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In addition to
genetic epidemiology, cancer epidemiology is another branch of epidemiology that is
related very closely to molecular epidemiology. In fact, the term molecular cancer
epidemiology is brought to being in the early 1980s primarily because of this close
interrelationship. Insofar as carcinogenesis often initiates with DNA damage, biomarkers
that can be used to identify early responses to such damage are important to the
assessment of cancer risk. Unscheduled DNA synthesis, chromosome aberrations, sister
chromatid exchanges, and the micronucleus tests are some examples of these tumor markers.
As Weinstein (1988) put it, “These markers can be scored long in advance of
preneoplastic lesions that are detected by histologic methods.” Because these markers
are genetic materials in nature, they are often referred to as genetic markers. Modern
cancer epidemiologists are no longer just preoccupied with the study of the effects of
cigarette smoking and radiation, nowadays they are also interested in identifying and
quantifying diets and other environmental contaminants as potential carcinogens. Because
cytogenetic monitoring is more feasible than histologic examination for neoplastic lesions
in human subjects, epidemiological data on carcinogenic effects are becoming more
available for health as well as cancer risk assessment. |