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[Cancer Research 63, 5999-6003, September 15, 2003]
© 2003 American Association for Cancer Research


Regular Articles

Formation of Tamoxifen-DNA Adducts in Multiple Organs of Adult Female Cynomolgus Monkeys Dosed with Tamoxifen for 30 Days1

Laura J. Schild, Rao L. Divi, Frederick A. Beland, Mona I. Churchwell, Daniel R. Doerge, Gonçalo Gamboa da Costa, M. Matilde Marques and Miriam C. Poirier2

Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland 20892-4255 [L. J. S., R. L. D., M. C. P.]; Division of Biochemical Toxicology, National Center for Toxicological Research, Jefferson, Arkansas 72079 [F. A. B., M. I. C., D. R. D.]; and Centro de Química Estrutural, Complexo I, Instituto Superior Técnico, Av. Rovisco Pais, 1049-001 Lisboa, Portugal [G. G. d. C., M. M. M.]

The use of the antiestrogen tamoxifen (TAM) is associated with an increase in endometrial cancer. TAM-induced endometrial carcinogenesis may proceed through a genotoxin-mediated pathway, although the detection of endometrial TAM-DNA adducts in exposed women is still controversial. In this study, a monkey model has been used to investigate the question of TAM-DNA adduct formation in primates. Two methods have been used to determine TAM-DNA adducts: a TAM-DNA chemiluminescence immunoassay (TAM-DNA CIA), using an antiserum that has specificity for (E)-{alpha}-(deoxyguanosin-N2-yl)-tamoxifen (dG-TAM) and (E)-{alpha}-(deoxyguanosin-N2-yl)-N-desmethyltamoxifen (dG-desmethyl-TAM) and electrospray ionization tandem mass spectrometry (ES-MS/MS) coupled with on-line sample preparation and high-performance liquid chromatography (HPLC). Mature (19 year old) cynomolgus monkeys were given either vehicle control (n = 1) or TAM (n = 3) twice daily for a total dose of 2 mg of TAM/kg body weight (bw)/day for 30 days by naso-gastric intubation. Tissues were harvested, and DNA was isolated from uterus, ovary, liver, brain cortex, and kidney. By TAM-DNA CIA, values for uterine TAM-DNA adducts in two monkeys were 0.9 and 1.7 adducts/108 nucleotides, whereas values for ovarian TAM-DNA adducts in the same animals were 0.4 and 0.5 adducts/108 nucleotides. Liver, brain cortex, and kidney DNA samples from the three exposed monkeys had TAM-DNA levels of 2.1–4.2 adducts/108 nucleotides, 0.4–5.0 adducts/108 nucleotides, and 0.7–2.1 adducts/108 nucleotides, respectively. By HPLC-ES-MS/MS, the levels of TAM-DNA adducts detected in all tissues were comparable with those observed by TAM-DNA CIA. Thus, values for uterine TAM-DNA adducts ranged from 0.5 to 1.4 adducts/108 nucleotides, whereas values for ovarian TAM-DNA adducts, measurable in two monkeys, were 0.2 and 0.3 adducts/108 nucleotides. Liver DNA contained the highest TAM-DNA adduct levels (7.0–11.1 adducts/108 nucleotides), whereas brain cortex DNA contained lower adduct levels (0.6–4.8 adducts/108 nucleotides) and the lowest levels were measured in the kidney (0.2–0.4 adducts/108 nucleotides). This study indicates that cynomolgus monkeys are capable of metabolizing TAM to genotoxic intermediates that form TAM-DNA adducts in multiple tissues.




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Molecular Cancer Research Cancer Prevention Research
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