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Carcinogens
Carcinogen Definition - What Are
Carcinogens?
What You Need to Know About Carcinogens
by Anne Marie Helmenstine, Ph.D.
A carcinogen is defined as
any substance or radiation that promotes cancer formation or
carcinogenesis.
Chemical carcinogens may be
natural or synthetic, toxic or non-toxic.
Many carcinogens are organic
in nature, such as benzo[a]pyrene and viruses. An example of carcinogenic
radiation is ultraviolet light.
How Carcinogens Work
Carcinogens prevent normal cell death (apoptosis) from occurring
so cellular division is uncontrolled. This results in a tumor.
If the tumor develops the
ability to spread or metastasize (becomes malignant), cancer results.
Some carcinogens damage DNA,
however, if significant genetic damage occurs, usually a cell simply dies.
Carcinogens alter cellular
metabolism in other ways, causing affected cells to become less specialized and
either masking them from the immune system or else preventing the immune
system from killing them.
Everyone
is exposed to carcinogens every day, yet not every exposure leads to cancer.
The body uses several mechanisms to remove carcinogens or repair/remove damaged
cells:
· Cells
recognize many carcinogens and attempt to render them harmless through
biotransformation. Biotransformation increases the solubility of a
carcinogen in water, making it easier to flush from the body. However,
sometimes biotransformation increases the carcinogenicity of a chemical.
· DNA
repair genes fix damaged DNA before it can replicate. Usually, the mechanism works,
but sometimes the damage isn't fixed or is too extensive for the system to
repair.
· Tumor
suppressor genes ensure cell growth and division behave normally. If a
carcinogen affects a proto-oncogene (gene involved in normal cell growth), the
change can allow cells to divide and live when they ordinarily wouldn't.
Genetic changes or hereditary predisposition play a role in carcinogen
activity.
.
Examples of Carcinogens
Radionuclides are carcinogens, whether or not they are toxic,
because they emit alpha, beta, gamma, or neutron radiation that can ionize
tissues.
Many types of radiation are
carcinogenic, such as ultraviolet light (including sunlight), x-rays, and
gamma rays.
Usually microwaves, radio
waves, infrared light, and visible light are not considered carcinogenic because
the photons don't have enough energy to break chemical bonds.
However, there are documented
cases of usually "safe" forms of radiation being associated with
increased cancer rate with prolonged high-intensity exposure.
Foods and other materials
that have been irradiated with electromagnetic radiation (e.g., x-rays, gamma
rays) are not carcinogenic.
Neutron irradiation, in
contrast, can make substances carcinogenic through secondary radiation.
Chemical
carcinogens include carbon electrophiles, which attack DNA. Examples of carbon
electrophiles are mustard gas, some alkenes, aflatoxin, and benzo[a]pyrene.
Cooking and processing foods
can produce carcinogens.
Grilling or frying food, in
particular, can produce carcinogens such as acrylamide (in french fries and
potato chips) and polynuclear aromatic hydrocarbons (in grilled meat).
Some of the main carcinogens
in cigarette smoke are benzene, nitrosamine, and polycycylic aromatic
hydrocarbons (PAHs).
Many of these compounds are
found in other smoke, too. Other important chemical carcinogens are
formaldehyde, asbestos, and vinyl chloride.
Natural
carcinogens include aflatoxins (found in grains and peanuts), the hepatitis B
and human papilloma viruses, the bacteria Helicobacter pylori, and
the liver flukes Clonorchis sinensis and Oposthorchis
veverrini.
How Carcinogens Are Classified
There are many different systems of classifying carcinogens,
generally based on whether a substance is known to be carcinogenic in humans, a
suspected carcinogen, or a carcinogen in animals.
Some classification systems
also allow for labelling a chemical as unlikely to be a
human carcinogen.
One
system is that used by the International Agency for Research on Cancer (IARC),
which is part of the World Health Organization (WHO).
· Group
1: known human carcinogen, likely to cause cancer under typical exposure
circumstances
· Group
2A: probably a human carcinogen
· Group
2B: possibly a human carcinogen
· Group
3: not classifiable
· Group
4: probably not a human carcinogen
Carcinogens
may be categorized according to the type of damage they cause.
Genotoxins are carcinogens
that bind to DNA, mutate it, or cause irreversible damage.
Examples of genotoxins
include ultraviolet light, other ionizing radiation, some viruses, and
chemicals such as N-nitroso-N-methylurea (NMU).
Nongenotoxins don't damage
DNA, but they promote cell growth and/or prevent programmed cell death.
Examples of nongenotoxic
carcinogens are some hormones and other organic compounds.
How Scientists Identify Carcinogens
The only certain way to know whether a substance is a carcinogen
is to expose people to it and see if they develop cancer.
Obviously, this is neither
ethical nor practical, so most carcinogens are identified other ways.
Sometimes an agent is
predicted to cause cancer because it has a similar chemical structure or effect
on cells as a known carcinogen.
Other studies are conducted
on cell cultures and lab animals, using much higher concentrations of chemicals/viruses/radiation
than a person would encounter.
These studies identify
"suspected carcinogens" because the action in animals may be
different in humans.
Some studies use
epidemiological data to find trends in human exposure and cancer.
Procarcinogens and Co-carcinogens
Chemicals that are not carcinogenic, but become carcinogens when
they are metabolized in the body are called procarcinogens.
An example of a procarginogen
is nitrite, which is metabolized to form carcinogenic nitrosamines.
A
co-carcinogen or promoter is a chemical that doesn't cause cancer on its own,
but promotes carcinogen activity.
The presence of both
chemicals together increases the likelihood of carcinogenesis. Ethanol (grain
alcohol) is an example of a promoter.
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