Cancer, by definition, is a proliferative disease. The fundamental sci
entific issue explored at the international symposium ''Cell Prolifera
tion and Chemical Carcinogenesis'' was the impact of chemically enhanc
ed cell proliferation on the dynamic carcinogenic processes. This conf
erence, held at the National Institute of Environmental Health Science
s January 14-16, 1992, provided an open forum for the exchange of new
results, information, and ideas in four areas: a) general principles o
f cell division and carcinogenesis, b) critical evaluation of cell pro
liferation methodologies, c) cell proliferation and modeling of organ-
specific carcinogenesis, and d) cell proliferation and human carcinoge
nesis. This overview summarizes key findings from that symposium. The
general view expressed was that although cell proliferation is involve
d inextricably in the development of cancers, chemically enhanced cell
division does not reliably predict carcinogenicity. Our knowledge of
the multistep nature of carcinogenesis has advanced substantially duri
ng recent years; however, much still needs to be learned. A greater un
derstanding of the cellular and molecular events in chemical carcinoge
nesis should improve all aspects of the overall risk assessment proces
s, including extrapolations based on dose, species, and interindividua
l differences.