Abstract
Early detection of precancerous and cancerous lesions and the elimination of carcinogenic agents dominated the field of cancer prevention until recently. However, an increased understanding of the carcinogenic process today may allow other ways to intervene in cancer development. It is known that the development of cancer in man often involves a long “silent” period before cancer can be clinically detected. Experimental carcinogenesis studies have furnished insights into the biochemical mechanisms and biological processes for defining the concepts of “initiation” and “promotion” in the genesis of cancer. Interfering with the process of carcinogenesis is becoming a more promising approach to cancer prevention.
Chemoprevention refers to the administration of chemical agents to prevent the sequence of events that follows the exposure of an individual to a carcinogenic agent and results in the development of a malignancy. It involves the introduction of selected micronutrients, both synthetic and naturally occurring, or other small molecular weight substances into the diet for the purposes of reducing cancer incidence.
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References
Ankerst J, Sjoegren HO: Effect of selenium on the induction of breast fibroadenomas by adenovirus type 9 and 1,2-di-methylhydrazine-induced bowel carcinogenesis in rats. Int J Cancer 29:707–710, 1982
Bertram JS: Structure-activity relationships among various retinoids and their ability to inhibit neoplastic transformation and to increase cell adhesion in the C3H/10T 1/2CL8 cell line. Cancer Res 40:3141–3146, 1980
Birt DF, Lawson TA, Julius AD, Runice CE, Salmasi S: Inhibition by dietary selenium of colon cancer induced in the rat by bis (2-oxypropy) nitrosamine. Cancer Res 42:4455–4459, 1982
Bollag W: Vitamin A and vitamin A acid in the prophylaxis and therapy of epithelial tumors. Int J Vitam Nutr Res 40:299–314, 1970
Bollag W, Matten A: From vitamin A to retinoids in experimental and clinical oncology: achievements, future, and outlook. Ann NY Ac Sci 359:9–23, 1981
Breitman TR, Selonick SE, Collins SJ: Induction of differentiation of the human promyelocytic leukemia cell line (HL-60) by retinoic acid. Proc Nat Ac Sci 77:2936–2940, 1980
Bruce WR, Eyssen GM, Ciampi A et al: Strategies for dietary intervention studies in colon cancer. Cancer 47:1121–1125, 1981
Buring JE, Hennekkens CH: Sample size and compliance in randomized trials. In Sestili MA (Ed.) Chemoprevention Clinical Trials, NIH Publ. No. 85–2715, pp. 7–11, 1984
Burton GW, Ingold KU: Betacarotene: an unusual type of lipid antioxidant. Science 224:569–573, 1984
Bussey HJR, DeCosse JJ, Deschner EE et al: A randomized trial of ascorbic acid in polyposis Coli. Cancer 50:1434–1439, 1982
Campbell TC: Nutritional modulation of carcinogenesis. In Arnott MS, Eys JV, Wang YM (Eds.) Molecular interrelations of Nutrition and Cancer, Raven Press, New York, pp. 359–367, 1982
Carrese LM, Baker CG: The convergence technique: a method for the planning and programming of research efforts. Management Science 13(8):B420, 1967
Chopra DP, WilkoffLJ: Reversal by vitamin A analogues (retinoids) of hyperplasia induced by N-methyl-N’-nitro-N-nitrosoguanidine in mouse prostate organ cultures. J Nat’l Cancer. Inst 58:923–930, 1977
Clamon GH, Sporn MB, Smith JM, Saffiotti U: Alpha and beta-retinyl acetate reverse metaplasia of vitamin A deficiency in hamster trachea in organ culture. Nature 250:64–66, 1974
Clapp NK, Tyndall RL, Satterfield LC, Klima WC, Bowles NB: Selective sex-related modification of diethylnitrosami-ne-induced carcinogenesis in BALB/C mice by concomitant administration of butylated hydroxytoluene. J Natl Cancer Inst 61:177–182, 1978
DeCosse JJ: Potential for chemoprevention. Cancer 50:2550–2553, 1982
DeCosse JJ, Adams MB, Kuzma JF et al: Effect of ascorbic acid on rectal polyps of patients with familial polyposis. Surgery 78:608–612, 1975
DeWys WD: Guidelines for prevention: clinical trials. In Chretien PB, Johns ME, Shedd DP, Strong EW, Ward PH (Eds.) Head and Neck Cancer, Baltimore MD, BC. Decker, Inc., pp. 597–599, 1982
DeWys WD, Greenwald P: Clinical trials: a recent emphasis in the prevention program of the National Cancer Institute. Semin Oncol 10:360–364, 1983
DeWys WD, Malone WF, Sestili MA et al: The chemoprevention program of the National Cancer Institute. In Meyskens F.L. and Prasad K. Vitamins and cancer — human cancer prevention by vitamins and micronutrients. N.J., Humana Press, Inc. 301–310, 1985
Dion PW, Bright-See ER, Smith CC et al: The effect of dietary ascorbic acid and alpha-tocopherol on fecal mutagenicity. Mutat Res 102:27–37, 1982
Greenwald P: Cancer control research: directions and opportunities. In Mettlin C, Murphy G. (Eds): Progress in Cancer Control HI: A Regional Approach. New York, Alan R Liss, pp. 21–29, 1983
Greenwald P, DeWys WD: Nutritional status and chemoprevention in relation to lung cancer. In Mizell M, Correa P (Eds.): Lung Cancer: Causes and Prevention. Deerfield Beach, FL, Verlag Chemie International, Inc., Chap. 15, pp. 197–210, 1984
Greenwald P, DeWys W, Block G, Malone W, Sporn M: Vitamin A and cancer. Science 224:338, 1984
Harisiadis L, Miller RC, Hall EJ, Borck C: A vitamin A analog inhibits radiation-induced oncogenic transformation. Nature 274:486, 1978
Hennekens CH: Issues in the design and conduct of clinical trials. J Natl Cancer Inst 73:1473–1476, 1984
Ip C: Factors influencing the anticarcinogenic efficacy of selenium on dimethylbenz(a)anthracene-induced mammary tunorigenesis in rats. Cancer Res 41:2683–2686, 1981
Ip D, Ip MM: Chemoprevention of mammary tumorigenesis by a combined regimen of selenium and vitamin A. Carcinogenesis 2:915–918, 1981
Jacobs MM: Inhibitory effects of selenium on 1,2-dimethylhy-drazine and methylazoxy-methanol colon carcinogenesis. Cancer 40:2557–2564, 1977a
Jacobs MM, Jansson B, Griffin AC: Inhibitory effects of selenium on 1, 2-dimethylhydrazine and methylazoxy-methanol acetate induction of colon tumors. Cancer Lett 2:133–138, 1977b
Lasnitzki I: The influence of a hypervitaminosis on the effect of 20-methylcholanthrene on mouse prostate glands grown in vitro. Brit J Cancer 9:434–441, 1955
Lotan R: Effects of vitamin A and its analogues, retinoids on normal and neoplastic cells. Biochim Biophys Acta 605:33–41, 1980
Luo XM, Wei HJ, Yang SP: Inhibitory effects of molybdenum on esophageal and forestomach carcinogenesis in rats. J Natl Cancer Inst 71:75–80, 1983
Marshall MV, Arnott MS, Jacobs MM, Griffin AC: Selenium effects on the carcinogenicity and metabolism of 2-acetylaminofluorene. Canger Lett 7:331–338, 1979
Matthews-Roth M: Antitumor activity of betacarotene, canthazanthin and phytoene. Oncology 39:33–37, 1982
Medina D, Lane HW, Shepherd F: Effect of dietary selenium levels on 7,12-dimethylbenzanthracene-induced mouse mammary tumorigenesis. Carcinogenesis 4:1159–1163, 1983a
Medina D, Lane HW, Tracey CM: Selenium and mouse mammary tumorigenesis: an investigation for possible mechanisms. Cancer Res 43:2460S–2464S, 1983b
Merriman RL, Bertram JS: Reversible inhibition by retinoids of 3-methylcholanthrene-induced neoplastic transformation in GH/10Ti/2C18 cells. Cancer 39:1661, 1979
Mettlin C, Graham S, Swanson M: Vitamin A and Lung cancer. J Natl Cancer Inst 62:1435–1438, 1979
Meyskens FL, Graham V, Chvapil M: A phase I trial of beta-all-trans-retinoic acid delivered via a collagen sponge and a cervical cap for mild or moderate intra-epithelial cervical neoplasia. J Natl Cancer Inst 71:921–925, 1983
Moon RC, Thompson HJ et al: N-(4-hydroxyphenyl) retina-mide, a new retinoid for prevention of breast cancer in the rat. Cancer Res 39:1339–1346, 1979
Mossman BT, Craighead JE, MacPherson BV: Asbestos induced epithelial changes in organ cultures of hamster trachea: inhibition by retinyl methyl ether. Science 207:311, 1980
Moriarty M, Dunn J, Darragh A, et al: Etretinate in the treatment of actinic keratosis. Lancet i:364–365, 1982
Multiple Risk Factor Intervention Trial Research Group. Multiple risk factor intervention trial. JAMA 248:1465–1477, 1982
Peck GL, Gross EG, Butkus D et al: Chemoprevention of basal cell carcinoma with isotretinoin. J Am Acad Dermator 6:815–823, 1982
Peto R, Doll R, Buckley JD, Sporn MD: Can dietary beta-carotene materially reduce human cancer rates? Nature 290:201–208, 1981
Prasad JS: Effects of vitamin E supplementation on leukocyte function. Am J Clin Nutr 33:606–608, 1980
Rossman TG, Troll W: Protease inhibitors in carcinogenesis: possible sites of action. In Slaga TJ (Eds.) Carcinogenesis — A Comprehensive Survey, Volume 5: Modifiers of Chemical Carcinogenesis: An Approach to the Biochemical Mechanism and Cancer Prevention, Raven Press, New York, pp. 127–143, 1980
Schwartz AG, Tannen RH: RH inhibition of 7, 12-dimethyl-benz (a)-anthracene- and urethan-induced lung tumor formation in A/J mice by long-term treatment with dehydroepian-drosterone. Carcinogenesis 2:1335–1337, 1981
Schwarz JA, Viaje A, Slage TJ et al: Fluocinolone acetonide: a potent inhibitor of mouse skin tumor promotion and epidermal DNA synthesis. Chem Biol Interact 17:331–347, 1977
Scribner JD, Slage TJ: Multiple effects of dexamethasone on protein synthesis and hyperplasia caused by a tumor promoter. Cancer Res 33:542–546, 1973
Sestili MA: Possible adverse health effects of vitamin C and ascorbic acid. In Dewys WD (Ed.) Nutrition and Cancer, Seminars in Oncology, Vol. 10 Wiley, New York, pp. 299–304, 1983
Sestili MA: Chemoprevention clinical trials: problems and solutions. In Sestili MA (Ed.) Proceedings of a Chemoprevention Workshop May 17–18, 1984. NIH Publication No. 85–2715, 1984
Shekelle RB, Liu S, Lepper M et al: Dietary vitamin A and risk of cancer in the Western Electric Study. Lancet 2:1185–1189, 1981
Silverman J: Nutritional aspects of cancer prevention: an overview. J Am Vet Med Assoc 179:1404–1409, 1981
Slaga TJ: Anti-inflammatory steroids: potent inhibitors of tumor promotion. In Slaga TJ (Ed.) Carcinogenesis — A Comprehensive Survey, Volume 5: Modifiers of Chemical Car-cinogenesis: An Approach to the Biochemical Mechanism and Cancer Prevention, Raven Press, New York, pp. 111–126, 1980
Slaga TJ, Klein-Szanto AJP, Fischer SM et al: Studies on mechanism of action of anti-tumor-promoting agents: their specificity in two-stage promotion. Proc Natl Sci 77:2251–2254, 1980
Sporn MB, Dunlop NM, Newton DL, Smith JM: Prevention of chemical carcinogenesis by vitamin A and the synthetic analogs (retinoids). Fed Proc 35:1332–1338, 1976
Sporn MR, Squire R, Brown C et al: 13-cis-retinoic acid: inhibition of bladder carcinogenesis in the rat. Science 195:487–489, 1977
Sporn MB, Claman GH, Dunlop NM et al: Activity of vitamin A analogs in all cultures of mouse epidermis and organ culture of hamster trachea. Nature 257:47–50, 1978
Sporn MB, Newton DL: Chemoprevention of cancer with retinoids. Fed Proc 38:2528–2534, 1979
Sporn MB: Retinoids: new developments in the mechanism of action as related to control of proliferative diseases. In Orfanos CE (Ed.) Retinoids, Springer-Verlag, New York, pp. 73–76, 1981
Sporn MB, Roberts AB, Goodman DS: The Retinoids (2 volumes), Academic Press, New York, 1984
Stich HF, Rosin MP, Vallejera MO: Reduction with vitamin A and beta-carotene administration of proportion of micronu-cleated buccal mucosal cells in Asian betel nut and tobacco chewers. Lancet i:1204–1206, 1984a
Stich HF, Rosin MP, Vallejera MO: Use of the micronucleus test to monitor the effect of vitamin A, beta-carotene and canthaxanthin on the buccal mucosa of betel nut tobacco chewers. Int J Cancer 34:745–750, 1984b
Surwit EA, Meyskens FL, Alberts DS et al: A phase II trial of trans-retinoic acid in the treatments of cervical dysplasia. Proceeding of the Am. Soc. for Colposcopy & Cervical Path. & Gynecologic Laser Soc. Mtg, 1984
Takigawa M, Verma AK, Simsiman RC, Boutwell RK: Inhibition of mouse skin tumor promotion and of promoter-stimulated epidermal polyamine biosynthesis by alpha-difluoro-methylornithine. Cancer Res 43:3732–3738, 1983
Tatsuta M, Mikuni T, Taniguchi H: Protective effect of buty-lated hydroxytoluene against induction of gastric cancer by N-methyl-N-nitro-N-Nitrosoguanidine in wistar rats. Int J Cancer 32:253–254, 1983
Thompson HJ, Becci PJ: Selenium inhibition of N-methyl-N-nitrosourea-induced mammary carcinogenesis in the rat. J Natl Cancer Inst 65:1299–1301, 1980
Thompson HJ, Becci PJ, Grubbs CJ et al: Inhibition of urinary bladder cancer by N-(ethyl)-all-trans-retinamide and N-(2-hydroxyethyl)-all-trans-retinamide in rats and mice. Cancer Res 41:933–936, 1981
Todero GJ, deLario JF, Sporn MB: Retinoids block phenotypic cell transformation produced by sarcoma growth factor. Nature 276:272, 1978
Ulland BM, Weisburger JH, Yamamoto RS, Weisburger EK: Antioxidants and carcinogenesis: butylated hydroxytoluene, but not diphenyl-P-phenylenediamine, inhibits cancer induction by N-2-fluorenyl-acetamide and by N-hydroxy-N-2-fluorenylacetamide in rats. Food Cosmet Toxicol 11:199–207, 1973
Viaje A, Slaga TJ, Wigler M, Weinstein IB: Effects of antiinflammatory agents on mouse skin tumor promotion, epidermal DNA synthesis, phorbol ester-induced cellular proliferation, and production of plasminogen activator. Cancer Res 37:1530–1536, 1977
Wattenberg LW: Inhibition of carcinogenic and toxic effects of polycyclic hydrocarbons by phenolic antioxidants and ethoxyquin. JNCI 48:1425–1430, 1972
Wattenberg LW: Inhibition of chemical carcinogen-induced pulmonary neoplasia by butylated hydroxyanisole. J Natl Cancer Inst 50:1541–1544, 1973
Wattenberg LW, Loub WD: Inhibition of polycyclic aromatic hydrocarbon-induced neoplasia by naturally occurring indoles. Cancer Res 38:1410–1413, 1978
Wattenberg LW, Coccia JR, Lam LKT: Inhibitory effects of phenolic compounds on benzo(a)pyrene-induced neoplasia. Cancer Res 40:2820–2823, 1980
Wattenberg LW: Inhibition of carcinogen-induced neoplasia by sodium cyanate, tertbutyl isocyanate, and benzyl isothio-cyanate administered subsequent to carcinogen exposure. Cancer Res 41:2991–2994, 1981
Wattenberg LW: Inhibition of chemical carcinogens by minor dietary components. In Arnott MS, Eys JV, Wang YM (Eds.) Molecular Interrelations of Nutrition and Cancer, Raven Press, New York, pp. 43–56, 1982
Wattenberg LW: Borchert P, Destafney CM, Coccia JB: Effects of P-methoxyphenol and diet on carcinogen-induced neoplasia of the mouse forestomach. Cancer Res 43:4747–4751, 1983
Weeks CF, Slaga TJ, Hennings H et al: Inhibition of phorbol ester-induced tumor promotion in mice by vitamin A analog and anti-inflammatory steroid. J Natl Cancer Inst 63:401–406, 1979
Weinstein MC: Cost-effective priorities for cancer prevention. Science 221:17–23, 1983
Weisburger EK, Evarts RP, Wenk ML: Inhibitory effect of butylated hydroxytoluene (BHT) on intestinal carcinogenesis in rats by azoxymethane. Food Cosmet Toxicol 15:139–141, 1977
Weisburger JH, Marquardt H, Mower HR et al: Inhibition of carcinogenesis: vitamin C and the prevention of gastric cancer. Prev Med 9:352–361, 1980
Weisburger JH: N-nitroso compounds: diet and cancer trends, an approach to the prevention of gastric cancer. ACS Sym Ser 174:305–317, 1981
Welsch CW, Brown CK, Goodrich-Smith M et al: Synergistic effect of chronic prolactin suppression and retinoid treatment in the prophylaxis of N-methyl-N-nitrosurea-induced mammary tumori-genesis in female Sprague-Dawley rats. Cancer Res 40:3095–3098, 1980
Witting C, Witting U, Krieg V: The tumor-protective effect of selenium in an experimental model. J Cancer Res Clin Oncol 104:109–113, 1982
Wolf G: Is dietary beta-carotene an anticancer agent? Nutrition Rev 40:257–261, 1982
Woolley PV, Schein PS: Clinical pharmacology and phase I trial design. In Methods in Cancer Research, Vol. XVII, Academic Press, New York, pp. 177–198, 1979.
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Malone, W.F. (1989). Chemoprevention Research. In: Weisburger, E.K. (eds) Mechanisms of Carcinogenesis. Cancer Growth and Progression, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2526-7_4
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DOI: https://doi.org/10.1007/978-94-009-2526-7_4
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