Drinking alcoholic beverages has been linked to an increased risk of upper
gastrointestinal cancer and other types of cancer. Researchers looking for
the potential biochemical basis for this link have focused on acetaldehyde,
a suspected carcinogen formed as the body metabolizes alcohol. In the
journal "Nucleic Acids Research" (vol. 33, num. 11), scientists from the
National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the National
Institute of Standards and Technology (NIST) report that polyamines --
natural compounds essential for cell growth -- react with acetaldehyde to
trigger a series of reactions that damage DNA, an event that can lead to the
formation of cancer.
"We've long suspected acetaldehyde's role in the carcinogenicity of alcohol
beverage consumption, but this study gives us important new clues about its
involvement," says Ting-Kai Li, M.D., director of the NIAAA, which is part
of the National Institutes of Health (NIH). "This work provides an important
framework for understanding the underlying chemical pathway that could
explain the association between drinking and certain types of cancer."
The research team, led by P.J. Brooks, Ph.D., of NIAAA and Miral Dizdaroglu,
Ph.D., of NIST, examined acetaldehyde's reaction with polyamines, small
molecules found in all cells. "Polyamines are usually considered 'good
guys,' because they have been shown to protect DNA from oxidative damage,"
says Dr. Brooks. Yet the researchers found the polyamines facilitated the
conversion of acetaldehyde into crotonaldehyde (CrA), an environmental
pollutant that has been shown to cause cancer in animals. This chemical in
turn altered DNA, generating an abnormal, mutagenic DNA base called a Cr-PdG
adduct. Dr. Brooks says, "We concluded that polyamines stimulated the
formation of Cr-PdG adducts from acetaldehyde, and this may provide a
mechanism to explain how alcohol consumption increases the risk of some
types of cancer."
Previous studies had shown acetaldehyde could be converted to mutagenic
Cr-PdG, but those studies used very high acetaldehyde concentrations. "We
were able to demonstrate that these reactions can take place with
acetaldehyde concentrations that have been measured in human saliva during
alcohol consumption," says Dr. Brooks.
An important part of this research was a new chemical analysis method
developed at NIST. According to Dr. Dizdaroglu, "This novel chemical assay
is a powerful method that accurately measures the Cr-PdG adduct."
George Kunos, M.D., Ph.D., director of NIAAA's Division of Intramural
Clinical and Biological Research, says, "These findings also have
significant implications for researchers seeking to understand how genes
affect the risk for cancer." Many studies have shown that certain genetic
variants that affect alcohol and acetaldehyde metabolism can also affect
individual susceptibility to alcohol-related gastrointestinal cancer. Dr.
Kunos adds, "This work could serve as a roadmap for future studies to
investigate other genetic factors, particularly those that influence DNA
repair pathways, in relation to alcohol consumption and cancer."
To arrange an interview with Dr. Brooks, contact the NIAAA press office at
301-443-3860.
The National Institute on Alcohol Abuse and Alcoholism, a component of the
National Institutes of Health, U.S. Department of Health and Human Services,
conducts and supports approximately 90 percent of U.S. research on the
causes, consequences, prevention, and treatment of alcohol abuse,
alcoholism, and alcohol problems and disseminates research findings to
science, practitioner, policy making and general audiences.
The National Institutes of Health (NIH) -- "The Nation's Medical Research
Agency" -- is comprised of 27 Institutes and Centers and is a component of
the U. S. Department of Health and Human Services. It is the primary Federal agency for conducting and supporting basic, clinical, and translational medical research, and investigates the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.