Council for Tobacco Research
the Cancer Letter Volume 10 Number 43 [Examines Grant Program for Study of Viruses in Cervical Cancer]
Abstract
MAR
Fields
- Type
- NEWSLETTER
- Master ID
- Hk00714043-4050
- Request
- 131
- Depository Date
- 15 May 1996
- Named Person
- Us Congress
- Off, O.F. Management And Budget
- Nci Board, O.F. Scientific Counselors
- Health Care Finance Administration
- Life Sciences
- Nih
- Chinese Academy, O.F. Medical Sciences
- Us Postal Service
- Scripps Clinic And Research Foundation
- Univ, A.Z.
- Univ, C.A. Los Angeles
- Mayo Foundation
- Meloy Laboratories
- Inst, O.F. Laboratory Animal Resources
- Westat
- Us Senate
- Natl Academy, O.F. Sciences
- Wv Univ
- Adamson, R., Nci
- Baluda, M., Nci
- Brinton, L., Nci
- Cantor, K., Nci
- Chambers, J., Nci
- Clapp, N., Oak Ridge Assoc Univs
- Craun, G., Environmental Protection, A.G.
- Devita, V., Nci
- Essex, M., Nci
- Filipovich, A.H., Univ, M.N.
- Greene, M., Nci
- Gregory, J., Nci
- Howley, P., Nci
- Koprowski, H., Nci
- Levine, P.H., Nci
- Longfellow, D., Nci
- Mann, D., Nci
- Obrien, J., Nci
- Omenn, G., Nci
- Peterson, W., Childrens Hospital, O.F. Mi
- Schreier, A., Nci
- Author
- Boyd, J.D., Cancer Letters
- Box
- 156
- UCSF Legacy ID
- fsa20a00
Document Images
P.O. Box 2370, Reston, Virginia 22090 Teiephone 703-6204646
DCE BOARD APPROVES CONCEPT FOR NEW $850,000 YEAR
GRANT PROGRAM TO STUDY VIRUSES IN CERVICAL CANCER
~ A new grant si.spported research progra m to in vestigate the role of
~ papillomavintses in the etiology of human cervical cancer, with annual
i funding estimated at $850,000 a year, was given concept approval by
Fn Brtej (Cadinued to page 2)
I FY 1985 BUDGET BREAKDOWN: CONTR'OL GETS $64
~ MILLION, CONSTRUCTION $6.5; W.VA. $4.5 MAYBE
BBRH'tt BO'N the three major questions left unclear in the
appropriations bill Congress approved for NCI probably wiil be
answered: 7Tiere Will be $6.5 million for eonstruction, rather than the
$13.5 million asked by the Senate. Up to $4.5 million of that will be
available for WP.st Virginia Univ., but whether any or all of it goes
I to W,Va. depends on peer review. Any that does not go there will be
availaable forother construction grants. Cancer control will get $64
million, up only $1 million over PY 1984. Research training (NRSA)
will get $31 million, which will permit paying higher stipends....
' C33NMRS ARE 'pot well thought of at NIB and "are considered the
~ f'u-st area to go when buc>gets are eut " I8 CI Director Vincent DeVita
~ sa'id at the Preside'nt's Cancer Panel meeting in Seattle. "('crs ttrs are
~ always at risk. Zfiis is very distressing to us.. . OM B hr.s resolutely
!r«^.d-c°.^.dt.12e.*e iS :I^ w F., tl:°1,
~ will (change) unless Congre3s and people who feel that we have to
~ rebuild ourlabofiatories get the message across...I am very, very
i impressed that the amount of money we have pput in construrtion in
centers has uvially been a quarter to a third of the monies requ:red.
i When you look at the money that was brought in to build, t,wse
buildings, it was not money that normally would have come to that
institution without the seed money from government. I think these
~ facts a,re not well reeeived in OMB. We like to pick on 0 M B. I thtnk we
are allowed to pick on OMB, as a matter of fact",...TAIO BRANCH
chief appointments were aruiausced by Div. of Canoe Etiology Director
Richard Adamson: David Longfellow, who has been acting chief of the
extramura] Chem ical & hhy9cal Carcinogetes3s Branch, has been named
permanent chief of that brench. Peter Howley has been named chief of
the Ieboratory of 'IU mor Vuvs Biology.... DIV.OF CANCER Prevention
& Cflntrolisrecruiting for another branch chief, the Diet A Caneer
Branch. It is a Civil Gervice position at the GM-15 level, with a
salary range from $53,407 to $66,400, with physicians eligible for
eomparabiiity pay of up to 510,000 more. Candidates must meet the
requirements for medical officer, with experience in nutritional
science, epidemiology or related fields. Contact Janet Gregory or
Jerry Chambers, HCI Pemwonnel Office, 301-49"852,
lflCoDJrrght 1984 The Cancer Letter Inc
SvDSrr.^+ror, $150 veat Nonh Amer.cy
$1 75 vear eliewhere
DCE Publishes
List Of Resources
Available To
Scientific Community
...Page7
R FPs Available,
Ciintract Awards
...Pa$e8

lii;:...'' I
CEF:VICAL CANCER-VIFlUS STUDY WOULD
SUPPORT EIGHT GRANTS, FIVE YEARS
(Continued from
a
e 1)
p
g
the BoarcDof Scientific Cothnsebors of NCI's Div. of
Cancer Etiology at the Board's recent meeting. The
Board also approved the concepts of new contract
supported initiatives with estimated annual costs
totaling $ 2.2 million and of the recompetition of
existing contracts with estimated annual costs
totaling $4.2 million.
7be papi7loma%irtts cervical cancer study would
fund as many as eight grants for five years, DCE
DirectaRiehard Adamson ssid.'d4te concept came out
of a workshop held earlier this year, chaired by
Marcel Billuda,a member of the DCE Board. Staff
description of the proposal follows:
"7tie consersus of the workshop participants was
that the human papillomnvirtues (HPV) were the
strongest viral candidates for a m,ejorrole in the
etiology of cervit..al carcinoma. Several laboratories
have demortstrated the presence of HPV DNA in both
e:ervical ca.rcinom as ®nd dysplasias. In one study,
70-M per c~et[t of cervical tumors contained DNA from
either HPV types 16 or 18. In addition, mild
dysplasia, appeared to be associated with the
pirqertc~of DN A from HPV types 6 or 11. A nu mber of
establisned cervical tumor cell lines have been
yeatmined and found to possPss DNA segments of HPV
type 18. ijPV antigens and cytologicaD markers have
also been detected in a large percentage of dyspla-
sias examined.Other HPV types have been strongly
associated with human laryngeal papillomas and the
skin disease epidermodvsplasia verrueiformis.
Variotsaraimal papillom aviruses are also known to
trartsforr.t eeils in culture and to induee malignan-
cies in their native hosts.
"7tte woiirshop participants noted, however, that
little information was available on the expression
and function of the HPV DNA found in the dysplasias
and earciriomas and on the progression of thn disease
(rom primary infection to dysplasia or carcinoma.
Studies arw needed to determ ine the natural prog-
ression and transmission of HPV infections (e,g.
rbes HPV infection always precede the development of
dysplasia and/or carcinoma?); the expression and
function of the associated HPV genome at various
stages in the pathogenesis of cervical lesions; and
the host response to such infectiorts.'fiese ques-
tions have not been answered due to a lack of basic
information on the mechsnista s of virus replicat ion
and oneogenie transformation. SLitable rell culture
systems have not yet been found which could serve as
models for these functions. However, the avnila-
bilityofrFcombinant DNA techniques should help
overcome this impediment.'Ihus, it was eonsensus of
the workshop e artieipan:s that studies in ail the
above areas are needed. Such studies will help to
elucidate the role of HPVs in the etiology of
cervical cartcer.
"The major emphasis of the basic research to be
ftarded ttnder this RFA wi71 be sWeson the molecu-
lar biology of HPVs and on the natural progression
of HPV infection in its native host. Examples of
such studies (which are not all encompassing) are
(1) elucidation of the mechanisms of viral
infection, replication and anecigenic trwsformation;
(2: developlment of in vitro model systems using
either we7dtypeorgenetfcaIlyengineered HPVs; (3)
funetionalandsttuctural characterization of HPV
encoded proteins with particular regard to patho-
genicity and tissue specificity; (4) determination
of the HPV types aseoe.hated with specific categories
of cervical lesions; (5) determination of the rates
of regression or progression of cervical lesions in
HPV infected subjects (these studies will not
preclude the referral of human subjects for treat-
ment when indcated by accepted medical criteria;
(6) the nature of the host's response to HPV; and
(7) the role of other viral agents, such as HSV or
CM V, in the oncogenic process "
Alan Schreier is the program director.
Another major new initiative was reflected in the
Board's approval of the concept for a contract, to
cost nearly $1 million a year, for support services
for biochemical epidemiology.It will be competed as
a prime contract, with subcontracts to be awarded
for individual projects. Descriptions of new
oontract concepts approved, with staff justifica-
tions, follows:
Tatle: Btiiologic in.estisatiaass of raue reprodt.c-
tive eancers. Estimatcd first year cost,;300,000,
two years.
7he Enviror.mental Epidemiology Branch has an
established program of research on a variety of
eancers of thc reproductive system and the breast.
Studies are aimed at cancers that a:rc rclatively
eom mon as well as those that arc lts% frequent.
Among cancers of the reproductive system that ha ve
reeeivedl+;mited epidemiologic sr on are malig-
nancies of the vulva and va .. Both are rare
eaacers, the average amtual a ge adjust ed inciden c e
pa 100,000 women in the SEER areas in 1973-77 being
1.6 and 0.7 for cancers of the vulva and vagina,
respectively, Both cancers are more common in
older tvomen as well asin blacks. Apart from these
features lit tlt is kAown regarding the etiology of
either Jiscase. Varioua risk factors have been
suggested, but for the most part are based on
clinical case series rather than carefully designed
ease control investigations. Among the postulat ed,
although not establisbed, risk factors for vulvar
carcinoma are low soeioeconomic status,obesity,
vitamin A and E deficiencies, early age at meno-
pause, smoking, hypertension, diabetes mellatus,
tnfec tron and/or traum a relatrd to poor personal
The Gst9cer Letter
Page 2 / Nov. 9, i984

bygicue, promiscuity, and piemalignant vulvar
lesions. For vagrnal eancers, the role of trans-
placental estxogenghas been wdldocumented among
young womkn with clear cejl adcnocarcinoma.
Among older women, who habe mainly squamous
cell trumors, some attention has been given to
vaginal trauma, including pessaries or rn'urics at
childbirth.Or.her unconfirmed factors are chronic
l,eukoxthea, leukoplakia chronic vaginitis, late
menopause, obesity anJ douching practices.
Ofreceatintereatas arcportedincreaseinthe
incidence of iz situ vulvar lesions, particularly
among youager women.This paralkla changes in
eexwlbchavior,leading to speculation that vulvar
tancer,li.ire cervical ea.ncer, may be caused by a
$cnrall~~ ~t`ra~nsmitted agent. Herpess3mple:virus
tppe ?(HSV 2)haa been identified in vulvar tumor
fissue and many cases show serological evidence of
priorl~erpe.ainfection,Htunan papillomavirus (HPV)
fls known to cause genital warda (condyloma
acuminatum) which have been followed by
vulvar cancer in a substantial proportion of cases.
Furthermore,insituvulvar cascinomas have recent-
lybech found to contain HPV antigens. For vaginal
cance¢s,noepidemiologie or laboratory investiga-
friansliave been carrred out to evaluate the role of
anfectrious I ' agents.
It haa been suggested that diff erent squamous
eancers of the lower reproductive syst c m m a y ha ve
komrnon edologic fae tots, particularly in vre w of
emilar demographic patterns (e.g. high rates in
ack women) and a tendency for multiple
primary tumors involving these sites. For example,
vaginal carcinomas are often diagnosed simul-
ttneotrsly with carcinom as of the vulva and cervix,
as well as frequent:y a few years after hysterectomy
for severe dysplasia or carcinom a in artu of the
cervit.'lhes'e observations have led to a theory of
the mluu'.aAanc uujyCai Gf wp:;: .= L^ll CarrT..nm p a
of the vagina, vulva, and cervix. 7bus, epit6elial
maligktannes of these sites may arise in response to
the same etiologic factors; the older age range over
which vulvat and vagin al cucinom as usually appe a r
compared to cervical cancers may be due to the
longer latency periods for these two sites, or to
the action of cofactors or promotional agents. Since
solitt1eiaknownaboutthe causes and mcchanisma
of eitber cancets of the vulva or vagina, thcre is a
needforwe$idesigned case eontrolinvestigatians
involving reladvely large geographic areas and/or
longtime periods to accrue sufficient numbers of
cases for study.
The objectives of tbis contraet, which will
combine research and support activities, are: (1) to
idcntif y environm ental exposures of women that
przdict the risk of developtnq %ttlvar and vaginal
cancers; !z) to relate serologtcal indicators (e.g.
infectious agents, mieronutrients) to risk of thes0
cancers.
Idially, this case control study would be popu-
lation based in which easts represent all women over
sgc 25 yeaxs with in situ and invasive vulvar and
vaginal cantersina defined geographic region and
controls a sample of the genertl populationof the
same geographic area. If this design is not feasible
based on RFP responses, the study r,ill be hospital
baced with eases representing all vulvar and vaginal
cancer cases diagnosed witttin a defynkd tin; e pe riod.
In this circumstance, controls would be either
hos&alortaeighborhoad controls,detutnined by the
referral patterns of eligible cases. It is antrcr-
pated that study subjects will be accumultted from
seaeral cancer registries or clinical centers, and
thmt approrimately 400 cases of vulwar cancer and
175 cases of vaginal cancer diagnosed ovct a two
yeai period will be included. Approximatcly 800
control subjects will be selected in such a manner
that tluy can serve as a common comparison group for
botlt cancer sites. Both c ases and cantrols parcrci-
pating in the study will be intcrvie®'ved using stan-
datdized data collection forms develcpsd by N CL In
conjtmction with the interview, a small sample of
blood will be requested from all study subje,c ts for
deAermination of serum antibody and mtsronurrient
lewels. It is anticipated that assays for ccrpes
simplex virus types l and 2 serum carotene/retinol
and tocopherol will be coahtctedtmdkrvapp ott f rom
a separate contract. Additional aera will be f roren
for future deternination of papillomavirus anti-
btttlies,lnaddition once the collaborating centers
have been eatablished, the logistics of obtaining
fresh ttrmor specifxens on a sample of cases will be
asatsaed.'Ihis subsample of the total casc series
will be used to assess the frequency of papillo-
mivirus infection.
Standard methodsfor analyzmg caae contcol data
will be emploped.'Ibcse will include estichate of
risks associated with various exposu; cs. Sinc e m any
of the factors will be highly cortelated, multi-
variate analyaaa will be pursued to define indepen-
dent effects.
Louise Brinton is the project officer.
'1111._i _. c'oae contrnl atudv of cancer and drialdng
ws+ter eontamiaiactts. Eatimated first year cost.
$150,000, three y.-ars. (NCI will contribute a.n
estimated $980,000 total to the project, EPA
17Q,000).
In 1975, chloroform and otht:r halogenatzd
o-ganics were discovered in chlorinc treated drink-
ing water. Toxicologic and epidemiologic studies
were mounted to evaluate possible risk to hum ans.
Elevatedtmmbers of kidney and liver tumors were
observedin rodent feeding studies of chlo,toform.
Epidemiologic surveys showed geographic correla-
tions between site apecifie cancer mortality rates
in U.S. counties and drinking water source and
treatment. Case control studics usnng information
frotn death terr.ific ates confirm ed and extended these
observations.'Ihe most consistent positive (indings
were for c ancers of the bladde r, eolon, r e c tb m, and
brain. Pancreas, stomach, andlung cancers were also
cotrelated with drinking watet source, but leas
consistentls.
Usingdata from a large case control interview
stvdy of bladd er c anc er, and inf or m ation f rom an
independent survey of water utilities, we have
developcd a n_ethodology to czplore assotiations
between cancer risk and drinking water source. WFule
there was no overall risk elevation among persons
The Cancer Letter
Vol. 10No. c3 / Pag, 3

i1h:.._ ,
using chlorinated durface water for long periods,
selected findings from this study do wartsnt further
evaluation. Among stttdy subjects otherwise at low
risk--nonsmokets who were never employed in a
hij&h risk occupation-bladda c anc cr risk inc r e ased
wttb duration serwed by chlorinated surface water
sourcca.In the study area with the most intense
agriculttual Iand use, bladder c ane er risk am ong all
risk groups increased with exposure duration to
chlorinated surfaee water sources.
Objectives off this study and its contract are:
].Todetermibe the risk of incident cancers of
the colon, rectum, bladder, brain, and pancress
associated with asnurce of drinking water. Liver and
kidney cancers will also be included, if feasible.
2. To replicate and refine observatiotasfron, the
National Bladder Cancer Study of associations, in an
agrikultural statcMbctween bladder cancer risk and
the use of a chlorinated surface source of water,
3. To evaluate the effects on cancer incidencs of
duration and latency of water related esposures, as
welll as the interaction of these exposures with
other site specific risk factors, such as cigarette
smoking and usual occupation.
4. To improve and refine modds used to est im a t e
past exposure to czreinogen4 in drinking wa t e r. Tbe
Environmental Protection Agency will collaborate
with NCI in thib part of the study.
A population based case control study using
mailed questionnayres is planned of incident c anc e ts
of the colon, rectum, bladder, brain, and pancreas
that occur within a defined geographic area with an
existing population based tumor registry.The time
period of diagnosis for eligibility will vary by
cancer site to ensure adequate numbers and
statisticalpowu for cachsitc.'IToe geographic area
will be sdected to limit the ascertainment period
for anyone cancer totwoyears.The area must also
have telatively low inmigration, and must have a
varicty of drinking water sources, including con-
iaminacion i:cc gcounu waicc auu 3uaiaCc avwiCcS
likely to have beett contaminated with high levels of
chlorination bpproducts, pesticides, nitrates, and
otherpatcnriaUytozic compounds. Cases wiLl total
approrimately 2,500 with 300-600 for each anatomic
sste,Fifteenh:udre(f controls will be selected from
the geaeral population, frequency matched to the
espectedproportion of cases in strata specific for
sex, race, and age. Controls less than 65 years of
age will be srlected by random methods and those 65
and oldetfrom a random sample drawn from Health
Care Financing Administration rosters.
D;ta from residential histories will be merged at
NCl with histoiieal information on water quality
to establish a ltfetime e:pasure profile for each
respondent. Standard methods for analysis of
unmatched case control data will be used to evaluat e
risk for each site specific m alignancy at related to
drinking water qua1ty. Risk will be evaluated fot
14 vel, duration and latency of exposure as well as
interaction withothet risk factors. Water quality
will be estimatedby applyogbistorical inform ation
about aatcr supplies to statistical models that are
based on recent measures of chlorination byptoduc ts
and othei contaminants. The coattact will be a
Thte Cancer L.e7ctei-
Page 4 1 Nov. 9, 1984
teseatcb contract because of the need for a princi-
paliqvestigator who has experience in conducting
epidemiologic sttrdies, whobas access to a popula-
tton based tumor registry, and whn is knowledgeable
about water systems in the region.
The EPA Wealth Effects Research Labotatory in
Cincirmati) wiIl coalaborate with N CI in estimating
past esp9atttes. CturentleveL of tnlulOmetbanesin
drin~king water supplies of the study area will be
meaaued several times and compared with each other
and withlevela meeaured five years ago. Ccwsistency
of rtnkorda amorig suppvies will',alstcr confidence
in extrapolating to htstorical levels for these
cosrta minants. In addition, five represent ativ e wat e r
supplies will be studied intensively to determine
the feasibilit of estimating historical drinking
warcr levels ofypesticides and nittates. Success in
this effort willpertnit epidemiologic evaluation of
thest contaminants. EPA has agteed to contribute
#yn nnn rehtlp defray expenses of environmental
meaaurements,'Ihe EPApro'eet offica w~11 oversee
environmental aapccts of this project.
Kwmeth Cantog sa the N CI prolect officer, and
Gunther Craun is the EPA project officer.
TStie: Support services for biocheani¢al epmdemi-
ology. Estimated first year coat, $940,488, four
years.
In recent years there has been growiag enthusiasm
for incorporating the collection of biological
apecimuss an3 the performance of laborptory studies
into the design of epidemiological studies of
cancer,These include studies of (a) viral serology
amd vital rnuldc acid sequenc es in patients with or
at risk of bepatoeellular carcinoma, Burkitt's
ly_mphomaraasophar~agcal carcinoma and carcawma of
tbe uterme cerv4:; (b) hormones in breast and
proatatic cancer; Cc) micronutrients in cancers of
the )uug,larynz and urinary bladder; (d) carcinogen
DNA adductsinpexsotts exposed to environmental
Yrbuaoitti;, iYM :wav'w~.:f o s' C w: L: LA.3.. C w~
(e) bile acids steroids and mutagens in colon
cancer.7lu Qemiology 8 Biostatistics Program ard
the Labocatoeyof Human Caranogenesis p..HQ of N CI
have a long standing interest in and involvement
with this emerging new discipline, biochemical
epidemiology, by virtue of its program of inter-
disciplinary studies in persons at high risk of
cancer. In this context, the staff of the
Envirotunental Epidemiology Braneh (ESB), Clinieal
Epidemiology Branch (CEB) and LHCbas accrued
considerable expekience in collecting processing
and storing biological specimens, aMn applying
viroiogic, cytogenetic, immunologic, ina munogeneac,
molecular and cellular sensitivity assays to the
materials collected, in collaboration with
appropriate laboratory scientists. Observationa
resulting from this workinclude: (a) eharactetiza-
tion of the relationships betwe en hu m an T-ly mpho-
tropic virus (HTLd»1) and adult T-cell lymphoma
(ATL), HTLV-3, hepatitis B virus, and acquircd
immtrre defidmcy spndrome (AM8); (b) demonstutton
that helper isuppr e ssor cell ratios and acid labile
alphaintetfeton ate usefulsvrtogate markers for
AI)S risk; (c) the finding of henzo(a)pyrene DN A

adducts and anttbodies to these adducts in persons
exposed to this compound in the workplace and via
t bacco smoke; (d) documentation of important
relationships between the major histocompatibiLity
complex (HLA) and familial susceptibility to
Hodgkin's disease, hairy ce111eukemia, and Walden-
strom's maceoglobulinemia and to infection with
HTLV-l; (e) identification of abnormalities in
cellular response to c arcioogens in f affiilies prone
to sarcomas and to melanoma; and (0 description of
a 3:8 chromosomal cranalocation in familial renal
cell carcinoma.More recently, this approachbas
beenappliedbyotherinvesuigators in the Epidemi-
ology & Biostanatica Program. Current projects of
this type include: (a) an assessment of serum micro-
nutrients in a case control study of women with
cervicalcancer- ~)tbyroidl'aormone measurements
in a cohort o~ childten irradiated for tonsillar
bypertrophy; (c) quantification of eytogenetic
abnormalities in vanoua uradiat ed populations; and
(d) a hepatitis B serosurve,y in a study of pr~imary
liver cancer among World WarIIveterans..e.dditional
opportunities to incorporate a biochemical and/or
molecular component into emiologi'c investiga-
tions are widespread, an appear to offer~great
promisebotb as measures of cancer susceptibility
and aa indicators of cardnogeA ezp osure. However
our ability to undertake such studies is 'constraineJ
by the available resources, a lack of flexibility in
erpeditiously marshalling resources to test new
etiologic hypotheses and lack of a systematic
mechanism for obtaining the required services. In
the past,program ataf f have had to locate approp-
riate resources for a particular study on an adyoc
basis, and once identified, initiate individual
contract procurement processes that were oftet:
subject to delay and, whed totalled, excessively
coatly.The availabilitp of a single procurement
meehaniam through which efficient access to a wide
range of high quality laboratory assays could be
obtained would pcrmit additional program initiatives
in these areas.It would also provide for st andard-
iration of operation,inue as ed qualit y cont rol, and
improved management and supervision.
EEB atd LHC propose toiprocute support servic es
for projects in biochemical epidemiology. We
cnvinonselecting a contractor with the following
capabilities: (a) experience in the collection,
sbtpment, processing and $bort term atorage of a
wide veriety of biological specimens Gncluding
whcle blood, serum, plssm a, r ed c ells, whit e c ells,
urine, feczs and tumor tissue); (b) e:perience in
the performance of laboratory work; !c) experience
in monitoring and computerizing the accrual of
laboratory data particularly with reference to
appropriate use 01 quality control procedures; and
(d) an ertatsive subcontracting capability, by means
of which a broad range of sero:ogic, hem atologic,
bacteriologic, vhologic, molecular, enzymatic,
micronuuient and exposure related assays can be
puschased.'Jtte final requirement is needed since the
wide range anddiversitp of assays required makes it
unlikely for any oee laborator to provide high
quality laboratory suppr.rt for *.Ll the tests
required.'lhe responsibility for col)ecting epide-
i, '(-. . .
.".'7
miologic (interview) data would not belong to the
proposed contractor. Tbis would be handled through
other program reaources. As a resource contract,
the laborator~yoasay~~ sought would be only those
which are available on a servic e basis. No develop-
mental work would be procured with this med:'anism.
While it is e~ected that the contractor will have
some capability to send specimea collectors into the
field, under most tiscudnstancea the cost of specim en
collection will be built into the budget of each
specific study.7hus brdinarilP, the contractor's
responsibiliues would begin with the logistics of
specimen transfer fgom the field to a central
processing and short kerm storage facility. Long
term specimen storage would be handled under an
existing contractrthrorighwlnchEEB already main-
tains a eomputerized biospecimen repository. The
management of this contract will be shared betwe en
EIiB and LHC. EEB and LHC will each provide a
coproject officer to oversee the procurement.
Proposala to incorporate a biochemical component
into newly planded epidemiologic studies will be ,
reviewed by, and requireapproval froml a su member
committee eomp~.ed of thrce senior investigators
from each brsnch.'TUia panel will be supplemented on
an ad hoc basis by N CI s eientists with appropri at e
specialized area3 of etpertise, as requued by thc
~r.posals undu cemsidcration. Furthermore, aside
from the projects listed below, we plan to brsng to 'I
a committee of the DCE Board of Scientific
Counselora fer approval all biochemical epidemiology
projects with estua at ed costs esc eeding ;100,000.
The following studies are being plamed during the
initial two yracs of this contract: y,
1. Biochemical epid,emiology of lung cancer. A
pilot case control study of lung cancer is planned
which would include 100 newlydiagnosed, untreateJ
cases and 200 m atched controls.Its goal would be
identifying those apecific laborstory assaps whicb
sp4eat to bald promise in ciartiymg tite brocne mic ai
epidemiology of lung cancer. Study partici ants
would be interviewed to obtain the usual demo-
graphic information, data related to f ac tors thought
to influeace the assays, a detailed smoking history
and a reviaw of potentially carcinogenic environ-
mental/occvpatiopal eaposures. Among the assays to
be eraluated are carcinogen modified DNA in lympho-
cytes;serum antibodies to tobacco smoke related
earccnogen DNA adducts; carcinogen DNA idductsin
ucine; DN A repair enzym e activity in lym phoc yt es;
uciniury polynuclcar aromatic bydrocarbonsi drug
metabolism phenotyping; and urinary eotinane to
monitor ezprsuse to tobacco smoke.
More specialized studies are planned for lung
tis.we specimens(both normal and neoplastic) which
are obtained from cases at the time of surgery.
'Ihese assays will be performed inhousc by LHC
intramural laboratories, and include assays of
oncogene ezpression,earcinogen activation, and
measuremeata of DNA repair enzTme activity in both
neoplastic and normal lung tissue.
2. Biochemical studies in tumors which occur
excessively in blacks. As slaboratry ad,bnct to '
the series of populatinn based case control seudies
of those cancers 4vhicb occur excessively in black
The Cancer Letter
Voi. 10 No. 43 / Page 5

Americans (approved by the boardlast jtme), bio-
chemical assays will be performed to characterize
diffcrences inblacks and whites, and when possible,
cases vs. contrels. 'flte following are planned:
pancreatic cancer (1100 cases and controls), Lewis
blood ~roup type; prostate caacer (800 cases and
conuols),bormones,nutrienta and viruses; multiple
myeloma(700controlsonly),Quantitative rmtouno-
globulinprofiles; eaopbageal cancer (600 controls
only), nutrients.
1/ 3. Vrral studics in US. womta with carcinoim a of
the uterine cervix. A case couQrol study of cervical
cancer is currently under way in five U.S. compre-
hensive cancer centers.Blood specimcns are being
obtained from a sam ple of 500 cases of invasive
eaneer,300womenwithinsitueareinoma and 1,000
controls, with the pri m ary f ocus being upon serum
micronutrients. Prediagnosis blood samples are
available on apprt+ximately 125 wom en.Thia atudy
will be expanded to include serologic assays for
herpes sunplex virus type 2, and human papilloma-
virus (when a reliable test is available).
l- 4. Laboratory studies in Oriental Ameriean
women with breast cancer. A population based, c ase
control int erview study of Clunese, j apanese and
Filipino American women (600 cases and 1200
controls) with breast cancer is being planned among
residents of San Fr ancisco Los Angeles and Oahu.
Blood and trrine samples willbe obrained from study
participants to assess nutrients and hort~tozes.
!. 5.Urine mutagens and carcinogen DNA in truck
drivers. Several epidemiologic studies have ',docu-
©cnied an ~ccs~s ,Yof urinary,hladder cancer in truck
drivers, an assocratior. that is M1dependc¢It of
amoking status. Exposure to motor adhaiut fumes has
beensuggested as a possible scurce of carcinogenic
exposure in these men, with a leading hypothesis
hano thsr Aire.l rvhAust fumra renrea.nt the
critical exposure. E:perimcntal support foa this
hypothesis is derived from the fact that t1itro-
polycyclic aromatic hydrocarbons are potent mutagens
which occur at higher levels in diesel eompared
with nondieael eshaust fumes. A pilot studt ia under
coruideration in whicb nonsmo)dng tntckdnvcra who
are exposed to (a) diesel fumes; (b) nondiesel
fumes; and (c) no r ccent motor exhaust exposure,
will be interviewed andprovide a urine sample to
determine if mutagenactty and/or presence of
carcinogen DNA adducts correlate with type of
exposure.
( 6.DNA adducts in long tetm survivors of hlodg-
kut's disease. From the original N CI cohort of 198
patients with Hodgkin's diseaae treated with com-
bination chemotherapy (AfOPP) with or without
radiation, 62 of 91 sttrvivors have been exam ined and
have donated bone marcow as part of an attempt tc
identify subclinical morphologic functional and
cytogenetic abnotmalities which might charaQter-
izeperstms at increased risk of treatment related
acute leukemra.'llrese samples will be evaluated for
the presence of DNA chemotherapy adducts.
7.EzQasuremeasurementsinworkers exposed to
sol.cnts.ThcOc:ul+ationalStudiesSectionof EEB
is currertlF conducting two large cohort studies of
wotkets with occupaponal esposures to potentially
;i r: . I -
carcinogenic aolvents--dry cleaners exposed to
perchlorocthylene, Hill Au Force Base aircraft
mecbauics exposed to 1,1,1 trichloroethane. We plan
a pilot study designed to teat the feaaibility of
quantifying solvent exposures by measuring tolvent
levels m the blood s.nd seeking the prestncc of
DNA damage in blood lymphocytes. A small srtmple of
studysubjects will be drawn from eachof the two
cohorta for eseb of several solvent ezposur'e levels
asdetermined by workhistory interviews and air
m easulem eDts. I
8. Espustug mesarrementa in workers exposed to
pesticides. The Occupational Studies Section is
currentlystudym' gseverallargc cohorts of workers
with occupational expostues to pot entially carcino-
genic pssticides-atructtual peat control workers
exposed toorganochlorine (especiall~ ehlordane),
organaphosphate and carbamate pestiadea; and grain
millers and handlers exposed to organochlonne
compounds (especially ethylene dibromide). Using a
pilot approach similar to that outlined for Eolvent
workers, an attempt will be made to m easure chlor-
dane and EDB levels in blood and to seek the
presence of pesticide DNA adductsinblood andurine
in an exposure stratified sample of workets from
each of tbese two cohorts.
9. Laboratory studies in L atin A m eriean vvom en
with ccrvic al canccr.'Ibe Environm cntal Studies
Seetionisplatming a combined epidemiologicrlabor-
atory study of 800 Latin American women with
invasive cervical cancer and 1600 controls,,Also to
be studied are the husbands of 400 sexually mono-
gamous cases and 800 similar controls. Under a
previously approved concept and contract, funds have
been provided for assays of herpes simplex virus
type 2,carotene and retinol in sera obtained from
study participants. Under this proposed contract,
fun#.e wmrld he nrovid.d to+mnnnrt enrtim.n shinm.nt
from the field and sp ecim'enprocessing, amd for
conduct of additional assays of interest, particu-
latlyhuman papillomavirus, when a reliable sero-
logic assay bccomes available. Tumor tissue wi.ll
also be obtained for molecular studies.
l0.Biochemicalstudies of oral caneer. A multi-
center case control study of ora] and pbaryngeal
cancer has been initiated (supported by another
contract) to evaluate etiologic hypotheses regarding
chewing tobacco,diet, mouthwash use, and occupa-
tion;'The proposed contract would support a bto-
chemical component to supplement the data obtained
by interview, and would assess chromosal damage in
exfoliated oral cells for several categories of
individuals vie the micronucleus test, a procedure
which has helped identify persons at high risk of
oral cancer in other populations; and evaluate
severity of disease upon blood levels of certain
nutrients and possibly vital antibody titrea, and
conduct casc control comparisons if extent of canc cr
(Cnrginuedonpage 8)
DCE ANNOUNCES RESOURCES AVAI t,ABLE
T hr niv. of Cancer Etiology of N Cl prepared the
announcement on page 7 describing resources it is
making available to the scientific community.
The Cancer Letter
page 6 / Nov. 9. 1984

Avran Myelobtastosbs Vrrus Reverse Transcnp
tase-2.000 Llmt Minimum Order
Contsatx Lr?e SaQnces. Inc
29U0 72nd Stn*e1 North
St Petersburg. FL 33710
t813) 346-93r1
Comg Contract +tNDt -CR 11013
fiostt S0 07/u:nt Plus Shipping
Cetl Culture Identdreahon Service. Using Iso-
lyme Analysis. Imm;rnolluorescence and Ka
ryotypic Analysis (Chromosome Banding)
Contsptb Dr 1Nard Peterson
Chddr'en; Hospital of Michigan
3901 Beaubren Boulevard
Detrort. M! 48201
(313)4945705
Citing Contract I N01-CR21017
Costtt $203 00rAnatysls
Goat Anbsera against Avran. Bovme. Feline
Murine. and Prrmate intact Viruses and Vrral
Proteins Antrbodres, to Immunoglocul.ns for a
number of species Prermmune Sera avaltaoie
br some Virus AniBnra
Conlsott Coordinator for Research
Resources
Blotogrcbt CarcrnoQenes,s
Banch. DCE. Nu. NIH
Landow BI g . ~ ~ 9A22
Bethesda MD.
(301) 49t-1951
QOatt $10 001ml Pius Shipping (Pre.
Immone Sera-$5 OD+mI)
Feline. Munne, and Primate Vr
Viruses Avian Baboon Sera Collected from An,mals m Sera trom Primates which were r.0used in the
,
ruses Prepared in T6ssue Culture Sukhum. USSR wrth High and Low Incidence U S and Irkcitculated
with Material from the
of Malignant Lymphoma Sukhumr Baboons
Z.'O11lYQttt Ce::'d!nator fpr Research
Resources
Contacq Coordinator lot Research
Contaels Coordinator br Research
Biological Csrcrnogsirests Resources Resources
NCI. /JIH
Branch
OCE Biological Carcrrog enesrs Biological Car ~nogenesis
.
.
Room ~3A2?
Landon 81 Branch. DCE. NCt. NIH Branch. OCE. NCt. NIH
26200205
Bethesda Landow Bldg. Room 9A22 Landav Bldg Room 9A22
. (301) 496-1951 Bethesda. MD 20205 Bethesda. MD 20205
(301) 4961951 (301) 4961951
Cost Inquire
Cosh Shipping Charges Only aGast Shipping Charges Only
Human L3sues Car'c!nomas. Sa!comas.
Melanomas. Lymphornas. Leukermas. Benign
Tumors and other NOn-Mat~gnant Disorders
Human Sera from dpnors with Carcinomas
Sarcomas. Me!anomas. Lylnphorqlas. Leuke
mras Benign Tumors. Norrpat lndivrduats.
Family Memhrns o1.Leukemics HematologiCal
Diseases an.y othai Non-Malrgnant Drsorders
Contao4t C:oordneitor for Research
Resources
Biological Caromogenesrs
Branch. DCE. NCI. NIH
9A22
Lando+r,Bt~D 20205
Bethesda
(301;496195t
Cpst1 Shipping Chartles Only
CattonTop Marmosets (S oedrpusl tor Use as
Models for Carcrnogenes-s-Ho!dmg mocu:a
tron. ObservaLoh and Pathology Services are
Avarlab!e
Contactt: Dr Neal Clapp
Marmoset Research Program
Oak Ridge Assoc-ated Universities
P06ox117
Oak Ridge TN 37831
6t5) 576-4103
dmg Contract AN01CR21004
Gostt $10 00 per d!em (or higher tor
procedures rnvotvrng additional
Care- etc ) 51000 per Dlood
sample
Chemical Carunog'en Relerence Standard Repository Reference ouantrhes of nearly 700 com
pounds are aYarlabpe Included are numerous representatives of the lollowing c!asses po!y
nucloar ammathc hydrocarbons. PAH meta7obtes raorotabeleo PAy metabontues. nitrogen het
e'ocyJe5 ndmsarrmrnesmrtrosamrdes- aromaUc amines aromatic amine metab0!ites
rad,olabeted retmoods. azoa7oxy aromatics. !norganres. mtmaromahcss peshc des. p'+armaceu.
U,:ats natural products_ dyes droxms chlonnated alrphab_s and miscellaneous groups Data
sheets pnovrded with the compounds. include chemical and physKal propertres anatyt:cai data-
hazards_ storage and handlirg information Catalog available upon request
Contacts Coordm3tor tor Chemical Research Resources
Chemical and Physical Carcmogenesrs Brancn. DCE NCI
Landow Bidq Am 9801
t3emesda 4(D 20205
1301) 436 0471
COath Subleci to chemical ctass code and quantity (sez cataloal
E~idemiotogy
The Immunotleticrency--Cancer Registry
(ICR) is a unique registry of cancer cases that
occur in patients with naturaeyCCCUrn[ca rm,
munodei,crencres Case material couected by
the ICR comes Irom case repons appearing in
sc.entrbc literature and voluntary reporbng by
physicians Cr!tena tor inclusion rn the registry
are clm!cat o labo'atory evidence of a pnma
ry rmmunedehc-ency synOrome pnOf Ib the
onset of m3ugnancy Data contained in the
ICR are avartab!e to the extramural research
Communrry for the ptannrng_ design. and c6i
duct Ot PesearCh efforts Limited assistance is
available to investigators interested in utdrzrng
the 'ee,qtry
Contaau Dr Alexandre H Fdipo..ch
Immur!odef crency-Cancer Regrstry
Box 610 Meyo
Umversty of Minnesota
Minneapolis. MN 554SS
(612) 376-2174
Citing Contract rN01CP31011
The Tumor Vrrus Eprdemnotogy Reposrtory
(TVE R) contains sera and other bro!ogcai
samples from more than 13 000 patrents and
controls obtarned in 12 different countries The
TVER was established primarily to supporl
collaborative research on the rote of E pste:n
Barr virus (EBv; +n Burkr115 tymphoma
nasopharyngeal carcmoma and retated d-s-
eases Pan of the collection includes sera that
were obtained from nonhumin pr,mates ^a[u
lated with EBv
The TVEFI rs able to adtust ds cotlec!on to ta
crtnatc :he development nt new couaborat-ve
stud~es rn adddhon some sampres are ava,
able to reagents and independent research
The most e>'rensive collecbons are serum
samples from patients with Burkrtls !y^IphOma
(sera Porn more than 1000 paien'S1
{.'oHtaCtt Dr Paul H Levine
Co. t:
Ctm~cal Ep~dem,o'~gv
Brancn DCE NC! NrH
landow E9uOd+g Room &:41
Be',esoa MD:G:3:,
;3011 496 `067
...
f r('[ !r` Con3hn'.f' r^ ~.Yci C,i -
Othe`s-Sh.pp:nq Cr.ayes 0- r
The Cancer Letter
Vol. 10 ho a3/Page7

ft E
has not influenced the blood j.evels.
11. Biochemical epidenniologic studies in Cauins. A
series of case control studies of cancer are under
way in high risk areas of China. Etiologic factors
for cancers of the esophagus, lung, stomacla and
cboriocarcinoma are being assessed via interview and
labort+tory study funded by a contract with the
- - - - - - - - - - - - - - - - - - - - - - - - - -
OUNCBPT RB1I183P FICtl71tBS ARE BS'lI9oA'133S
ON1.'t: kFPs, RFAs NOT YBT AVAILABLE
The dollar estimates with each concept review
brought before the vaeAous bodrds of scientific
counselors are not intended to represent maamtdm or
exact amounts which will be spent bn those projects.
They are intended only as kumles for board members
to help ittdetermining the value of the projects in
relatton to resources available to the entire
program ordivision. Responses should be baaed on
the workscope and description of goals ard methoda
included in the RFPs (contracts) and RFAs (grants
and cowpecative agreements). Availability of RFPa
and RFAs will be atmounccd when:h.e Institute is
ready to release them.
--------------------------
Cancet lnstitute of the Chinese Academyof Medical
Scienc es. Support from the pr ed cotttr ac t would
supplement the existing effort in two ways-by
providing for replication of certain assays to
assist in ycality eonerol, and by providing for
additional nssaya that cannot now be reliably con-
ducted in Chrrta.
Mark Gtecne and Dean Mann are the project
officers.
°'Ihis ia a well conceived project," Board member
Hilary Koprowski commented. "It is long overdue."
"Ibis will be of terrific assistance to intca-
mural researcht"Board member Gilbert Omenn said.
"Would this knowledge be useful to extramural
investigators? Can we make it available to all
principai investigators and prospective applic antst
This will advance the whole initiative of bro-
chemical elidemiology.I think it is important to
share this.
Greene said the information would be made
available to anyone.
"'Ihe epidemiology bFanches are in an unfair
sintation; Board member Myron Essex said."Wet labs
can change directiorta by pauchasing new mat erials by
transferring aup lies money from one area to
atmthex. When epu~emiology takes s new direction, it
has to be presented as new research:'
(More concepts approvkd by the DCE Board wili
appear in ne:t week's issue of 'llue Cancer LetterJ.
Requests fot proposal described here pertain to
coottacts platmed for awazd by thc National Can cc r
I®stitute unless otherwise not ed. NCi liatiogs will
show the phone taimber of the Cchntractittg Officer or
Coa:tract Spcdalist who will respond to questions.
Address requests for NCI RFPs citing the RFP
adtmber, to the iocbvidual natoed, le Blau building
room tauobashown,National Cancalostitute~ NIH
Bethrada, MD. 20205. Proposals may be hand dehvereJ
to the Blair building, 8300 Colesville Rd., Silver
Spring Md., but the U.S. Postal Service will not
d~}iPa ttere. RFP anaoamcementa from other sgencies
v11'wclude the complete mailing address at the end
of each.
RFP NCl-CN-55443-20
Title: Operations office for anter-instiRnrional
necleaa magnetic ttesonanee (NMR) studies.
Deadline: Jan. 4
N CI's Drv. of Cancer Prevention g Control is
solidting proposals from organizations interested
in establishing an NMR operations office to organize
anetwork of NMR laboratorxes to carryout rtsearcb
in the detection and diagnosis of cancer.lt is the
intent of this contract to initiate inter-inatitu-
tional studies among NMR laboratories which are
already contributing to cancer research. This
proposedprocurementissubjeet to the availability
of funds.
Contract Specialst: Joan O'Brien
RCB Blair Bldg Rm ,4A01
301-427-8745
NCI CONTRACT AWARDS
7111E: Preparation of monoelonal/monospecific
antibodies to oncogene products of avian and
mammalian retrov'truses
CONTRAC7DR: Scripps Clinic & Research Foun-
dation. $1,885,246.
'il1'LE; Application of the human tumor colony
forming assay to new drug screening
aDN'IR AC'I0RS: tkiv. of Arizona,;809,9 R5; Univ. of
California (Los Angeles), $596,656; and Msyo
Foundation, $687,700.
TlTLE; Collection, storaget quality assurance
and distribution of biological response mod-
ifiers
CON'1`RAC'PDR: Meloy Laboratories,;1,232,251.
TTTLE: Partial support of Institute of Lab-
oratory Animal Resources
CONTRACTOR: National Academyof Sciences,
$18S,00Q.
'RTLE: Tracingindividua)s for environmental =pi-
demiologic studies of cancer using vital
statistics records
dDNTRAC7UR: WestatInc)S7S,000.
TheCsncer Letter _Editut Jer,v D. Bov d
PyVhtrC. ~~ .v~fi]^I 1mP1a NfP b. " : C.- -.r ti...,.. i-. . r . I ... . .' V:,... \ j . .
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