Volume 35, Issue 8 pp. 1096-1100
Original Article

Elevated levels of 1-hydroxypyrene and N′-nitrosonornicotine in smokers with head and neck cancer: A matched control study

Samir S. Khariwala MD

Corresponding Author

Samir S. Khariwala MD

Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota

Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota

Department of Otolaryngology, University of Minnesota, MMC 396, 420 Delaware St SE, Minneapolis, MN 55455Search for more papers by this author
Steven G. Carmella BS

Steven G. Carmella BS

Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota

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Irina Stepanov PhD

Irina Stepanov PhD

Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota

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Patricia Fernandes MS, DDS

Patricia Fernandes MS, DDS

Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota

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Amy Anne Lassig MD

Amy Anne Lassig MD

Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota

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Bevan Yueh MD

Bevan Yueh MD

Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota

Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota

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Dorothy Hatsukami PhD

Dorothy Hatsukami PhD

Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota

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Stephen S. Hecht PhD

Stephen S. Hecht PhD

Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota

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First published: 17 July 2012
Citations: 12

This publication was supported by Grant Number 1UL1RR033183 from the National Center for Research Resources (NCRR) of the National Institutes of Health (NIH) to the University of Minnesota Clinical and Translational Science Institute (CTSI). Its contents are soley the responsibility of the authors and do not necessarily represent the official views of the CTSI or the NIH. The University of Minnesota CTSI is part of a national Clinical and Translational Science Award (CTSA) consortium created to accelerate laboratory discoveries into treatments for patients.

Abstract

Background

Head and neck squamous cell carcinoma (HNSCC) is associated with tobacco use. Still, most smokers do not develop HNSCC. The mechanisms of varying susceptibility to HNSCC are poorly studied to date. Tobacco metabolite research provides insight regarding the innate metabolism and excretion of carcinogens.

Methods

Smokers with HNSCC (cases) were compared with smokers without HNSCC (controls) in a matched cohort. The tobacco metabolites studied were: 1-hydroxypyrene (1-HOP), N′-nitrosonornicotine (NNN), and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL).

Results

In 33 subjects, mean 1-HOP was 1.82 pmol/mg creatinine versus 1.08 pmol/mg creatinine (p = .004) and mean NNN was 0.10 pmol/mg creatinine versus 0.04 pmol/mg creatinine (p = .01) in cases and controls, respectively. NNAL did not differ between groups.

Conclusions

Smokers with HNSCC have elevated urinary levels of 1-HOP and total NNN compared with matched controls, suggesting an increased effective exposure to these carcinogens. Tobacco constituent metabolites may be useful in understanding tobacco-related carcinogenesis in HNSCC. © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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