Ml. Cunningham, ROLE OF INCREASED DNA-REPLICATION IN THE CARCINOGENIC RISK OF NONMUTAGENIC CHEMICAL CARCINOGENS, Mutation research. Reviews in genetic toxicology, 365(1-3), 1996, pp. 59-69
DNA replication is not an error-free process; therefore induction of c
ell proliferation with the requisite increase in DNA replication may b
e an important mechanism by which carcinogenesis can be induced by che
micals. Data presented in this overview indicate a positive associatio
n between increased cell proliferation and carcinogenesis, and illustr
ate the value of performing mechanistic studies such as cell prolifera
tion assays in conjunction with short-term tests to further investigat
e the results of cancer bioassays. Whereas chemically-induced cell pro
liferation per se may not be sufficient to induce carcinogenesis, it c
reates a favorable environment for tumor development. There are two ty
pes of chemically-induced cell proliferation, mitogenic and cytotoxic,
and they have different consequences regarding the mechanism of carci
nogenesis of a chemical. Mitogenic chemical such as phenobarbital, oxa
zepam, and the peroxisome proliferating agents exert a short-term cell
proliferative response that may exert its primary effect in carcinoge
nesis at the promotion stages. It is not clear at what stage(s) cytoto
xic agents such as methapyrilene, alpha(2u)-globulin inducers or sacch
arin exert their effects in carcinogenesis. A confounding factor in ev
aluation of cell proliferation in risk assessments is the production o
f chemical specific pleiotropic effects that may contribute to the car
cinogenicity of a chemical. It is clear that mechanistic studies perfo
rmed to understand the relationship of sex, species and dose in rodent
carcinogenicity assays of chemicals is critical for the extrapolation
of such data for human health assessments,