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2 Oncogenes and tumor suppressor genes<br />
Molecular genetic analysis of tumorigenesis has revealed two fundamental mechanisms of<br />
neoplasia: 1) the activation of dominant oncogenes or 2) the inactivation of recessive tumor<br />
suppressor genes (anti-oncogenes). Accumulating evidence suggests that the progression of<br />
many tumors to full malignancy requires both types of changes in the tumor cell genome.<br />
2.1 Oncogenes<br />
First evidence for the existence of oncogenes came from the induction of sarcomas by the<br />
Rous sarcoma retrovirus, containing the V-Sf'C oncogene (Martin, 1970). Later, other<br />
retroviral oncogenes (v-olle) and their human homologues (c-olle) were discovered in various<br />
cancers. Also the dissection of chromosomal translocations, tumor associated DNA<br />
amplifications and the use of gene-transfer have resulted in the identification of more<br />
oncogenes. Until now 100 or more of them have been isolated. Under normal conditions<br />
proto-oncogenes are thought to be involved in the regulation of cell proliferation. They act<br />
as growth factors or their receptors. Within the cell, they function as downstream modulators<br />
in signal transduction pathways. Furthermore, the nuclear (proto-)oncoproteins may regulate<br />
gene transcription in response to these signals (Hunter, 1991). Different mechanisms (point<br />
mutation, amplification or translocation) are involved in the activation of a proto-oncogene<br />
into an oncogene. Mutations in the proto-oncogenes occur in one of the two alleles of the<br />
gene and they act in a dominant way relative to the wild-type allele. Therefore, they are<br />
called 'gain of function' mutations that give normal cells neoplastic properties (Weinberg,<br />
1989).<br />
2.2 Tumor suppressor genes<br />
Three lines of evidence support the existence of growth-constraining tumor suppressor genes:<br />
1) somatic cell hybrids 2) familial cancer and 3) loss of heterozygosity in tumors.<br />
The first evidence that tumor suppressor genes are involved in neoplastic<br />
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