© 1991 Oxford University Press
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DNA adducts, detected by 32P-postlabelling, in the foregut of patients with familial adenomatous polyposis and in unaffected controls
1St Mark's Hospital London
2Academic Surgical Unit, St Mary's Hospital London
3Cancer Research Campaign Section of Molecular Carcinogenesis, Haddow Laboratories, Institute of Cancer Research Royal Marsden Hospital, Sutton, Surrey, SM2 5NG, UK
4To whom correspondence should be addressed
Duodenal neoplasms in patients with familial adenomatous polyposis (FAP) cluster around the ampulla; duodenal neoplasia is common but gastric neoplasia is rare. These observations suggest that bile enhances neoplasia by carrying carcinogens to target cells. A critical step in carcinogenesis is the reaction of carcinogens with DNA to form chemical adducts. Using 32P-postlabelling to measure DNA adducts we asked: (i) are there more adducts in the duodenum of patients with FAP than in the duodenum of normal patients? (ii) Are there more adducts in the duodenum than in the stomach? We measured adducts in duodenal biopsies from 51 patients with FAP and 30 age-matched controls; and paired gastric and duodenal biopsies from 31 FAP patients and six controls. The foregut of 90% of all patients studied contained DNA modifications with characteristics of aromatic non-polar DNA adducts. In duodenal biopsies, adduct labelling per 109 DNA nucleotides was significantly higher in FAP patients (median 15.0, range 0162) than in normal patients (median, 7.5, range 040; P = 0.0002). In paired duodenal and gastric biopsies from 31 FAP patients, adduct labelling was significantly higher in duodenal DNA (median 15, range 0109) than in stomach DNA (median 8.0, range 040; P = 0.0004). Age, gender or smoking did not account for these differences. Gastric adducts (median 3.5, range 010) were lower than duodenal adducts (median 8.5, range 029) in paired biopsies from six control patients, P = 0.031). These results support the hypothesis that pancreaticobiliary secretions may be involved in the pathogenesis of foregut neoplasia in FAP.
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