Tamoxifen-induced DNA adducts were analyzed with the P-32-postlabeling
method using high-performance liquid chromatography (HPLC)-radioactiv
ity detection from endometrial tissue of breast cancer patients and co
ntrols. Liver DNA from tamoxifen-treated rats was used as a positive s
tandard, in blind analysis, five of the seven samples from tamoxifen-t
reated patients showed DNA adducts; none of the five controls were pos
itive. The identity of the tamoxifen adduct was confirmed by using dif
ferent chromatographic systems, isolating the HPLC fractions and runni
ng them on TLC, with or without spiked rat liver samples. The level of
adducts in the treated patients was 2.7 adducts/10(9) nucleotides in
the HPLC analysis.