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Vol. 9, 3–28, January 2000 Cancer Epidemiology, Biomarkers Prevention 3 Review Genetic Polymorphism of CYP Genes, Alone or in Combination, as a Risk Modifier of Tobacco-related Cancers1 Helmut Bartsch,2, 3 Urmila Nair,2 Angela Risch,2 Introduction Margarita Rojas,2 Harriet Wikman,2 and Epidemiological and human genetic studies have identified Kroum Alexandrov2 different types of population “at risk,” one consisting of Division of Toxicology and Cancer Risk Factors, Deutsches individuals with heavy exposure to carcinogens, such as Krebsforschungszentrum, D-69120 Heidelberg, Germany smokers and exposed workers, and the other consisting of carriers of cancer-predetermining germ-line mutations in genes that because of high penetrance confer a very high risk Abstract for cancer per se (1). There is also another group of predis- posing polymorphic, low-penetrance genes, i.e., those in- Tobacco use is causally associated with cancers of the volved in carcinogen metabolism and DNA repair, which lung, larynx, mouth, esophagus, kidneys, urinary tract, modestly increase the risk for cancer in exposed individuals, and possibly, breast. Major
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