Introduction and Aim: Epidemiological and clinical studies have consistently demonstrated that the consumption of meat, and in particular red and processed meat is correlated with the risk of colorectal tumors. Two independent pathways have been hypothesised as potential link between meat consumption and colon cancer: the N-nitroso compound (NOC) pathway with the potency of alkylating DNA and the fat peroxidation pathway known for its potent aldehydes resulting in mutagenic adducts. The goal of our study was to investigate the formation yield of the NOC-specific DNA adduct O6-carboxymethylguanine (O6-CMG) and of the fat peroxidation product malondialdehyde (MDA) during an in vitro gastro-intestinal simulation and as such asses the geno(toxi...