1993
DOI: 10.1002/mc.2940080104
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Heritable colorectal cancer and cancer genes: Systemic expressions

Abstract: Epidemiological studies of heritable cancer have demonstrated that cancer predisposition is a dominant trait; these studies have also predicted the recessive outcome of the neoplastic process. Biochemical studies of dominantly heritable cancer have demonstrated the relevance of systemic effects. The systemic effects are presumably due to a dominant mutation at the "initiator locus." Collectively they define cancer initiation at the cellular level (as described in this review). Molecular biological studies have… Show more

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Cited by 14 publications
(14 citation statements)
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“…This observation would also be consistent with twin studies that indicate "a very high proportion and perhaps a majority of breast cancers arise in a susceptible minority of women" (30). The abnormal growth behavior of SF in cancer-prone individuals has suggested that at least in some cases cancer can be considered a systemic disease (10,46), and that this difference in the behavior of SF cells from such individuals may be a practical basis for prevention, diagnosis, and management of the disease.…”
Section: Discussionsupporting
confidence: 83%
“…This observation would also be consistent with twin studies that indicate "a very high proportion and perhaps a majority of breast cancers arise in a susceptible minority of women" (30). The abnormal growth behavior of SF in cancer-prone individuals has suggested that at least in some cases cancer can be considered a systemic disease (10,46), and that this difference in the behavior of SF cells from such individuals may be a practical basis for prevention, diagnosis, and management of the disease.…”
Section: Discussionsupporting
confidence: 83%
“…In this regard, earlier studies originally based on "the ubiquitous fibroblast" 27 that was used as a surrogate for the cells of tumor origin indicated a systemic presence of some of these biomarkers, including their occurrence in heritable cancers and in the corresponding sporadic cancers. 28 Based on the early discoveries of these biomarkers, a flowchart of events that define the initiated state at the cellular/phenotypic level and its relationship to cancer predisposition in the autosomal dominant cancer syndrome has been proposed. 20,28 The clinical relevance of alterations at the "one-hit" level to the cancer process is highlighted by the fact that essentially 80-100% of patients with a heritable cancer syndrome will develop cancer, 6 indicating that observations in phenotypically normal cells/tissues from these individuals are directly associated with actual cancer development.…”
Section: O Ver 100 Years Ago (1902-1914) Theodor Boveri Suggested a Rmentioning
confidence: 99%
“…28 Based on the early discoveries of these biomarkers, a flowchart of events that define the initiated state at the cellular/phenotypic level and its relationship to cancer predisposition in the autosomal dominant cancer syndrome has been proposed. 20,28 The clinical relevance of alterations at the "one-hit" level to the cancer process is highlighted by the fact that essentially 80-100% of patients with a heritable cancer syndrome will develop cancer, 6 indicating that observations in phenotypically normal cells/tissues from these individuals are directly associated with actual cancer development. These results have also led us to formulate a distinction between the autosomal and recessive forms of heritable cancer, wherein genetic information in the former at the cellular level is associated with cancer initiation, whereas genetic information at the cellular level in the latter is presumably consistent with the early phases of cancer promotion.…”
Section: O Ver 100 Years Ago (1902-1914) Theodor Boveri Suggested a Rmentioning
confidence: 99%
See 1 more Smart Citation
“…Other hereditary cancer syndromes with reported one-hit effects include familial adenomatous polyposis involving heterozygosity for APC germ-line mutations (17)(18)(19)(20), tuberous sclerosis gene family, and von Hippel-Lindau disease (21). The common conclusion of all these studies is that heterozygosity for a mutant tumor suppressor gene alters the expression profile of normal colonic and other epithelial cells.…”
mentioning
confidence: 99%