“…To determine a preliminary endpoint, genetic, cellular, biochemical or immunological surrogate biomarkers are being used and validated so that chemoprevention can be evaluated before a recurrence becomes evident. This requires an understanding of the biology of carcinogenesis to find biomarkers which reveal particular steps in tumor development (16,18,19,29,45,50,90,94,(97)(98)(99)(100)(101)(102)(103)(104)(105)(106)(107)(108)(109). The demonstration of RARβ (as an mRNA or as a protein in immunohistochemistry) was used in some studies as a sensitive biomarker for chemoprevention (13,17,18,84,88,89,95).…”