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Endocrine Disruptor Research Initiative
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EDRI Federal Project Inventory:
05526-09 Analytical Investigations of Selected Issues in Human Cancer



  1. Sponsor Organization: NIH/CP

  2. Project Title: 05526-09 ANALYTICAL INVESTIGATIONS OF SELECTED ISSUES IN HUMAN CANCER

  3. Project Focus: HUMAN HEALTH EFFECTS

  4. Description: A variety of cancer sites and exposures have been explored, with many investigations involving multidisciplinaryapproaches to understanding biologic mechanisms. Etiologic research on breast cancer has been a major emphasis, withstudies showing increased risks of in situ cancers with hormone replacement therapy and of early onset disease with oralcontraceptive usage. The role of endogenous hormones in the etiology of breast and other female cancers continues tobe of major interest, with methodologic studies having been undertaken in preparation for full-scale analytic studies. Also explored with respect to breast cancer have been effects of breastfeeding and occupational exposures, and reasonsfor the geographic variation in mortality in the U.S. Studies on the role of the human papillomaviruses (HPV) haveshown that it is the major etiologic agent for cervical cancer worldwide. Several large prospective studies are assessingthe relationship of HPV presence and persistence to subsequent disease risk. In preliminary data, newly developedserologic tests appear to be useful predictors of female genital disease risk. Also of interest with respect to female healthare the long-term effects of in utero exposure to diethylstilbestrol, silicone breast implants, and ovulation- stimulatingdrugs, with three separate cohort studies underway to assess a variety of disease outcomes. Environmental exposures ofnotable interest include pesticides and water chlorination byproducts, with one case-control study showing increasedrisks in certain subgroups (notably smokers) of rectal and bladder cancers associated with long-term consumption ofchlorinated surface water. Further, the occurrence of cancer among twins and among several occupationally exposedcohorts have been examined. Finally, descriptive approaches have been utilized to derive clues as to future directionsfor etiologic research, with investigations undertaken of the risk of second malignancies following rare female genitalcancers, of the seasonal variation in melanoma detection, and of time trends in lymphoma.

  5. References:

  6. Category: METHODS

  7. Subcategory: HAZARD IDENTIFICATION

  8. Keywords for Experimental System/Species: HUMAN, IN UTERO

  9. Keywords for Experimental Endpoints: FEMALE, HORMONE RECEPTORS, EXPOSURE MONITORING, CARCINOGENESIS

  10. Chemical Agents: PESTICIDES, DES, FERTILITY DRUGS

  11. Performing Institution: NCI INTRAMURAL PROGRAM

  12. Contact: CONTACT PERSON: ELAINE C. LEE; BUILDING 31; 11A21, NATIONAL CANCER INSTITUTE, NIH,BETHESDA, MD 20892-2590; 301- 496-5515; LEEE@OD.NCI.NIH.GOV


 

 
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