Multiple primary esophageal and concurrent upper aerodigestive tract cancer and the aldehyde dehydrogenase-2 genotype of Japanese alcoholics

Akira Yokoyama, Taro Muramatsu, Tai Ohmori, Hiroyasu Makuuchi, Susumu Higuchi, Sachio Matsushita, Keiichi Yoshino, Katsuya Maruyama, Masayuki Nakano, Hiromasa Ishii

研究成果: Article査読

128 被引用数 (Scopus)

抄録

BACKGROUND. Multiple intraesophageal primary cancer and upper aerodigestive tract (UADT) cancer associated with esophageal cancer are common diseases, especially in heavy drinkers. They are often explained by the concept of field cancerization, which suggests a similar etiology. However, little is known about the nature of the hypothesized etiology. METHODS. Among 901 Japanese male alcoholics systematically screened by upper gastrointestinal endoscopy (with esophageal iodine staining), 33 had squamous cell carcinoma of the esophagus. The multiplicity of their esophageal carcinoma and their concurrent UADT cancer was compared with their genotype for aldehyde dehydrogenase-2 (ALDH2), the major determinant of blood acetaldehyde concentration after drinking. RESULTS. Of 17 patients with inactive ALDH2, 13 (76.5%) had multiple primary carcinoma of the esophagus, whereas 5 of 16 (31.3%) with active ALDH2 had multiple carcinomas (P < 0.01). The prevalence of concurrent UADT cancer was 29.4% in those patients with inactive ALDH2, compared with 6.3% in those patients with active ALDHZ. CONCLUSIONS. Inactive ALDH2 is a risk factor for multiple carcinoma of the esophagus in alcoholics. Acetaldehyde, a recognized animal carcinogen, appears to play a critical role in field cancerization.

本文言語English
ページ(範囲)1986-1990
ページ数5
ジャーナルCancer
77
10
DOI
出版ステータスPublished - 1996 5 15
外部発表はい

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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