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Researchers: Nicotine Gum, Lozenges Could Cause Oral Cancer
April 29, 2009

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Research Summary

New genetic research from the U.K.'s Medical Research Council suggests that nicotine-replacement drugs like nicotine gum and lozenges could raise the risk of mouth cancer, Medical News Today reported April 26.

Researcher Muy-Teck Teh of the Institute of Dentistry, Barts and the London School of Medicine and Dentistry at Queen Mary University London said that nicotine appears to increase expression of the gene FOXM1 in the mouth; increased levels of the gene is known to be associated with some forms of cancer.

 "Our study found that FOXM1 was enhanced during the early progressive stages of mouth cancer. This means if someone has increased levels of FOXM1 in their mouth, it could indicate the early stages of mouth cancer," said Teh. "We were surprised to find that nicotine increased the levels of FOXM1 in the cells. We used the same amount of nicotine found in tobacco-replacement therapies such as chewing gums and the amount was enough to activate the gene."

Most mouth cancers are caused by smoking, chewing tobacco, and/or drinking alcohol. Nicotine, however, has not generally been considered a carcinogen.

"Although we acknowledge the importance of encouraging people to quit smoking, our research suggests nicotine found in lozenges and chewing gums may increase the risk of mouth cancer," Teh said.

The research was published online in the journal PLoS One.

This article summarizes an external report or press release on research published in a scientific journal. When available, links to the sources are provided above.

COMMENTS ON THIS ARTICLE:

Posted by stopthehate on 30 Apr 09 09:34 AM EDT
Great, another excuse for people to keep smoking, NRT "may" increase the risk of mouth cancer. It will be too late if further research shows that there is no actual increased risk, now that this cat is out of the bag. NRT gum and lozenges still have to be safer than drawing those chemicals in tobacco smoke into your lungs for years, or using chew, as opposed to a few months on NRT.

Posted by mark on 30 Apr 09 10:21 AM EDT
Smoking bans promote use of pharma nicotine products like nicotine gum and lozenges

Posted by preventionist on 30 Apr 09 11:38 AM EDT
It is true that smoking and chewing are far worse than the NRT gum and lozenges. However, we still have to mindful of what is keeping a person addicted to those substances and that is nicotine - Cold Turkey is still probably the best solution. People just want to have it easy and NRT's helped ease the anxiety, but still kept you addicted, which increases relapse considerably.

Posted by Bill Godshall on 30 Apr 09 11:41 AM EDT
According to the CDC, (74%) 3,686/4,973 of male oral cancer deaths annually in the US from 1997 - 2001 were attributable to cigarette smoking. In sharp contrast, smokeless tobacco products are attributable for no more than several hundred deaths annually, while there is no evidence (other than this speculative study) that smokefree nicotine products cause any cancer deaths. Switching from cigarettes to smokefree tobacco/nicotine products reduces a smokers health risks by nearly as much as by quitting all tobacco/nicotine. Besides, nicotine gums, lozenges and skin patches aren't used by never tobacco users, so the health risks of nicotine should be compared to smoking, not to never use of tobacco.

Posted by Pete on 30 Apr 09 04:08 PM EDT
Bill is right. How often do you find someone who never smoked using nicotine gum or lozenges? If the mouth cancer is occurring in ex-smokers using the gum, it could be more the result of a delayed effect from years of smoking than from the nicotine in the gum. Quitting cold turkey may be preferrable, but it also much more difficult for many. Continuing to be exposed to nicotine for a few weeks or months after quitting smoking may not be ideal, but at least users are still getting rid of all the tar and dozens of chemicals they were exposed to while smoking.

Posted by shaakes on 04 May 09 12:09 PM EDT
to preventionist- NRT are supposed to be gradually reduced down to zero...that's why they work. Cold Turkey is NOT the best solution. NRTs have much higher success rates that cold turkey

Posted by Liz Winter on 04 May 09 12:53 PM EDT
Given the oral cancer rates from cigarette smoking, NRT options including gum seem to offer an excellent risk reduction strategy. However, there are a few nicotine gum users who are not ex-smokers using it to quit smoking, but are long-time ex- or non-smokers using it to obtain nicotine (without smoking).

Posted by marbee on 24 Aug 09 10:09 PM EDT
Big pharma started this crusade to stop kids from smoking. So how does demonizing adults and their adult decisions accomplish this? How does raising taxes 2,200% on adults accomplish this? Kids can't legally purchase cigarettes. It's NOT about stopping kids from smoking, it's about bleeding adults for MONEY! NRT products are far more expensive than cigarettes AND have a 98% failure rate for quitting for a year or longer. Cut off the money the anti's receive and all of this nannying will go away!

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