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Toxicology of Industrial Compounds

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correlation between white blood cell DNA adducts and micronuclei and it<br />

was stronger among the GST-individuals (Ichiba et al., 1994).<br />

How important is the role <strong>of</strong> metabolic phenotype or genotype as a<br />

predictor <strong>of</strong> cancer risk remains to be established. However it would seem<br />

prudent to assume some role as long as there is significant exposure to a<br />

carcinogen, metabolism <strong>of</strong> which is regulated by polymorphic genes. It<br />

would be important to note that the question can only be addressed if both<br />

<strong>of</strong> these conditions are met. In much <strong>of</strong> the published literature there are<br />

uncertainties regarding the active agents and their metabolic routes in the<br />

tissues studied. Adjustment for a metabolic phenotype or genotype, when<br />

justified, may increase the precision in the measurement.<br />

Risk assessment<br />

K.HEMMINKI 163<br />

Figure 12.3 Total white blood cell DNA adducts, measured by postlabelling,<br />

according to CYP1A1 and GST1 genotype (Ichiba et al., 1994). Controls,<br />

Sweeps.<br />

Monitoring <strong>of</strong> DNA adducts in occupational setting has mainly been<br />

applied to workers exposed to PAHs. In the case <strong>of</strong> 32 P-postlabelling<br />

increases in the level <strong>of</strong> adducts has been noted at exposures around 10 ng<br />

BP m −3 or slightly below. This is close to the detection limit that can<br />

conveniently be attained with personal monitoring or by measuring urinary<br />

1-hydroxypyrene. As the adduct measurements also reflect some aspects <strong>of</strong><br />

metabolism and DNA repair, they extend the scope <strong>of</strong> exposure

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