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AUTHOR(S)Stephen G. Grant, Ph.D.
PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)8
ABSTRACT (Maximum 200 Words)Risk factors for the development of breast cancer remain largely unknown, especially those associated with the effect of the environment. Despite the known influence of hormonal factors, breast tumorigenesis has been shown to involve an accumulation of serial genetic changes in cancer genes. X-irradiation is a genotoxic exposure that has been identified as a risk factor for breast cancer. If somatic mutation is a major mechanism that drives the process of breast carcinogenesis, we hypothesize that breast cancer should develop preferentially in women with higher frequencies of somatic variation, as measured at a neutral reporter locus. The rate of somatic mutation is determined by exposure to endogenous and exogenous genotoxic agents and by an individual's ability to deal with such exposures through biotransformation of xenobiotics and DNA repair. We are using two established bioassays of in vivo human somatic mutation to study a large population of newly diagnosed primary breast cancer patients. These genetic/environmental interactions can be quantitated simply from observed effect, before we have completely understood the underlying mechanisms. Our primary goal is to provide a rationale for simple laboratory blood tests to be incorporated into the risk estimation equation for breast cancer.14.
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IntroductionBreast cancer is one of the most common malignancies in the western world, and increases in incidence are being seen worldwide. Risk factors for the development of breast cancer remain largely unknown, with up to 75% of breast cancers occurring in the absence of established risk factors. The three risk factors that have been established are: family history of breast cancer, metabolic factors related to hormone production, and exposure to X-irradiation (Gail and Benichou, 1992;Claus et al., 1994). This study proposes that the last mentioned factor, exposure to ionizing radiation, is actually indicative of a larger involvement of genotoxicity in the etiology of breast cancer. This suggests that exposure to carcinogenic chemicals and susceptibility to mutagenesis and carcinogenesis play a significant role in determining who will develop a tumor of the breast. Indeed, evidence is mounting that the two known breast cancer susceptibility genes, BRCA1 and BRCA2 are actually DNA repair genes that modulate the genotoxi...