Because these enzymes are essential for the activation of procarcinogens, the
susceptibility to carcinogenesis is regulated in part by polymorphisms in the
genes that encode these enzymes. A few examples suffice to illustrate this
important concept. The product of the P-450 gene, CYP1A1, metabolizes
polycyclic aromatic hydrocarbons such as benz(o)pyrene. Approximately 10% of the
white population has a highly inducible form of this enzyme that is associated
with an increased risk of lung cancer in smokers.[150] Light
smokers with the susceptible genotype CYP1A1 have a sevenfold higher risk
of developing lung cancer compared with smokers without the permissive genotype.