Council for Tobacco Research
Annual Report of the Scientific Director [St]
Fields
- Depository Date
- 25 Sep 1995
- Master ID
- Ctrmn00010849-2859
- CTRMN010849-0887 Deposition of Lorraine Pollice [Deposition of Pollice in the Matter of Allgood]
- CTRMN010888-0889 Scientific Advisory Board Members 1954- [Record of Names of Members]
- CTRMN010890-0892 Curriculum Vitae [St]
- CTRMN010893-0919 Curriculum Vitae [St]
- CTRMN010920-0926 [St]
- CTRMN010927-0938 Curriculum Vitae [St]
- CTRMN010939-0956 Curriculum Vitae [St]
- CTRMN010957-0958 Curriculum Vitae of Dr. Mckeen Cattell [St]
- CTRMN010959-0960 Curriculum Vitae of Dr. Julius E. Comroe Jr. [St]
- CTRMN010961-0974 Curriculum Vitae [St]
- CTRMN010975-0990 Abstracts [St]
- CTRMN010991-1010 [St]
- CTRMN011011-1020 Curriculum Vitae [St]
- CTRMN011021-1056 Curriculum Vitae [St]
- CTRMN011057-1082 Jeffrey Robert Idle Curriculum Vitae [St]
- CTRMN011083-1092 Leon Orris Jacobson, M.D. [St]
- CTRMN011093-1116 Curriculum Vitae [St]
- CTRMN011117-1123 Curriculum Vitae [St]
- CTRMN011124-1126 Curriculum Vitae of Dr. Paul Kotin [St]
- CTRMN011127-1128 Curriculum Vitae of Dr. Clarence Cook Little [St]
- CTRMN011129-1132 Biographical Sketch [St]
- CTRMN011133-1160 Curriculum Vitae [St]
- CTRMN011161-1161 Ctr Mn 011161 Is Unused [Record of Bates Number]
- CTRMN011162-1163 Curriculum Vitae of Dr. Kenneth Merrill Lynch [St]
- CTRMN011164-1166 Curriculum Vitae [St]
- CTRMN011167-1176 Curriculum Vitae Gordon Barry Pierce, Jr., M.D. [St]
- CTRMN011177-1178 Curriculum Vitae of Dr. Stanely Philip Reimann [St]
- CTRMN011179-1180 Curriculum Vitae of Dr. William Francis Rienhoff Jr. [St]
- CTRMN011181-1190 Curriculum Vitae of Gordon Sato [St]
- CTRMN011191-1219 Curriculum Vitae [St]
- CTRMN011220-1239 Curriculum Vitae [St]
- CTRMN011240-1241 Biographical Sketch [St]
- CTRMN011242-1243 Curriculum Vitae of Dr. Edwin Bidwell Wilson [St]
- CTRMN011244-1245 Curriculum Vitae [St]
- CTRMN011246-1274 1956 Report of the Scientific Director [St]
- CTRMN011275-1325 Report of the Scientific Director [St]
- CTRMN011326-1359 1958 Report of the Scientific Director [St]
- CTRMN011360-1396 1959 Report of the Scientific Director [St]
- CTRMN011397-1430 1960 Report of the Scientific Director [St]
- CTRMN011431-1467 1961 Report of the Scientific Director [St]
- CTRMN011468-1499 1962 Report of the Scientific Director [St]
- CTRMN011500-1500 Ctr Mn 011500 Is Unused [Record of Bates Number]
- CTRMN011501-1535 Annual Report of the Scientific Director [St]
- CTRMN011536-1576 Report of the Scientific Director [St]
- CTRMN011577-1619 Report of the Scientific Director [St]
- CTRMN011663-1720 Annual Report of the Scientific Director [St]
- CTRMN011721-1765 Report of the Scientific Director [St]
- CTRMN011766-1815 Annual Report of the Council for Tobacco Research U.S.A, Inc. [St]
- CTRMN011816-1870 Report of the Council for Tobacco Research - U.S.A., Inc. 1972 [St]
- CTRMN011871-1871 Ctr Mn 011871 Is Unused [Record of Bates Number]
- CTRMN011872-1921 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN011922-1968 Report of the Council for Tobacco Research, U.S.A., Inc. [St]
- CTRMN011969-2011 1975 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012012-2057 1976 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012058-2101 1977 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012102-2156 Report of the Council for Tobacco Research, U.S.A., Inc. [St]
- CTRMN012157-2210 1979 Report of the Council for Tobacco Research - U.S.A, Inc. [St]
- CTRMN012211-2211 Ctr Mn 012211 Is Unused [Record of Bates Number]
- CTRMN012212-2268 1980 Report of the Council for Tobacco Research - U.S.A, Inc. [St]
- CTRMN012269-2329 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012330-2386 1982 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012387-2458 1983 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012459-2533 1984 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012534-2534 Ctr Mn 012534 Is Unused [Record of Bates Number]
- CTRMN012535-2647 1985 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012648-2744 1986 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012745-2844 1987 Report of the Council for Tobacco Research - U.S.A., Inc. [St]
- CTRMN012845-2859 Partial Listing of Research Institutions, Ctr Grantees at Those Institutions, and Dates the Grantee Received Ctr Funding at That Institution [St]
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CTR HN 011620

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ANNIIAI. Itt:I'l/R'1'
of the
S(:IF.NTIFIC IIIRE(:'1//It
(:I.ARF:N(:t: (:()/IK tir.11.

S(:IF.NTIFI(: AI/VIS(1RY It(/ARI1
to lhe Council for iohacco Research - t/.S A.
KFNNIiIH MI: RRI1.1. LYN('i1, M 1), Sr' I)., 1.I. t7, C'hoirman
('honcrUor ond PrnJrsso. Emrrinus of Porhe'l.+Rr
Medical ('olleRe of South C.rolina, ('harleston, South Carolina
tNOWARI) B AN(N?RVONT, Sc D.
Srirnri/Sc F dirn., f he )cwrnal of the Nationat ('ancer Institute
Ilethcsda, Maryland
RICHARD ). BIN(), M.D.
ProJr,ror one ('hoirmon, Department of Medicine
Wayne State l)niversity College of Medicinc, Iktroil, Michigan
McKF.FN CATTF?LL, PN D., M.D.
Prn/rssnr Fmrritw of PhsmaofoRv
('omell l)niversity Medical College. New York, New York
I.FON O. JAC()BSON, M.D.
Dean of the Diri,ion of Rioloticof .tclrncrs
RrRerurrin Pro(rssor of Rioloticol.Scirncrs
()niversity of ('hk.g+, Illinois
CLAYTON O. LOOSL1, Ph D., M D.
//asfinR, Prn/rsror of M.Aicine mnA PorholnR y
l/niversity of Southern C'alifornia School of Medicine
I.vs Angeles, C.liforni.
('LARFNC'E COOK 1.ITT1.P, Sc D., 1.1. 11., 1.tt t 1)
Scirnti/k l)irrcar, The Council for Tobacca Rrsearch - I I S A.
Dirrctnr F.nrrrirus, Roscoe Is Jackson Memixial LaMiratory
har Harbcn, Maine
STANLEY P. RF.IMANN, M 1)., Sc D.
Dirrcror Emrrlrks, The Institute for Cancer Rc+earch
Philadelphia. Pennsylvnni.
WILLIAM F. RIENHOFF. 1.., M.D.
Pro/rsso. Fmrrirus of SurRrry
Johns Hopkins llniversity School of Medicine, Ilaltimore, Maryland
SF1FLDt7N C. SOMMERS, M.D.
Pro/rs,or of f arhofoRy
Columbia l Inivenity College of Physicians & SurReons
New York, New York
RnBERT C. H(K'KI?fT, Ph I1.
A»ociarr Stlrnrr/Sc l)irrcr,N
1 MORRISON RRADY, M 1) 1(NIN II KRFISFII'R, Ph 1).
Amwiorr S(Irnrifir 1)irrrkrr As,(Niarr.~~irnri/S(~ l)rrrrfnr
I
I
Stanley P. Reimann. M.D.. Sc.D.
1891-1968
Dr. Stanley Philip Reimann, a patho4ist
and widely-published cancer speci.list, died
on Wednesday, February 21. 1965. Dr.
Reimann h.d served ns member of the
Scientific Advisory Board to The Council for
Tobacco Research-U.S.A. friooe 1954. As-
sociated throughout the Tetus with the Uni-
versiry of Pennsylvania. Crodn.te School of
Medicine; llahnemann Medical Co11ege, and
Lankenau Hospital. Dr. Reim.ne h.s.erved
as president of the Amerk.n Association for
Cancer Research and the American Sockty
of Clinical Pathology. In 1925. Dr. Reimann
founded the Institute for Cancer Research
in Foa Chase. Pennsylvania, served as its tci-
entific director from 1945-1956 and emeri-
lus director. Believing that malignancy was
a probkm of growth and teaching that the
most eRective way to find a cure for cancer
was to achieve an understanding of the pro-
ccsses of growth. Dr. Reimann, through his
life and writinRs, eserled a widespread in-
fluence on cancer research.
.
VINC I N1 1: 1 ICnNfI, I)M1tI)
l,tInn/,.44vv rore

TARLF OF c(1NTF.n7S
Inhoduction. . . . . .
The ProRress of Research
Abstracts of Reports . .
Psycho-PhysiotoRical Studies
Cardiovascular Studies .
Carcinogenesis Studies .
Studies at the ('cIlular ltvel
FpidemiriloRy . .
Pulntionary PhysiokrRy .
NeurophysioloRy . . . .
Chcmistry and Biochemistry
5
6
15
16
IB
33
r
36
39
41
46
49
Pharmacology and Psycho-Pharmacolo6Y . . . . . . . 52
Pregnancy Studies . . . . . . . . . . . . . . 54
()ther Studies . . . . . . . . . . . . . . . . SS
Recipien,s of Gr.nts . .
57
I
introcluctiori
I he Council came into being fourteen years ago (originally as the
Tobacco Industry Research Committee) to sponsor financially a wide vari.
ety of original independent research studies related to smokin6 and health.
Other aRencies, both private and government, undertook also to support
research in 1he same general arta. Thus, thett began a widespread ellort to
gain more scientific knowkdge of a subject about which little was known.
1 he ramifscations of 7 he Council's research program have been and
still are, quite e><tensive. Many scientists who have received and are receiving
support from The Council have turned up knowledge and information of
value in the ongoing eRort to uofve the riddks of cancer, heart disease, and
other major ilments afllictirt mankind.
Another benefit to both the general public and the scientific community
of The Council's research program is perhaps more obscure but no less im-
portant. The fact that reputabk, independent scientists at leading research
or6anizations and institutions ree the need for more study is a clear indica-
tion that the smokint and health situation is not as simple as some people
would have us believe.
The incidence of the various and suhdry diseases attributed by some to
cigarette smoking would be a major public health problem even if smoking
were not a worldwide custom and had never esisted. Many people who have
never smoked now die and will continue to die from the same diseases as do
those who do smoke. Many people who smoke do not die from the statistically
implicated diseases.
Whether smoking, as such, is ot is not involved in disease or death of
certain individuals is still not the solution to the major problem. This solu-
tion depends ors research which, it (s hoped, will lead to the detection nf
thcne individuals who, with or witM.ut smokinR, face in cmmmum greater
riak of rkveMPinR or cr>sthactin` any of the diaascs which have hecume thc
ma1or survival drreats tu m.nklnd.
'1 here is increasing and significant evidence that cumple.. Rrnrtically,
innate individual diflcrences In susceptibility and non-fusceprithrlity, whith
aRr^,t the rate of aging and the imbalance of various organ and tissue lunc
tions underlie and profawndly affect the three major fublic health laot.lenrs
- eaneer, cardiovascular disease, and mental heallh.
t
5

'I'hc I'ro ~9ress of Rcscarch
The Council for Tobacco Research is and has been engaged in support-
ing studies of thcne diseases that are currently the greatest causes of illness
nd of death
Of course, all these diseau-s occurred, and mtnl wete well known, hefore
the use of cigarettes became prevalent, and they continue to occur among
nommokers flence, any hypothetical or even real eRect of smoking could,
at mcnt, he no more than a ctxNrihutory or ggravatinR factor in these dis-
eases rather than an "all or nothinR" clouse of any.
Fpidcmiolo6ical studies have been and still are the subject of debate
by statisticians with respect to their rrliahility on tcchnical Rrounds. Addi-
ticsnal research aimed al rectifying anme of their rkficiencies and clarifying
rome of the curinui cnntradictirms anI rcculiarities are nccdcd. It is a fact
of histnry, nevrrlhelrss, tlrit theae rlnJrmudhiRi,.rl rerirrrts prnvidcd the im-
petus for ahundant rcaeartir rrLrrurR in onr way -a another Iit °rnhiccrr rnd
health" Ihal his auhsequently Lrrn undrrt.krn hir m.rny .crcntiua Ihit re-
scarch has been sl.rrnsored by pwrrnnrrnt drparlmenta and by a number of
voluntary hcalth aaociatir+ns and foundatruns rntludinR Ihc ('rruncil for
Tobacco Research and the American Medical Aaarrciation Educalional and
Research Ftwndaticxr. 7his was a logical development since a reco6nired -
indeed, the major - rok of epidemiol..Rical research is to identify areas in
which more minute and ettended studies of other kinds may be needed in the
laboratory or clinic.
Within the Iasl half century, notable progress has been made in the
control of the Infectious disc.sts with a consequent great rise in life e><pecla-
tion. T/x average infanl born In this country trday can e.ptct to live almost
half again u Nrng as one born in 19(N) 'Ihis nxdical triumph has prnMluced
a pnpulalion containing a larger prolxxticxr of older penons Ihan any herc
tofore encountered In history.
With this Increase in the older pnputatinn, disahility and death due to
chrnnic nr drRenerative ailments such s cancer, disnrders of the heart and
r.rterics, and chrrnnic respiratnry diseases have shown a rrfarive increase.
1 urther prnRrras in improving lifr e./tectancy must therefore cr+mc largely
I
I
I
from new methods for preventing or deferrin6 the development of such dis-
eaaes, which characteristically have a slow and insidious onset.
f:+tperts in these fields point out the complexities that are to be expected
in the causation of such diseases. Their origin and development involve
various degrces of host susceptibility or of resistance which are deep-seated
in the constitutional or genetic nature+of each human individual. This "built
in" susceptibility or resistance may then bemodified Importantly during the
life span hy such factors n aging, sea, relative activity of the sever.l glands
of internal secretion, and the individual characteristics of food absorption,
utilizaticsn, storage and excretion. Daily life practicea such as eaercise, hours
of tkep, use of coffce, tca, tobacco, akohol, and the common household
dnrRs, eaptsures to all kinds of materials and substances on the job, psycho-
N,6ical characteristicY, and the stresses that assail the psychrs-physioh,gical
system, may play a role. So may also the numerous bacterial and virus
infeclions, mild or acute, which all persons still eaperience even though these
are much less often crippling or falal than formerly.
Great bodies of date concerning such factors of internal and e><ternal
envirnnmental oriRin, have been and are being collected in studies of cancer,
cardirnascular diseases, chronic pulmonary diseases and general mortality.
In such studies serious fallacies in perspective can result from over-
interpretation of one-to-one correlations even though these may be valid
mathematically. Hecause of the lack of multivariate analysis, emphasis on
the single factor of smoking In a number of epidemiolnRical situalirrns involv-
ing numerous unanalyzed factors may well have masked other Isrnsibly im-
pnrtant factors and misstated or overstated any possible significance nl
smoking.
The pressing problem is therefore to bring the methods of multivariate
analysis lo hear for weighting these various (acrors relalivcly, in a mathe-
matical scnse, as contributors to the final evaluation of causation and devel-
opment of a disease.
The IaMaious classical method of multiple regression annlysis is now
being superseded by new computer methods capable af handlinR a large
number of variahles simultaneously and rapidly for "clusterinR Icndrncics."
Such mrlMMls nerJ to he applied comprehensively hr many large awwlics
uf dat* that have .Ircady t.een and will Le collected in thc srarch fnr tlurs
to the elirduRy of tkgeneralive disease by epidendoluRical nredudh. I he
Council is aiding in the development of such csxnlwler techniques and their
application experimentally to certain bodies of dals that have been cnllrclcJ
in its sfrinsr.red projects.
There is also a great need for studies that will show how the many other
6 1 7

hahils and practices of life tend to he astt.ciated with smoking or nnnsrnoking.
Only as wc develop a picture of how smukcrs nnd monsmrtkcrs di(Ter in such
ways, will il become possible to distinguish between f+ncsihlc cf(ccts of smnk-
ing per tr and the c/lccts of nthcr ssuuiatcd hahils in the causation o aRgra
vation of the various constitutirxral diseases. In this kind (if rcaarch also,
computer techniques fnt multivariate analysis should he very helpful and
tirne-saving
(:(rrtcer of the I,trrrg
In a sense, lung cancer carrks a particular emphasis in tohsrro and
health investigatinns because of the reputcd "ttrcngth" (if its astixialion with
cigarctte smoking nn monofactorial eridrminlr.gical sludics. Another reatnn
is the rate at which this ditease is reported to have increased in incidence
within recent decatks
~
T/Inr1a in Incrrlrnc
It ii certain that the rate of incrcace rrpnrtrd for this disease during
recent dreadrs haa hern e>taggeratrd cttnvderahty by the progressively in-
creasing skill of clinicians in diaRnnsis A number of autnfsy studies have
shnwn that wherea. IunR car(inttma wat mnacd clinically as often as nine
limri out of ten early in this century, il is presently dtaRnrncd clinically in
eighty to ninety percent of casct Indeed, there are indicatitrnt now that Rcn-
eral nwarencss of the diseate is leading ttr rrverdiaRntrtit Fven su, in tpite (if
the fact that diagntnis has approached a high level (if efficiency, the curves of
reported incidence have begun to show aigns of approaching a plateau rathcr
than a continuing steep inerease.
(anaai/icatlon ol /,unR Tumors
Ilnman lung cancer tissues, still living afler surgical removal, are now
being nbserved with respect to their behavior in standardired culture media.
Such wide behavioral differences are bring seen in a single medium as to
suggest that there are many mrxe differrnt tyftes snd Innhahly more di/lrrent
cau.rt rlurn prrvirw.ty suspected hum the classilication uf fi.rd anJ slained
sucth+ns on the bntis of yqtearance.
f:.11 nml Tiaau. Culture Conj.r.nr
A tr.nfrrrnrr that Idacrel .Irtial rmPhaaia uitim thr hist~q~nthtrhtgicsl
t h~nr .tn,l,,, r,1 n . rllt .u ,1 1-.ur , ul~ nr~ hv t irt ~m Rrrut :md nlher 1Rrnta
i
in rinrr, was heid March 6. 1967. In addition 10 staff and nxmbcrs of the
Scientific Advistrry Board, the following Investigators participated:
T. TIMnTIIY CR(KKFR, M.D., Professor of Mcdicine. Department
of Internal Medicine. University of California Medical C'cntcr, San
Francisco, C'alifornia.
LFII-A DIAMOND, Ph.D.. The Wislar Institule, Philadelphia, Penn-
sylvania.
BERLE 1. NIFISF:N, A.B., Associate Specialist ((hmningy), Csncer
Research Institute, University of California Medical ('enter, San
Franciscn, California.
I)ONAl f) M. PA('E:, Ph.D., 1lireclor of Cellular Research, 1)eparl-
ment of Physiology and Pharmacok.Ry, llnivcrsily of the Psci/ic,
Strkktcm, California.
Rl1SSIa.1. P. SIIF:RWIN, M.D., flaslings Associate Professor of Path-
ology. (lniversily of Southern California Schtxd of Medicine, Lrn
Angcles, ('alifornia.
f1ARHARA K. WATSON. Ph.D., Assistant Bacteriolo6ist, Massachu-
sells (ieneral Hospilal, Boston, Massachusetts.
(-IIARf I Y WAYMOUTH, Ph.l)., Senior Staff Scientist. The Jackson
1.aboralory, Bar Ilarbor, Maine.
Cell and tissue culture studies hope for the in virro production and anal-
ysis of such histopathological changes as are observed in the lungs of animals
subjected to controlled eaposures to varioua agents. Subsequent direct obser-
vations of the proliferative capacities of such tissues when replanted into the
host animal may help relate microscopic appearance to tissue behavior.
Stndira with (:iRerette Smoke (:ondenaotes
F.><periments involving the painting of mouse-skins with cigarette smnke
eondensates (t+ften erroneously called "lars°) have becn the chief basis for
the view of srrme investigators that cigarette lmoke is to be regarded as a
contact cucimogen for the human lung 1lowever. the relevance of auch ob
servatirxrs lo the problem of human lung M quatinnable. First of all, there are
greai differences between rodents and primates (mnnkeys and man ) in sus-
cefuhiitty to knitwn cau'inngens Secondly, the skits Is a very diflerent ussuc
fram Ihe lung and shrrws very dlfkrent reqwinmcs In vatirrus irril.iting agents
Thirdly, atntknaates of smoke collected by passing snrrrke thtouRh cnld tr:qK
at very low ternperalures, such as --R(1^ eentigrade, re not eyuivalrnr in
either physical nr chemical properties tn whole smoke ('hemicnt and ifiyaical
changes occur in smrtke, sonic rapidly, fGdluwing its formatinn in Ihc NnnntR
mne nd these cnntinuc in Ihe condemate nfter etdtccrion M.'rrttver, .uch
V

condens:,tes lack aIl Ihe Rasenus cnrnfwincnts of smnkc and some <+f tlrc vapras
that arr not cnndcnacd nr that evalrrrate :rftcr colltctir+n Ihe rhysi<,-%I st.rtrs
of whole smoke and of cnndensate ,re ohvir,usly quite dinerent Fin:rlly, ccr
tiin srnnke comtituents are disprnprrrtionalcly cnncrnrratrd in the condcncite
ITholeSmoke Irrhnlntion
The cnntrnlled inhalation of whole fresh cigarette smoke by esl+rrinrental
animals sccros to come much cltner to thc idcal of bringing thc riRht material,
in the right form and right c<x+centratirnt into contact with the right nrRan,
even though the wrnnR animal must still be employed
Numtrrrus inhalati<.n studici were undertaken hy many invrsliR.t.rrs in
the early days following p<rhlicatkxr of the reports linking cigarette smoking
tn lung cancer 7 hrse added up to an impressive failure insofar as the af pear-
ance of lung cancers was concerned I.itde account of this eRurt has been
descrihcd in rrint, so that the estent of the work is relatively unknown tnJay,
7he Council has continued to sf.msnr such studies with cffnrt toward
improvement of tcchniques lhese are now aPPrnachinR the point where a
more cnmprchensive program can Le developed Among Ihc many other
factnn which nced estensive sludy are
Predi,lwninR factnrs in lung cancer
Animal mrKlels for lung carcinnRrnrsis
I ung clearance phenomena
T7tr' (:arrli(rtursculrrr I)i's(vrsr's
Ath.roacleroaia
There is broad agreement that the pr<xess of alherosclernsis tends in
general lo predispcxe to ischemic diseascs of the heart and blood vessels "fhis
gradual thickeninR and deReneratirrn of the vessrl walls occurs in all persons
but 1 widely different rates A numher of diffcrent kinds nf evidcnce have
cnmhincd to suRRrst that nicntine or smnkinR dtr not c<rnlributt tuward any
acceltratinn of this prrxcss: ( 1) the fact that these diseases auc nrrt aplnr
ciahFy more frequent anronR pipe and cigar snxrkers than anN+nR nonsn>,rkrts,
12 ) the inconclusive results In animal studies where nicotine was added to an
athcrnRcnic dirt, ( 1) the occurrencr u/ angina /xti hrris no nxrre rdtrn In
smokers than in nnrnm<+kers, and (, ) lNrfr mortrnr studies showing no siR
nificantly incrrasrd Fwtvakncc of infarct~rns of the hrart anrnnR srn4rkers
()nr resrmlr rrfwwteal Mrrr m.wrrm stuily ha+, on the crmuary, found
I
snme relation between thickening uf arterial walls and ciRarette smrrkinR
history Nevertheless, since so many other hahits and practiccs uf life tend
to cluster with smoking, it cannot he concluded that Ihe smukinR per rr was
resfxrnsihlc Further study of these life pallerns, (ir new and hrtter animal
sludics as well as suitably controlled twin studies, may help to bring a dehnitc
solulion.
SmokinR and Ilyprrfenaion
'llsere is little evidence that smoking causes chronic hylrcrtrnsion
( i c, high M<wnl pressure ). AlthnuRh smoking ordinarily causes a snrall na
in bhKrd pressure of a few minutes duration, many stu<lies shqrw Ihc restinR
hhxxl pressures of habitual smokers to be lower generally Ihan thou of nun
smokers.
Nicotinc anrl SmokinR in Re/ntion to Blood Flnw
A number of studies have shown that nicotine or smoking tend to in-
crrarr the flow of bhrnd in mcnt of the vascular heds including thrne of the
hcart, brain and skektal muscle. An e.ceptiun is blood flow in Ihe skin of
the cutremitics.
!'harmarnloRy of Nicotine
There is a vast literature on the pharmacology of nicotine and ('ouncil
projects have added a great deal to it. TIKw6h many transient eRects have
been more fully described and mcasured in our proRram, no cvi<knce has
emerged of any significant rnntritwtion by nicotine, at the levels smoktrs
receive, to causatinn, aggravation of precipitatisxs of any cardiovascular di,.
ease that conlrihutes significantly to mortality.
(:Irrortir. I'ulntorrnry Uist"trses
Chronic anrl pr<Mressive diseases of the IunR, such as bronchitis, a,thma
and emphyscrna are allractinR increasinR attentifNr as t'auses of disahility and
drath ( linicians rclw)tt thal tuch aitments are htinR seen mone Ireyurutly
and drry are appcarrnt nKrre often on dkath certiflcalcs as causrs rrf drnrlr
'I he rise in chnmk and proRressive Iwlmonauy disease, has f.rrn at
tributed in part to the now frequent cure of acule lung infections by ann
hiotics so that more people with damaged nr susceptilrle lungs are ahvr t4rlay
than formerly. Alur, as has bccn pointed out, the conrlKrnent ut oldcr pcrq4c
in the total population is greater than ever before in history. In this age puulr,
and especially in males, these diseases are most frequent
II

In this area, thc atatiatict are even more cnnfuud and tlf mrxe cluhiuus
accuracy than they arc in the case td cancer ot cirdtuvacul:u diaca~rs, by
reaafn fd laflhlcros tif diaRmnis and mlmenclatutc I he tcrm "cmphysema"
his analumical dcfrnilinns and the patholfrpst uses the term Io Jescrit.e con-
ditir,ns thal can he rrcr+Rnired under thc micrcncnPc, classified as to type antl
tstimated in extcnt I he general /+ractitioncr, however, haa cnnrc to usc the
Icrrn as hractically synnnymtws with a clinical relxItt of Jifficuhy in hrcathinR
I here is an ahundant testimony that Persnns JiaRntviced clinically as
havin6 scvere "crnllhyscma" often show little or none analr+nlicatly, when
esamincd rrrfr mnrrr.rr ('c.nvcrxly. Patients who have hatl little breathing
truuhk in life may show ctlcnsive snalnmical emlfhyaema at aulntsy
In view of such variances in dcfinitinn and driRmsia, statcmcnts crln
cerninR the estent kl whith "emphyxma" has incrcaud uver anv given
perirwl as a cause fd death have limited meaning
(:on f.rince on AIIirRfor enrl In.n.unnlnRirnl Asp.rta
nf ,SrnnkinR
A cr+nfcrence on alkrRic and immnmiIrrRicil aslrcts nf Irlhaccn smi/kinR
was held (in Mrrt h 1, 1967 In aJJitirm tu atifl and meml.ers ut the Scien
tifK Atlvialty Hrurd, the IfdhlwrnR invrthgatnra LvUCil+atcd
IIARRY S HI RNl(1N, M I), AttendinR AIIcrRist, Providence Ilfls-
pital, WashinRtnn, I) ('
RI('IIARI) S I'ARR, M 1) , IIc.u1, I)iviaifrn ut AIIcr6y. ImmunrlluRy
and Rhrunuadr.Ry, Sc-rilqps ( hnrc and Rcscarch I fwndaUfln, la
lulla, ('ahfcNnia
PAUI-6(11.1)t1AHFR, 1) O S, Assfrciate Prufesanr nf Perir.dfrnuoInRy,
Ilarvard SchtK-1 uf Dental MeJic'ine, Hrntun, Massachusctts
11AVIl) W. I At MAGI:, M 11., Prfdessor of Microhinhrgy and Asan-
ciatc Ikan, (lniversity (if ('rlhrrado Schrwrl of MeJicinc, I)envcr,
Cnlnradn.
Ni((rcirrfr (rrifl [lle (;entr'fll N(rrlurrfs tiysrer/r
Ihere is a recurrinR queatifln ,s Irr whether frrtain kinda /rl IKnplc
eal.rcially need ur want to amf/ke wldrr the cnndrUrfns fd numlern life Ixr ause
rrf a y/rcial need lor rrlief of Ierniun Is there any evrdrrKr that .utIr relief ia
ctually Provided by snxrkinR7
In the past, dependence has had tf+ he Idaced largely upon Ihe suhjec-
tive statements nl amflkers as tu+ why they like or nerd tf/ srnflke AmfrnR the
fec-urfinR rrl"lrts arr such as Ihese ( I ) "It Rivea mr Illeasnre," (2) "1t gives
me e I, r( kull nn, l hrll,t me Rrt Ru,R," 0) ..It tlcll,. rne tcl.rIt whcn I am
lrflsc
t
I
Sut h st.Hrrncnts raise the questions whether evidrncc tf/ chec k their
imlvf+rt ttndd f.e larwidcd by any capcrimental methtnl. Stune answcrs rnay
I+erhaPs hc furnishcd by psychological investi6atitrns and any PrranisinR
alqpftl,ches along such Imcs shrwdd he cncouraRed.
Anuther al-Pn+ach ia through the methods of psychn pharmacnhlRy, a
relitivclv new licld nl science.
Ity the study rif clcctrcxncephaln6rams it has been shown Ihat. Mrdr in
animals and man, nict+tine has a hrief stimulatory or "arousal" effect r,n thc
hrain, especially when this was nriRinally in a state of what might hc called
telwrsc. When the hrain is in the kind trf stale aasnciatcd with aRitatitrn, nicre tine hat an
effect ffn brain waves resembling Ilut uf wnx of the trYnquilinrs
llrut paythupharmacohogy is PrnvidinR sume scientific auhatantiatirm
If.r the seennnRly crrnlradainry suhjcctive testimony o( snmukcrs Nicutinc
may M,th aruusc the lethargic and calm the agitated.
Since direct electrical stimulalicxt of certain parts of the brain latKluces
an effect that is pleasurabk, animal studies are being made tu determine
whether nicotine alus stimulates the pkawre centers.
Cechniyucs that Permit monkeys to inject themaelves with nicotinc at
will, nrN only show that they find this a6reeahlc, but are shedJrnR light on the
effects of envircrnmcnlal conditams on the anwwnls the animals will take
sPr.ntanerwsly. In no case has any of the animals done damaRc tfl itsclf by
srKh unreslriclcd self - adminislrati.n.
Scvcral studies have also tapkxed thc eflects of nicotinc on the learning
prtlcess in rals, usinR various rewards to stimulate the animals to learn their
way through a mazc, press kvcra in snme pattern or avoid an electric shock
by jumllinR (u a wooden Pok on signal. Several such caPcrimentt show Ihat
nicu inc stimulates the karnin6 Process, mtxe particularly amflnR thc animalt
that arc originally relatively slow learners.
I
Or(tl (,(ri!fily l irs(r(rr(Ir
lhe nral crvity is subjected Io direct contact with snulkc drrived fnrm
Irilrs, tigira and ciy.aurttea mure quickly and in greater crfncen,ratif/ns Ihan
Ithr IunRa I/ralnte thi., I1K irM irlrnt'e UI t"arlCrr Irf Ihe fra) t'hVlty 11.1% ahrrwrl nu
vgnnc, ant intfrau iu ramfNrrrl, nr inciJrnce at n rarlirr rFr, flurruR Ihr
dcc'arka in whk h/w cal+ila r.l>,aure tu t iRarctte sruoke haa ri.rn Rrr.rtly Ir
is iml-Iul:mt to find Ihe esplanaliaxr for tfns /nti
As rrpwlcd clsewhere, ('ouneil studies have shnwn that the nral riaurs
rrf mice are far rnurc resistant tn certain carcinnRena than are Ihru akm.
In nllce, liver dvnnRe ctlnsidetahly increasea the auacefaihitrty nf nce
oral lisaues tn crrt.lin recrlRniled catcinrrRrnic suhN:rntes, 1,111 I'.I1ntinR nf
Il
I'

ciRarctle srnuke condensates inside the mouths of Iiver d.rnaReJ mice has
not been f4dhrwed by appearance of any lumors.
Much more study of the oral cavity is recommended by the fact thal il
resemblcs the lung mcxe than does the tkin, yet is relatively arcetaihle. Since
the saliva, oral structures and especially the oral Icucocytes al%o serve as a
first line of defcnse against exlernal a`ents entering the lxK1y, they merit
.Itenlion in their own riRht. The eRects of In vivn and in virr,r cwfa+ture of
oral leucocyles to whole smoke and to smoke conatitucnts are LrinR sluJicd
in recently inaugurated ('nuncil projects.
Abstracts of Ilcports
Pach recipient of agrant-in-aid from The Council for Tobacco Re-
search - l/ S A. is responsible for the initial presentation or publication of
the results of his rcsearch at scientific meelings or in appropriale scientific
journals.
Following are abstracts, .pprored by the authors, of reports on new
eeperimcntd research acknowkdRing wpport from 7 he Council that have
appeared in scien/ific journals since publication of the 19tS5-66 RryKUI uf
the Scientific 1)ireclor.
llrese atnlracts have been `rouped under the following beadinRs:
1. Psycho-PhysioloRical Studies. 11. ('ardinriscul.r Studies, 111. ('arcino
genesis Sludies, IV. SluEiet at the Cellular E.evel, V. F.pidemioloRy, VI Pul-
mon.ry Physiolo6y, VII. NeurophysioloRy, VIII. Chemistry and ifiuchem
istr~ IX. PharmacokrRy and Psycho-Pharmacolo6y, X. Pregnancy Studies,
and X1. Other Studies.
A number of grantees of The Council for Tobacco Research - ll S A,
participaled in The Third PeruRia Oradrennial International (bnfererwe on
Cancer held at the l)nirersity of Peru6ia, June 21-29, 1965 "I.unR 1'umours
In Animals; " the proceedings of this conferenoe, was published in lune, 1966,
by the 1)ivision of Cancer Retearch, Peru6ia, Italy (iranlee cunlrihutions to
the conference are as follows:
"FPIDFMIOI.O(71C STUI)IES OF LUNO ('ANChR IN I)(x;S," by
D. Cohen, J. S. Rcif and W. FI. Rhoiks.
'TEIP ROLE OF INFLUENZA VIRUS IN TIIE hFVFLOPMI?NI- 01:
MALIONANT TRANSFORMATION IN V1TRO ANI) IN 1/11? RF.S-
PIRATORY TRACT OF MICE. WITH AND WIT11Ol1I /iXPUSI/RF
TO CIOARE3TTE SMOKP," by C. Ltr.chrcnDtrRn and R. I,cuchlenberRcr
"TIIP RFLATIVF E?FFECTS OF SOME AIR POLL117 AN I SON 1111:
HIIMAN RfSPIRAIORY EPIIIIELIl1M," by W. 1L (-ornrr and 1. F
Muses.
"1?III?('IS OF 1NIRAVI'.NOlIS ('AR(-IN(/(&N AND 1OIIA(ll)
('ONI)I-'NSAII! IN1F('IIONS 111'/IN 1111? IN('IINUN( I; 111. I IIN(i
I I/Mr)RS IN A/lie MICE," by F. I/omDurRn anJ A. I reRcr
"7l/MORS PRO1)l/('FI) IlY MEIFIYL(71(/1 AN I IIRIN1: . IN 1111:
RIiSPIRAIORY 7RA('f Of IIIE W1111E 1'I-KIN 1)lt('K" hy R II
Rirdon.
I5
14

I. I',ycho-I'hy.it)(nRiral tifudir.
"BIOL(Xill:'A1. ASPF("IS OF (1lJSTATIUN" fly Arnold R Kaplan,
Phl), Laboratory of Medical Genetics, C'levcland Psychiatric Institute, Ohio.
"Mutation in Population: Proceedings of a Sym(+rxium held in PraRue in
August 9-1I, 1965;" pp 146-153, Cnechoslovak Academy of Sciences.
Prague. 1966.
Tris paper presents sum2 and summation of early and recent
studies of taste sensitivity. Differences in taste threshoklt have been found
to be telaled to tnany facton. Including medkation, phases of the menstrual
cTcle, preRnurc7, smoking habits, occurrence of duodenal (vs. gastric)
ulcer, and dietary preferences. Tests In monoryRotk and dii,yRolx twins
and In sibling pairs Iodkate that genetic factors ate invnlved in laste
thresholds.
()tR.r Crantarr Natlooal Institwes o/ Ileakh
"STVDIFS IN TASTT? ACl1rT'Y." By Arnold R. Kaplan. Phl), Iahoratory
of Medkd (:cnetia, Ckvel.nd Psychiatric Institule, Uhio. Trchnicol
Quartrrly 4/2:I3R-I44, April.lunc 1967.
Intrapair thrcshold diflerences fnr hydrochloric acid, L-quinine sulfate,
and PROP (6 n-ProPylthiouracil) were InvestiRated in pairs of one-egg
twins, Iwocgg Iwlnt, and nnn twin siblinRa 'Ihere were no siRnificant differ-
ersces in inttapair variations Irtween the two egg twin pairs and the non twin
siblings. There werc, also, nr+ 1 rRnrhrant drllrrrnces hctwecn the nnc egg
and two-egg twin ~airs for hydrrKhtruic uid and quinine, hut there was a
very siRnifxant dilTcrcncx for PRUP Ihrrrfore, the innd.emrnt of genetic
factors In etinkiRy of laste Ihre%hnlrl was rnH drmnnctrareJ for .nur ustrnR
hydrochkxk acid or for bitter tavinR yurninc, hut was emphatically dcrnnn
slrated for bitter tastinR PROP
Sensitive tasten of quinine and PROP indicated relatively large numben
of food dislikes and preference for relatively mild lastinR fcxids, compared
to inscnsitive tasten, who indicated relatively few dislikes and preference for
more strongly-IsstinR preparations. The sensitive tasters included a rela-
tively high pro(+rxtiots of nonsrnokers, compared to the insensitive taslers,
who inclurkd a relatively high proportion of hcav~ smokers l aste threshold
was not found to be rclated to aRc or In uc when the dda were crrntrnikd lor
difTerences In srsxokinR habits. The hcavr smokcrs, hnwever, shnwed rk-
cre.ud lasle sensitivity asuxiated wilh lncrt.ud age
Other factrxs InfluencinR taste sensitivity IrxlrHk (rh.us rd thr mrn
stru.l cyck an.1 uker palhokrRy
f)thrr Rrar.torr N.tion.l Institutes of Flcalth
"ORAL.ITY, IMPUISIVITY AND ('1(IARF:1-T7? SMOKING IN MFN
FIIRlIII'R FINI)tN(;S IN SUPPORI' OF A 11-1FORY." fly Martin A.
lacnhi, Phl). I ukrn S Andcrsnn, Phl), T'mily (TrampaRne, MI), hath.niel
I
Karush, MI), Stephen 1. Richman, MD, and Peter H. KnapP, MI), T)ivision
f Psychiatry, llostrm University School of Medicine, Massachuselts Thr
Iournaf tr1 Nrrvnur and Mrnta! Distott 113/3:207-219, 1966 (()ranlee:
Knapp)
76 college students and SR industrial workers, average age 26 years,
served as subjects in this third of three studies designed to test shc hypothcsis
that heavr cigarette smoking in men reflects part of a pattern r>< underlying
oral craving defended against by active, impulsive behavior. T1u paid wd-
unleer subjccts in this study look part in personal interviews after which
they filled out a Parenl-(?rikl Ouestionnaire (P('V), personalily inven-
torr ( B11P1), and a form specially designed to directly test response set
and social desirability. VoOunleen in the previous Investigations were unpaid
and impersonally sent the completed forms by mail.
The fint two studies revealed siRnificant differenocs between smokers
and nonsmokers in the parental concepts of maternal conlrol, coldness and
harshness, and in self-descriptions of defiance, impeluousness, thrill and
dan6er-seekinR, neurotic emotional lability, and oral preoccupations In the
last study, statistical comparison of mean scores for 54 cigarette smnkers and
RO current nonsmokers supported the previous findings with the e.ceptiun
of the maternal malevolence concept.
On an individual prediction basis, overall 62.7 percent of the sample
was correctly designated as either smokers or nonsmokers usinR this psy-
chnloRic measure alone (chi square = 9.45, 1 df, P < 01 ) Presumably
other factnn, such as sncin4ic and physiok>Rk, enter into the drlcrmina-
lion of who will become a cigarette smoker and conlinue with the hahit,
hut this theory seems significantly related to this outcome and accounts for an
important portion of the variance.
"AN ATLAS OF FIGURF? DRAWINGS: STUDIES ON '1 HT? PSY('llO-
L(X;ICAI. CIIARA(TFRISIICS OF MEDICAI. Sftll)f;Nl'S -- I11."
By Caroline Bedell Thomas, MI), lohns Hopkins University Schcw)1 of
Medkine, Baltimore, Maryland. Published bythe Johns Hopkins Press, 1966
This third volume in the serks, Srudirs on rhr Psyr-lurloxical ('ha.a.vrr-
lirict of Mrdiraf Srudrntt, presents the only compendium of fiRure drawinRs
by healthy subjects to be hwnd in the psycholoRical lilcralure.
The fiRmcs in this volume were an drawn by R)l) lohns 1lnpkins n.ed
kal slurknts whrr were parlicipants In the krng term study of rhr 1'recurarrs
of Ilylrerlcnslun .nd ('ourn.ry INscac, UrawinRs In thrs atla. .re Rr.rkd
hy rkRrre of soqdristica/inn, and within sueh a RrnupinR .rc .rranRed .ccurd
(nR In different parenlal hiiIrNies in regard to cc>.unary diseau and hylrrr
tension, strnke, diabetes and obesity. Smoking habits and various nncer
factors are also /,iven, rkf a Strong Vocational Inlerrst "lcat is inclnrkd fur
each suhjecl. Ihus, this Atlas provides a deflnilive drnuminsloa lur fiRure
drawing studies involving healthy young adults of supcrinr inleiliRcnce
OtArr Rrantnr.r Velerans Administration and the National lirart Institute
Ih
17
