Carcinogens are substances, agents, or exposures that can lead to cancer by causing changes (mutations) in a cell’s DNA or promoting abnormal cell growth. They may be chemical, physical, or biological in nature.
Types of Carcinogens
1. Chemical Carcinogens
- Polycyclic aromatic hydrocarbons (PAHs) – found in tobacco smoke, grilled meat
- Aflatoxins – toxins produced by Aspergillus species in contaminated grains and nuts
- Asbestos – used in construction materials; linked to mesothelioma
- Formaldehyde – used in building materials and industrial processes
- Benzene – found in industrial solvents and cigarette smoke
2. Physical Carcinogens
- Ultraviolet (UV) radiation – from the sun; causes skin cancer
- Ionizing radiation – from X-rays or radioactive materials; associated with various cancers
3. Biological Carcinogens
- Oncogenic viruses:
- Human papillomavirus (HPV) – cervical cancer
- Hepatitis B and C viruses – liver cancer
- Epstein-Barr virus (EBV) – nasopharyngeal carcinoma, some lymphomas
- Bacteria:
- Helicobacter pylori – stomach cancer
- Parasites:
- Schistosoma haematobium – bladder cancer
Mechanisms of Carcinogenesis
- Initiation – DNA damage or mutation by carcinogens
- Promotion – clonal expansion of mutated cells
- Progression – additional mutations, leading to invasive and metastatic cancer
Carcinogen Classification by IARC (International Agency for Research on Cancer)
- Group 1 – Carcinogenic to humans (e.g., tobacco, asbestos, processed meat)
- Group 2A – Probably carcinogenic (e.g., red meat, glyphosate)
- Group 2B – Possibly carcinogenic (e.g., mobile phone radiation)
- Group 3 – Not classifiable
- Group 4 – Probably not carcinogenic (only a few substances in this group)
Prevention and Regulation
- Avoidance of known carcinogens (e.g., smoking cessation, sun protection)
- Use of protective equipment in workplaces
- Regulations on industrial emissions, food additives, and cosmetics
- Cancer screening programs for early detection
Group 1 Carcinogens (Confirmed to cause cancer in humans)
Chemical Carcinogens
- Tobacco smoke (including secondhand smoke)
- Asbestos
- Arsenic (in drinking water)
- Benzene
- Formaldehyde
- Aflatoxins (from moldy grains/nuts)
- Vinyl chloride (used in PVC production)
- Ethylene oxide
- Cadmium and cadmium compounds
- Chromium (VI) compounds
- Silica dust (crystalline)
- Diesel engine exhaust
- 1,3-Butadiene (used in rubber production)
Physical Carcinogens
- Ultraviolet (UV) radiation (from sun or tanning beds)
- Ionizing radiation (X-rays, gamma rays, radon gas)
Biological Carcinogens
- Human papillomavirus (HPV) – cervical, throat cancers
- Hepatitis B and C viruses – liver cancer
- Epstein-Barr virus (EBV) – lymphomas, nasopharyngeal cancer
- Helicobacter pylori – stomach cancer
- Schistosoma haematobium – bladder cancer
- Human T-cell leukemia virus-1 (HTLV-1)
Lifestyle-Related Carcinogens
- Alcoholic beverages
- Processed meats (e.g., bacon, sausages)
- Coal tar and coal-tar pitch
- Opium (smoked or ingested)
Notable Group 2A (Probably Carcinogenic)
- Red meat
- Glyphosate (herbicide)
- Anabolic steroids
- Night shift work (disrupting circadian rhythm)
- Frying emissions (from high-heat cooking)