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Published on: September 25, 2017
Mechanisms of Cancer Induction by Tobacco-Specific NNK and NNN
Jiaping Xue1, Suping Yang2, Seyha Seng3
1Department of Physiology and Biophysics, University of Illinois at Chicago, Chicago, IL 60612, USA. jxue@uic.edu.
Abstract:
Tobacco use is a major public health problem worldwide. Tobacco-related cancers cause millions of deaths annually. Although several tobacco agents play a role in the development of tumors, the potent effects of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and N'-nitrosonornicotine (NNN) are unique. Metabolically activated NNK and NNN induce deleterious mutations in oncogenes and tumor suppression genes by forming DNA adducts, which could be considered as tumor initiation. Meanwhile, the binding of NNK and NNN to the nicotinic acetylcholine receptor promotes tumor growth by enhancing and deregulating cell proliferation, survival, migration, and invasion, thereby creating a microenvironment for tumor growth. These two unique aspects of NNK and NNN synergistically induce cancers in tobacco-exposed individuals. This review will discuss various types of tobacco products and tobacco-related cancers, as well as the molecular mechanisms by which nitrosamines, such as NNK and NNN, induce cancer.
Insights
Tobacco carcinogens 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and N’-nitrosonornicotine (NNN) uniquely induce cancer. They cause DNA mutations and promote tumor growth by interacting with cellular receptors, leading to millions of deaths worldwide.
Area of Science:
- Oncology
- Molecular Biology
- Public Health
Background:
- Tobacco use is a significant global health issue, responsible for numerous cancer deaths annually.
- Specific tobacco-derived nitrosamines, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and N'-nitrosonornicotine (NNN), possess unique carcinogenic properties.
Purpose of the Study:
- To review tobacco products and associated cancers.
- To elucidate the molecular mechanisms of NNK and NNN in cancer induction.
Main Methods:
- Literature review of tobacco-related cancers.
- Analysis of molecular pathways involving NNK and NNN.
Main Results:
- Metabolically activated NNK and NNN form DNA adducts, initiating mutations in critical genes.
- NNK and NNN binding to nicotinic acetylcholine receptors promotes tumor progression via enhanced cell proliferation, survival, migration, and invasion.
Conclusions:
- NNK and NNN act synergistically through DNA damage and receptor-mediated pathways to drive cancer development in tobacco users.
- Understanding these mechanisms is crucial for developing targeted cancer prevention and treatment strategies.
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