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This volume of the IARC Monographs provides an evaluation of the carcinogenicity of ingested nitrate and nitrite, and the cyanobacterial peptide toxins, microcystin-LR and nodularins. These agents are linked environmentally through the runoff of agricultural fertilisers that increase nitrogen concentrations in surface water and groundwater, and that could contribute to cyanobacterial growth in surface water. Moreover, nitrate and nitrite are added to meat and fish for preservation, as colour fixatives and as flavouring agents. An IARC Monographs Working Group reviewed epidemiological evidence, animal bioassays, and mechanistic and other relevant data to reach conclusions as to the carcinogenic hazard of these agents to humans.
Contents
- NOTE TO THE READER
- LIST OF PARTICIPANTS
- PREAMBLE
- GENERAL REMARKS
- THE MONOGRAPHS
- Ingested nitrate and nitrite
- 1. Exposure Data
- 2. Studies of Cancer in Humans
- 2.1. Introduction
- 2.2. Stomach and oesophageal cancer
- 2.3. Tumours of the brain
- 2.4. Cancer of the urinary tract
- 2.5. Genital and breast cancer
- 2.6. Leukaemia and lymphoma
- 2.7. Oral, pharyngeal and laryngeal cancers
- 2.8. Nasopharyngeal cancer
- 2.9. Colon and rectal cancers
- 2.10. Pancreatic cancer
- 2.11. Lung
- 2.12. Liver
- 2.13. References
- 3. Studies of Cancer in Experimental Animals
- 4. Mechanistic and Other Relevant Data
- 5. Summary of Data Reported
- 6. Evaluation and Rationale
- Cyanobacterial peptide toxins
- Ingested nitrate and nitrite
- LIST OF ABBREVIATIONS USED IN THIS VOLUME (* in tables only)
Corrigenda to the IARC Monographs are published online at: http://monographs.iarc.fr/ENG/Publications/corrigenda.php
LIBRARY CATALOGUING DATA
This publication represents the views and expert opinions of an IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, which met in Lyon, 14–21 June 2006
Lyon, France - 2010
IARC MONOGRAPHS
In 1969, the International Agency for Research on Cancer (IARC) initiated a programme on the evaluation of the carcinogenic risk of chemicals to humans involving the production of critically evaluated monographs on individual chemicals. The programme was subsequently expanded to include evaluations of carcinogenic risks associated with exposures to complex mixtures, lifestyle factors and biological and physical agents, as well as those in specific occupations. The objective of the programme is to elaborate and publish in the form of monographs critical reviews of data on carcinogenicity for agents to which humans are known to be exposed and on specific exposure situations; to evaluate these data in terms of human risk with the help of international working groups of experts in chemical carcinogenesis and related fields; and to indicate where additional research efforts are needed. The lists of IARC evaluations are regularly updated and are available on Internet: http://monographs.iarc.fr/
This programme has been supported since 1982 by Cooperative Agreement U01 CA33193 with the United States National Cancer Institute, Department of Health and Human Services. Additional support has been provided since 1986 by the Health, Safety and Hygiene at Work Unit of the European Commission Directorate-General for Employment, Social Affairs and Equal Opportunities, and since 1992 by the United States National Institute of Environmental Health Sciences, Department of Health and Human Services. The contents of this volume are solely the responsibility of the Working Group and do not necessarily represent the official views of the U.S. National Cancer Institute, the U.S. National Institute of Environmental Health Sciences, the U.S. Department of Health and Human Services, or the European Commission Directorate-General for Employment, Social Affairs and Equal Opportunities.
This volume was made possible, in part, through Cooperative Agreement CR 834012 with the United States Environmental Protection Agency, Office of Research and Development. The contents of this volume do not necessarily reflect the views or policies of the U.S. Environmental Protection Agency.
- Published by the International Agency for Research on Cancer, 150 cours Albert Thomas, 69372 Lyon Cedex 08, France
- ©International Agency for Research on Cancer, 2010
- Distributed by WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: tni.ohw@sredrokoob).
- Publications of the World Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights reserved.
The International Agency for Research on Cancer welcomes requests for permission to reproduce or translate its publications, in part or in full. Requests for permission to reproduce or translate IARC publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; email: permissions@who.int).
The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the World Health Organization concerning the legal status of any country, territory, city, or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.
The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.
The IARC Monographs Working Group alone is responsible for the views expressed in this publication.
IARC Library Cataloguing in Publication Data
- Ingested nitrate and nitrite, and cyanobacterial peptide toxins / IARC Working Group on the Evaluation of Carcinogenic Risks to Humans (2006: Lyon, France)
- (IARC monographs on the evaluation of carcinogenic risks to humans; v. 94)
- 1. Bacterial Toxins - toxicity 2. Carcinogens 3. Marine Toxins - toxicity 4. Microcystins 5. Nitrates - toxicity 6. Nitrites - toxicity 7. Peptides, Cyclic - toxicity I. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans II. Series
- ISBN 978 92 832 1294 2 (NLM Classification: W1)
- ISSN 1017-1606
- PRINTED IN FRANCE
Intensive use of nitrogen fertilizers in crop culture and manure from animal feeding operations may be significant sources of nitrate in some regions like Brittany, France, leading to euthrophication and the excessive growth of green algae. The growth of peptide-toxin-producing cyanobacteria is favoured in waters where eutrophication occurs.
Ham, bacon, and some sausages are preserved with salt and sodium or potassium nitrite. Ascorbate is often added to inhibit the formation of N-nitrosamines before the cured meat is eaten. N-nitrosamines can also form in the stomach unless inhibited by vitamin C or other antioxidants. Kiwi and citrus fruits are rich sources of antioxidants.
Cover design: Roland Dray and Yann Grosse, IARC
- NLM CatalogRelated NLM Catalog Entries
- Carcinogenicity of nitrate, nitrite, and cyanobacterial peptide toxins.[Lancet Oncol. 2006]Carcinogenicity of nitrate, nitrite, and cyanobacterial peptide toxins.Grosse Y, Baan R, Straif K, Secretan B, El Ghissassi F, Cogliano V, WHO International Agency for Research on Cancer Monograph Working Group. Lancet Oncol. 2006 Aug; 7(8):628-9.
- Editorial (Thematic Issue: Cellular and Biochemical Effects of Microcystins (Cyanobacterial Toxins) and Their Potential Medical Consequences).[Mini Rev Med Chem. 2016]Editorial (Thematic Issue: Cellular and Biochemical Effects of Microcystins (Cyanobacterial Toxins) and Their Potential Medical Consequences).Máthé C. Mini Rev Med Chem. 2016; 16(13):1017.
- Determining important parameters related to cyanobacterial alkaloid toxin exposure.[Adv Exp Med Biol. 2008]Determining important parameters related to cyanobacterial alkaloid toxin exposure.Love AH. Adv Exp Med Biol. 2008; 619:453-63.
- Review Toxins of cyanobacteria.[Mol Nutr Food Res. 2007]Review Toxins of cyanobacteria.van Apeldoorn ME, van Egmond HP, Speijers GJ, Bakker GJ. Mol Nutr Food Res. 2007 Jan; 51(1):7-60.
- Review Biotransformation of Microcystins in Eukaryotic Cells - Possible Future Research Directions.[Mini Rev Med Chem. 2016]Review Biotransformation of Microcystins in Eukaryotic Cells - Possible Future Research Directions.Pflugmacher S. Mini Rev Med Chem. 2016; 16(13):1078-83.
- Ingested Nitrate and Nitrite, and Cyanobacterial Peptide ToxinsIngested Nitrate and Nitrite, and Cyanobacterial Peptide Toxins
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