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Department of Community Dental Health, Faculty of Dental Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.

Betel quid contains two major ingredients; Areca catechu and Piper betel, often consumed with slaked lime, tobacco, certain flavouring agents, colouring agents, herbs, and spices according to personal preferences. The areca nut alkaloids (arecoline, arecaidine, guvacine, and guvacoline), and tobacco alkaloids (nicotine, nor-nicotine) undergo nitrosation during chewing in the oral cavity with the presence of nitrite and thiocyanate and endogenously. Among the nitrosation products generated areca nut-derived nitrosamine (ADNA): 3-(methylnitrosamino) Propionitrile (MNPN) and the two tobacco-specific nitrosamines (TSNAs); N'-nitrosonornicotine (NNN) and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone) (NNK) are considered Group 1 human carcinogens.

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Chronic exposure to environmental carcinogens is a major cause of tumorigenesis. A potent tobacco-specific nitrosamine carcinogen, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK), exhibits high carcinogenicity to induce lung cancer. However, the function and mechanism of circular RNA (circRNA) in chemical carcinogenesis, especially the regulation of circRNA formation upon exposure to environmental chemicals, remain unclear.

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Article Synopsis
  • Environmental tobacco smoke (ETS), which includes second-hand (SHS) and third-hand smoke (THS), poses significant health risks, particularly for non-smokers and children who have higher exposure levels.
  • The study analyzed tobacco-specific nitrosamines (TSNAs) from SHS and THS in a controlled room, finding differences in their concentration and distribution due to various factors like air exchange and particle deposition.
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Article Synopsis
  • Researchers previously found that benzo[a]pyrene (B[a]P), a carcinogen in tobacco smoke, caused significantly more DNA damage in smokers' buccal cells compared to non-smokers, indicating a link to oral squamous cell carcinoma (OSCC).
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Variability in addictive and carcinogenic potential of smokeless tobacco products marketed in Mumbai, India: a surveillance study.

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October 2024

Masonic Cancer Center and Division of Environmental Health Sciences, University of Minnesota, 2231 Sixth Street Southeast, Minneapolis, MN 55455, USA.

Background: India has the highest incidence worldwide of smokeless tobacco (SLT)-associated oral cancer, accounting for nearly 70% of all SLT users globally. Nicotine and tobacco-specific -nitrosamines (TSNA) play critical roles in the addictive and carcinogenic potential, respectively, of SLT products. Our group has previously reported substantial variability in nicotine and TSNA levels across a small SLT product sample in India, calling for systematic surveillance.

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