Abstract
Carcinogenesis is a multistage process involving both genetic and epigenetic aberrations. Activation of proto-oncogenes and/or inactivation of tumor suppressor genes may occur in an early stage of carcinogenesis, i.e., tumor initiation, as well as in the later stages e.g., tumor conversion and progression (Fig. 1). For example, activation of Ki-ras by base substitution mutations is an early event in human colon carcinogenesis (Vogelstein et al., 1988), whereas amplification of N-myc is associated with the tumor progression stage of human neuroblastoma (Brodeur et al., 1987). In the inherited form of retinoblastoma, a defective tumor suppressor gene, Rb-1, is found in the germline DNA and the second Rb-1 allele is inactivated most frequently by deletion or recombinational mechanisms during the initia1 stages of carcinogenesis (Knudson, 1985; Hansen et al., 1985; Cavenee et al., 1986; Friend et al., 1986; Fung et al., 1987). In contrast, the inactivation by somatic mutation of both alleles of the p53 gene appears to occur during tumor progression of human carcinomas of the colon (Baker et al., 1989), breast and lung (Nigro et al., 1989).
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Harris, C.C. et al. (1990). Oncogenes and Tumor Suppressor Genes Involved in Human Lung Carcinogenesis. In: Sutherland, B.M., Woodhead, A.D. (eds) DNA Damage and Repair in Human Tissues. Basic Life Sciences, vol 53. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0637-5_29
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