Private and Confidential. Research & Development Establishment, British-American Tobacco Co.Ltd., Southampton.' 16 th July, 1958. 7 th INTEMIATLIMAL CANCER CONGRFSJ IMID011. 6_12th JUL1. 1958. The Congress was attended on two days, only-, 7th July and llth.July, when papers were presentedx concerned particularly wjjA_thQ problems of 3moking and Health. honday. 7th J%Av. Dr. tleukomm (Lausanne) read a paper in which he described his rapid test using the newt. lie is now in contact with Bock (Buffalo) &nd has studied the amne hydrocirbons used by the latter in his assesament of the value of the sebaceous glend suppre3nion test as a rapid in-licator of potential carcinogenic properties. With three exceptions, the newt test and the sebaceous.gland teat yield identical results. The exceptions were 7,12-4imethylbenzEalanthracene and 12-methylbenz[qjanthracene which Bock found to' be strongly positive but which Neukomm fouril to b a n-7gative. one hydrocarbon gave a positive nTwt test but failed to suppress sobaceous gland formation in Bock's tent. In the aftornoon there was a group of papers directly related to the biological effect of cigarette smoke and smoke fractions. Lyons (Glasgow) described studies of the unstable componento (free radicals) of cig-trette smoke. Using electron magnetic reconanco, lie showed t-kat whole emoke tar c-)ntained 1015 free electrons per CM, gram and that on fractionation these were distributed as foUbws:- BATCo document for Province of BritiSh Columbia 2 November 1999 -2- Whole tar 10% Residue after water extraction Residuo after extraction with dilute acid. Residue after extraction with alkali 50% Residue after extraction with dilute acid and then with dilute alkali 28% Savaration by Chromatorran'kv Hhole tar 11 exane fraction Benzene fraction Acetone fraction MAI 0% 35!- 5 U111 Its aloo described the invi,stigation of ciGarette smoke using diphenylpicrylhydrazyl as a stable free radical reagent. This showed that the wator eoluble reactive material constituted 60% of the whole rcactive material. The discrepancy between tho two methods was not eVlaineds however. Kovak (N.Y.U.) gave a rath.--r pedeetrian account of some of his fractionation of cigarette smoke condensate from American blended cigarettes. lie lia-9 now isolated squalene and 10-p-menthadiene. The latter compound, aloo known as dipentwis or limonons, is a major constituent of oil of lemon, and has a characteristic lemon smou. It may be an important flavour component of smoke. (Its inolation from smoko by Cleno hid earlier been communicated privately by C:) BATCO document for Province of British Columbia 2 November 1999 -3- I.T. Co. Research Department). Other compounds isolated by Romak included dietbyl ketonev diaoetylj benzene, tolueney ethyl acetate, phenol and ethanol. Royer et _4 (Paris) described their work an the inhibition of 16 kinpyrene form-ition by the use of ammonium vulpliamate and of -vaddising re7tgents. -'. Neukomm. and Bannat (Lausanne) described their prodedure for the --chemical fractionation of smoke from MuTland cigr%rettea without producing any really fresh evidence of csrcinogei-tio fractions. They had found that brown polymeric oubstances in the acidic and n1kaline fractions produced tumours when mice were treated with them. The incidence of tumours was said to be greater than that of control animals (10' in 15 months as aCainst 10'11 in 22 months in the controls), but sorious doubt uqs cast on the statistical sigrdficance of this in the discussion. Kotin (Los Angeles) gnvp an account of the work which he and Falk had carried out an the effect of artificial smog, produced by ozonalysis of gftsoline vapour, an the mammalian lung. He also described the elution bypothesis and experiments on the dincolution of hydracrtrbonn, adsorbed on carbon particles, in plasma solution. The effect of smog in pnralysing cilin in the bronchus and oesophagus wis also montioncd and the consequent epithelial denudation was illustrated by photomicrographs. C=) Leuclitenberger (Cleveland) described her work on the causation of bronchitic conditiona in the liL%as of cios exposed to cigarette _Ij (.-r7 (_Ij BATCo document for Province of British Columbia 2 November 1999 -4- smoke. Those r-hanges in tho lungs beemne progressively worse with increase in exposurn and resembled "carcinoma in oittel an described by Auerbach. 1.1hen orpocurs was terainated, howaverg the tissues In time reverted to normal. Consequently, the at-ite of enrcinoma In situ, a3 described hintologically here, is not a true premalignant state, although Louchtenborger did not stress Uiis. Cowdray (3t.Louis) dcacribed histological diar(7,es in the bronchus leading to squam=3 cell motaplasin in human amokors. The reason f or the localisation of these lesions In the bronchus use ascribed to smoke settling out in those pirts of the bronchial tree Ocre eddies are nost likely to occur. The smaller pooongen of the alWooll are lc:ss likely to be sites than are the bronchial branches. Friday 11orninp. 11th JOv This wnn occupied by a diieunrion of the ActioloMr of Cancer of the Lung . Dr.I.I.C. Rueper (Bathenda) mnde a strong enie for the primary implication of atno-3pherie pollution by metals rnd asbestos and discounted the cffect of cigarette smoking, especially- in the ensuing discussion. Doll (M.R.O. Lonlon) was conecrrv3d to ansiYer alternative explp.mtions of the connection beL-jeen smoking and lung c-ancer and to clo.Jj:i that the statistical c,.)nnection was one of priw.-ry cause and affect. lie qtill mnintaimd that there was no diflarence between those who inh7,led n-3-1 those who did not, q1tho-agh p1pe and eapocially QY1 cignx nmokcra chaw little otatInticil annociation. BATCO document for Province of British Columbia 2 November 1999 -5- Wynder (Sloan-Kettering, flow rork) who followed, presented evidence thatv if anything, pipe and cigar nmoke was more eirainogenic to Mico. Ile accepted Lindsey's figures that the polycyclio hydrocarbon contgbI, especially of berizpyrstio, was higher in pipe and cigar make. Ilo---M Oointed to the obvious discrepancy betwoen this and the statfitical figures for pipe and cigar onolters, which if inhalation is-,.Omt a factor, become incompatible. Wynder followed his usual theme - there is -n threshold for biolor.,icnl activity and n reduction of 40-50.., in the tar intake would reduce the dosago below V!radiold. For this purpose lie ouggasto the use of clearotte filters and leas tar. lie also mentiqntd the possible use of catalysts and perhaps the use of metals ouch as nlumbdum to reduce the combustion temperature below the critical SUO-85uo. In the latter connection, lie said Viat it seemed an if Uie 1.,itter possibility was a very frail ons. (Ferhaps lie has checked I!rs. Laurence's eig--irettes) . In the dincusqion followingv lie was challenged by Doll as to the mcaniiig he attached to threshold dose, Doll pointing out that thers was a finite risk even for light smokcra. Wynder wrifeled a little at thin and a-xid lie used threshold 11iii quotas". He cnlled att(wition to a Russinn cigarette lie had boon given, two thirds of which was filter, and said thin van a atop in the right direction. Waller (1,nndon) closed the oosoion with a paper on the possible effect of air pollution as an notiologic-d factor In lunpr cl-Iricer. U-4 CO BATCo document for Province of BritiSh Columbia 2 November 1999 -911- He interpreted tables of mortality statistics for a series of towns in England and Wales in terms of the popUntion coming into equLlibrium with a now factor ek. smoking. Contrary to Stocks nnd to Fueper, Vialier feels t1int air pollution due to urbanivation is a very minor -Mtor and put the caume fairly and squarely, onto smoking. - The discussion afforded a number of people the opportunity to --call attontion to thair own work, in pnrticular Neukomm, an Italian professor qnd a Cuban giving fairly lengthy accounts wiLich tended to reiterate the usurd charges: Persons Contacted. (a) Fleu)-torm end Bonnet. lb~. Anderson had earlirr written to Dr. Neukomn, inviting him and Dr.Donnot to It.& D.E., SouthRmpton. Neukomm, at first, thought that we wished to consult him on a particular matter, but was told it was merely reciprocal hospitality and an opportunity to show him some of cur work. There were difficulties, however, in that Neukomm and Bonnet wished to attend all the Congress and were then Icaving at once for Dr-ussels. In the cirmustanoes, and in view of difficulties in visiting I.T.Go. Bristol, where Dr. Bentley was now in hospital, Neukomm and Bonnet asked to be allowed to postpone their visit until the early autwon (latter half September, beginnina of October) when thay would agnin be viniting t1 io U.'-',. Their aix-,gestion wag accepted and it wag left that they (Z:Z) would contact us nearer the tim- and arrange a date. \,C) (-N 110 BATCo document for Province of British Columbia 2 November 1999 -7- (b) Dr. flana Falk. Dr. Kotin introduced Dr. Falks who i0 the Chemist workiig with, Iriatin on tho smog production and an the inhibition of ciliary action by smog and cigarette make. Matin had alrefidy explt~inad something of this work without going into detaLl. -7 ;s;- In the course of two f airly extensive discussions with Talk, _-20 proeLdure for the evaluation of the nativity of particular constituents of-ciparette cmake uas explained. Clearly it Is not feasible to fractionate cig-trette onoke cberAcally and still apply It to loolated frog cooophneua propmrationa as an aerosol. The technique udopted has been to survey the knov4n constituents of smollto and to divide the sliectrALm into nrbitrnry classifications depending on the amounts found. The m-njor conronent or comnonents of each clns5 are then applied to the prnpe-ration as -in %erosol of th,3 pure compound and tht 1n)iibitory or atimul,ittory effect noted. As yet, no effort has boon made to elucidate miy nynergism wILijzh &ny occur through two or more compounds acting toeether nndg clearly, in come caoeo, cheaice.1 interaotion may take place betueen two co-mponente. 1heeo effects, which mill take some disentfinelin3p mill be atudled in the future. Falk provided tho following lint of recult3 to date. In-view or Kotinle reluctance to any anything to the T.11.3.C. Sub-Committee about stirulntion of ciliary activity, come reault3 are of c!)noiderablo intorent. The resu.1ts are classified into stimulatory eflocts inhibitory effects and no effect (U) aud are reported for BATCo document for Province of British Columbia 2 November 1999 -a- a) 1 minute exposure b) 60 minutes exposure c) chronic effect, showing a trend of activity. They are as follawas- 1 ninuto 60 Minutes Chronic Trend VXDOSUrO Oxnaeure + = vtImu.DitI:) n of ciliiry action - ir - JUbition of cili=7 action 0 = no offect Acotyl pero'-.Ido - Peracetic ncid - II)rridine - U Forwildchydo - AcebaldelWde Acetone U igoDutyraldch.ydo 0 0. 11-Butyraldeliyde I. + Fropionaldoliyde 0 0 liethyl bromide - + IletIVI chlorldo 0 Butadiene - + + C,-xbon monoxide - Prop7leno o7lde - Bromoform - 0.) lletlWl,amlne U Trimethylami-io 0 U Bropylone U 0.) 0 Ttiocyanic ncid 0 + U Acetic acid - 0 U Formic ncid 0 BATCo document for Province of British Columbia 2 November 1999 -9- 2-metbylbut-2-ene 2-methylpentnno 2-4-tethylpen L-2-cne Carbon tetrachloride Mothylene dickloride Cyelohexene oxide Ammonium hydroxidn Methane thiol (mctbil mnrcaptnn) 11-:.-thanal EUia-nol Acetonitrile (methyl cynnido) Phenol 1 minute 60 minutes Chronic Trend exDOSUre 0XV08ure 0 + 0 0 0 0 0 - 0.) 0 + 0 0 As a numbcr of these compotuids are gasaounj thr.7. are not removed by a cigirette filter, even of the Cnmbridge' absolutel filter type. Falk atated Unt the activity of wholo eig-trette smoke was diminished by filtration to some extent, but was unnble to give any quantitative moasurn of this, nor of its rel-Rtion to filtration efficiency of the Ulter. Dr. Fal1c w-in invited to 3outhamptonp but uno un-Ale to find a suitable dny during the Congreas. It was learned liter t1int he visited I.T.Co. (Driatol) on Wednesday, 9th July. Scientif 1e Ex1ilbition Drs.Kotin and Falk had an a.-dLibit nlong the lint-a of the paper read by Kotin njid of the discussion nt thc T.S.C. meeting. Bl-rickploCk showed photoax-a-lis UIU3trating hin technique Of thoracotoaq ntirl NJ BATCo document for Province of British Columbia 2 November 1999 -10- inoculation of benzpyrens, mothylcholanthrone or oigarette woke condensate. One carcinoms. and on@ sarcoma from eight rate treated with ciLparette amoke condensate have resulted. XreybfibW (Oslo) had- illustrations of histologicn-1 preparations implicating cigarette smoking as a f-actor in lung c-ruicor. An e.,diibit unrelated to lung cancer but which was of some intereot wno thit by the Oppenheiners and their colliborators (Columbin U. 11.1.) on carcinogerianis by Polymer films. Implantation of plastic films of m,!my kinds into rodents, Mve produced care inomRta. Thnt this is due solely to the p1qsica-1 nature of the film follous from the lower tutiour incidonce when perforated or woven mcmbrinca or spongescf tho polymers are used, r-aid. from the virtui2 absence of tumours when the same materials in powder form are embeddod. The possibUity that carcinageneois is due to residual free rnlicals in the pol7mor structure seems to be Viareby disproved. DG.r/;'B//.6D C:!) BATCO document for Province of BritiSh Columbia 2 November 1999