Abstract
Cancer is a disease of multifactorial etiology. Chemical, physical and viral environmental factors are involved in carcinogenesis. Numerous mutagenic events are required to transform a normal cell into a malignant one (1, 2). There is a high correlation between cancer and traumatic psychosocial events (3, 4). Carcinogenesis is a consequence of imbalances in the regulatory mechanisms that normally control the gene expression or function of the growth factors, receptors, and pathways of signal transduction. Chemical and physical carcinogens may induce cancer by altering the structure and functions of cellular protooncogenes. The viruses, however, transform cells either directly through an active viral oncogene or, if they lack oncogene, they may transform the cell by insertion of viral promoter sequences near or within the protooncogenes that would cause activation of protooncogene transcription and expression (2, 5-17). Discovery of oncogenes and their expression, as well as identification of their products, has thus revolutionized our approach to the molecular and genetic basis of multistage carcinogenesis. Protooncogenes normally code for proteins that play a role in the regulation of gene expression and at various stages of the action of growth factors during development and differentiation. These cellular protooncogenes do not seem to be tumorigenic themselves but must rather be activated by mutations and/or aberrant signal transduction and abnormal gene expression (1-17). The genes that code for receptors or components of signal transducing mechanisms, as well as for steroids, prolactin prostaglandins and other growth factors, should be considered as protooncogenes too, since the alteration of their functioning may contribute to abnormal growth and tumorigenesis (2,4,5,14,15). Malignant cells are immortalized, live longer than normal cells and fail to undergo normal differentiation. Their growth is autonomous, self-stimulated by autocrine secretion of various growth factors (2, 5-7). Immortalization seems to be associated with increased transcription of myc, myb, fos, jun oncogenes (2,5,6,8-11,13-17) and with the large T-gene of polyoma virus (5, 12).
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Kanazir, D.T. (1991). Cancer - Facts, Dilemmas and Mysteries. In: Nygaard, O.F., Upton, A.C. (eds) Anticarcinogenesis and Radiation Protection 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3850-9_1
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