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024 7 _ |a pmid:24921086
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037 _ _ |a DKFZ-2017-04287
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Schmeiser, Heinz
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245 _ _ |a Exceptionally long-term persistence of DNA adducts formed by carcinogenic aristolochic acid I in renal tissue from patients with aristolochic acid nephropathy.
260 _ _ |a Bognor Regis
|c 2014
|b Wiley-Liss
336 7 _ |a article
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336 7 _ |a Journal Article
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520 _ _ |a Aristolochic acid (AA) causes aristolochic acid nephropathy (AAN), first described in women in Belgium accidently prescribed Aristolochia fangchi in a slimming treatment, and also Balkan endemic nephropathy (BEN), through probable dietary contamination with Aristolochia clematitis seeds. Both nephropathies have a high risk of urothelial cancer, with AA being the causative agent. In tissues of AAN and BEN patients, a distinct DNA adduct, 7-(deoxyadenosin-N6-yl)-aristolactam I (dA-AAI), has been detected. DNA adducts can be removed through DNA repair, they can result in mutations through erroneous DNA replication or they can cause cell death. The dA-AAI adduct induces AT to TA transversions in the tumor-suppressor TP53 gene in experimental systems, matching TP53 mutations observed in urothelial tumors from AAN cancer cases. Using thin-layer chromatography 32P-postlabeling and mass spectrometric analysis we report the detection of dA-AAI in renal DNA from 11 Belgian AAN patients over 20 years after exposure to AA had ceased. Our results showed that dA-AAI is an established biomarker of AA exposure, and that this biomarker can be demonstrated to be persistent decades after a distinct AA exposure. Further, the persistence of dA-AAI adducts appears to be a critical determinant for the AA mutational fingerprint frequently found in oncogenes and tumor suppressor genes recently identified by whole genome sequencing of AA-associated urothelial tumors. The potential for exposure to AA worldwide is high; the unprecedented long-term persistence of dA-AAI provides a useful long-term biomarker of exposure and attests to the role of AA in human urothelial malignancy.
536 _ _ |a 313 - Cancer risk factors and prevention (POF3-313)
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650 _ 7 |a Aristolochic Acids
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650 _ 7 |a Biomarkers
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650 _ 7 |a DNA Adducts
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650 _ 7 |a Mutagens
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650 _ 7 |a aristolochic acid I
|0 94218WFP5T
|2 NLM Chemicals
700 1 _ |a Nortier, Jöelle L
|b 1
700 1 _ |a Singh, Rajinder
|b 2
700 1 _ |a Gamboa da Costa, Gonçalo
|b 3
700 1 _ |a Sennesael, Jacques
|b 4
700 1 _ |a Cassuto-Viguier, Elisabeth
|b 5
700 1 _ |a Ambrosetti, Damien
|b 6
700 1 _ |a Rorive, Sandrine
|b 7
700 1 _ |a Pozdzik, Agnieszka
|b 8
700 1 _ |a Phillips, David H
|b 9
700 1 _ |a Stiborova, Marie
|b 10
700 1 _ |a Arlt, Volker M
|b 11
773 _ _ |g Vol. 135, no. 2
|0 PERI:(DE-600)1474822-8
|n 2
|p 502-507
|t International journal of cancer
|v 135
|y 2014
|x 0020-7136
909 C O |p VDB
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910 1 _ |a Deutsches Krebsforschungszentrum
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