Mutagenesis Advance Access originally published online on September 30, 2005
Mutagenesis 2005 20(6):399-410; doi:10.1093/mutage/gei057
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3-Nitrobenzanthrone, a potential human cancer hazard in diesel exhaust and urban air pollution: a review of the evidence

Section of Molecular Carcinogenesis, Institute of Cancer Research, Brookes Lawley Building, Sutton, Surrey SM2 5NG, UK
| Abstract |
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Epidemiological studies have shown that exposure to diesel exhaust and urban air pollution is associated with an increased risk of lung cancer. 3-Nitrobenzanthrone [3-nitro-7H-benz[de]anthracen-7-one (3-NBA)] is an extremely potent mutagen and suspected human carcinogen identified in diesel exhaust and ambient air particulate matter. The main metabolite of 3-NBA, 3-aminobenzanthrone (3-ABA), was found in the urine of salt mine workers occupationally exposed to diesel emissions, indicating that human exposure to 3-NBA due to diesel emissions can be significant and is detectable. There is clear evidence that 3-NBA is a genotoxic mutagen forming DNA adducts after metabolic activation through simple reduction of the nitro group. Several human enzymes have been shown to activate 3-NBA and its metabolites in vitro and in cells to form electrophilic arylnitrenium and rearranged carbenium ions, leading to the formation of purine adducts at the C8 and N2 position of guanine and at the C8 and N6 position of adenine. The predominant DNA adducts in vivo, 2-(2'-deoxyguanosin-N2-yl)-3-aminobenzanthrone and N-(2'-deoxyguanosin-8-yl)-3-aminobenzanthrone are also the most persistent adducts in target tissue in rodents, and are most probably responsible for the induction of GC
TA transversion mutations observed in vivo. It is concluded that these adducts not only represent premutagenic lesions in DNA but are of primary importance for the initiation of the carcinogenic process and subsequent tumour formation in target tissue. Indeed, 3-NBA is carcinogenic in rats after intratracheal instillation, inducing mainly squamous cell carcinoma in lung. The intention of this article is to provide a critical review on the potential genotoxic effects of 3-NBA on human health. However, in general, there is a need for more mechanistic studies that relate 3-NBA to all processes that are considered to orchestrate tumour development and of studies on the ability of particles to promote 3-NBA genotoxicity. Because of its widespread environmental presence, 3-NBA may represent not only an occupational health hazard but also a hazard for larger sections of the general population. For an accurate risk assessment more epidemiological studies on 3-NBA-exposed individuals and a broader monitoring of environmental levels of 3-NBA are required. | Introduction |
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Environmental factors and an individual's genetic susceptibility play an important role in many human cancers (1
Several human biomonitoring studies using the detection of DNA adducts by the ultrasensitive 32P-postlabelling method have reported higher levels of bulky DNA adducts among subjects heavily exposed to diesel exhaust and urban air pollution (12
15
). This correlates with the increased cancer risk (16
). The aromatic nitroketone 3-nitrobenzanthrone [3-nitro-7H-benz[de]anthracen-7-one (3-NBA); Figure 1] is one of the most potent mutagens and a potential human carcinogen that was discovered only a few years ago in diesel exhaust and bound to the surface of airborne particulate matter (17
19
). Thus, 3-NBA was described as the devil in the diesel in the popular press (20
). The main metabolite of 3-NBA, 3-aminobenzanthrone (3-ABA), has been found in workers occupationally exposed to diesel emissions (21
), suggesting that exposure to 3-NBA in diesel emissions may represent a health hazard for large sections of the population. DNA adduct formation is a critical event in mutagenesis and in the initiation of carcinogenesis (22
). Determining the capability of humans to activate 3-NBA to form DNA adducts and understanding which human enzymes are involved in its metabolic activation are important in the assessment of susceptibility to this environmental contaminant (23
).
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The intention of this article is to provide a critical review on the potential genotoxic effects of 3-NBA on human health. As such, the article focuses on environmental levels and human sources of exposure, the potential genotoxic mechanism for 3-NBA oncogenesis in rodents, and speculates on the mechanism of 3-NBA suspected carcinogenicity in humans.
| Sources of exposure to 3-nitrobenzanthrone |
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3-NBA was first discovered by Suzuki and co-workers (17
The concentration of nitro-PAHs in urban atmospheres depends on the season, the type of heating used, the amount of traffic and the type of vehicles. Reported levels in air do not usually exceed 1 ng/m3, although concentrations up to 13 ng/m3 have been reported (10
). However, levels of PAHs in urban air are in general one order of magnitude higher than those reported for nitro-PAHs (30
). 3-NBA has been detected in diesel exhaust particles at concentrations of up to 6.6 µg/g particles (Table I) (17
,31
). Moreover, as summarized in Table I, 3-NBA has been found in ambient air particles collected in urban and semi-rural areas, and at traffic- or industrial-emissions-impacted sites at several pg/m3 levels (up to
11.5 pg/m3 air). Higher levels (up to
80 pg/m3 air) of 3-NBA have been observed in ambient air at workplaces subjected to high diesel emissions (Table I) (21
). On the basis of the reported quantities of 3-NBA in diesel exhaust particulates (17
) and the daily intake via inhalation of particles of 1 µg/m3 air (LAI), a person's intake of 3-NBA may be
90 pg/day, based on a breath intake of about 15 m3 air/day (32
). However, intake of 3-NBA by high-risk population groups may be higher (21
).
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2-NBA, a 3-NBA isomer, was also formed under artificial atmospheric conditions and was detected in ambient air particles collected in the USA and Japan (33
70 (34
35) was found in another ambient air sample (33
Pollutants in the atmosphere can be removed by either dry or wet deposition. In a recent study 3-NBA was detected in rainwater (36
), indicating that 3-NBA in the atmosphere can be transported into rainwater. In rainwater samples collected at a residential area in Kyoto, Japan, 3-NBA was determined in the range of 0.072.6 ng/l (Table I). As a likely consequence of atmospheric washout, 3-NBA was detectable in surface soil at levels of up to
1200 pg/g soil (Table I) (37
,38
). More recently, 3-NBA was detected in extracts of particles collected from a chimney of a domestic coal-burning stove at a concentration of 0.234 µg/g particles, suggesting that particles emitted from industrial and domestic coal-burning sources have to be considered as possibly minor sources of 3-NBA formation in urban air pollution (39
).
| Genetic and related effects of 3-nitrobenzanthrone |
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3-NBA is one of the most potent bacterial mutagens known to date, inducing 0.2 and 6.3 million revertants per nmol in Salmonella typhimurium strains TA98 and YG1024, respectively (Table II); numbers of revertants are comparable in each case to the number induced by the nitro-PAH 1,8-dinitropyrene (17
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Induction of micronuclei was observed in 3-NBA-treated human B-lymphoblastoid and hepatoma cell lines (32
The genotoxicity of 3-NBA was further documented by the formation of specific DNA adducts in various chemical and enzymatic in vitro assays, in cells and in vivo in rodents treated with 3-NBA (43
57
). In rats, multiple DNA adducts were observed in all organs investigated (e.g. lung, liver and kidney), independent of the route of administration (oral, intraperitoneal or intratracheal) (Table III) (47
,49
,56
). When adduct formation by 3-NBA in rat liver is compared with that of other mono nitroaromatics administered orally as a single dose, 3-NBA forms about 3-fold more DNA adducts than aristolochic acid, a plant carcinogen, and about 80-fold more than 2-nitrofluorene (47
). Essentially the same DNA adducts were observed in human MCL-5 cells and in calf thymus DNA modified in vitro with 3-NBA in the presence of human hepatic microsomes or cytosols (41
,51
,54
) indicating that 3-NBA is activated by human enzymes (see below).
In a carcinogenicity study in F344 rats, squamous cell carcinoma were found in the lungs after 79 months in the high dose group (total dose 2.5 mg 3-NBA; 4.5 mg/kg body weight once a week for 5 weeks) and after 1012 months in the low dose group (total dose 1.5 mg 3-NBA; 5 mg/kg body weight once a week for 3 weeks) (19
). In this study, the fraction of squamous cell carcinoma out of the total numbers of tumours observed at the end of the experiment at 18 months corresponded to 3/16 (18.8%) and 11/16 (68.7%) in the low and high dose group, respectively. A single case of adenocarcinoma was observed in each dose group. In addition, a few cases of squamous metaplasia were observed in the lungs in both groups, but not in the controls (19
). No tumours were observed in control animals and in any other tissue examined. In a similar animal model using F344 rats a dose-dependent incidence of lung tumours was observed for 1,6-dinitropyrene and benzo(a)pyrene after intratracheal instillation, 1,6-dinitropyrene being the more potent carcinogen (58
). However, because of the high acute toxicity of 3-NBA, a direct comparison of the carcinogenicity of 3-NBA and 1,6-dinitropyrene by the same protocol was not possible (19
). Repeated administration of a suspended solution of 3-NBA induced severe fatal acute inflammation in the lungs with the consequence that lower doses had to be used. The authors concluded that the carcinogenicity of 3-NBA is similar to, or stronger than, that of 1,6-dinitropyrene (19
).
| Metabolic activation and DNA adducts formed by 3-nitrobenzanthrone and its metabolites |
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Metabolism of 3-nitrobenzanthrone
Although the metabolism of 3-NBA has not been extensively studied so far, 3-ABA [Note: 3-ABA was evaluated to be suitable for colouration of microporous polyethylene films, which are widely used to separate liquid mixtures, in particular, in chemical batteries (59
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DNA adduct formation by 3-nitrobenzanthrone and its metabolites
A powerful tool to elucidate the activation pathway of a carcinogen is to characterize and quantify the DNA adducts it forms and to determine what factors either enhance or inhibit adduct formation (64
Nitro-PAHs require metabolism to form reactive electrophilic species in order to exert their genotoxic activity. Two pathways that can activate 3-NBA leading to DNA adduct formation have been proposed (Figure 2). After nitroreduction to N-hydroxy-3-aminobenzanthrone (N-OH-ABA; Figure 2) the first pathway involves the formation of a nitrenium ion yielding non-acetylated DNA adducts. The second pathway proceeds via the formation of N-acetyl-N-hydroxy-3-aminobenzanthrone (N-Ac-N-OH-ABA) and an N-acetyl-nitrenium ion yielding acetylated DNA adducts.
Most of the adducts derived from nitroaromatics and aromatic amines so far reported are deoxyguanosine (dG) adducts with the C8 position of dG linked to the N atom of the amine or nitroaromatic or to a lesser extent with the N2 amino group of dG linked to an aromatic C atom (66
,67
). The formation of C8- and N6-substituted deoxyadenosine (dA) derivatives has also been reported. After reacting the activated ester of N-OH-ABA, N-acetoxy-3-aminobenzanthrone (N-Aco-ABA), with dG, dA or DNA in vitro a variety of DNA adducts were formed and characterized spectroscopically (53
,55
; T. Takamura-Enya, M. Kawanishi, Y. Nakagawa, T. Watanabe, T. Hirayama, K. Wakabayashi, Y. Hisamatsu and T. Yagi, unpublished data). As shown in Figure 3 three dG adducts have been characterized as N-(2'-deoxyguanosin-8-yl)-3-aminobenzanthrone (dG-C8-N-ABA), 2-(2'-deoxyguanosin-N2-yl)-3-aminobenzanthrone (dG-N2-ABA) and 2-(2'-deoxyguanosin-8-yl)-3-aminobenzanthrone (dG-C8-C2-ABA), and a dA adduct was characterized as 2-(2'-deoxyadenosin-N6-yl)-3-aminobenzanthrone (dA-N6-ABA). In addition, N-(2'-deoxyadenosin-8-yl)-3-aminobenzanthrone (dA-C8-N-ABA) was synthesized and characterized (T. Takamura-Enya, M. Kawanishi, Y. Nakagawa, T. Watanabe, T. Hirayama, K. Wakabayashi, Y. Hisamatsu and T. Yagi, unpublished data). After reacting the activated ester of N-Ac-N-OH-ABA, N-acetoxy-N-acetyl-3-aminobenzanthorne (N-Aco-N-Ac-ABA) with dG, dA or DNA, the same type of adducts in their N-acetylated forms as described above were identified (compare Figure 3; R = Ac) (43
,57
; T. Takamura-Enya, M. Kawanishi, Y. Nakagawa, T. Watanabe, T. Hirayama, K. Wakabayashi, Y. Hisamatsu and T. Yagi, unpublished data). In addition, an unusual 3-Ac-ABA adduct of dA, which involves a double linkage between adenine and BZ (N1 to C1, N6 to C11b), creating a five-membered imidazo-type ring system [assigned dA-(N-Ac-ABA)-1], was formed (Figure 3) (57
). Treatment of the latter adduct with alkali was used to generate the corresponding non-acetylated adduct (assigned dA-ABA-1) (Figure 3) (57
).
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Utilizing thin-layer chromatography (TLC) after 32P-postlabelling, the DNA adduct pattern in rodents in vivo consists of a characteristic cluster of up to four adducts (spots 1, 2, 3 and 6) after enrichment with nuclease P1 digestion, and of a cluster of up to five adducts (spots 1, 2, 3, 4 and 5) after enrichment by butanol extraction (Figure 4) (42
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Since inhalation is the major route by which airborne materials gain access to the body, primary exposure of the lungs of rats to 3-NBA is the most suitable model system. However, because experimental inhalation studies are difficult to perform, direct intratracheal instillation of 3-NBA has been employed as an alternative exposure procedure to inhalation (19
350 and
620 adducts per 108 nucleotides, respectively, at the higher dose (56
250 adducts per 108 nucleotides) were found in rat lung in a separate study treated with 10 mg/kg body weight 3-NBA by other authors (19
Enzymatic activation of 3-nitrobenzanthrone and its human metabolite 3-aminobenzanthrone
Determining the capability of humans to metabolize the potential human carcinogen 3-NBA and understanding which human enzymes are involved in its activation are important in the assessment of an individual's susceptibility. Using various enzymatic in vitro bioassays including rat and human hepatic microsomes and cytosols it was demonstrated that the activation of 3-NBA to N-OH-ABA is through nitroreduction catalysed primarily by cytosolic reductases, such as xanthine oxidase and NAD(P)H:quinone oxidoreductase (NQO1) (44
,46
,47
,54
). However, microsomal NADPH:cytochrome P450 oxidoreductase (POR) is also able to metabolically activate 3-NBA by simple nitroreduction (51
). The role of POR in the activation of 3-NBA in vivo was evaluated by treating hepatic POR-null mice intraperitoneally with 3-NBA (54
). It was shown that there was no difference in DNA binding between null and wild-type mice (54
), indicating that 3-NBA is predominantly activated in vivo by cytosolic nitroreductases rather than microsomal POR. However, it was demonstrated, using human and rat hepatic microsomes, selective inhibitors and purified enzymes, that the N-oxidation of 3-ABA is catalysed mainly by cytochrome P450 (CYP) 1A1 and CYP1A2 (70
,71
). N-OH-ABA, formed either by nitroreduction of 3-NBA or by N-oxidation of 3-ABA, can be conjugated by phase II enzymes such as NATs and SULTs. It was shown that NAT1 and NAT2 as well as SULT1A1 and SULT1A2 can contribute substantially to the bioactivation of 3-NBA and 3-ABA, leading to reactive esters capable of forming DNA adducts (48
,50
,54
). Moreover, recent data indicate that 3-ABA is also activated in vitro by different model peroxidases, e.g. human myeloperoxidase (71
). Although it cannot be excluded that 3-Ac-ABA and/or N-Ac-N-OH-ABA are formed in vivo, it was concluded that both metabolites are readily deacetylated by microsomal deacetylases (Figure 2) (48
50
). Alternatively, NATs also catalyse, to a limited extent, N,O-acetyl transfer reactions. Thus, it may be possible that N-Ac-N-OH-ABA is converted to N-Aco-ABA by N,O-acetyl transfer, which can react directly with DNA (48
,50
).
Human exposure to 3-NBA is thought to occur primarily via the respiratory tract. Therefore, the finding that CYPs, NATs and SULTs known to be expressed in human lungs (72
76
) participate in the metabolic activation of 3-NBA and its metabolites (48
,50
,51
,54
,70
,71
) is important for the estimation of 3-NBA genotoxicity to humans. CYP1A1 can be induced by polycyclic aromatic hydrocarbons (PAHs) present in cigarette smoke (76
). Similarly to other nitroaromatics, 3-NBA is also able to induce CYP1A1 enzyme activity (M. Stiborova, unpublished data). Hence, long-term exposure to cigarette smoke and/or occupational exposure to 3-NBA might be an important risk factor, increasing 3-ABA activation and its binding to DNA, thereby enhancing the genotoxic potential of 3-NBA. Similarly, NQO1 can be induced by PAHs (74
). Interindividual variation in susceptibility to many pollutants and variations in drug-metabolizing enzymes in target tissues appear to be important determinants of cancer risk (23
). The levels of expression and activity of many enzymes that can bioactivate 3-NBA and its metabolites are influenced by several factors, e.g. nutrition, smoking, drugs, environmental chemicals and genetic polymorphisms, and differ considerably among individuals (77
). Another factor causing variability of the activity and level of POR, for example, is a variation in hormonal levels (78
). The human NAT1 and NAT2 genes are genetically polymorphic, resulting in different activities of the gene product that segregate individuals into slow and rapid acetylator phenotype that can affect cancer susceptibility (79
). SULT1A1 and SULT1A2 are also polymorphic in humans and polymorphisms in both these genes are associated with increased cancer risk including lung (80
). Thus far, two polymorphisms for NQO1 have been found in the general population, one of them being associated with an increased risk of urothelial cancer and paediatric leukaemia (54
). Moreover, genetic polymorphism of CYP genes, alone or in combination, have been identified as a cancer risk modifier in various cancer including lung (81
). Collectively, genetic polymorphism in NAT as well as in SULT, CYP or NQO1 genes could be important determinants of lung cancer risk from 3-NBA.
| Human biomonitoring of 3-nitrobenzanthrone |
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Although it is clear that humans are environmentally exposed to nitro-PAHs finding sensitive and selective biomarkers is not a straightforward matter (10
510-fold higher than one might expect from the airborne levels of 3-NBA at the workplace (Table I). The authors suggested that 3-NBA may have been incompletely collected by air sampling possibly as a result of decomposition (21
In general, DNA adducts are useful biomarkers to detect exposures to genotoxic compounds (82
,83
), including exposure to complex environmental mixtures such as those in diesel emissions. Several human biomonitoring studies using the detection of DNA adducts by 32P-postlabelling in lymphocytes have reported higher levels of bulky DNA adducts among subjects heavily exposed to diesel exhaust and ambient air pollution (12
15
). Distinct adduct pattern and increased adduct level were found among garage workers occupationally exposed to diesel exhaust when compared with non-exposed controls (12
,13
). Significantly elevated levels of DNA adducts were also reported in bus maintenance workers exposed to diesel exhaust (14
). Moreover, in a meta-analysis of 13 32P-postlabelling studies on occupational cohorts exposed to air pollution a significant association between levels of DNA adducts and air pollution exposure was observed in both heavily exposed industrial workers and less severely exposed urban workers (15
). After intratracheal treatment of rats with 3-NBA an overall relationship was observed between DNA adducts in blood and the lung, although adduct levels were 7590% lower in blood (56
). Thus, DNA adducts formed by 3-NBA in lymphocyte DNA may be useful biomarkers of exposure to 3-NBA in individuals exposed to it and may help to assess the effective biological dose. But it remains to be determined whether human blood will be a suitable surrogate tissue for monitoring DNA adducts formed by 3-NBA. It may also be possible to investigate exfoliated urothelial cells in urine for the presence of exposure-related DNA adducts (84
). New technologies such as metabonomics might also be considered for the assessment of 3-NBA (geno)toxicity (85
).
| Carcinogenic mechanism of 3-nitrobenzanthrone and future studies |
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DNA adducts formed by 3-NBA represent premutagenic lesions (22
/lacZ transgenic MutaTMMouse 3-NBA induced mainly GC
TA transversion mutations (42
TA transversions by 3-NBA is probably explained by intrinsic properties of DNA polymerase(s) to insert dA opposite an adduct lesion during DNA replication, referred to as the A-rule (87
TA transversions (4050%) were the most frequent mutation type in the supF gene in human fibroblast cell lines after treatment with N-Aco-N-Ac-ABA (88
GC and GC
AT transitions (89
Although it is clear that 3-NBA can dissociate from particles and become bioavailable (21
), the particles themselves are thought to impact on genotoxicity as well as on cell proliferation via their ability to generate reactive oxygen species (ROS) (91
). Hence, exposure to particulate matter might increase the genotoxic potential of 3-NBA. Not only can exposure to particles lead to increased levels of ROS in pulmonary tissue (91
) but also 3-NBA and/or its metabolites could catalyse the generation of ROS. Indeed, increased levels of ROS were observed in vitro in human A549 lung cells after exposure to 3-NBA (35
,92
). Tumour development by 3-NBA in lungs may be influenced by promotional pressures like ROS in initiated cells and not only by the initial levels of DNA adducts formed by it. The most important ROS generating system in the lung is constituted by the pool of inflammatory phagocytes such as alveolar macrophages (91
). Indeed, severe acute inflammation of the lung parenchyma was found in rats after intratracheal instillation of 3-NBA (19
). Moreover, the formation of radicals, e.g. during metabolic activation of 3-NBA and its metabolites, may also be important in the process of tumour promotion (71
). However, the exact role of ROS and particle-related effects as promotional pressures on 3-NBA-initiated genotoxicity and/or tumourigenesis remain to be explored.
Although abundant evidence suggests that 3-NBA initiates the first critical steps of chemically induced carcinogenesis, little information is yet available on the subsequent steps that lead to preneoplastic and neoplastic changes. A postulated mechanism for the carcinogenicity of 3-NBA in rodents and humans is summarized in Figure 5. Proto-oncogenes have been identified as genetic targets that are involved in chemical carcinogenesis (93
). In rodents, many chemical carcinogens activate the ras proto-oncogene by single point mutations in codons 12, 13 or 61 (94
). Although, to date, we can only speculate on hotspot mutations in 3-NBA-induced tumours, future studies should focus on mutational hotspots found in those tumours and the activation of oncogenes. In some cases it has been possible to causally link sequence-specific DNA adduct formation of a carcinogen and human tumour mutations to distinct environmental exposure (95
97
). As the presumed guardian of the genome, p53 is one of the most commonly mutated genes observed in human tumours and as it is mutated in over 50% of all human cancers (98
). A recently developed test system uses human p53 knock-in (Hupki) mice to generate and select dysfunctional human p53 mutations experimentally (99
101
). It is anticipated that such a model could explore possible links between environmental exposure to 3-NBA and mutation spectra on tumours associated with urban air pollution collected in the human tumour TP53 mutation database (102
).
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| Conclusions |
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There is increasing evidence that the urban air pollutant 3-NBA is a potent mutagen and animal carcinogen, and is therefore a suspected human carcinogen. There is now a need for more mechanistic studies that relate 3-NBA to processes that orchestrate tumour development, including DNA damage, DNA repair, apoptosis, mutagenesis and proliferation as well as the ability of particles to promote 3-NBA genotoxicity. Because of its presence in diesel exhaust and ambient air pollution, exposure to 3-NBA may represent a health hazard for certain occupations and for large sections of the general population. However, for accurate risk assessment further epidemiological studies on 3-NBA-exposed individuals and a broader monitoring of environmental levels of 3-NBA are required.
| Acknowledgments |
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This article is based in part on the UKEMS Young Scientist Award Lecture delivered at the 27th Annual Meeting of the UKEMS in Loughborough, UK, in July 2004. I wish to thank David Phillips (Institute of Cancer Research, UK) and Heinz Schmeiser (German Cancer Research Center, Germany) for their support and invaluable advice over the past few years. In relation to this article, I gratefully acknowledge the assistance and enthusiasm of my team colleagues at the Institute of Cancer Research (Alan Hewer, Martin Osborne, Kathy Cole and Cyd Churchill) and the German Cancer Research Center (Manfred Wiessler, Christian Bieler, Eva Frei, Christian Kliem, Bernd Sorg and Michael Cornelius), without whom much of my work would not have been possible. I wish also to acknowledge the scientific contributions of my collaborators in this research project: Marie Stiborova (Charles University Prague, The Czech Republic), Walter Mier (University Hospital Heidelberg, Germany), Hansruedi Glatt (German Institute of Nutrition, Germany), Albrecht Seidel (Biochemical Institute for Environmental Carcinogens, Germany), Takayoshi Suzuki (National Institute of Health Sciences, Japan), Colin Henderson and Roland Wolf (Biomedical Research Centre Dundee, UK), Monica Hollstein, William Hull and Gerhard Fürstenberger (German Cancer Research Center, Germany), Takeji Takamura-Enya (National Cancer Center Research Institute, Japan), and Paul White and George Douglas (Health Canada, Canada). The research of our team at the Institute of Cancer Research is supported by Cancer Research UK and we are a member of the European ECNIS (Environmental Cancer Risk, Nutrition and Individual Susceptibility) Network of Excellence.
| Notes |
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* Tel: +44 208 722 4405; Fax: +44 208 722 4052; Email: volker.arlt{at}icr.ac.uk
Recipient of the 2004 UKEMS Young Scientist Award ![]()
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