4: Carcinogenesis 2001 Apr;22(4):535-45 |
Smela ME, Currier SS, Bailey EA, Essigmann JM.
Department of Chemistry and Division of Bioengineering and Environmental Health
Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
Dietary exposure to aflatoxin B(1) (AFB(1)) is associated with an increased
incidence of hepatocellular carcinoma (HCC), especially in populations in which
exposure to hepatitis B virus (HBV) is a common occurrence. Most HCC samples
from people living where HBV is prevalent have one striking mutational hotspot:
a GC-->TA transversion at the third position of codon 249 of the p53 gene. In
this review, the chemical reaction of an electrophilic derivative of aflatoxin
with specific DNA sequences is examined, along with the types of mutations
caused by AFB(1) and the sequence context dependence of those mutations. An
attempt is made to assign the source of these mutations to specific chemical
forms of AFB(1)-DNA damage. In addition, epidemiological and experimental data
are examined regarding the synergistic effects of AFB(1) and HBV on HCC
formation and the predominance of one hotspot GC-->TA transversion in the p53
gene of affected individuals.
Publication Types:
PMID: 11285186
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