Promutagenic etheno (epsilon) adducts in DNA are generated through reaction
s of DNA bases with LPO products derived from endogenous sources or from ex
posure to several xenobiotics. The availability of sensitive methods has ma
de it possible to detect three epsilon-adducts in vivo, namely epsilon dA,
epsilon dC and N-2,3-epsilon dG. One probable endogenous source for the for
mation of these adducts arise a from LPO products such as trans-4-hydroxy-2
-nonenal (HNE), resulting in highly variable background E-adduct levels in
tissues from unexposed humans and rodents. The range of background levels o
f epsilon dA X 10(-8)dA detected inhuman tissues was < 0.05 to 25 and in ro
dent tissues 0.02 to 10; the corresponding values for epsilon dC x 10(-8) d
C were 0.01 to 11 and 0.03 to 24, respectively. Part of this variability ma
y be associated with different dietary intake of antioxidants and/or omega-
6 PUFAs which oxidize readily to form 4-hydroxyalkenals, as epsilon dA and
epsilon dC levels in WBC-DNA of female volunteers on a high omega-6 PUFA di
et were drastically elevated. Increased levels of etheno adducts were also
found in the liver of cancer-prone patients suffering from hereditary metal
storage diseases, i.e., Wilson's disease (WD) and primary hemochromatosis
(PH) as well as in Long-Evans Cinnamon rats, an animal model for WD. Increa
sed metal-induced oxidative stress and LPO-derived epsilon-adducts, along w
ith other oxidative damage, may trigger this hereditary liver cancer. epsil
on-Adducts could hence be explored as biomarkers (i) to ascertain the role
of LPO mediated DNA damage in human cancers associated with oxidative stres
s imposed by certain lifestyle patterns, chronic infections and inflammatio
ns, and (ii) to verify the reduction of these epsilon-adducts by cancer che
mopreventive agents. This article summarizes recent results on the formatio
n, occurrence and possible role of E-DNA adducts in carcinogenesis and muta
genesis. (C) 1999 Elsevier Science B.V. All rights reserved.