Skip to main content

Advertisement

Log in

Alcohol as a Risk Factor for Cancer Burden: A Review

  • Review Article
  • Published:
Proceedings of the Zoological Society Aims and scope Submit manuscript

Abstract

Alcohol is eliminated from the body by various metabolic mechanisms. The primary enzymes in such mechanism involved are alcohol dehydrogenase, aldehyde dehydrogenase, cytochrome P450 2E1, and catalase. Variations in the genes for these enzymes have been found to influence alcohol consumption. The consequences of alcohol metabolism include oxygen deficits (i.e., hypoxia) in the liver, resulting in the formation of harmful compounds (i.e., adducts) and highly reactive oxygen-containing molecules (i.e., reactive oxygen species) that can damage cell components. Approximately, worldwide 3.6 % of cancers derive from chronic alcohol drinking, including those of the upper aerodigestive tract, the liver, the colorectum and the breast. Although the mechanisms for alcohol-associated carcinogenesis are not completely understood, recent findings have focused on acetaldehyde, the first and most toxic ethanol metabolite, as a cancer-causing agent. Alcohol-related carcinogenesis may aggravate due to other factors such as smoking and being triggered by genetic susceptibility. Besides, the role of genetic polymorphisms of the alcohol-metabolizing enzymes could not be ruled out.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Baan, R., and K.Y. Straif. 2007. Carcinogenicity of alcoholic beverages. Lancet Oncology 8: 292–293.

    Article  PubMed  Google Scholar 

  • Baraona, E. 2000. Site and quantitative importance of alcohol first-pass metabolism. Alcoholism, Clinical and Experimental Research 24: 405–406.

    Article  CAS  PubMed  Google Scholar 

  • Baraona, E., C.S. Abittan, and K. Dohmen. 2001. Gender differences in pharmacokinetics of alcohol. Alcoholism, Clinical and Experimental Research 25: 502–507.

    Article  CAS  PubMed  Google Scholar 

  • Bennion, L.J., and T.K. Li. 1976. Alcohol metabolism in American Indians and whites: Lack of racial differences in metabolic rate and liver alcohol dehydrogenase. New England Journal of Medicine 294: 9–13.

    Article  CAS  PubMed  Google Scholar 

  • Boffetta, P., and M. Hashibe. 2006. Alcohol and cancer. Lancet Oncology 7: 149–156.

    Article  CAS  PubMed  Google Scholar 

  • Boffetta, P., M. Hashibe, C.La. Vecchia, W. Zatonski, and J. Rehm. 2006. The burden of cancer attributable to alcohol drinking. International Journal of Cancer 119: 884–887.

    Article  CAS  Google Scholar 

  • Boeing, H. 2002. Alcohol and risk of cancer of the upper gastrointestinal tract: First analysis of the EPIC data. The International Agency for Research on Cancer Scientific Publication 156: 151–154.

    CAS  Google Scholar 

  • Bosron, W.F., and T.K. Li. 1986. Genetic polymorphism of human liver alcohol and aldehyde dehydrogenases, and their relationship to alcohol metabolism and alcoholism. Hepatology 6: 502–510.

    Article  CAS  PubMed  Google Scholar 

  • Castelletto, R., X. Castellssague, N. Munoz, N. Chopita, and A. Jmelnitsky. 1994. Alcohol, tobacco, diet, mate drinking, and oesophageal cancer in Argentina. Cancer Epidemiology, Biomarkers and Prevention 3: 557–564.

    CAS  PubMed  Google Scholar 

  • Crabb, D.W., H.J. Edenberg, W.F. Bosron, and T.K. Li. 1989. Genotypes for aldehyde dehydrogenase deficiency and alcohol sensitivity. The inactive ALDH2(2) allele is dominant. Journal of Clinical Investigation 83: 314–316.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Feron, V.J., A. Kruysse, and R.A. Woutersen. 1982. Respiratory tract tumours in hamsters exposed to acetaldehyde vapour alone or simultaneously to benzo(a)pyrene or diethylnitrosamine. European Journal of Cancer and Clinical Oncology 18: 13–31.

    Article  CAS  PubMed  Google Scholar 

  • Gouillon, Z., D. Lucas, J. Li, A.L. Hagbjork, B.A. French, P. Fu, C. Fang, M. Ingelman-Sundberg, T.M. Donohue, and S.W. French. 2000. Inhibition of ethanol-induced liver disease in the intragastric feeding rat model by chlormethiazole. Proceedings of the Society for Experimental Biology and Medicine 224: 302–308.

    Article  CAS  PubMed  Google Scholar 

  • Gronbaek, M., U. Becker, D. Johansen, H. Tønnesen, G. Jensen, and T.I. Sørensen. 1988. Population based cohort study of the association between alcohol intake and cancer of the upper digestive tract. British Medical Association 317: 844–847.

    Google Scholar 

  • Helmut, K.Seitz, and Stickel Felix. 2007. Molecular mechanisms of alcohol mediated carcinogenesis. Nature Reviews Cancer 7: 599–612.

    Article  Google Scholar 

  • Homann, N.H., K. Jousimies-Somer, R. Jokelainen, and M. Salaspuro. 1997. High acetaldehyde levels in saliva after ethanol consumption: methodological aspects and pathogenetic implications. Carcinogenesis 18: 1739–1743.

    Article  CAS  PubMed  Google Scholar 

  • IARC. 1999. Re-evaluation of some organic chemicals, hydrazine and hydrogen peroxide. Monographs on the evaluation of the carcinogenic risk of chemicals to humans. Acetaldehyde 77 (International Agency for Research on Cancer, Lyon).

  • Jemal, A., M.M. Center, C. De Santis, and E.M. Ward. 2010. Global patterns of cancer incidence and mortality rates and trends. Cancer Epidemiology, Biomarkers and Prevention 19: 1893–1907.

    Article  PubMed  Google Scholar 

  • Jussawalla, D.J. 1971. Epidemiological assessment of the aetiology of oesophageal cancer in Greater Bombay. In International seminar on epidemiology of oesophageal cancer, monograph Indian Cancer Society, eds. D.J. Jussawalle DJ, R. Doll, 20–30.

  • Kawase, T., K.M. Matsuo, and A. Hiraki. 2009. Interaction of the effects of alcohol drinking and polymorphisms in alcohol-metabolizing enzymes on the risk of female breast cancer in Japan. Journal of Epidemiology 19: 244–250.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kelley, J.R., and J.M. Duggan. 2003. Gastric cancer epidemiology and risk factors. Journal of Clinical Epidemiology 56: 1–9.

    Article  PubMed  Google Scholar 

  • Kew, M.C., and A.M. Dibisceglie. 1985. Smoking as risk factor in hepatocellular carcinoma—a case control study in South African blacks. Cancer 56: 2315–2327.

    Article  CAS  PubMed  Google Scholar 

  • Kopun, M., and P. Propping. 1977. The kinetics of ethanol absorption and elimination in twins and supplementary repetitive experiments in singleton subjects. European Journal of Clinical Pharmacology 11: 337–344.

    Article  CAS  PubMed  Google Scholar 

  • Lee, S.L., G.Y. Chau, and C.T. Yao. 2006. Functional assessment of human alcohol dehydrogenase family in ethanol metabolism: Significance of first-pass metabolism. Alcoholism, Clinical and Experimental Research 30: 1132–1142.

    Article  CAS  PubMed  Google Scholar 

  • Li, H., S. Borinskaya, K. Yoshimura, N. Kal’ina, A. Marusin, V.A. Stepanov, Z. Qin, S. Khaliq, M. Lee, Y. Yang, A. Mohyuddin, D. Gurwitz, S.Q. Mehdi, E. Rogaev, L. Jin, N.K. Yankovsky, J.R. Kidd, and K.K. Kidd. 2009a. Refined geographic distribution of the oriental ALDH2*504Lys (nee 487Lys) variant. Annals of Human Genetics 73: 335–345.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Li, H., K. Cho, J.R. Kidd, and K.K. Kidd. 2009b. Genetic landscape of Eurasia and ‘‘admixture’’ in Uyghurs. American Journal of Human Genetics 85: 934–937.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lim, R.T., R.T. Gentry, and D. Ito. 1993. First-pass metabolism of ethanol is predominantly gastric. Alcoholism, Clinical and Experimental Research 17: 1337–1344.

    Article  CAS  PubMed  Google Scholar 

  • Longnecker, M.P. 1994. Alcoholic beverage consumption in relation to risk of breast cancer: meta- analysis and review. Cancer Causes and Control 5: 73–82.

    Article  CAS  PubMed  Google Scholar 

  • Marimuthu, P., S. Chakraborty, S.C. Agarwal, N. Manoharan, and M. Chatterjee. 2002. Trends of cancer prevalence in some districts of West Bengal. Asian Pacific Journal of Cancer Prevention 3: 239–242.

    PubMed  Google Scholar 

  • Rehm J, R. Room, M. Monteiro, G. Gmel, K. Graham, N. Rehn. 2004. In Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors, eds. Ezzati, M., Murray, C., Lopez, A. D., Rodgers, A., 959–1108. Geneva: World Health Organization.

  • Saha, A.K., and H.S. Pathak. 2012. Epidemiological profile of oesophageal cancer in the Gangetic areas of West Bengal. Journal, Indian Academy of Clinical Medicine 13(2): 107–115.

    Google Scholar 

  • Seitz, H.K., U.A. Simanowski, F.T. Garzon, J.M. Rideout, T.J. Peters, A. Koch, M.R. Berger, H. Einecke, and M. Maiwald. 1990. Possible role of acetaldehyde in ethanol-related rectal cocarcinogenesis in the rat. Gastroenterology 98: 406–413.

    CAS  PubMed  Google Scholar 

  • Seitz, H.K., G. Pöschl, and M.P. Salaspuro. 2006. Alcohol and colorectal cancer. In Alcohol, tobacco and cancer, ed. C.H. Cho, and V. Purohit, 63–77. Basel: Karger.

    Chapter  Google Scholar 

  • Seitz, H.K., and F. Stickel. 2006. Risk factors and mechanisms of hepato carcinogenesis with special emphasis on alcohol and oxidative stress. Biological Chemistry 387: 349–360.

    Article  CAS  PubMed  Google Scholar 

  • Shibata, A., and J. Parsonnet. 2006. Stomach cancer. In Cancer epidemiology and prevention, ed. D. Schottenfeld, and J.F. Fraumeni Jr, 707–720. Oxford: Oxford University Press.

    Chapter  Google Scholar 

  • Smith, M. 1986. Genetics of human alcohol and aldehyde dehydrogenases. Advanced Human Genetics 15: 249–290.

    CAS  Google Scholar 

  • Talamini, R., C. Bosetti, C. La Vecchia, L. Dal Maso, F. Levi, E. Bidoli, E. Negri, C. Pasche, S. Vaccarella, L. Barzan, and S. Franceschi. 2002. Combined effect of tobacco and alcohol on laryngeal cancer risk: a case- control study. Cancer Causes and Control 13: 957–964.

    Article  CAS  PubMed  Google Scholar 

  • Tanaka, F., K. Yamamoto, and S. Suzuki. 2010. Strong interaction between the effects of alcohol consumption and smoking on oesophageal squamous cell carcinoma among individuals with ADH1B and/or ALDH2 risk alleles. Gut 59: 1457–1464.

    Article  CAS  PubMed  Google Scholar 

  • Trichopoulos, D., and N.E. Dey. 1987. Hepatitis B virus tobacco smoking and ethanol consumption in the etiology of hepatocellular carcinoma. International Journal of Cancer 39: 45–49.

    Article  CAS  Google Scholar 

  • Tuma, D.J. 2002. Role of malondialdehyde-acetaldehyde adducts in liver injury. Free Radical Biology and Medicine 32: 303–308.

    Article  CAS  PubMed  Google Scholar 

  • Tuma, D.J., and C.A. Casey. 2003. Dangerous by products of alcohol breakdown: Focus on adducts. Alcohol Research & Health 27: 285–290.

    Google Scholar 

  • Tuma, D.J., G.M. Thiele, and D. Xu. 1996. Acetaldehyde and malondialdehyde react together to generate distinct protein adducts in the liver during long-term ethanol administration. Hepatology 23: 872–880.

    Article  CAS  PubMed  Google Scholar 

  • Wang, M., E.J. McIntee, G. Cheng, Y. Shi, P.W. Villalta, and S.S. Hecht. 2000. Identification of DNA adducts of acetaldehyde. Chemical Research in Toxicology 13: 1149–1157.

    Article  CAS  PubMed  Google Scholar 

  • Wang, L.D., F.Y. Zhou, and X.M. Li. 2010. Genome-wide association study of esophageal squamous cell carcinoma in Chinese subjects identifies susceptibility loci at PLCE1 and C20orf54. Nature Genetics 42: 759–763.

    Article  CAS  PubMed  Google Scholar 

  • Weng, H., Z. Weng, Y. Lu, K. Nakayama, and K. Morimoto. 2010. Effects of alcohol-drinking behaviour and ADH1B and ALDH2 poly-morphisms on basal DNA damage in human mononuclear cells as determined by the comet assay. Mutation Research 701: 132–136.

    Article  CAS  PubMed  Google Scholar 

  • Worrall, S., and G.M. Thiele. 2001. Protein modification in ethanol toxicity. Adverse Drug Reactions and Toxicological Reviews 20: 133–159.

    CAS  PubMed  Google Scholar 

  • Wong, N.A., F. Rae, K.J. Simpson, G.D. Murray, and D.J. Harrison. 2000. Genetic polymorphisms of cytochrome p4502E1 and susceptibility to alcoholicliver disease and hepatocellular carcinoma in a white population: a study and literature review, including meta-analysis. Molecular Pathology 53: 88–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Woutersen, R.A., L. Appelmann, A. Van Garderen- Hoetmer, and V.J. Feron. 1986. Inhalation toxicity of acetaldehyde in rats: III. Carcinogenicity study. Toxicology 41: 213–231.

    Article  CAS  PubMed  Google Scholar 

  • Wu, D., and A.I. Cederbaum. 2003. Alcohol, oxidative stress, and free radical damage. Alcohol Research & Health 27: 277–284.

    Google Scholar 

  • Wu, C., Z. Hu, Z. He, W. Jia, F. Wang, Y. Zhou, Z. Liu, Q. Zhan, Y. Liu, D. Yu, K. Zhai, J. Chang, Y. Qiao, G. Jin, Z. Liu, Y. Shen, C. Guo, J. Fu, X. Miao, W. Tan, H. Shen, Y. Ke, Y. Zeng, T. Wu, and D. Lin. 2011. Genome-wide association study identifies three new susceptibility loci for esophageal squamous-cell carcinoma in Chinese populations. Nature Genetics 43: 679–684.

    Article  CAS  PubMed  Google Scholar 

  • Yang, C.X., K. Matsuo, Z.M. Wang, and K. Tajima. 2005. Phase I/II enzyme gene polymorphisms and esophageal cancer risk: a meta-analysis of the literature. World Journal of Gastroenterology 11: 2531–2538.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Conflict of Interest

Authors declare no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Madhusudan Das.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ghosh, S., Guria, S. & Das, M. Alcohol as a Risk Factor for Cancer Burden: A Review. Proc Zool Soc 69, 32–37 (2016). https://doi.org/10.1007/s12595-014-0134-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12595-014-0134-3

Keywords

Navigation