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LIFE09200604007 Tabish - Homi Bhabha National Institute

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Review of Literature<br />

Inefficient cell cycle regulation with loss of cell cycle arrest after genotoxic exposure is<br />

associated with various cancers mainly lung cancer, oral cancer 93, 103-106 . Therefore<br />

assessment of cell cycle regulation is important intermediated phenotype to be<br />

measured to completely understand cancer predisposition. This is frequently done by<br />

staining cells with DNA binding dyes like, Propidium Iodide, Ethidium Bromide and<br />

DAPI.<br />

2.8.3 Apoptotic response and cancer<br />

Under normal circumstances when a cell is exposed to a genotoxic agent it<br />

elicits highly preserved and well-regulated responses including cell cycle check point<br />

which allows cell to repair the damaged DNA. However in cases where the damage is<br />

severe and cannot be repaired, the cells will go into apoptosis or programmed cell death<br />

which is a safe way to inhibit risk acquiring neoplastic autonomy 107 . Studies in<br />

transgenic and knockout mice provide direct evidence that disruption of apoptosis can<br />

promote tumour development 108<br />

A failure in proper apoptotic response after extreme genotoxic exposure may<br />

also contribute to cancer development. There are few reports available where disruption<br />

of apoptosis is associated with cancer 53, 104, 105 . In a report by Zheng et al, γ-radiation<br />

induced apoptosis has been observed as a biomarker of genetic susceptibility to salivary<br />

and thyroid carcinoma along with defects in cell cycle regulation 104 . Similarly<br />

defective apoptotic response has also been associated with Lung cancer risk and is<br />

suggested to be used a susceptibility marker 53, 105 . Therefore apoptotic response after<br />

genotoxic exposure is also an important phenotype to be assessed when developing an<br />

association of cancer risk.<br />

2.8.4 Altered gene expression and cancer<br />

Differences in cellular responses after genotoxic exposure can be attributed<br />

differential gene expression. The tool of microarray analysis is an efficient means to<br />

study the differential expression of many genes simultaneously 109, 110 . Differential<br />

expression of genes in important carcinogenesis pathways is frequently reported which<br />

can be considered as driving malignant changes 111, 112 . Differential expression of genes<br />

in DNA repair pathways like nucleotide excision repair genes are found to be<br />

associated with in lung cancer 111 . A more than 2 fold increased of risk of head and<br />

neck cancer has been observed in individuals expressing lower levels of nucleotide<br />

43

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