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作 者:Guangbiao Zhou Xinchun Zhao
出 处:《Frontiers of Medicine》2018年第2期236-238,共3页医学前沿(英文版)
摘 要:Recently, Ng et al. reported that the A:T 〉 T:A substitutions, proposed to be a signature of aristolochic acid (AA) exposure, were detected in 76/98 (78%) of patients with hepatocellular carcinoma (HCC) from the Taiwan Province of China, and 47% to 1.7% of HCCs from the Chinese mainland and other countries harbored the nucleotide changes. However, other carcinogens, e.g., tobacco carcinogens 4-aminobiphenyl and 1,3-butadiene, air toxic vinyl chloride and its reactive metabolites chloroethylene oxide, melphalan and chlorambucil, also cause this signature in the genome. Since tobacco smoke is a worldwide public health threat and vinyl chloride distributes globally and is an air pollutant in Taiwan Province, the estimation of the patients' exposure history is the key to determine the "culprit" of the A:T 〉 T:A mutations. Apparently, without estimation of the patients' exposure history, the conclusion of Ng et al, is unpersuasive and misleading.Recently, Ng et al. reported that the A:T 〉 T:A substitutions, proposed to be a signature of aristolochic acid (AA) exposure, were detected in 76/98 (78%) of patients with hepatocellular carcinoma (HCC) from the Taiwan Province of China, and 47% to 1.7% of HCCs from the Chinese mainland and other countries harbored the nucleotide changes. However, other carcinogens, e.g., tobacco carcinogens 4-aminobiphenyl and 1,3-butadiene, air toxic vinyl chloride and its reactive metabolites chloroethylene oxide, melphalan and chlorambucil, also cause this signature in the genome. Since tobacco smoke is a worldwide public health threat and vinyl chloride distributes globally and is an air pollutant in Taiwan Province, the estimation of the patients' exposure history is the key to determine the "culprit" of the A:T 〉 T:A mutations. Apparently, without estimation of the patients' exposure history, the conclusion of Ng et al, is unpersuasive and misleading.
关 键 词:genomic signature CARCINOGEN aristolochic acid tobacco smoke vinyl chloride hepatocellular carcinoma
分 类 号:TQ221.211[化学工程—有机化工] S858.285.3[农业科学—临床兽医学]
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