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ICANCERRESEARCH54. 6154-6159, December 1, 1994] Pan-Fried Containing High Levels of Heterocyclic Aromatic Amines but Low Levels of Polycyclic Aromatic Hydrocarbons Induces P4501A2 Activity in Humans'

Rashmi Sinha,2 Nathaniel Rothman, Ellen D. Brown, Steven D. Mark, Robert N. Hoover, Neil E. Caporaso, Orville A. Levander, Mark G. Knize, Nicholas P. Lang, and Fred F. Kadlubar

Environmental Epidemiology Branch/Epidemiology and Biostatistics Program, National Cancer Institute, NIH, Rockville, Maryland 20892 JR. S., N. R., S. D. M., R. N. H., N. E. C.); Nutrient Requirements and Function Laboratory, Beltsville Human Nutrition Research Center, Agricultural Research Service, United States Department of Agriculture, Beltsville. Maryland 20705-2350 (E. D. B.. 0. A. LI; Biomedical Sciences Division, Lawrence Livermore National Laboratory, University of California, Livermore, California 94550 [M. G. K.]; University of Arkansas for Medical Sciences. Arkansas Cancer Research Center, Little Rock Arkansas 72205 [N. P. LI; and National Center for Toxicological Research. Jefferson, Arkansas 72079 [F. F. K.)

ABSTRACT (1—5). IIAA concentrations in meat increase with longer times and higher temperatures (6, 7). These compounds are among Heterocyclic aromatic amines (HAAs) are formed when meat juices are the most potent tested in the Ames/Salmonella bioassay pyrolyzed. In humans HAAs are activated in vivo by cytochrome P4501A2 (1) and are carcinogenic in mice, rats, and nonhuman primates (2, (CYP1A2) and N-acetyltransferase (NAT2) to mutagens or . While activity of NAT2 is noninducible, exposure to cigarettes, polycyclic 8—11). Furthermore, in some studies weak positive associations aromatic hydrocarbons, and cruciferous vegetables has been shown to between colon cancer and consumption of either “well-done―(12, induce CYP1A2 activity in humans. To date, it is unknown If pan-fried 13), “browned―(14),“barbecued―(15),or “redmeat―(16)have meat, which is consumed at high levels in the United States, is capable of been demonstrated. inducing CYP1A2. In order to address this issue, we measured CYP1A2 The cancer risk to humans posed by HAAs in the diet may depend and NAT2 activities in 66 healthy nonsmokers (33 males and 33 females) upon the extent to which the compounds are activated in vivo (17). in a controlled metabolic feeding study. The study was designed to mini HAAs need to be metabolically activated in order to act as mutagens mize the influence of known inducers of CYP1A2. Subjects consumed or carcinogens (18). The initial activation step is thought to be meat pan-fried at a low temperature (100°C)for7 days followed by 7 days N-oxidation by CYP1A2 (19). The N-hydroxy arylamine metabolite is of meat pan-fried at a high temperature (250°C).Thelow temperature O-acetylated in the or transported to the appropriate target organ cooked meat had undetectable levels of HAAs while the high temperature cooked meat contained high amounts of HAAs [9.0 ng/g of 2-amino-3,S- where it is O-acetylated by the polymorphic NAT2 to form an aryl dimethylimidazo[4,5-f]quinoxaline (MeIQx), 2.1 ng/g of 2-amlno-3,7,8- amine-DNA adduct. Both of these enzymes can be measured in the trimethylimidazo[4,5-f]quinoxaline (DIMeIQx), and 32.8 nglg of 2-amino human by evaluating excretion of caffeine metabolites in urine after 1-methyl-6-phenylimidazo[4,5-b] (PhIP)J. In contrast, total poly caffeine consumption (20). The measured phenotype can distinguish cyclic aromatic hydrocarbon content was similar in both meat samples between slow and rapid O-acetylators and N-oxidizers. One study has (10.7 ng/g in low temperature-cooked meat and 10.1 ng/g In high temper suggested that people who are rapid metabolizers for both NAT2 and ature-cooked meat). At the end of each period, subjects were tested for CYP1A2 have increased susceptibility to colon cancer (21). CYP1A2 and NAT2 enzyme activity by caffeine metabolism phenotyping. There is considerable interindividual variability in the activity of NAT2 activity remained unchanged throughout the study while CYP1A2 both CYP1A2 and NAT2 (20, 22). For NAT2 the variability is due to activity Increased in 47 of 65 (72%) of the subjects after consuming high genetic polymorphisms (23), while for CYP1A2 both genetic and temperature-cooked meat (P < 0.0002), suggesting induction by some environmental factors are likely to be responsible (20, 24—27). compound(s) formed during high temperature cooking. If HAM are shown to be human carcinogens in epidemiological studies, then meat CYP1A2 activity can be affected by factors such as smoking or cooked at high temperatures may pose an increased cancer risk because it certain dietary components, e.g., cruciferous vegetables and PAHs contains both inducers of CYP1A2 and procarcinogens MeIQx, D1MeIQx, (28, 29). However, the ability of pan-fried meat containing high levels and PhIP known to be activated by this enzyme. of HAAs and minimal levels of PAHs to induce CYP1A2 in humans has not been investigated. In order to address this issue, we designed INTRODUCTION a human metabolic study to investigate the effect of ingesting meat cooked at high temperature on CYP1A2 and NAT2 activities. There are many mutagens and/or carcinogens present in the normal United States diet, some of which are formed during MATERIALS AND METHODS cooking. HAAs3 are a family of promutagens and procarcinogens formed during the cooking of when meat juices pyrolyze Study Population. Subjectswere recruitedfrom the Beltsvile, MD area through advertisements in newsletters at local places of employment, news Received 6/27/94; accepted 10/3/94. papers, and fliers posted at local establishments. Enrollment criteria included: The costs of publication of this article were defrayed in part by the payment of page being in good health; being a nonsmoker for at least 6 months; being able to charges. This article must therefore be hereby marked advertisement in accordance with consume caffeine; taking no medication except an occasional analgesic; having 18 U.S.C. Section 1734 solely to indicate this fact. weight not less than 90% or greater than 130% of 1983 Metropolitan Life I This work was performed under interagency agreement between the National Cancer Institute and the United States Department of Agriculture Interagency Agreement YOl Insurance desirable weights; not consuming any “atypicaldiet―(including CP2-0521; the National Cancer Institute and the and Drug Administration under vegetarian); and willing to forego any or mineral supplements during Interagency Agreement Y01-CP3-0553; and the National Cancer Institute and the United the study. Five hundred subjects responded to the advertisement and were States Department of Energy under InteragencyAgreement Y01-CP2-0523-01.This work initially screened via a brief questionnaire for age, height, weight, smoking, was also supported by United States Department of Energy under Contract W-7405- Eng-48 and National Cancer Institute Grant CA55861. and health status. Two hundred thirty-three applicants met the study criteria 2 To whom requests for reprints should be addressed, at Environmental Epidemiology and were invited to one of several orientation sessions. At the orientation Branch/Epidemiology and Biostatistics Program, National Cancer Institute, NIH, Execu session, subjects received an information package and a detailed description of tive Plaza North, Room 443, 6130 Executive Boulevard, Rockville, MD 20892. 3 The abbreviations used are: HAM, heterocyclic aromatic amines; PAHs, poly cyclic aromatic hydrocarbons; MeIQx, 2-amino-3,8-dimethylimidazo[4,5-J]quinoxaline; phenylimidazo[4,5-b@pyridine;NAT2,N-acetyltransferase; CYP1A2, human liver cyto DiMeIQx, 2-amino-3,7,8-trimethylimidazo[4,5-fjquinoxaline;PhIP, 2-amino-1-methyl-6- chrome P4501A2. 6154

Downloaded from cancerres.aacrjournals.org on September 29, 2021. © 1994 American Association for Cancer Research. PAN-FRIEDMEAT INDUCESCYP1A2 ACI1VITY IN HUMANS the study objectives, protocol, and requirements of subjects. Subjects who were Table 2 Heterocyclicofmeat aromatic amine and polycyclic aromatic hydrocarbon content interested in participating in the study were asked to complete a questionnaire pan-friedtemperatureLow a: low and high relating to food allergies, medication, general medical history, and availability temperature-cooked High tem,perature-cooked for the study period. met)l.IAASCMeIQx meat―(ng/gmeat) meat (ng/g Ninety-four eligible subjects had a general health assessment, including a medical evaluation by a physician. These subjects also provided blood and 9.0DiMeIQx @r@d urine samples for routine analyses. At this time, the subjects received individ 2.1PhIP ND 32.8p@j.@5ePhenanthrene ND ual explanations of the study and signed the appropriate consent forms before continuing in the study. Thirty-three men and 33 women were randomly selected from all the subjects with normal medical evaluations and clinical test 4.9Fluoranthene 5.3 parameters. The study protocol and consent forms were approved by the 0.2Pyrene 0.3 2.7Benzo(a)anthracene 2.3 Institutional Review Boards of the National Cancer Institute and Georgetown 1.0Chrysene 0.9 University and by the Human Studies Review Committee of the United States NDBenzo(b)fluoranthene 0.7 Department of Agriculture. The study protocol also had approval from the 0.2Benzo(k)fluoranthene 0.2 Office of Protection of Research Risks, NIH. 0.1Benzo(a)pyrene 0.1 0.2Benzo(ghi)perylene 0.2 Meat Preparation. There were two 7-day controlled dietary periods. The 0.4lndenol(123- 0.4 first controlled dietary period contained evening meals with meat cooked at 0.4cd)pyreneTotal 0.3 low temperature while the second dietary period contained evening meals with meat cooked at high temperature. For the dietary period using low temperature PAHs 10.7 10.1 cooked meat, the lean (15% fat) ground was cooked at 100°Cfor20 ruin aGroundmeatcookedat100°Cfor20mmandreducedmoistureinanovenheatedto to avoid browning and then held in a 90°Covenfor 20 mm to reduce moisture. 90°Cfor 20 mm. For the dietary period using high temperature-cooked meat, the lean ground b Ground meat patties cooked at 250°C for 22 min. beef was made into quarter pound patties (0.5 x 4 inches) and pan-fried on a C 2-Amino-3-methylimidazo[4,5-J)quinoline (IQ) and 2-amino-3,4-methyl-imi griddle at 250°Cfor 11 mm per side (total of 22 min). The meat patties were dazo(4,5-.flquinoline(MeIQ) were not detected in either sample. d ND, Not detected. finely crumbled in a food processor (Robot Coupe USA, Inc., Jackson, MS). e Naphthalene, acenaphthene, fluorene, and anthracene were not detected in either Meats for the two periods were cooked in batches which were divided into 8 sample. equal portions. One portion from each of the batches was mixed for 1 day's diet. Thus, every day in each 7-day dietary period had an equivalent amount of HAM. the Beltsville Human Nutrition Research Center on Monday through Friday. A Meat Analysis. Representative samples of low- and high temperature box lunch was provided at breakfast time. Meals were supervised by registered cooked meat were analyzed for HAM (6) and PAHs (30) as described dietitians. Weekend meals were prepackaged at the facility for home consump previously. tion. No food other than that provided by the study was permitted. No alcohol Controlled Dietary Period. Subjects in the metabolic study consumed use was permitted during the study. The subjects weighed themselves each day different amounts of meat depending on their body weight as shown in Table before breakfast. If people were hungry they were moved to a higher calorie 1. The lightest subject (45.9 kg) consumed 200 g and 180 g of low- and high level, such that the serving size but not the nature of the food on the menu was temperature-cooked meat/day, respectively. The heaviest subject (102.7 kg) changed.However,the amount of meat eaten was kept constant within the week consumed 365 g and 328 g of low- and high temperature-cooked meat/day. so that the HAA exposurewas kept the same for the particulartest period. Therefore, the absolute amount of HAAs varied between the subjects but the Caffeine Phenotype. The subjects were phenotyped for CYP1A2 and dose per unit body weight was relatively constant at 3.6 to 4.4 g meat/kg body NAT2 function by measuring the ratio of urinary caffeine metabolites at the weightfor low temperature-cookedmeatand 3.1 to 4.0 g meat/kgbodyweightfor end of low temperature-cooked meat period (week 1) and at the end of the high high temperature-cookedmeat. The same amount of meat was consumed every temperature-cooked meat period (week 2). At each time point, subjects did not day during the first week and at about a 11% lower amount during the second receive any caffeine-containing or beverages for 24 h prior to sampling week. This adjustment in the amount of meat eaten during week 2 was to provide and at least 5 h after taking the test dose. Subjects consumed 3.6 g of instant a similarprecookedmeat weight.Subsequentanalysisshowedthat variationin the coffee (1 14 mg ofcaffeine) in 266 ml (9 ounces) of water. The subjects voided absoluteamountof meat intakewas not significantlyassociatedwith the variation 4 h after consuming the coffee and then collected their urine over the next h. in CYP1A2 inductionobserved from week 1 to week 2 (data not shown). The urine samples were frozen on dry ice and stored at —70°Cfora maximum In order to prevent a lack of variety in food from influencing acceptability of 2 weeks. The urine samples were thawed and the pH was adjusted to 3.5 of diets, a 7-day menu cycle for the two diet periods was used. The diets were with 1 M HC1 and refrozen until analysis. Pooled samples were prepared as a developed for varying caloric intake levels (1600—4400kcal/day)similar to quality controlto check for assay reproducibility. Caffeine and its metabolites were diets for free-living Beltsville residents. The levels were determined from extracted and analyzed from the urine as described by Butler et aL (20). The previous studies conducted at the Beltsville Human Nutrition Research Center phenotype for NAT2 was calculated using the ratio of 5-acetylamino-6- and contained approximately 36% kcal from fat, 44% kcal from carbohydrate, formylamino-3-methyluracil to 1-methylxanthine and the phenotype for CYP1A2 20% kcal from , and 7 g of dietary fiber daily. The meals were designed was calculated using the ratio of 1,7-dimethyixanthine plus 1,7-dimethyluric acid to have the Recommended Dietary Allowances for all the other nutrients. to 1,3,7-trimethylxanthine.The coefficient of variation for the quality control During the two controlled dietary periods, breakfast and dinner were eaten at samples over the time period of analysis was 8.7% for NAT2 and 9.5% for CYP1A2 Statistical Analyses. The analysis of the phenotype was performed after a Table 1 Amount of meat and heterocyclic aromatic amities consumed daily in the study log10transformation to normalize the data. Tests for a change in phenotype Low temperature-cooked High temperature-cooked activity were performed using the Wilcoxon signed rank test on the intraindi meat period meat period vidual differences Rangeof(g)―200—365180—328Range meateaten ‘@= Log10 week 2 phenotype — log10 week 1 phenotype (@.tg)MeIQx01.6—3.0DiMeIQx00.4-0.7PliW05.9—10.8of HAAs eaten with 2-sided P values. The Pearson product moment correlation coefficient was used to compare CYP1A2 function at end of week 1 and week 2.

a There was a higher amount of meat consumed during the low temperature-cooked RESULTS meat period compared to high temperature-cooked meat period because of the higher moisture and fat content of the low temperature cooked meat. The amount of meat consumed by subjects was dependent on their body weight. The dose was 3.1—4.4gof The three main HAM (Table 2) that were found in the high meat/kg of body weight. temperature pan-fried cooked meat were MeIQx, DiMeIQx, and PhIP. 6155

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The elevated levels of HAAs found in the high temperature-cooked in CYP1A2 function in week 1 tended to remain low in week 2; and meats are in the range consumed by people who eat very well done people high in CYP1A2 function in week 1 tended to be high in week 2. grilled meat or very crisp bacon.4 There was no detectable MeIQx, DiMeIQx, or PhIP in the low temperature-cooked meat. DISCUSSION Fourteen PAHs (Table 2) were measured; total PAH concentrations inthelowandhightemperature-cookedmeatsamplesweresimilar This is the first report in humans of CYP1A2 induction caused by (10.7 and 10.1 ng/g, respectively). Benzo(a)pyrene levels, which are high temperature-cooked meat containing minimal PAH levels. In used as a general measure of five-ring PAH compounds, were iden tical in the two samples (0.2 ng/g). Total PAH levels in the non-meat 25 part of the diet were also measured. The concentrations were 9. 1 ng/g A during the first week as compared to 9.0 ng/g during the second week. 20 The mean, standard error, median, and range for NAT2 and CYP1A2 for the low temperature-cooked meat period (week 1) and high temperature-cooked meat period (week 2) are given in Table 3. @‘15 Cl) NAT2 activity did not change appreciably between week 1 and week I. 2 measurements (P = 0.45). In contrast, there was a 50% increase in 0 a,I- 10 CYP1A2 activity from week 1 to week 2. No gender-specific induc -D tion was observed in these subjects. Mean CYP1A2 activities for E males and females at the end of week 1 were 9.96 and 8.63, respec z tively. At the end of week 2 the mean CYP1A2 activity was 13.42 for males and 12.71 for females. 0 Fig. 1 illustrates the change in the overall distribution of CYP1A2 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 1.8 2.0 in the study population, which was shifted to a higher value after I .6@ Log CYPIA2 subjects consumed high temperature-cooked meat for 7 days. Fig. 2 B I .4@

Table 3 Summaty statistics of acetyltransferase and cytochrome P4501A2 activities measuredmetabolitesEnd by urinary excretion of caffeine High Temp. >-..a- of low temperature-cooked End of high temperature-cooked 14)Molarmeat period (Day 7) meat period (Day C) gO.8. 00' SEMedianratioa Mean ±SE Molar ratio―Mean ± 00 (range)[email protected]±0.120 (range) Median 0.6- 0 0 1.10±0.118CYP1A2'0.60 0.4- 0 0 0 (0.19—3.70) 0.46(0.16—3.80) 0 9.30 ±0.598 13.06 ±0.723 8.85 (2.10—28.0) 13.00(2.50—34.0) 0.2- — I UU 0.01 0.1 0.5 a The phenotype for NAT2 was calculated using the molar ratio of 5-acetylamino-6- formylamino-3-methyluracil to l-methylxanthine; the phenotype for CYP1A2 was calcu CumulativeProbability lated using the molar ratio of 1,7-dimethylxanthine plus 1,7-dimethyluric acid to 1,3,7- trimethylxanthine. Fig. 1. A, frequency distribution of log CYP1A2 activity for 66 subjects after 7 days of b Difference between the two periods was not statistically significant (P = 0.45) by consuming low temperature-cooked meat (week 1) and 7 days of consuming high Wilcoxon signed rank test, n = 65. temperature-cooked meat (week 2). CYP1A2 activity defined as the molar ratio of C Difference between the two periods was statistically significant (P < 0.0002) by 1,7-dimethylxanthine plus 1,7-dimethyluric acid to 1,3,7-trimethylxanthine. B, probit Wilcoxon signed rank lest, n = 65. analyses of log CYP1A2 activity at end of weeks 1 and 2.

presents the absolute change (log week 2 activity —log week 1 activity) in CYP1A2 function for each of the 65 individuals with 24 complete data. The CYP1A2 function increased in 47 subjects (72%) and decreased in 18 subjects (28%) at week 2 compared to week 1 20 (P < 0.0002 by Wilcoxon signed rank test). Fig. 3 presents the percentage change U) (1 Week 2 —Week 1 a) x 100 Week 1 @ 12' inCYP1A2.Ofthe47subjectswhohadincreasedCYP1A2function, a) 36 subjects (55%) increased over 30% of their week 1 CYP1A2 .0 E 8 function. In contrast, only 2 subjects (3%) decreased over 30%. z The intraindividual correlation coefficient of NAT2 phenotype measured in week 1 and that measured in week 2 was 0.96 (P < 0.0001). The correlation of CYP1A2 phenotype measured during the same time periods was substantially lower at 0.54 but still highly @.-- .-.-u 0.15 0.30 0.45 0.60 0.75 0.90 1.05 significant (P < 0.0001). Fig. 4, a graph of CYP1A2 function in week Delta Log CYPIA2 (week 2-week 1) 1 versus week 2, demonstrates this intraindividual effect: people low Fig. 2. Frequency distribution of delta (log CYP1A2 at the end of week 2 —log CYP1A2 at the end of week 1) for each individual. P < 0.0002 for Wilcoxon signed rank @ 4 Unpublished data. test. D, below 0; , above 0. 6156

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individual changes in CYPlA2 were due to a period effect and not to the change in the diet. However, we conclude that diet was the cause of the increase since no other factors could be identified that changed during the 2-week study period which might have influenced this enzyme activity. Furthermore, no consistent change was observed in a study where CYPlA2 function was measured multiple times in the same individuals over a similar time frame (20, 27). The demonstration of inducibility suggests that recent dietary ex- posure can affect CYPlA2 function. However, the positive correlation (r = 0.54) of CYPlA2 function within individuals suggests that the variability we found in free-living individuals was not entirely due to such environmental factors. This "fixed" component may be mediated by genetic, environmental, or dietary factors which need longer than 7 days to influence the CYPlA2 function. Family and twin studies have provided suggestive but as yet inconclusive evidence for genetic (hereditary) control of CYPlA2 activity (27, 44). At present, efforts are under way in several laboratories to understand the genetic basis Percent Change CYPlA2 of the fixed component of the phenotype for CYPlA2. This polymor- Fl& 3. Pwaotagc change in CYPlA2 activity phism may involve the CYP1.42 structural gene (27), its regulatory

Week 2 CYPIA2 - Week 1 CYPiA2 component, or its relevant receptor. X loo Week 1 CYPIA.2 Lastly, interindividual CYPlA2 activity varied 15-fold among the 66 subjects involved in the study. This compares to an observed 0, pemntage change below 0; W, percentage change above 0. 40-60-fold range in hepatic CYPlA2 levels, based either on enzyme activity or on immunoreactive protein content (45-49). Moreover, for 1976. Conney at al. (31) reported that meat cooked directly over those 36 individuals showing appreciable CYPlA2 induction, the burning charcoal was capable of inducing W1A2 in humans (as percentage change ranged from 30 to 840% (median, 75%). These measured by phmaatin metabolism) after daily consumption for 4 data are comparable to those reported for CYPlA2 induction by days. They concluded that PAHs probably contributed to this induc- cigarette smoke, where the increase in the mean CYPlA2 activity was tion effect, since these compounds are present at high levels in also 75% (21). In the liver, this is known to correspond to a 3.5-4.2- barbecued meat and consistently induce P4501A activity in rodent and fold induction of CYPlA2 activity or protein content (47). The in vitro models (28). In the current study, we minimized and pre- resultant increase in activation (i.e., arylamine N-oxida- vented changes in PAH exposure. PAH levels in food samples con- tion) has been studied further in a pharmacokinetic model and was sumed during the study were quite low compared to levels generally shown to result in similar increases in carcinogen-DNA adduct for- found in barbecued meat [0.2 nglg in the current study versus 2-4 mation (50). Although the biological consequences of this variation nglg in barbecued samples analyzed by the same laboratory (32, are not fully understood, Lang et al. (21) have reported that high 33)] and did not change appreciably from week 1 to week 2. As CYPlA2 (and NAT2) activity is associated with increased colorectal such, the induction effect in CYPlA2 that we observed during the cancer risk, especially when combined with a dietary preference of study period was probably not due to changes in dietary PAH exposure. Furthermore, CYPlA2 activity has been shown to be affected by various other environmental factors (22). This meta- bolic study was designed to minimize the influence of other known inducers of CYPlA2. such as smoking (34, 35), cruciferous veg- etables (281, and possible modifiers such as alcohoi, vitamin and mineral supplements, and oral contraceptives or postmenopausal estrogens. Animal studies provide evidence that HAAs induce CYPlA2 (36- 43), although it is likely that other unknown compound(s) formed during high temperature cooking also serve as inducers of CYPlA2. From a public beahh perspective, however, it does not matter which compound causes the induction effect, given that humans consume complex mixtures of compounds in their diet and not pure HAAs. The main finding of this study is that meat samples cooked at a high temperature contain some component that induces CYFlA2, which is of particular mncern given that the same meat samples also contain procarcinogens (MelQx, DiMelQx, and PhIP) activated by CYPlA2. In contrast to CYPlA2, NAT2 activity did not change throughout the study. This finding is consistent with extensive evidence that interindividual differences in NAT;! are due to autwomal inheritance of a phenotype which cannot be altered by environmental factors (22, 23). Since in this study logistic considerations required giving all sub- Week 1 Log CYP1A2 jects the low temperam-cooked meat first and the high temperature- Fig. 4. Correlation between CYPIM activity at the end of week 1 and week 2. Within cooked meat second, we cannot exclude the possibility that the intra- person wrrelation, r = 0.54, P < 0.001. 6157

Downloaded from cancerres.aacrjournals.org on September 29, 2021. © 1994 American Association for Cancer Research. PAN.FRIED MEAT INDUCES CYPIA2 ACI1VITY IN HUMANS well-done . We are currently following up these findings to 19. Turesky, R. J., Lang, N. P., Butler, M. A., Teitel, C. H., and Kadlubar, F. F. Metabolic further explore the interaction of CYP1A2 (and NAT2) activity with activation of carcinogenic helerocyclic aromatic amines by human liver and colon. Carcinogenesis (Land.), 12: 1839—1845,1991. dietary consumption of HAAs for cancer risk in humans. 20. Butler, M. A., Lang, N. P., Young, J. F., Caporaso, N. E., Vineis, P., Hayes, R. B., In conclusion, we observed an increase in CYP1A2 activity in the Teitel, C. H., Massengill, J. P., Lawsen, M. F., and Kadlubar, F. F. Determination of majority of people who consumed high temperature-cooked meat that CYP1A2 and NAT2 phenotypes in human populations by analysis of caffeine urinary metabolites. Pharmacogenetics, 2: 116—127,1992. contained large amounts of HAAs. If HAAs are human carcinogens, 21. Lang, N. P., Butler, M. A., Massengill, J., Lawson, M., Stotts, R. C., Hauser-Jensen, meatcookedathightemperaturesmayposeanincreasedcancerrisk, M., and Kadlubar, F. F. Rapid metabolic phenotypes for acetyltransferase and because it contains both inducers of CYP1A2 and procarcinogens cytochrome P4501A2 and putative exposure to food-borne heterocyclic amines in creases the risk for colorectal cancer or polyps. Cancer Epidemiol., Biomarkers & (MeIQx, DiMeIQx, and PhIP) known to be activated by this enzyme. Prey., 3: 675—682,1994. Studies are also in progress to evaluate the presence of I-IAAs in meat 22. Daly, A. K., Cholerton, S., Gregory, W., and Idle, J. R. Metabolic polymorphisms. samples cooked by a variety of techniques in order to understand how Pharmacol. Ther., 57: 129—160,1993. 23. Caporaso, N., Landi, M. T., and Vineis, P. Relevance of metabolic polymorphisms to widespread these compounds are in the general diet. human carcinogenesis: evaluation of epidemiologic evidence. Pharmacogenetics, I: 4—19,1991. 24. Guengerich, F. P. enzymes. Am. Sci., 81: 440—447,1993. ACKNOWLEDGMENTS 25. Guengerich, F. P. Human cytochrome P450 enzymes. Life Sci., 50: 1471—1478,1992. 26. Gonzalez, F. J. Human P450: problems and prospects. Trends Pharma col. Sci., 13: 346-351, 1992. We are grateful to the subjects for participating in the study and to P. Steele 27. Nakajima, M., Yokoi, T., Mizutani, M., Shin, S., Kadlubar, F. F., and Kamataki, T. and the staff at Human Study Facility, United States Department of Agricul Phenotyping of CYP1A2 in Japanese populalion by analysis of caffeine urinary ture, Beltsville, MD, for the efficient implementation of the dietary component. metabolites: absence of mutation prescribing the phenotype in the CYP1A2 gene. We thank D. G. Rhodes, V. C. Morris, M. Morris, and A. D. 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Rashmi Sinha, Nathaniel Rothman, Ellen D. Brown, et al.

Cancer Res 1994;54:6154-6159.

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