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© 1999 Oxford University Press

Commentary

The light at the end of the tunnel for chemical-specific biomarkers: daylight or headlight?

John D. Groopman1 and Thomas W. Kensler

Department of Environmental Health Sciences, School of Hygiene and Public Health, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD 21205, USA

Abbreviations: AFB1, aflatoxin B1; AFM1, aflatoxin M1; AFB1–N7-gua, aflatoxin B1N7-guanine; AFB1–NAC, aflatoxin–mercapturic acid; HBV, hepatitis B virus; HBsAg, hepatitis B surface antigen; HCC, human hepatocellular carcinoma; RR, relative risk.

The first 150 words of the full text of this article appear below.


    Chemical-specific biomarkers: the challenge and goals
 
The use of chemical-specific biomarkers for identifying stages in the progression of development of the toxic effects of environmental agents has the potential for providing important information for critical regulatory, clinical and public health problems (1,2). Since the development of a paradigm for molecular biomarkers by a committee of the National Research Council over a decade ago, some progress has been made in applying such chemical biomarkers to specific environmental situations that may be hazardous to humans, as exemplified by the study of aflatoxins discussed in detail below. As in many areas of science, however, the initial excitement at being able to measure a specific entity has been replaced by the challenge of how to interpret the results. This dilemma is exacerbated by the complexities introduced through the interactions between genes and environmental factors that underlie most human disease. For a molecular biomarker paradigm to guide . . . [Full Text of this Article]


    Chemical-specific biomarkers: validation strategies and methodological approaches
 

    The molecular biomarker paradigm
 
Exposure markers
Risk markers

    The aflatoxin story: a paradigm for environmental biomarkers
 
Chemical carcinogen in animals
Suspect human carcinogen/disease linkage
Identify and develop methodologies for measuring chemical-specific biomarkers
Determine relation of biomarker to exposure and disease in experimental animals
Modulation of biomarker and disease in animal chemoprevention studies
Cross-sectional studies of biomarker levels in exposed humans
Longitudinal study of biomarkers in humans
Case–control studies, cohort studies and clinical trials
Case–control studies.
Cohort studies.
Clinical trials.

    Future prospects for chemical-specific biomarkers
 
Implications of biomarker data for public health
The promise of biomarkers in public health prevention: genes, environment and gene–environment interactions
The light at the end of the tunnel for chemical-specific biomarkers: daylight or headlight?

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