Tumor origin is viewed as comprising a series of specific genetic even
ts in target cells and their clonal descendants. The development of mo
lecular biology during the last decade has led to the recognition that
these events fall into two distinct categories: the activation of pro
tooncogenes and the inactivation of tumor suppressor genes. The latter
are genes the inactivation of which is required for the malignant tra
nsformation of a cell. Loss of tumor suppressor genes plays an importa
nt role in the development of human tumors. Studies with somatic cell
hybrids have shown that tumor suppression occurs in neoplastic cells a
nd can be corrected by cell fusion with normal human chromosome. These
experiments proved that tumorigenicity is a recessive phenotype contr
olled by specific chromosomes. Certain tumor suppressor genes, e.g. p5
3 and RB1, may be involved in a variety of malignancies whereas others
, e. g. the DCC gene, may be restricted to a single type of cancer. Th
e detection of germline mutations in tumor suppressor genes should all
ow the identification of subjects at high risk of developing cancer.