Environment and Breast Cancer: Science Review
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The list(s) or database(s) in which the chemical was identified as showing an increase in mammary gland tumors. CPDB: Carcinogenic Potency Database, IARC: International Agency for Research on Chemicals Monographs on the Evaluation of Carcinogenic Risk of Chemicals to Man summaries, NTP TR: National Toxicology Program (NTP) Technical Reports, NTP 11ROC: NTP 11th Report on Carcinogens, CCRIS: Chemical Carcinogenesis Research Information Service.National Toxicology Program 11th Report on Carcinogens , Chemical Carcinogenesis Research Information System
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Names of closely related chemicals discussed in the "originating list" are listed here if they were not separately reviewed.none
We assigned each chemical into one of the following groups based on its major sources and uses: industrial chemicals, chlorinated solvents, products of combustion, pesticides, dyes, radiation and drinking water disinfection, pharmaceuticals, hormones, natural products, and research chemicals.Product of combustion
If a chemical is a High Production Volume chemical, added to food, found in air pollution or consumer products, or causes greater than 5000 women to be exposed occupationally, it was judged to cause a likely widespread exposure to women in the United States.More Likely
Human exposure summary
Information describing pathways of exposure for the general population was obtained from a variety of sources, including IARC Monographs (9), NTP 11th ROC (4), NTP Study Reports (3), and Hazardous Substance Database (10). Summaries of chemical use in consumer products were developed from information found in US EPA's Source Ranking Database (SRD) (11), the NLM Household Product Database (HPD)(12), Scorecard (12), and Pesticide Action Network (PAN) Pesticides Database (13). If a chemical could not be found in these sources, we searched ToxNet (14), PubChem (15), and The Merck Index (16), and conducted searches by both name and CAS No. using Google.Benzo[a]pyrene is found in gasoline and diesel exhaust, cigarette smoke, grilled foods, coal tar and coal tar pitch, soot and smoke, petroleum asphalt, creosote oil, shale oil, and commercial solvents (NTP 11th ROC). Exposure occurs primarily through the smoking of tobacco, inhalation of polluted air, and ingestion of charred foods.
Mammary gland tumor summary
A summary of findings related to mammary gland tumors, most often excerpted from IARC Monographs or the NTP 11th ROC, and, in some cases, supplemented by our evaluation of individual studies and reviews, is available for the priority chemicals and 67 others.NTP 11th ROC: When administered by gavage, benzo[a]pyrene induced mammary tumors in female rats. When administered by intraperitoneal injection, benzo[a]pyrene induced mammary carcinoma in rats.
Risk assessment summary
For 11 chemicals that are of particular interest because of recent regulatory attention, a Silent Spring Institute summary of how the evidence on mammary gland tumors and the potential for breast cancer was considered in major governmental risk assessments and regulations is available.Benzo[a]pyrene is the most well-studied of the PAHs, which are products of combustion processes. Primary sources of exposure to PAHs include tobacco smoke, grilled foods, and air pollution. Diesel exhaust and automobile exhaust are primary sources of PAH air pollution, and other contributors include coal, wood, and other fuel burning. Indoor concentrations of PAHs can also be elevated from cooking and burning of candles and incense. Cancer risk from diesel exhaust is a major contributor to overall cancer risk from air pollution -- for example the California Air Resources Board has estimated that 70% of cancer risk from toxic air pollution is due to diesel exhaust (focus is lung cancer). Most of the carcinogenic risk of diesel exhaust is estimated to come from PAHs, such as benzo[a]pyrene (1), and PAHs in diesel exhaust have been shown to cause mammary gland tumors in animals. Despite the fact that many PAHs have been consistently shown to cause mammary gland tumors, the US EPA IRIS (2) record on diesel exhaust does not mention mammary gland tumors or breast cancer and US EPA's 669-page Health Assessment Document for Diesel Exhaust (3) focuses exclusively on lung cancer, not discussing the potential for breast cancer. In contrast, risk assessments by IARC (4), the World Health Organization (1) and the NTP Report on Carcinogens (5) include discussion of mammary gland tumors. A search of PubMed for "diesel exhaust", risk assessment, and "breast cancer" did not produce any articles, and "diesel" with "breast cancer" brought up two in vitro studies. References
International Agency for Research on Cancer evaluation
Overall evaluation: Group 1: The agent is carcinogenic to humans. Group 2A: The agent is probably carcinogenic to humans. Group 2B: The agent is possibly carcinogenic to humans. Group 3: The agent is not classifiable as to carcinogenicity in humans. Group 4: The agent is probably not carcinogenic to humans. NA: not evaluated by IARC (9).2A: Probably carcinogenic to humans
Evidence in humans
Strength of the evidence in humans (summary of epidemiologic evidence) and animals: sufficient, limited, or inadequate. If IARC has not reviewed the chemical, this field will be labeled "NA".NA
Tumor sites identified in IARC Monographs
If tumors were found in humans, the entry in this field will be labeled "(human)." Unlabeled terms are from animal studies. Tumor sites are abbreviated and can be referenced in the key (Table 1). NA: not evaluated by IARC.lung, skin
Evidence in animals
Strength of the evidence in humans (summary of epidemiologic evidence) and animals: sufficient, limited, or inadequate. If IARC has not reviewed the chemical, this field will be labeled "NA".sufficient
US EPA cancer classification
The US EPA Weight of Evidence Characterization of the chemical’s carcinogenic potential is listed: Group A: Carcinogenic to humans; Group B: Probably carcinogenic to humans. Group C: Possibly carcinogenic to humans. Group D: Not classifiable as to human carcinogenicity. Group E: Evidence of non-carcinogenicity for humans. NA: Not evaluated by US EPA (17).B2: Probably Carcinogenic to Humans, inadequate evidence
National Toxicology Program Study Conclusions
The National Toxicology Program Technical Reports include a determination of the carcinogenicity of the test chemical in each sex and species tested. Designations prior to 1983 are "positive" or "negative". After 1983, NTP assigned designations of "clear evidence of carcinogenicity," "some evidence of carcinogenicity," "equivocal evidence of carcinogenicity," "no evidence of carcinogenicity," or "inadequate study of carcinogenicity." The words "of carcinogenicity” are removed from the field in this database to conserve space. "NA" indicates no NTP technical report for the chemical (3).
Mutagenicity from CPDB
This summary of evidence from the Carcinogenic Potency Database is labeled “Yes” if the agent is mutagenic or weakly mutagenic in the Salmonella assay and “No” if not. NA: Not listed in CPDB. NA-S: Listed in CPDB, but no assessment of mutagenicity in Salmonella is included (1).Mutagenic
Mutagenicity from RTECS
This summary of evidence from the Registry of Toxic Effects of Chemical Substances database (NIOSH 2005) is labeled “Yes” if the agent is listed as mutagenic, “No” if not. NA: Not listed in RTECS (18).Mutagenic