Chemical risk assessment has been limited by the inability of in vitro
short-term assays to identify the true carcinogenic potential of many
substances. Numerous methods exist for identifying mutagenic and clas
togenic agents, but a practical means of identifying nongenotoxic carc
inogens has remained elusive. Experiments described here suggest that
some chemicals may participate in carcinogenesis by modulating the enz
ymatic processes of drug metabolism. The tumor promoters butylated hyd
roxyanisole, butylated hydroxytoluene, deoxycholic acid, reserpine, tr
ypan blue, and 12,-O-tetradecanoyl phorbol-13-acetate were chosen as m
odel non-genotoxic carcinogens. The enzyme-modulating action of these
chemicals was measured using a modified Ames plate incorporation assay
whereby the known tumor promoters were plated with a promutagen in th
e presence of a mammalian metabolic activation system (S9). Each of th
e nongenotoxic carcinogens significantly increased the mutagenic respo
nse of metabolically activated promutagen(s). These experiments sugges
t that the carcinogenic role of some chemicals may be attributed to th
eir ability to modify the biochemical pathways of drug metabolism. By
enhancing or inhibiting the activity of various enzymes, some tumor pr
omoters may create an environment that increases a cell's mutational b
urden, thereby contributing to neoplastic transformation.