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Individual risk of toxicity or cancer reflects the amount of exposure to environmental agents, combined with one's underlying genetic predisposition. More than six dozen human ecogenetic polymorphisms have been described; whereas some of these have been demonstrated to be associated with altered risks of toxicity or cancer, others presently remain equivocal and require further study. Thus, genetic differences in the regulation, expression and activity of “environmental susceptibility genes” can be decisive in defining susceptibility to toxicity or cancer.

Drug-Metabolizing Enzymes, Polymorphisms and Interindividual Response to Environmental Toxicants