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Medical Science Optional daily answer writing practice for CSE 2023 – july 19

Topic: Carcinogenisis, inflammation

Question: Discuss chemical carcinogenesis with examples

Click here for Reference Material-This material is informational alone and is not specifically prepared as an answer for any question. Readers may do their own research before finalising diagnoses according to the characteristics unique to each question. Readers should not proceed without cross-referencing with relevant textbooks as well as standard guidelines available.

Chemical carcinogenesis refers to the process by which chemical agents induce cancer formation. Some key points about chemical carcinogenesis:

– Caused by exposure to or ingestion of carcinogenic chemicals that damage DNA and cause mutations.

– Genetic mutations lead to uncontrolled cell proliferation and tumor formation over time.

Initiators – chemicals that cause initial DNA damage and mutations (e.g. tobacco smoke, asbestos).

Promoters – compounds that facilitate proliferation of mutated cells into tumors (e.g. hormones, some pesticides).

– Complete carcinogens do both initiation and promotion (e.g. aflatoxin, mustard gas).

Examples:

– Tobacco smoke – contains initiators like benzene, nitrosoamines. Leads to lung cancer.

– Asbestos – causes DNA damage and mesothelioma.

– Aflatoxin – potent liver carcinogen found in contaminated foods.

– Vinyl chloride – causes liver angiosarcoma in factory workers.

– Benzene – chemical initiator, causes leukemia.

– Pesticides – some act as tumor promoters, increase cancer risk.

– Radiation – UV, nuclear radiation causes DNA damage.

Prevention involves limiting exposure to industrial and environmental carcinogens. Understanding mechanisms helps develop chemopreventive agents.

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