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Alcohol and Oral Cancer

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Development of Oral Cancer

Abstract

Alcohol consumption has long been recognised as one of the major risk factors for the development of oral cancer [1]. The establishment of the sole effect of alcohol on the oral mucosa and its link to the development of oral cancer have been considered a significant challenge, principally because alcohol consumption histories are difficult to verify, alter over time, both with respect to beverage type and quantity, and are frequently confounded by tobacco use [2]. This is further explained by the established joint effect of alcohol and tobacco in the development of head and neck cancers [2]. In addition, it can be difficult to obtain reliable information from patients about their alcohol intake where the data on alcohol ingestion is based on a highly subjective estimate provided by patients, and this can be due to the different drinking behaviours, e.g. some may ‘binge’ drink and others have a high daily intake. This chapter will discuss the epidemiological evidence for the role of alcohol in oral cancer, the topical and systemic effects of alcohol, alcohol-related oral carcinogenesis and the association between alcohol-containing mouthwashes and oral cancer risk. It will also outline the health benefits of alcohol moderation and cessation and its role in prevention of human oral cancer.

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References

  1. Ogden GR. Alcohol and oral cancer. Alcohol. 2005;35(3):169–73.

    Article  CAS  PubMed  Google Scholar 

  2. Ogden GR, Wight AJ. Aetiology of oral cancer: alcohol. Br J Oral Maxillofac Surg. 1998;36(4):247–51.

    Article  CAS  PubMed  Google Scholar 

  3. Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJL. Selected major risk factors and global and regional burden of disease. Lancet. 2002;360(9343):1347–60.

    Article  PubMed  Google Scholar 

  4. Boffetta P, Hashibe M. Alcohol and cancer. Lancet Oncol. 2006;7(2):149–56.

    Article  CAS  PubMed  Google Scholar 

  5. Baan R, Straif K, Grosse Y, Secretan B, El Ghissassi F, Bouvard V, et al. Carcinogenicity of alcoholic beverages. Lancet Oncol. 2007;8(4):292–3.

    Article  PubMed  Google Scholar 

  6. Petti S. Lifestyle risk factors for oral cancer. Oral Oncol. 2009;45(4-5):340–50.

    Article  PubMed  Google Scholar 

  7. Seitz HK, Stickel F. Acetaldehyde as an underestimated risk factor for cancer development: role of genetics in ethanol metabolism. Genes Nutr. 2010;5(2):121–8.

    Article  CAS  PubMed  Google Scholar 

  8. Balaram P, Sridhar H, Rajkumar T, Vaccarella S, Herrero R, Nandakumar A, et al. Oral cancer in southern India: the influence of smoking, drinking, paan-chewing and oral hygiene. Int J Cancer. 2002;98(3):440–5.

    Article  CAS  PubMed  Google Scholar 

  9. Blot WJ, McLaughlin JK, Winn DM, Austin DF, Greenberg RS, Preston-Martin S, et al. Smoking and drinking in relation to oral and pharyngeal cancer. Cancer Res. 1988;48(11):3282–7.

    CAS  PubMed  Google Scholar 

  10. Castellsague X, Munoz N, De Stefani E, Victora CG, Castelletto R, Rolon PA, et al. Independent and joint effects of tobacco smoking and alcohol drinking on the risk of esophageal cancer in men and women. Int J Cancer. 1999;82(5):657–64.

    Article  CAS  PubMed  Google Scholar 

  11. Castellsague X, Quintana MJ, Martinez MC, Nieto A, Sanchez MJ, Juan A, et al. The role of type of tobacco and type of alcoholic beverage in oral carcinogenesis. Int J Cancer. 2004;108(5):741–9.

    Article  CAS  PubMed  Google Scholar 

  12. Franceschi S, Levi F, Dal Maso L, Talamini R, Conti E, Negri E, et al. Cessation of alcohol drinking and risk of cancer of the oral cavity and pharynx. Int J Cancer. 2000;85(6):787–90.

    Article  CAS  PubMed  Google Scholar 

  13. Garrote LF, Herrero R, Reyes RMO, Vaccarella S, Anta JL, Ferbeye L, et al. Risk factors for cancer of the oral cavity and oro-pharynx in Cuba. Br J Cancer. 2001;85(1):46–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Gillison ML. Current topics in the epidemiology of oral cavity and oropharyngeal cancers. Head Neck. 2007;29(8):779–92.

    Article  PubMed  Google Scholar 

  15. Hashibe M, Brennan P, Benhamou S, Castellsague X, Chen C, Curado MP, et al. Alcohol drinking in never users of tobacco, cigarette smoking in never drinkers, and the risk of head and neck cancer: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. J Natl Cancer Inst. 2007;99(10):777–89.

    Article  PubMed  Google Scholar 

  16. Hashibe M, Brennan P, Chuang SC, Boccia S, Castellsague X, Chen C, et al. Interaction between tobacco and alcohol use and the risk of head and neck cancer: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. Cancer Epidemiol Biomarkers Prev. 2009;18(2):541–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Huang WY, Winn DM, Brown LM, Gridley G, Bravo-Otero E, Diehl SR, et al. Alcohol concentration and risk of oral cancer in Puerto Rico. Am J Epidemiol. 2003;157(10):881–7.

    Article  PubMed  Google Scholar 

  18. La Vecchia C, Tavani A, Franceschi S, Levi F, Corrao G, Negri E. Epidemiology and prevention of oral cancer. Oral Oncol. 1997;33(5):302–12.

    Article  PubMed  Google Scholar 

  19. Lissowska J, Pilarska A, Pilarski P, Samolczyk-Wanyura D, Piekarczyk J, Bardin-Mikollajczak A, et al. Smoking, alcohol, diet, dentition and sexual practices in the epidemiology of oral cancer in Poland. Eur J Cancer Prev. 2003;12(1):25–33.

    Article  CAS  PubMed  Google Scholar 

  20. Lubin JH, Purdue M, Kelsey K, Zhang ZF, Winn D, Wei Q, et al. Total exposure and exposure rate effects for alcohol and smoking and risk of head and neck cancer: a pooled analysis of case-control studies. Am J Epidemiol. 2009;170(8):937–47.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Maserejian NN, Joshipura KJ, Rosner BA, Giovannucci E, Zavras AI. Prospective study of alcohol consumption and risk of oral premalignant lesions in men. Cancer Epidemiol Biomarkers Prev. 2006;15(4):774–81.

    Article  CAS  PubMed  Google Scholar 

  22. Pelucchi C, Talamini R, Negri E, Levi F, Conti E, Franceschi S, et al. Folate intake and risk of oral and pharyngeal cancer. Ann Oncol. 2003;14(11):1677–81.

    Article  CAS  PubMed  Google Scholar 

  23. Philip M, Rowley DA, Schreiber H. Inflammation as a tumor promoter in cancer induction. Semin Cancer Biol. 2004;14(6):433–9.

    Article  CAS  PubMed  Google Scholar 

  24. Talamini R, Franceschi S, Barra S, La Vecchia C. The role of alcohol in oral and pharyngeal cancer in non-smokers, and of tobacco in non-drinkers. Int J Cancer. 1990;46(3):391–3.

    Article  CAS  PubMed  Google Scholar 

  25. Wight AJ, Ogden GR. Possible mechanisms by which alcohol may influence the development of oral cancer--a review. Oral Oncol. 1998;34(6):441–7.

    Article  CAS  PubMed  Google Scholar 

  26. Zavras AI, Douglass CW, Joshipura K, Wu T, Laskaris G, Petridou E, et al. Smoking and alcohol in the etiology of oral cancer: gender-specific risk profiles in the south of Greece. Oral Oncol. 2001;37(1):28–35.

    Article  CAS  PubMed  Google Scholar 

  27. Tramacere I, Negri E, Bagnardi V, Garavello W, Rota M, Scotti L, et al. A meta-analysis of alcohol drinking and oral and pharyngeal cancers. Part 1: overall results and dose-risk relation. Oral Oncol. 2010;46(7):497–503.

    Article  PubMed  Google Scholar 

  28. Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, et al. Light alcohol drinking and cancer: a meta-analysis. Ann Oncol. 2013;24(2):301–8.

    Article  CAS  PubMed  Google Scholar 

  29. Li Y, Mao Y, Zhang Y, Cai S, Chen G, Ding Y, et al. Alcohol drinking and upper aerodigestive tract cancer mortality: a systematic review and meta-analysis. Oral Oncol. 2014;50(4):269–75.

    Article  PubMed  Google Scholar 

  30. Goldstein BY, Chang SC, Hashibe M, La Vecchia C, Zhang ZF. Alcohol consumption and cancers of the oral cavity and pharynx from 1988 to 2009: an update. Eur J Cancer Prev. 2010;19(6):431–65.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Jarl J, Gerdtham UG. Time pattern of reduction in risk of oesophageal cancer following alcohol cessation--a meta-analysis. Addiction. 2012;107(7):1234–43.

    Article  PubMed  Google Scholar 

  32. Turati F, Garavello W, Tramacere I, Pelucchi C, Galeone C, Bagnardi V, et al. A meta-analysis of alcohol drinking and oral and pharyngeal cancers: results from subgroup analyses. Alcohol Alcohol. 2013;48(1):107–18.

    Article  CAS  PubMed  Google Scholar 

  33. Seitz HK, Stickel F. Molecular mechanisms of alcohol-mediated carcinogenesis. Nat Rev Cancer. 2007;7(8):599–612.

    Article  CAS  PubMed  Google Scholar 

  34. Obot IS, Room R, editors. Alcohol, gender and drinking problems: perspectives from low and middle income countries. Geneva: World Health Organization; 2005.

    Google Scholar 

  35. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Alcohol consumption and ethyl carbamate. IARC Monogr Eval Carcinog Risks Hum. 2010;96:3–1383.

    PubMed Central  Google Scholar 

  36. Kabat GC, Wynder EL. Type of alcoholic beverage and oral cancer. Int J Cancer. 1989;43(2):190–4.

    Article  CAS  PubMed  Google Scholar 

  37. McCoy GD, Wynder EL. Etiological and preventive implications in alcohol carcinogenesis. Cancer Res. 1979;39(7 Pt 2):2844–50.

    CAS  PubMed  Google Scholar 

  38. Wynder EL, Bross IJ, Feldman RM. A study of the etiological factors in cancer of the mouth. Cancer. 1957;10(6):1300–23.

    Article  CAS  PubMed  Google Scholar 

  39. Bamforth CW, editor. Beer: health and nutrition. Oxford: Blackwell Science; 2004.

    Google Scholar 

  40. Rogers MA, Vaughan TL, Davis S, Thomas DB. Consumption of nitrate, nitrite, and nitrosodimethylamine and the risk of upper aerodigestive tract cancer. Cancer Epidemiol Biomarkers Prev. 1995;4(1):29–36.

    CAS  PubMed  Google Scholar 

  41. Franco EL, Kowalski LP, Oliveira BV, Curado MP, Pereira RN, Silva ME, et al. Risk factors for oral cancer in Brazil: a case-control study. Int J Cancer. 1989;43(6):992–1000.

    Article  CAS  PubMed  Google Scholar 

  42. Zambon P, Talamini R, La Vecchia C, Dal Maso L, Negri E, Tognazzo S, et al. Smoking, type of alcoholic beverage and squamous-cell oesophageal cancer in northern Italy. Int J Cancer. 2000;86(1):144–9.

    Article  CAS  PubMed  Google Scholar 

  43. La Vecchia C, Franceschi S, Favero A, Talamini R, Negri E. Alcohol intake and cancer of the upper digestive tract. Pattern of risk in Italy is different from that in Denmark. BMJ. 1999;318(7193):1289–90. author reply 91

    Article  PubMed  PubMed Central  Google Scholar 

  44. Schlecht NF, Pintos J, Kowalski LP, Franco EL. Effect of type of alcoholic beverage on the risks of upper aerodigestive tract cancers in Brazil. Cancer Causes Control. 2001;12(7):579–87.

    Article  CAS  PubMed  Google Scholar 

  45. National Health and Medical Research Council AG. Australian Guidelines to Reduce Health Risks from Drinking Alcohol. Commonwealth of Australia; 2009.

    Google Scholar 

  46. Rehm J, Ashley MJ, Room R, Single E, Bondy S, Ferrence R, et al. On the emerging paradigm of drinking patterns and their social and health consequences. Addiction. 1996;91(11):1615–21.

    Article  CAS  PubMed  Google Scholar 

  47. Health Do. UK Chief Medical Officers’ Alcohol Guidelines Review, Summary of the proposed new guidelines. London: 2016.

    Google Scholar 

  48. Roswall N, Weiderpass E. Alcohol as a risk factor for cancer: existing evidence in a global perspective. J Prev Med Public Health. 2015;48(1):1–9.

    PubMed  PubMed Central  Google Scholar 

  49. Makela P, Gmel G, Grittner U, Kuendig H, Kuntsche S, Bloomfield K, et al. Drinking patterns and their gender differences in Europe. Alcohol Alcohol Suppl. 2006;41(1):i8–18.

    Article  PubMed  Google Scholar 

  50. Keyes KM, Hasin DS. Socio-economic status and problem alcohol use: the positive relationship between income and the DSM-IV alcohol abuse diagnosis. Addiction. 2008;103(7):1120–30. doi:10.1111/j.360-0443.2008.02218.x.

    Article  PubMed  Google Scholar 

  51. Bloomfield K, Grittner U, Kramer S, Gmel G. Social inequalities in alcohol consumption and alcohol-related problems in the study countries of the EU concerted action ‘Gender, Culture and Alcohol Problems: a Multi-national Study’. Alcohol Alcohol Suppl. 2006;41(1):i26–36.

    Article  PubMed  Google Scholar 

  52. van Oers JA, Bongers IM, van de Goor LA, Garretsen HF. Alcohol consumption, alcohol-related problems, problem drinking, and socioeconomic status. Alcohol Alcohol. 1999;34(1):78–88.

    Article  PubMed  Google Scholar 

  53. Marmot M. Inequality, deprivation and alcohol use. Addiction. 1997;92(Suppl 1):S13–20.

    Article  PubMed  Google Scholar 

  54. Kunst AE, Groenhof F, Mackenbach JP, Health EW. Occupational class and cause specific mortality in middle aged men in 11 European countries: comparison of population based studies. EU Working Group on Socioeconomic Inequalities in Health. BMJ. 1998;316(7145):1636–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Almeida-Filho N, Lessa I, Magalhaes L, Araujo MJ, Aquino E, James SA, et al. Social inequality and alcohol consumption-abuse in Bahia, Brazil--interactions of gender, ethnicity and social class. Soc Psychiatry Psychiatr Epidemiol. 2005;40(3):214–22.

    Article  PubMed  Google Scholar 

  56. Figuero Ruiz E, Carretero Pelaez MA, Cerero Lapiedra R, Esparza Gomez G, Moreno Lopez LA. Effects of the consumption of alcohol in the oral cavity: relationship with oral cancer. Med Oral. 2004;9(1):14–23.

    PubMed  Google Scholar 

  57. Squier CA. The permeability of oral mucosa. Crit Rev Oral Biol Med. 1991;2(1):13–32.

    Article  CAS  PubMed  Google Scholar 

  58. Squier CA, Cox P, Wertz PW. Lipid content and water permeability of skin and oral mucosa. J Invest Dermatol. 1991;96(1):123–6.

    Article  CAS  PubMed  Google Scholar 

  59. Valentine JA, Scott J, West CR, St Hill CA. A histological analysis of the early effects of alcohol and tobacco usage on human lingual epithelium. J Oral Pathol. 1985;14(8):654–65.

    Article  CAS  PubMed  Google Scholar 

  60. Simanowski UA, Wright NA, Seitz HK. Mucosal cellular regeneration and colorectal carcinogenesis. In: Seitz HK, Simanowski UA, Wright NA, editors. Colorectal cancer: from pathogenesis to prevention? Berlin: Springer; 1989. p. 225–36.

    Google Scholar 

  61. Muller P, Hepke B, Meldau U, Raabe G. Tissue damage in the rabbit oral mucosa by acute and chronic direct toxic action of different alcohol concentrations. Exp Pathol. 1983;24(2-3):171–81.

    Article  CAS  PubMed  Google Scholar 

  62. Kurkivuori J, Salaspuro V, Kaihovaara P, Kari K, Rautemaa R, Gronroos L, et al. Acetaldehyde production from ethanol by oral streptococci. Oral Oncol. 2007;43(2):181–6.

    Article  CAS  PubMed  Google Scholar 

  63. Reidy J, McHugh E, Stassen LF. A review of the relationship between alcohol and oral cancer. Surgeon. 2011;9(5):278–83.

    Article  CAS  PubMed  Google Scholar 

  64. Morse DE, Katz RV, Pendrys DG, Holford TR, Krutchkoff DJ, Eisenberg E, et al. Smoking and drinking in relation to oral epithelial dysplasia. Cancer Epidemiol Biomarkers Prev. 1996;5(10):769–77.

    CAS  PubMed  Google Scholar 

  65. Kabat GC, Chang CJ, Wynder EL. The role of tobacco, alcohol use, and body mass index in oral and pharyngeal cancer. Int J Epidemiol. 1994;23(6):1137–44.

    Article  CAS  PubMed  Google Scholar 

  66. Mashberg A, Garfinkel L, Harris S. Alcohol as a primary risk factor in oral squamous carcinoma. CA Cancer J Clin. 1981;31(3):146–55.

    Article  CAS  PubMed  Google Scholar 

  67. Morse DE, Psoter WJ, Cleveland D, Cohen D, Mohit-Tabatabai M, Kosis DL, et al. Smoking and drinking in relation to oral cancer and oral epithelial dysplasia. Cancer Causes Control. 2007;18(9):919–29.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Homann N, Karkkainen P, Koivisto T, Nosova T, Jokelainen K, Salaspuro M. Effects of acetaldehyde on cell regeneration and differentiation of the upper gastrointestinal tract mucosa. J Natl Cancer Inst. 1997;89(22):1692–7.

    Article  CAS  PubMed  Google Scholar 

  69. Lachenmeier DW, Gumbel-Mako S, Sohnius EM, Keck-Wilhelm A, Kratz E, Mildau G. Salivary acetaldehyde increase due to alcohol-containing mouthwash use: a risk factor for oral cancer. Int J Cancer. 2009;125(3):730–5.

    Article  CAS  PubMed  Google Scholar 

  70. Lachenmeier DW, Kanteres F, Rehm J. Carcinogenicity of acetaldehyde in alcoholic beverages: risk assessment outside ethanol metabolism. Addiction. 2009;104(4):533–50.

    Article  PubMed  Google Scholar 

  71. Salaspuro M. Interrelationship between alcohol, smoking, acetaldehyde and cancer. Novartis Found Symp. 2007;285:80–9; discussion 9–96, 198–9.

    Google Scholar 

  72. Muto M, Hitomi Y, Ohtsu A, Shimada H, Kashiwase Y, Sasaki H, et al. Acetaldehyde production by non-pathogenic Neisseria in human oral microflora: implications for carcinogenesis in upper aerodigestive tract. Int J Cancer. 2000;88(3):342–50.

    Article  CAS  PubMed  Google Scholar 

  73. Homann N, Tillonen J, Meurman JH, Rintamaki H, Lindqvist C, Rautio M, et al. Increased salivary acetaldehyde levels in heavy drinkers and smokers: a microbiological approach to oral cavity cancer. Carcinogenesis. 2000;21(4):663–8.

    Article  CAS  PubMed  Google Scholar 

  74. Swann PF, Coe AM, Mace R. Ethanol and dimethylnitrosamine and diethylnitrosamine metabolism and disposition in the rat. Possible relevance to the influence of ethanol on human cancer incidence. Carcinogenesis. 1984;5(10):1337–43.

    Article  CAS  PubMed  Google Scholar 

  75. Poschl G, Seitz HK. Alcohol and cancer. Alcohol Alcohol. 2004;39(3):155–65.

    Article  CAS  PubMed  Google Scholar 

  76. Ballard HS. Alcohol-associated pancytopenia with hypocellular bone marrow. Am J Clin Pathol. 1980;73(6):830–4.

    Article  CAS  PubMed  Google Scholar 

  77. Heermans EH. Booze and blood: the effects of acute and chronic alcohol abuse on the hematopoietic system. Clin Lab Sci. 1998;11(4):229–32.

    CAS  PubMed  Google Scholar 

  78. Liu YK. Effects of alcohol on granulocytes and lymphocytes. Semin Hematol. 1980;17(2):130–6.

    CAS  PubMed  Google Scholar 

  79. Michot F, Gut J. Alcohol-induced bone marrow damage. A bone marrow study in alcohol-dependent individuals. Acta Haematol. 1987;78(4):252–7.

    Article  CAS  PubMed  Google Scholar 

  80. Zhang P, Bagby GJ, Happel KI, Raasch CE, Nelson S. Alcohol abuse, immunosuppression, and pulmonary infection. Curr Drug Abuse Rev. 2008;1(1):56–67.

    Article  CAS  PubMed  Google Scholar 

  81. Warnakulasuriya S. Causes of oral cancer--an appraisal of controversies. Br Dent J. 2009;207(10):471–5.

    Article  CAS  PubMed  Google Scholar 

  82. Llewellyn CD, Linklater K, Bell J, Johnson NW, Warnakulasuriya S. An analysis of risk factors for oral cancer in young people: a case-control study. Oral Oncol. 2004;40(3):304–13.

    Article  PubMed  Google Scholar 

  83. Petti S, Scully C. Oral cancer: the association between nation-based alcohol-drinking profiles and oral cancer mortality. Oral Oncol. 2005;41(8):828–34.

    Article  CAS  PubMed  Google Scholar 

  84. Deleyiannis FW, Thomas DB, Vaughan TL, Davis S. Alcoholism: independent predictor of survival in patients with head and neck cancer. J Natl Cancer Inst. 1996;88(8):542–9.

    Article  CAS  PubMed  Google Scholar 

  85. Baron AE, Franceschi S, Barra S, Talamini R, La Vecchia C. A comparison of the joint effects of alcohol and smoking on the risk of cancer across sites in the upper aerodigestive tract. Cancer Epidemiol Biomarkers Prev. 1993;2(6):519–23.

    CAS  PubMed  Google Scholar 

  86. Benhamou S, Tuimala J, Bouchardy C, Dayer P, Sarasin A, Hirvonen A. DNA repair gene XRCC2 and XRCC3 polymorphisms and susceptibility to cancers of the upper aerodigestive tract. Int J Cancer. 2004;112(5):901–4.

    Article  CAS  PubMed  Google Scholar 

  87. Boccia S, Cadoni G, Sayed-Tabatabaei FA, Volante M, Arzani D, De Lauretis A, et al. CYP1A1, CYP2E1, GSTM1, GSTT1, EPHX1 exons 3 and 4, and NAT2 polymorphisms, smoking, consumption of alcohol and fruit and vegetables and risk of head and neck cancer. J Cancer Res Clin Oncol. 2008;134(1):93–100.

    Article  CAS  PubMed  Google Scholar 

  88. Bosetti C, Gallus S, Trichopoulou A, Talamini R, Franceschi S, Negri E, et al. Influence of the Mediterranean diet on the risk of cancers of the upper aerodigestive tract. Cancer Epidemiol Biomarkers Prev. 2003;12(10):1091–4.

    PubMed  Google Scholar 

  89. Cui Y, Morgenstern H, Greenland S, Tashkin DP, Mao J, Cao W, et al. Polymorphism of Xeroderma Pigmentosum group G and the risk of lung cancer and squamous cell carcinomas of the oropharynx, larynx and esophagus. Int J Cancer. 2006;118(3):714–20.

    Article  CAS  PubMed  Google Scholar 

  90. Elahi A, Zheng Z, Park J, Eyring K, McCaffrey T, Lazarus P. The human OGG1 DNA repair enzyme and its association with orolaryngeal cancer risk. Carcinogenesis. 2002;23(7):1229–34.

    Article  CAS  PubMed  Google Scholar 

  91. Franceschi S, Talamini R, Barra S, Baron AE, Negri E, Bidoli E, et al. Smoking and drinking in relation to cancers of the oral cavity, pharynx, larynx, and esophagus in northern Italy. Cancer Res. 1990;50(20):6502–7.

    CAS  PubMed  Google Scholar 

  92. Hashibe M, Boffetta P, Zaridze D, Shangina O, Szeszenia-Dabrowska N, Mates D, et al. Evidence for an important role of alcohol- and aldehyde-metabolizing genes in cancers of the upper aerodigestive tract. Cancer Epidemiol Biomarkers Prev. 2006;15(4):696–703.

    Article  CAS  PubMed  Google Scholar 

  93. Hayes RB, Bravo-Otero E, Kleinman DV, Brown LM, Fraumeni JF Jr, Harty LC, et al. Tobacco and alcohol use and oral cancer in Puerto Rico. Cancer Causes Control. 1999;10(1):27–33.

    Article  CAS  PubMed  Google Scholar 

  94. Herrero R, Castellsague X, Pawlita M, Lissowska J, Kee F, Balaram P, et al. Human papillomavirus and oral cancer: the International Agency for Research on Cancer multicenter study. J Natl Cancer Inst. 2003;95(23):1772–83.

    Article  PubMed  Google Scholar 

  95. Levi F, Pasche C, La Vecchia C, Lucchini F, Franceschi S, Monnier P. Food groups and risk of oral and pharyngeal cancer. Int J Cancer. 1998;77(5):705–9.

    Article  CAS  PubMed  Google Scholar 

  96. Muscat JE, Richie JP Jr, Thompson S, Wynder EL. Gender differences in smoking and risk for oral cancer. Cancer Res. 1996;56(22):5192–7.

    CAS  PubMed  Google Scholar 

  97. Olshan AF, Weissler MC, Watson MA, Bell DA. GSTM1, GSTT1, GSTP1, CYP1A1, and NAT1 polymorphisms, tobacco use, and the risk of head and neck cancer. Cancer Epidemiol Biomarkers Prev. 2000;9(2):185–91.

    CAS  PubMed  Google Scholar 

  98. Peters ES, McClean MD, Liu M, Eisen EA, Mueller N, Kelsey KT. The ADH1C polymorphism modifies the risk of squamous cell carcinoma of the head and neck associated with alcohol and tobacco use. Cancer Epidemiol Biomarkers Prev. 2005;14(2):476–82.

    Article  CAS  PubMed  Google Scholar 

  99. Rosenblatt KA, Daling JR, Chen C, Sherman KJ, Schwartz SM. Marijuana use and risk of oral squamous cell carcinoma. Cancer Res. 2004;64(11):4049–54.

    Article  CAS  PubMed  Google Scholar 

  100. Wang D, Ritchie JM, Smith EM, Zhang Z, Turek LP, Haugen TH. Alcohol dehydrogenase 3 and risk of squamous cell carcinomas of the head and neck. Cancer Epidemiol Biomarkers Prev. 2005;14(3):626–32.

    Article  CAS  PubMed  Google Scholar 

  101. Zhang Z, Shi Q, Liu Z, Sturgis EM, Spitz MR, Wei Q. Polymorphisms of methionine synthase and methionine synthase reductase and risk of squamous cell carcinoma of the head and neck: a case-control analysis. Cancer Epidemiol Biomarkers Prev. 2005;14(5):1188–93.

    Article  CAS  PubMed  Google Scholar 

  102. Dong YJ, Peng TK, Yin SJ. Expression and activities of class IV alcohol dehydrogenase and class III aldehyde dehydrogenase in human mouth. Alcohol. 1996;13(3):257–62.

    Article  CAS  PubMed  Google Scholar 

  103. Moreno A, Pares A, Ortiz J, Enriquez J, Pares X. Alcohol dehydrogenase from human stomach: variability in normal mucosa and effect of age, gender, ADH3 phenotype and gastric region. Alcohol Alcohol. 1994;29(6):663–71.

    CAS  PubMed  Google Scholar 

  104. Raunio H, Husgafvel-Pursiainen K, Anttila S, Hietanen E, Hirvonen A, Pelkonen O. Diagnosis of polymorphisms in carcinogen-activating and inactivating enzymes and cancer susceptibility--a review. Gene. 1995;159(1):113–21.

    Article  CAS  PubMed  Google Scholar 

  105. Eriksson CJP. Genetic-epidemiological evidence for the role of acetaldehyde in cancers related to alcohol drinking. Adv Exp Med Biol. 2015;815:41–58.

    Article  CAS  PubMed  Google Scholar 

  106. Marichalar-Mendia X, Acha-Sagredo A, Rodriguez-Tojo MJ, Rey-Barja N, Hernando-Rodriguez M, Aguirregaviria JI, et al. Alcohol-dehydrogenase (ADH1B) Arg48His polymorphism in Basque Country patients with oral and laryngeal cancer: preliminary study. Anticancer Res. 2011;31(2):677–80.

    CAS  PubMed  Google Scholar 

  107. Yoshida A, Huang IY, Ikawa M. Molecular abnormality of an inactive aldehyde dehydrogenase variant commonly found in orientals. Proc Natl Acad Sci U S A. 1984;81(1):258–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  108. Bediaga NG, Marichalar-Mendia X, Rey-Barja N, Setien-Olarra A, Gonzalez-Garcia JA, de Pancorbo MM, et al. Polymorphisms in alcohol and tobacco metabolism genes in head and neck cancer in the Basque Country. J Oral Pathol Med. 2015;44(10):769–75.

    Article  CAS  PubMed  Google Scholar 

  109. Boccia S, Hashibe M, Galli P, De Feo E, Asakage T, Hashimoto T, et al. Aldehyde dehydrogenase 2 and head and neck cancer: a meta-analysis implementing a Mendelian randomization approach. Cancer Epidemiol Biomarkers Prev. 2009;18(1):248–54.

    Article  CAS  PubMed  Google Scholar 

  110. Oze I, Matsuo K, Hosono S, Ito H, Kawase T, Watanabe M, et al. Comparison between self-reported facial flushing after alcohol consumption and ALDH2 Glu504Lys polymorphism for risk of upper aerodigestive tract cancer in a Japanese population. Cancer Sci. 2010;101(8):1875–80.

    Article  CAS  PubMed  Google Scholar 

  111. Matsuo K, Rossi M, Negri E, Oze I, Hosono S, Ito H, et al. Folate, alcohol, and aldehyde dehydrogenase 2 polymorphism and the risk of oral and pharyngeal cancer in Japanese. Eur J Cancer Prev. 2012;21(2):193–8.

    Article  CAS  PubMed  Google Scholar 

  112. Tsai S-T, Wong T-Y, Ou C-Y, Fang S-Y, Chen K-C, Hsiao J-R, et al. The interplay between alcohol consumption, oral hygiene, ALDH2 and ADH1B in the risk of head and neck cancer. Int J Cancer. 2014;135(10):2424–36.

    Article  CAS  PubMed  Google Scholar 

  113. Yokoyama A, Kamada Y, Imazeki H, Hayashi E, Murata S, Kinoshita K, et al. Effects of ADH1B and ALDH2 genetic polymorphisms on alcohol elimination rates and salivary acetaldehyde levels in intoxicated Japanese alcoholic men. Alcohol Clin Exp Res. 2016;40(6):1241–50.

    Article  CAS  PubMed  Google Scholar 

  114. Marichalar-Mendia X, Rodriguez-Tojo MJ, Acha-Sagredo A, Rey-Barja N, Aguirre-Urizar JM. Oral cancer and polymorphism of ethanol metabolising genes. Oral Oncol. 2010;46(1):9–13.

    Article  CAS  PubMed  Google Scholar 

  115. Squier CA, Cox P, Hall BK. Enhanced penetration of nitrosonornicotine across oral mucosa in the presence of ethanol. J Oral Pathol. 1986;15(5):276–9.

    Article  CAS  PubMed  Google Scholar 

  116. Howie NM, Trigkas TK, Cruchley AT, Wertz PW, Squier CA, Williams DM. Short-term exposure to alcohol increases the permeability of human oral mucosa. Oral Dis. 2001;7(6):349–54.

    Article  CAS  PubMed  Google Scholar 

  117. Warnakulasuriya S, Parkkila S, Nagao T, Preedy VR, Pasanen M, Koivisto H, et al. Demonstration of ethanol-induced protein adducts in oral leukoplakia (pre-cancer) and cancer. J Oral Pathol Med. 2008;37(3):157–65.

    Article  PubMed  Google Scholar 

  118. Matsuda T, Terashima I, Matsumoto Y, Yabushita H, Matsui S, Shibutani S. Effective utilization of N2-ethyl-2′-deoxyguanosine triphosphate during DNA synthesis catalyzed by mammalian replicative DNA polymerases. Biochemistry. 1999;38(3):929–35.

    Article  CAS  PubMed  Google Scholar 

  119. Balbo S, Meng L, Bliss RL, Jensen JA, Hatsukami DK, Hecht SS. Kinetics of DNA adduct formation in the oral cavity after drinking alcohol. Cancer Epidemiol Biomarkers Prev. 2012;21(4):601–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  120. Brooks PJ, Theruvathu JA. DNA adducts from acetaldehyde: implications for alcohol-related carcinogenesis. Alcohol. 2005;35(3):187–93.

    Article  CAS  PubMed  Google Scholar 

  121. Fernandes PH, Kanuri M, Nechev LV, Harris TM, Lloyd RS. Mammalian cell mutagenesis of the DNA adducts of vinyl chloride and crotonaldehyde. Environ Mol Mutagen. 2005;45(5):455–9.

    Article  CAS  PubMed  Google Scholar 

  122. Maffei F, Forti GC, Castelli E, Stefanini GF, Mattioli S, Hrelia P. Biomarkers to assess the genetic damage induced by alcohol abuse in human lymphocytes. Mutat Res. 2002;514(1-2):49–58.

    Article  CAS  PubMed  Google Scholar 

  123. Obe G, Ristow H. Acetaldehyde, but not ethanol, induces sister chromatid exchanges in Chinese hamster cells in vitro. Mutat Res. 1977;56(2):211–3.

    Article  CAS  Google Scholar 

  124. Brooks PJ. DNA damage, DNA repair, and alcohol toxicity--a review. Alcohol Clin Exp Res. 1997;21(6):1073–82.

    CAS  PubMed  Google Scholar 

  125. Albano E, Clot P, Morimoto M, Tomasi A, Ingelman-Sundberg M, French SW. Role of cytochrome P4502E1-dependent formation of hydroxyethyl free radical in the development of liver damage in rats intragastrically fed with ethanol. Hepatology. 1996;23(1):155–63.

    Article  CAS  PubMed  Google Scholar 

  126. Farin FM, Bigler LG, Oda D, McDougall JK, Omiecinski CJ. Expression of cytochrome P450 and microsomal epoxide hydrolase in cervical and oral epithelial cells immortalized by human papillomavirus type 16 E6/E7 genes. Carcinogenesis. 1995;16(6):1391–401.

    Article  CAS  PubMed  Google Scholar 

  127. Scully C, Bagan J. Oral squamous cell carcinoma: overview of current understanding of aetiopathogenesis and clinical implications. Oral Dis. 2009;15(6):388–99.

    Article  CAS  PubMed  Google Scholar 

  128. Rulten SL, Hodder E, Ripley TL, Stephens DN, Mayne LV. Alcohol induces DNA damage and the Fanconi anemia D2 protein implicating FANCD2 in the DNA damage response pathways in brain. Alcohol Clin Exp Res. 2008;32(7):1186–96.

    Article  CAS  PubMed  Google Scholar 

  129. Marnett LJ. Oxyradicals and DNA damage. Carcinogenesis. 2000;21(3):361–70.

    Article  CAS  PubMed  Google Scholar 

  130. Korde SD, Basak A, Chaudhary M, Goyal M, Vagga A. Enhanced nitrosative and oxidative stress with decreased total antioxidant capacity in patients with oral precancer and oral squamous cell carcinoma. Oncology. 2011;80(5-6):382–9.

    Article  CAS  PubMed  Google Scholar 

  131. Agha-Hosseini F, Mirzaii-Dizgah I, Farmanbar N, Abdollahi M. Oxidative stress status and DNA damage in saliva of human subjects with oral lichen planus and oral squamous cell carcinoma. J Oral Pathol Med. 2012;41(10):736–40.

    Article  CAS  PubMed  Google Scholar 

  132. McCullough MJ, Farah CS. The role of alcohol in oral carcinogenesis with particular reference to alcohol-containing mouthwashes. Aust Dent J. 2008;53(4):302–5.

    Article  CAS  PubMed  Google Scholar 

  133. Currie S, Farah C. Alcohol-containing mouthwash and oral cancer risk: a review of current evidence. OA Alcohol. 2014;2(1):4.

    Google Scholar 

  134. Carretero Pelaez MA, Esparza Gomez GC, Figuero Ruiz E, Cerero Lapiedra R. Alcohol-containing mouthwashes and oral cancer. Critical analysis of literature. Med Oral. 2004;9(2):120–3. 16-20

    PubMed  Google Scholar 

  135. Bolanowski SJ, Gescheider GA, Sutton SV. Relationship between oral pain and ethanol concentration in mouthrinses. J Periodontal Res. 1995;30(3):192–7.

    Article  CAS  PubMed  Google Scholar 

  136. Ahrens W, Pohlabeln H, Foraita R, Nelis M, Lagiou P, Lagiou A, et al. Oral health, dental care and mouthwash associated with upper aerodigestive tract cancer risk in Europe: the ARCAGE study. Oral Oncol. 2014;50(6):616–25.

    Article  PubMed  Google Scholar 

  137. Blot WJ, Winn DM, Fraumeni JF Jr. Oral cancer and mouthwash. J Natl Cancer Inst. 1983;70(2):251–3.

    CAS  PubMed  Google Scholar 

  138. Chang JS, Lo HI, Wong TY, Huang CC, Lee WT, Tsai ST, et al. Investigating the association between oral hygiene and head and neck cancer. Oral Oncol. 2013;49(10):1010–7.

    Article  PubMed  Google Scholar 

  139. Cole P, Rodu B, Mathisen A. Alcohol-containing mouthwash and oropharyngeal cancer: a review of the epidemiology. J Am Dent Assoc. 2003;134(8):1079–87.

    Article  PubMed  Google Scholar 

  140. Divaris K, Olshan AF, Smith J, Bell ME, Weissler MC, Funkhouser WK, et al. Oral health and risk for head and neck squamous cell carcinoma: the Carolina Head and Neck Cancer Study. Cancer Causes Control. 2010;21(4):567–75.

    Article  PubMed  PubMed Central  Google Scholar 

  141. D'Souza G, Kreimer AR, Viscidi R, Pawlita M, Fakhry C, Koch WM, et al. Case-control study of human papillomavirus and oropharyngeal cancer. N Engl J Med. 2007;356(19):1944–56.

    Article  PubMed  Google Scholar 

  142. Eliot MN, Michaud DS, Langevin SM, McClean MD, Kelsey KT. Periodontal disease and mouthwash use are risk factors for head and neck squamous cell carcinoma. Cancer Causes Control. 2013;24(7):1315–22.

    Article  PubMed  PubMed Central  Google Scholar 

  143. Guha N, Boffetta P, Wunsch Filho V, Eluf Neto J, Shangina O, Zaridze D, et al. Oral health and risk of squamous cell carcinoma of the head and neck and esophagus: results of two multicentric case-control studies. Am J Epidemiol. 2007;166(10):1159–73.

    Article  PubMed  Google Scholar 

  144. Kabat GC, Hebert JR, Wynder EL. Risk factors for oral cancer in women. Cancer Res. 1989;49(10):2803–6.

    CAS  PubMed  Google Scholar 

  145. Macfarlane TV, Macfarlane GJ, Oliver RJ, Benhamou S, Bouchardy C, Ahrens W, et al. The aetiology of upper aerodigestive tract cancers among young adults in Europe: the ARCAGE study. Cancer Causes Control. 2010;21(12):2213–21.

    Article  PubMed  Google Scholar 

  146. Marques LA, Eluf-Neto J, Figueiredo RA, Gois-Filho JF, Kowalski LP, Carvalho MB, et al. Oral health, hygiene practices and oral cancer. Rev Saude Publica. 2008;42(3):471–9.

    Article  PubMed  Google Scholar 

  147. Marshall JR, Graham S, Haughey BP, Shedd D, O'Shea R, Brasure J, et al. Smoking, alcohol, dentition and diet in the epidemiology of oral cancer. Eur J Cancer B Oral Oncol. 1992;28B(1):9–15.

    Article  CAS  PubMed  Google Scholar 

  148. Talamini R, Vaccarella S, Barbone F, Tavani A, La Vecchia C, Herrero R, et al. Oral hygiene, dentition, sexual habits and risk of oral cancer. Br J Cancer. 2000;83(9):1238–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  149. Weaver A, Fleming SM, Smith DB. Mouthwash and oral cancer: carcinogen or coincidence? J Oral Surg. 1979;37(4):250–3.

    CAS  PubMed  Google Scholar 

  150. Winn DM, Blot WJ, McLaughlin JK, Austin DF, Greenberg RS, Preston-Martin S, et al. Mouthwash use and oral conditions in the risk of oral and pharyngeal cancer. Cancer Res. 1991;51(11):3044–7.

    CAS  PubMed  Google Scholar 

  151. Winn DM, Diehl SR, Brown LM, Harty LC, Bravo-Otero E, Fraumeni JF Jr, et al. Mouthwash in the etiology of oral cancer in Puerto Rico. Cancer Causes Control. 2001;12(5):419–29.

    Article  CAS  PubMed  Google Scholar 

  152. Wynder EL, Kabat G, Rosenberg S, Levenstein M. Oral cancer and mouthwash use. J Natl Cancer Inst. 1983;70(2):255–60.

    CAS  PubMed  Google Scholar 

  153. Young TB, Ford CN, Brandenburg JH. An epidemiologic study of oral cancer in a statewide network. Am J Otolaryngol. 1986;7(3):200–8.

    Article  CAS  PubMed  Google Scholar 

  154. McCullough MJ, Prasad G, Zhao S, Farah CS. The changing aetiology of oral cancer and the role of novel biomarkers to aid in early diagnosis. 2012. In: Oral cancer [Internet]. Rijeka: InTech; [130-48].

    Google Scholar 

  155. Mashberg A, Barsa P, Grossman ML. A study of the relationship between mouthwash use and oral and pharyngeal cancer. J Am Dent Assoc. 1985;110(5):731–4.

    Article  CAS  PubMed  Google Scholar 

  156. Elmore JG, Horwitz RI. Oral cancer and mouthwash use: evaluation of the epidemiologic evidence. Otolaryngol Head Neck Surg. 1995;113(3):253–61.

    Article  CAS  PubMed  Google Scholar 

  157. La Vecchia C. Mouthwash and oral cancer risk: an update. Oral Oncol. 2009;45(3):198–200.

    Article  PubMed  CAS  Google Scholar 

  158. Gandini S, Negri E, Boffetta P, La Vecchia C, Boyle P. Mouthwash and oral cancer risk quantitative meta-analysis of epidemiologic studies. Ann Agric Environ Med. 2012;19(2):173–80.

    PubMed  Google Scholar 

  159. Boffetta P, Hayes RB, Sartori S, Lee YA, Muscat J, Olshan A, et al. Mouthwash use and cancer of the head and neck: a pooled analysis from the International Head and Neck Cancer Epidemiology Consortium. Eur J Cancer Prev. 2015;25(4):344–8.

    Article  Google Scholar 

  160. Conway DI, Hashibe M, Boffetta P, INHANCE consortium, Wunsch-Filho V, Muscat J, et al. Enhancing epidemiologic research on head and neck cancer: INHANCE – The International Head and Neck Cancer Epidemiology Consortium. Oral Oncol. 2009;45(9):743–6.

    Article  PubMed  Google Scholar 

  161. Warnakulasuriya S. Global epidemiology of oral and oropharyngeal cancer. Oral Oncol. 2009;45(4–5):309–16.

    Article  PubMed  Google Scholar 

  162. Marron M, Boffetta P, Zhang ZF, Zaridze D, Wunsch-Filho V, Winn DM, et al. Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk. Int J Epidemiol. 2010;39(1):182–96.

    Article  PubMed  Google Scholar 

  163. Ogden GR, Macluskey M. An overview of the prevention of oral cancer and diagnostic markers of malignant change: 1. Prevention. Dent Update. 2000;27(2):95–9.

    Article  CAS  PubMed  Google Scholar 

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Kujan, O., Husain, A., Farah, C.S. (2017). Alcohol and Oral Cancer. In: Al Moustafa, AE. (eds) Development of Oral Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-48054-1_5

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