Cancer is a multistage process with sequential steps: initiation, prom
otion, progression. However, the distinction between the agents that c
an trigger any of these processes is less clear, depending on doses, b
iological stage of the tissue, molecular interactions, genomic and som
atic mutation, etc. Thus, steroid receptors, classically considered as
promoters, could be acting as initiators under different alterations.
On the other hand, chemical carcinogens that can produce DNA damage l
eading to cellular transformation, in lower dosage are able to alter n
uclear proteins which in turn favor the action of other agents trigger
ing the initiation process. Transcription factors (TF) are nuclear pro
teins with particular structural configurations for their interaction
with DNA. There are families of TF with specificity for certain nucleo
tide sequences called ''response elements''. The association TF-DNA re
sponse elements modulate the genomic transcription and synthesis of pr
oteins, many of which are related to cellular proliferation. The trans
criptional message can also be influenced by TF protein-protein intera
ctions, besides their association with the response elements. This ''c
ross-talk'' or ''side regulation'' becomes an important genomic regula
tory mechanism. Certain biochemical signals acting on particular prote
ins (receptors, enzymes) can then trigger biological effects attributa
ble to other proteins. Another transcriptional regulatory mechanism is
the cytoplasm-nucleus shuttling of TF according to the cellular repli
cation rythm and other metabolic cellular requirements. These recent a
dvances open new vistas for the pharmacological attack to the prolifer
ative diversity of neoplastic cells.