Breast cancer is the most common type of
cancer affecting women in North America and Europe. More than 85% of breast
cancers are sporadic and attributable to long-term exposure to small quantities of multiple
carcinogens. To understand how multiple
carcinogens act together to induce cellular
carcinogenesis, we studied the activity of
environmental carcinogens 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and
benzo[a]pyrene (B[a]P), and dietary
carcinogen 2-amino-1-methyl-6-phenylimidazo[4,5-
b]pyridine (
PhIP) using our breast cell
carcinogenesis model. Our study revealed, for the first time, that combined NNK and B[a]P enhanced breast cell
carcinogenesis chronically induced by
PhIP in both non-cancerous and cancerous breast cells. Co-exposure was more potent than sequential exposure to combined NNK and B[a]P followed by
PhIP in inducing
carcinogenesis. Initiation of
carcinogenesis was measured by transient endpoints induced in a single exposure, while progression of
carcinogenesis was measured by acquisition of constitutive endpoints in cumulative exposures. Transient endpoints included DNA damage, Ras-Erk-Nox pathway activation,
reactive oxygen species elevation, and increased cellular proliferation. Constitutive endpoints included various
cancer-associated properties and signaling modulators, as well as enrichment of
cancer stem-like cell population and activation of the epithelial-to-mesenchymal transition program. Using transient and constitutive endpoints as targets, we detected that a combination of the
green tea catechins ECG and EGCG, at non-cytotoxic levels, was more effective than individual agents in intervention of cellular
carcinogenesis induced by combined NNK, B[a]P, and
PhIP. Thus, use of combined ECG and EGCG should be seriously considered for early intervention of breast cell
carcinogenesis associated with long-term exposure to environmental and dietary
carcinogens.