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The Toxicologist - Society of Toxicology

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to control toxicant delivery in tobacco products. Critical policy issues will be identified.<br />

Research gaps and priorities will also be highlighted. <strong>The</strong> presentation will<br />

also emphasize the relevance <strong>of</strong> consumer perception and behavior.<br />

2696 ASSOCIATION BETWEEN THE DESIGN, CONTENTS,<br />

EMISSIONS, USE, AND BIOMARKERS OF EXPOSURE<br />

FROM TOBACCO PRODUCTS.<br />

D. L. Ashley. Center for Tobacco Products, U.S. FDA, Rockville, MD. Sponsor: C.<br />

Timchalk.<br />

Cigarette smoke is a complex mixture <strong>of</strong> chemical compounds bound to aerosol<br />

particles and free in the gas phase. Chemical compounds can be distilled directly<br />

from tobacco into smoke or react to form other materials, which are then delivered<br />

in the smoke. Published literature reports that many <strong>of</strong> these chemicals in tobacco<br />

smoke are mutagenic, carcinogenic, and addictive. <strong>The</strong> International Agency for<br />

Research on Cancer (IARC) list <strong>of</strong> carcinogens includes the tobacco-specific nitrosamines,<br />

polynuclear aromatic hydrocarbons, volatiles, and heavy metals. Studies<br />

have shown that the levels <strong>of</strong> exposure to these chemicals in smoke can be altered by<br />

cigarette design, other chemical additives to the tobacco product and the way people<br />

consume the cigarette. In addition, changes to the pH <strong>of</strong> smokeless tobacco result<br />

in higher or lower levels <strong>of</strong> free nicotine, the form more biologically available.<br />

Studies in the laboratory and with smokers indicate that the addition <strong>of</strong> filter ventilation<br />

to cigarettes reduces the levels <strong>of</strong> smoke delivered using the standard smoking<br />

regimen, but this does not adequately reflect the exposure that smokers receive,<br />

since they can block the holes, take larger puffs, or take more frequent puffs. Thus,<br />

smokers <strong>of</strong> the same cigarette can inhale a wide variation in the amount <strong>of</strong> smoke.<br />

By examining a wide variety <strong>of</strong> tobacco products, researchers have determined that<br />

the use <strong>of</strong> specific types <strong>of</strong> tobacco can alter the relative levels <strong>of</strong> the chemical constituents<br />

in smoke. This can impact the levels <strong>of</strong> biomarkers in users <strong>of</strong> these products.<br />

By comparing the levels found in the smoke, the characteristics <strong>of</strong> the tobacco<br />

products and how people smoke, we can better understand how these influence the<br />

delivery <strong>of</strong> addictive and toxic chemicals to people. <strong>The</strong>re are critical design and<br />

content considerations that can substantially influence the levels <strong>of</strong> toxic, carcinogenic,<br />

and addictive components <strong>of</strong> tobacco product emissions.<br />

2697 TOBACCO CARCINOGEN AND TOXICANT<br />

BIOMARKERS: POTENTIAL APPLICATIONS IN<br />

TOBACCO HARM REDUCTION AND REGULATION.<br />

S. S. Hecht, J. Yuan and D. K. Hatsukami. Masonic Cancer Center, University <strong>of</strong><br />

Minnesota, Minneapolis, MN. Sponsor: C. Timchalk.<br />

Tobacco products contain complex mixtures <strong>of</strong> carcinogens and toxicants that are<br />

responsible for the deadly effects <strong>of</strong> these products. Cigarette smoke has over 70 established<br />

carcinogens and numerous toxicants. <strong>The</strong> 20th century method for assessing<br />

levels <strong>of</strong> these substances was machine smoking, but this has severe limitations<br />

which are well documented. <strong>The</strong> 21st century method should integrate<br />

tobacco carcinogen and toxicant biomarkers into the assessment <strong>of</strong> tobacco product<br />

carcinogenicity and toxicity. Tobacco carcinogen and toxicant biomarkers are<br />

metabolites or protein or DNA adducts <strong>of</strong> specific carcinogens or toxicants in tobacco<br />

products. Highly reliable analytical methods based mainly on mass spectrometry<br />

are now available and have been applied in large studies <strong>of</strong> many <strong>of</strong> these<br />

biomarkers. A panel <strong>of</strong> tobacco carcinogen and toxicant biomarkers that could be<br />

used in studies on tobacco harm reduction and in regulation <strong>of</strong> tobacco products<br />

includes, among others, urinary nicotine and tobacco-specific nitrosamine metabolites,<br />

1-hydroxypyrene, and mercapturic acids <strong>of</strong> volatile organics. <strong>The</strong> critical question<br />

is: what are the mean biomarker values below which one would see a decrease<br />

in tobacco-induced cancer? <strong>The</strong> answer to this question potentially can be derived<br />

from molecular epidemiology studies in which biomarker levels are related to cancer<br />

risk. Examples include the relationship <strong>of</strong> tobacco-specific nitrosamine metabolites<br />

to cancer.<br />

2698 MODE OF ACTION: ASSESSMENT OF CANCER RISK<br />

AND IDENTIFICATION OF KEY DATA NEEDS.<br />

A. R. Boobis. Centre for Pharmacology & <strong>The</strong>rapeutics, Imperial College London,<br />

London, United Kingdom.<br />

Cigarette smoking has been causally related to cancer at over a dozen sites in humans,<br />

the most commonly affected being the lung. It has proven very difficult to<br />

produce an animal model for the lung cancer effects <strong>of</strong> smoking. Tobacco smoke is<br />

a complex mixture <strong>of</strong> chemicals, both organic and inorganic, many <strong>of</strong> which have<br />

been shown to be mutagenic or carcinogenic in experimental systems. However, inhalation<br />

<strong>of</strong> tobacco smoke also involves exposure to heat and particulates. <strong>The</strong>re is<br />

evidence for a number <strong>of</strong> effects that could be involved in the mode <strong>of</strong> action for<br />

lung cancer. <strong>The</strong>se include mutagenesis by compounds such as nitrosamines and<br />

polycyclic aromatic hydrocarbons, cytotoxicity by aldehydes and inflammatory mediators<br />

induced by particulates, and the formation <strong>of</strong> reactive oxygen species. Many<br />

biomarkers have been used to study tobacco-related cancer and it important to distinguish<br />

exposure from effect. For example, it is still not clear what role is played by<br />

some DNA adducts in the etiology <strong>of</strong> tobacco-related cancer. In order to identify<br />

key data gaps, and to identify the most informative biomarkers <strong>of</strong> effect, the IPCS<br />

cancer mode <strong>of</strong> action framework was used to assess the relationship between smoking<br />

and lung cancer. This framework provides a transparent and consistent approach<br />

to assessing the mode <strong>of</strong> action <strong>of</strong> a chemical carcinogen, the key events involved<br />

and their dose-response relationships. A key event is a necessary<br />

intermediate process or interaction, though <strong>of</strong>ten not sufficient, in cancer causation.<br />

<strong>The</strong> involvement <strong>of</strong> key events is assessed using criteria based on those described<br />

by Bradford Hill, including dose and time dependency, biological plausibility,<br />

experimental evidence, consistency and coherence. Through the application <strong>of</strong><br />

the framework it is possible to identify those areas in which research should be focused<br />

to resolve uncertainties.<br />

2699 QUANTITATIVE RISK ASSESSMENT: A<br />

COMPUTATIONAL DOSIMETRY FRAMEWORK FOR<br />

TOBACCO HARM REDUCTION.<br />

C. Timchalk, J. G. Teeguarden and R. A. Corley. Battelle Pacific Northwest<br />

Division, Richland, WA.<br />

Conventional approaches to evaluate relative risk <strong>of</strong> mainstream smoke (MSS) constituents<br />

have focused on the assessment <strong>of</strong> exposure and hazard, the latter defined<br />

by Reference Concentrations or Cancer Potency Factors. Margin <strong>of</strong> exposure<br />

(MOE)-directed target tissue dosimetry <strong>of</strong>fers an alternative strategy for MSS relative<br />

risk prioritization. This strategy exploits advanced computational dosimetry<br />

modeling to incorporate smoking patterns and behavior, human variability, and<br />

available toxicity/cancer potency. To illustrate the utility <strong>of</strong> this framework several<br />

MSS constituents were evaluated on the basis <strong>of</strong> their known mode <strong>of</strong> action<br />

(MOA) and key events linking MSS exposure with target tissue dose and response.<br />

For example, acetaldehyde is a contact site irritant that causes tumors in the upper<br />

respiratory tract <strong>of</strong> rodents. <strong>The</strong> MOA involves direct contact irritation and inflammation<br />

leading to cytotoxicity as a key initiating event. To enable direct comparison<br />

<strong>of</strong> rat inhalation bioassays with human exposures to MSS, a computational fluid<br />

dynamic/physiologically based pharmacokinetic model was developed to compare<br />

site-specific doses in each region <strong>of</strong> the respiratory system. MOEs were calculated<br />

by comparing rat nasal tissue and human respiratory tract tissue acetaldehyde concentrations<br />

adjusted for exposure duration (Lifetime Average Daily Doses<br />

(LADD)). For the rat, steady-state nose-only breathing simulations were conducted<br />

at 50 ppm the NOAEL for nasal olfactory degeneration. In humans, oral breathing<br />

simulation <strong>of</strong> a single puff was conducted based on cigarette acetaldehyde yield<br />

data. <strong>The</strong> LADD’s in any region <strong>of</strong> the human respiratory tract ranged from 13- to<br />

50-fold lower than those associated with subchronic acetaldehyde no effect levels in<br />

the rat nasal region. This modeling approach can be exploited to compare interspecies<br />

regional dosimetry for other important MSS toxicants providing a more<br />

quantitative biologically informed approach for prioritizing and targeting MSS<br />

constituents and evaluating claims <strong>of</strong> reduced risk in a tobacco harm reduction<br />

strategy.<br />

SOT 2011 ANNUAL MEETING 577

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