The significance of the interaction between alcohol and tobacco in cau
sing head and neck cancers is well documented. Our previous reports on
in vitro studies using aqueous and organic extracts as well as cytoge
netic studies among pan masala consumers have conclusively shown the g
enotoxic potential of pan masala-a dry mixture of the areca nut, lime,
catechu, unspecified flavouring agents, etc., often containing tobacc
o in it and is widely consumed in India. Now in the present report, th
e clastogenic effect of ethanol and pan masala in different combinatio
ns was evaluated on Chinese hamster ovary cells utilizing chromosome a
berration (CA) frequency as an endpoint. An ethanol concentration of u
p to 2.0 % had no effect on CA/cell value, The low-dose continuous tre
atment and high-dose shortterm pre-, post- and simultaneous treatment
of ethanol and aqueous extract of pan masala with and without tobacco
yielded dose-dependent elevations in CA frequency, compared to any of
these two substances alone. Thus, these results provide evidence that
alcohol consumption may potentially increase the risk of oral cancer a
mong pan masala chewers.