Co-carcinogen

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Tolerable Upper Intake Level

A co-carcinogen is a substance that, while not necessarily carcinogenic on its own, can promote the effects of a carcinogen in the development of cancer. Co-carcinogens can enhance the carcinogenicity of other substances by various mechanisms, including increasing the absorption of the carcinogen, altering its metabolism, or affecting the body's immune system.

Mechanisms of Action[edit | edit source]

Co-carcinogens can act through several mechanisms:

  • **Metabolic Activation**: Some co-carcinogens can increase the metabolic activation of procarcinogens into their active carcinogenic forms. For example, certain enzymes in the liver can convert procarcinogens into active carcinogens.
  • **Inhibition of DNA Repair**: Co-carcinogens can inhibit the DNA repair mechanisms, making it more likely for mutations to accumulate and lead to cancer.
  • **Immune Suppression**: By suppressing the immune system, co-carcinogens can reduce the body's ability to detect and destroy cancerous cells.
  • **Inflammation**: Chronic inflammation caused by co-carcinogens can create an environment conducive to cancer development.

Examples of Co-carcinogens[edit | edit source]

  • **Alcohol**: Alcohol is a well-known co-carcinogen that can enhance the carcinogenic effects of tobacco smoke, particularly in cancers of the oral cavity, pharynx, and esophagus.
  • **Asbestos**: Asbestos fibers can act as co-carcinogens by promoting the effects of other carcinogens, such as those found in cigarette smoke, leading to lung cancer and mesothelioma.
  • **Certain Chemicals**: Chemicals like arsenic and formaldehyde can act as co-carcinogens by enhancing the effects of other carcinogens.

Related Concepts[edit | edit source]

  • Carcinogenesis: The process by which normal cells are transformed into cancer cells.
  • Mutagen: An agent that causes genetic mutation.
  • Oncogene: A gene that has the potential to cause cancer.
  • Tumor Suppressor Gene: A gene that protects a cell from one step on the path to cancer.

See Also[edit | edit source]



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Contributors: Prab R. Tumpati, MD