Background and objective. The incidence of squamous cell carcinomas in the
upper aerodigestive tract has increased worldwide. The main risk factors ar
e chronic tobacco and alcohol consumption. The detection of highrisk person
s is important because early diagnosis of these tumors provides a good chan
ce for permanent healing. Biomonitoring programs may help to give precise i
nformation about the individual cancer risk among smoking and drinking pers
ons. The aim of this study was to evaluate the Ames lest as a biomarker to
detect the genotoxicity of saliva.
Patients and methods. Saliva specimens of 131 probands were investigated fo
r their genotoxic effects using the Ames test. Results. Our results showed
an increased trend of genotoxic activity in the saliva of smokers. A highly
significant additional increase of genotoxicity was measured in smoking an
d drinking individuals.
Conclusions. Our study shows that the Ames test could be used to show genot
oxic effects in saliva specimens. In combination with other biomarkers, thi
s test may help to develop a valid concept for detecting cancer-endangered
people.