1
PMCID: PMC1469688  PMID: 8933035

Abstract

Of the 189 air toxics listed in the Clean Air Act, a substantial number are important in potentially causing adverse health effects in several organ systems. Although the major health effects are manifested as respiratory diseases, especially airways disease, these agents may cause cancer and premature mortality, probably from cardiopulmonary disease. Validated biologic markers may be useful in identifying early effects to improve our understanding of exposure-response relationships and clarify susceptibility. However, the knowledge obtained from epidemiologic studies utilizing these new molecular tools will reduce morbidity and mortality from air toxics only when they can be applied effectively in the prevention and control of disease. Intervention strategies using these markers can be used to identify etiologic factors and assess the effectiveness of exposure reduction, and, in some instances, chemoprevention. This paper illustrates examples of these intervention strategies and reviews the current strengths and limitations of environmental molecular epidemiology in controlling disease caused by air toxics.

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Selected References

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  1. Ames B. N., Shigenaga M. K., Hagen T. M. Oxidants, antioxidants, and the degenerative diseases of aging. Proc Natl Acad Sci U S A. 1993 Sep 1;90(17):7915–7922. doi: 10.1073/pnas.90.17.7915. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Amos C. I., Caporaso N. E., Weston A. Host factors in lung cancer risk: a review of interdisciplinary studies. Cancer Epidemiol Biomarkers Prev. 1992 Sep-Oct;1(6):505–513. [PubMed] [Google Scholar]
  3. Azzawi M., Bradley B., Jeffery P. K., Frew A. J., Wardlaw A. J., Knowles G., Assoufi B., Collins J. V., Durham S., Kay A. B. Identification of activated T lymphocytes and eosinophils in bronchial biopsies in stable atopic asthma. Am Rev Respir Dis. 1990 Dec;142(6 Pt 1):1407–1413. doi: 10.1164/ajrccm/142.6_Pt_1.1407. [DOI] [PubMed] [Google Scholar]
  4. Bartsch H., Caporaso N., Coda M., Kadlubar F., Malaveille C., Skipper P., Talaska G., Tannenbaum S. R., Vineis P. Carcinogen hemoglobin adducts, urinary mutagenicity, and metabolic phenotype in active and passive cigarette smokers. J Natl Cancer Inst. 1990 Dec 5;82(23):1826–1831. doi: 10.1093/jnci/82.23.1826. [DOI] [PubMed] [Google Scholar]
  5. Cullen M. R. The role of clinical investigations in biological markers research. Environ Res. 1989 Oct;50(1):1–10. doi: 10.1016/s0013-9351(89)80045-3. [DOI] [PubMed] [Google Scholar]
  6. Dolovich J., Hargreave F. The asthma syndrome: inciters, inducers, and host characteristics. Thorax. 1981 Sep;36(9):614–644. doi: 10.1136/thx.36.9.614. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Fujimaki H., Kawagoe A., Ozawa M., Yonemoto J., Watanabe N. Effects of instillation of fly ash in the lung: physiochemical properties and immune responses. Am Rev Respir Dis. 1989 Aug;140(2):525–528. doi: 10.1164/ajrccm/140.2.525. [DOI] [PubMed] [Google Scholar]
  8. Hein D. W. Acetylator genotype and arylamine-induced carcinogenesis. Biochim Biophys Acta. 1988 Aug 3;948(1):37–66. doi: 10.1016/0304-419x(88)90004-2. [DOI] [PubMed] [Google Scholar]
  9. Hollstein M., Sidransky D., Vogelstein B., Harris C. C. p53 mutations in human cancers. Science. 1991 Jul 5;253(5015):49–53. doi: 10.1126/science.1905840. [DOI] [PubMed] [Google Scholar]
  10. Hulka B. S., Wilcosky T. Biological markers in epidemiologic research. Arch Environ Health. 1988 Mar-Apr;43(2):83–89. doi: 10.1080/00039896.1988.9935831. [DOI] [PubMed] [Google Scholar]
  11. Husgafvel-Pursiainen K., Hackman P., Ridanpä M., Anttila S., Karjalainen A., Partanen T., Taikina-Aho O., Heikkilä L., Vainio H. K-ras mutations in human adenocarcinoma of the lung: association with smoking and occupational exposure to asbestos. Int J Cancer. 1993 Jan 21;53(2):250–256. doi: 10.1002/ijc.2910530213. [DOI] [PubMed] [Google Scholar]
  12. Kay A. B., Ying S., Varney V., Gaga M., Durham S. R., Moqbel R., Wardlaw A. J., Hamid Q. Messenger RNA expression of the cytokine gene cluster, interleukin 3 (IL-3), IL-4, IL-5, and granulocyte/macrophage colony-stimulating factor, in allergen-induced late-phase cutaneous reactions in atopic subjects. J Exp Med. 1991 Mar 1;173(3):775–778. doi: 10.1084/jem.173.3.775. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. McMichael A. J. Invited commentary--"molecular epidemiology": new pathway or new travelling companion? Am J Epidemiol. 1994 Jul 1;140(1):1–11. doi: 10.1093/oxfordjournals.aje.a117153. [DOI] [PubMed] [Google Scholar]
  14. Nakachi K., Imai K., Hayashi S., Kawajiri K. Polymorphisms of the CYP1A1 and glutathione S-transferase genes associated with susceptibility to lung cancer in relation to cigarette dose in a Japanese population. Cancer Res. 1993 Jul 1;53(13):2994–2999. [PubMed] [Google Scholar]
  15. Perera F. P., Weinstein I. B. Molecular epidemiology and carcinogen-DNA adduct detection: new approaches to studies of human cancer causation. J Chronic Dis. 1982;35(7):581–600. doi: 10.1016/0021-9681(82)90078-9. [DOI] [PubMed] [Google Scholar]
  16. Sears M. R., Rea H. H., Beaglehole R. Asthma mortality: a review of recent experience in New Zealand. J Allergy Clin Immunol. 1987 Sep;80(3 Pt 1):319–325. doi: 10.1016/0091-6749(87)90038-8. [DOI] [PubMed] [Google Scholar]
  17. Sellers T. A., Bailey-Wilson J. E., Elston R. C., Wilson A. F., Elston G. Z., Ooi W. L., Rothschild H. Evidence for mendelian inheritance in the pathogenesis of lung cancer. J Natl Cancer Inst. 1990 Aug 1;82(15):1272–1279. doi: 10.1093/jnci/82.15.1272. [DOI] [PubMed] [Google Scholar]
  18. Slebos R. J., Hruban R. H., Dalesio O., Mooi W. J., Offerhaus G. J., Rodenhuis S. Relationship between K-ras oncogene activation and smoking in adenocarcinoma of the human lung. J Natl Cancer Inst. 1991 Jul 17;83(14):1024–1027. doi: 10.1093/jnci/83.14.1024. [DOI] [PubMed] [Google Scholar]
  19. Suzuki H., Takahashi T., Kuroishi T., Suyama M., Ariyoshi Y., Takahashi T., Ueda R. p53 mutations in non-small cell lung cancer in Japan: association between mutations and smoking. Cancer Res. 1992 Feb 1;52(3):734–736. [PubMed] [Google Scholar]
  20. Talaska G., Dooley K. L., Kadlubar F. F. Detection and characterization of carcinogen-DNA adducts in exfoliated urothelial cells from 4-aminobiphenyl-treated dogs by 32P-postlabelling and subsequent thin-layer and high-pressure liquid chromatography. Carcinogenesis. 1990 Apr;11(4):639–646. doi: 10.1093/carcin/11.4.639. [DOI] [PubMed] [Google Scholar]
  21. Venge P. What is the role of the eosinophil? Thorax. 1990 Mar;45(3):161–163. doi: 10.1136/thx.45.3.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Vineis P., Bartsch H., Caporaso N., Harrington A. M., Kadlubar F. F., Landi M. T., Malaveille C., Shields P. G., Skipper P., Talaska G. Genetically based N-acetyltransferase metabolic polymorphism and low-level environmental exposure to carcinogens. Nature. 1994 May 12;369(6476):154–156. doi: 10.1038/369154a0. [DOI] [PubMed] [Google Scholar]
  23. Vineis P., Caporaso N., Tannenbaum S. R., Skipper P. L., Glogowski J., Bartsch H., Coda M., Talaska G., Kadlubar F. Acetylation phenotype, carcinogen-hemoglobin adducts, and cigarette smoking. Cancer Res. 1990 May 15;50(10):3002–3004. [PubMed] [Google Scholar]
  24. Vineis P. Epidemiological models of carcinogenesis: the example of bladder cancer. Cancer Epidemiol Biomarkers Prev. 1992 Jan-Feb;1(2):149–153. [PubMed] [Google Scholar]
  25. Vähäkangas K. H., Samet J. M., Metcalf R. A., Welsh J. A., Bennett W. P., Lane D. P., Harris C. C. Mutations of p53 and ras genes in radon-associated lung cancer from uranium miners. Lancet. 1992 Mar 7;339(8793):576–580. doi: 10.1016/0140-6736(92)90866-2. [DOI] [PubMed] [Google Scholar]
  26. Wang X., Christiani D. C., Wiencke J. K., Fischbein M., Xu X., Cheng T. J., Mark E., Wain J. C., Kelsey K. T. Mutations in the p53 gene in lung cancer are associated with cigarette smoking and asbestos exposure. Cancer Epidemiol Biomarkers Prev. 1995 Jul-Aug;4(5):543–548. [PubMed] [Google Scholar]
  27. Wiencke J. K., Kelsey K. T., Varkonyi A., Semey K., Wain J. C., Mark E., Christiani D. C. Correlation of DNA adducts in blood mononuclear cells with tobacco carcinogen-induced damage in human lung. Cancer Res. 1995 Nov 1;55(21):4910–4914. [PubMed] [Google Scholar]
  28. Wogan G. N., Gorelick N. J. Chemical and biochemical dosimetry of exposure to genotoxic chemicals. Environ Health Perspect. 1985 Oct;62:5–18. doi: 10.1289/ehp.85625. [DOI] [PMC free article] [PubMed] [Google Scholar]

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