Mechanisms of Ethnic/Racial Differences in Lung Cancer Due to Cigarette Smoking Clinical and Biomarkers Core

This cross-sectional, observational study will primarily recruit smokers from the MEC study.
The biological samples from these smokers are being collected since they do not currently
exist in the biorepository (e.g. buccal cells). Potential smokers from the three racial
groups who meet specific inclusion criteria will be invited to participate in the study.
Should recruitment from the MEC sample be insufficient, smokers who meet the criteria will be
recruited from the general population. This study will involve one to two home visits where
tobacco use and medical history and biological samples will be collected including blood,
buccal cells and urine.

Approximately 300 smokers will be recruited from the Multiethnic Cohort (MEC) study or the
general population in Hawai'i. 100 participants from each of the three designated
ethnic/racial groups: Native Hawaiians, Japanese Americans and Non-Hispanic Whites. All
participants will be recruited from Hawai'i to reduce variation due to geographical location
and maximize ability to recruit the targeted ethnic/racial groups.

This study will involve one to two home visits where demographics, tobacco use and exposure
history, medical history and medication use, questionnaires assessing tobacco dependence,
alcohol use, and environmental exposures will be administered. and biological samples will be
collected including blood, buccal cells and urine.

Inclusion Criteria:

1. One of the three targeted ethnic groups: 1)Japanese American - two parents of Japanese
descent; 2) Non-Hispanic Whites - two parents of non-Hispanic white descent; 3) Native
Hawaiians will include individuals with at least one parent of Hawaiian descent;

2. Smoke 5 cigarettes per day over the past three months;

3. >21 years of age;

4. Consumes 14 or fewer drinks of alcohol per week;

5. Generally stable and good health (determined by review of medical history);

6. Able to provide written voluntary consent before performance of any study related
procedure.

Exclusion Criteria:

1. Current use of other nicotine containing products for > 4 times per month (and no use
of any nicotine-containing products except cigarettes for 2 weeks prior to their study
visits);

2. Acute or uncontrolled medical or psychiatric conditions;

3. Currently taking any medications that affect relevant metabolic enzymes or anti-
inflammatory medications such as ibuprofen (this will be reviewed by study
investigators on a case-by-case basis);

4. Active infection (e.g., influenza, cold, respiratory infection, sinus infection) at
the time of the visit;

5. Pregnant or nursing or planning on becoming pregnant during the study;

6. Unable to read and understand English.