Chemical-analytical studies during the past 4 years led to several new
observations on the formation of tobacco-specific N-nitrosamines (TSN
A) and their occurrence in smokeless tobacco, mainstream smoke (MS), a
nd sidestream smoke (SS) of American and foreign cigarettes. When snuf
f was extracted by means of supercritical fluid extraction with carbon
dioxide containing 10% methanol, analysis of this material confirmed
that the extraction with organic solvents had been partially incomplet
e. Epidemiological studies in the northern Sudan showed a high risk fo
r oral cancer for users of toombak, a home-made oral snuff. Toombak co
ntains 100-fold higher levels of TSNA than commercial snuff in the U.S
. and Sweden. The TSNA content in the saliva of toombak dippers is at
least ten times higher than that reported in the saliva of dippers of
commercial snuff. Biomarker studies have shown corresponding high leve
ls of hemoglobin adducts with metabolites of NNN and NNK as well as fo
r urinary metabolites of NNK. These data supported the epidemiological
findings. The analyses of MS of U.S. and foreign cigarettes smoked un
der FTC conditions revealed comparable data for the smoke of nonfilter
cigarettes and filter cigarettes except in the case of low- and ultra
low-yield cigarettes, which showed reduced TSNA yields. The MS of ciga
rettes made from Burley or dark tobacco is exceptionally high in TSNA,
primarily because of the high nitrate content of those tobacco types.
Taking puffs of larger volume and drawing puffs more frequently, prac
tices observed among most smokers of cigarettes with low nicotine yiel
d, results in high TSNA values in the MS. The formation of the lung ca
rcinogen NNK is favored during the smoldering of cigarettes, between p
uffs, when SS is generated. Consequently, in most samples from indoor
air polluted with environmental tobacco smoke (ETS), the highest conce
ntration of an individual TSNA is that of NNK. When nonsmokers had rem
ained for up to 2 h in a test laboratory with high ETS pollution, they
excreted measurable amounts of NNK metabolites in the urine, indicati
ve of the uptake of TSNA.