Altered aromatic amine metabolism in epileptic patients treated with phenobarbital

Research output: Contribution to journalArticle

Abstract

The fate of carcinogens differs among individuals who have different activities of drug-metabolizing enzymes that are important in activating and detoxifying carcinogens. A drug that profoundly alters the metabolism of the drugs and carcinogens is the anticonvulsive agent phenobarbital. To investigate why epileptic patients appear to have a low risk of cancer of the urinary bladder, and on the basis of the observation that levels of aromatic amine-hemoglobin adducts are strongly associated with various risk factors for cancer at that site, we determined aromatic amine-hemoglobin adducts in 62 epileptic patients as a surrogate measure of the reaction of carcinogenic metabolites with DNA in target tissue. Although adducts were detected in all subjects, the levels were proportional to daily tobacco consumption. When the subjects were stratified into groups smoking 20 g tobacco/day or more, smoking <20 g/day, and not smoking, an effect of medication was detected. Epileptic patients treated chronically with phenobarbital or primidone, which is effectively metabolized to phenobarbital, were found to have lower levels of 4-aminobiphenyl adducts than patients on the other treatment (P = 0.02; ANOVA). In nonsmokers, no effect of medication could be demonstrated above background variation; however, an increasing effect was seen with tobacco consumption with only one-half the increase in adducts per g of tobacco smoked as epileptic patients on other treatment. The difference in the increases (slopes of regression lines) was highly significant statistically. This reduction in the level of hemoglobin-aromatic amine adducts is probably due to induction of detoxification enzymes in the patients treated with phenobarbital.

Details

Authors
  • H Wallin
  • P L Skipper
  • S R Tannenbaum
  • John P A Jensen
  • L Rylander
  • Jørgen H Olsen
Organisations
External organisations
  • Danish Cancer Society Research Center
  • Skåne University Hospital
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Environmental Health and Occupational Health
  • Cancer and Oncology

Keywords

  • Analysis of Variance, Anticonvulsants/metabolism, Epilepsy/drug therapy, Hemoglobins/metabolism, Humans, Interviews as Topic, Phenobarbital/metabolism, Risk Factors, Smoking/adverse effects, Urinary Bladder Neoplasms/etiology
Original languageEnglish
Pages (from-to)771-3
Number of pages3
JournalCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
Volume4
Issue number7
Publication statusPublished - 1995 Oct 1
Publication categoryResearch
Peer-reviewedYes