Until recently, the mechanism of carcinogenesis has been regarded as a
two-stage phenomenon involving damage to the genetic material, which
initiates the process, followed by a cell-division stimulus, which pro
motes the development of the tumour. However, exposure to some chemica
ls has been shown to result in carcinogenesis without involvement of t
he initiation step. The mechanism of non-genotoxic carcinogenesis is n
ot fully understood, but is believed to involve stimulation of cell di
vision with a consequent increased probability of a mutation occurring
spontaneously. In this article, Ian Shaw and Huw Jones review the the
ories of non-genotoxic carcinogenesis with reference to specific examp
les of known non-genotoxic carcinogens.