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Chemical-Induced Skin Carcinogenesis Model Using Dimethylbenz[a]Anthracene and 12-O-Tetradecanoyl Phorbol-13-Acetate (DMBA-TPA)
Published on: December 19, 2019
Differentiation genes: are they primary targets for human carcinogenesis?
K N Prasad1, A R Hovland, P Nahreini
1Center for Vitamins and Cancer Research, Department of Radiology, School of Medicine, University of Colorado Health Sciences Center, Denver, CO 80262, USA. kedar.prasad@uchsc.edu
Cancer initiation may stem from the loss of differentiation genes, not oncogene mutations. This hypothesis suggests differentiation gene downregulation is the primary event in human carcinogenesis.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Identifying primary targets in human carcinogenesis remains challenging.
- Mutated oncogenes or growth regulatory genes typically fail to immortalize or transform normal human epithelial cells, suggesting they are secondary events.
- Existing research suggests gene downregulation, specifically of differentiation genes, may be the primary event.
Purpose of the Study:
- To propose a novel hypothesis for human carcinogenesis.
- To identify potential primary targets in cancer development.
- To differentiate between tumor-initiating and tumor-promoting genes.
Main Methods:
- Review of experimental studies on molecular carcinogenesis.
- Analysis of gene function in cellular transformation and immortalization.
- Examination of differentiation induction in neuroblastoma (NB) cells using adenosine 3',5'-cyclic monophosphate (cAMP).
Main Results:
- Downregulation of a differentiation gene, termed a tumor-initiating gene, is hypothesized as the primary event in carcinogenesis.
- This downregulation can occur via mutation, activation of suppressor genes, or inactivation of tumor suppressor genes, leading to cell immortalization.
- Subsequent mutations in proto-oncogenes or growth regulatory genes in immortalized cells drive transformation, identifying them as tumor-promoting genes.
- Experiments with NB cells and cAMP support the hypothesis, showing that differentiation can be induced, but resistance indicates mutations or unresponsive regulatory genes.
- The hypothesis is applicable to various cancers including melanoma, glioma, and colon cancer.
Conclusions:
- The primary event in human carcinogenesis may be the downregulation of a differentiation gene (tumor-initiating gene).
- Cellular transformation occurs in subsequent steps involving tumor-promoting genes.
- This model provides a new framework for understanding carcinogenesis and identifying therapeutic targets.
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