Recent evidence supports the concept that tumor growth in vivo depends
on evasion of normal homeostatic control mechanisms that operate thro
ugh induction of cell death by apoptosis. This study tested the hypoth
esis that a common property shared by known or suspected tumor promote
rs is the ability to block the process of apoptosis. A total of 10 tum
or promoters were tested and all. were found to inhibit DNA fragmentat
ion and cell death of 7 different cell lines triggered into apoptosis
by diverse agents. Resistance to apoptosis could be induced rapidly (w
ithin 1 h) by treating with relatively high concentrations of promoter
s. However, low physiological concentrations of promoters could also i
nduce complete resistance to apoptosis after prolonged exposure (5-15
days of culture). Like tumor promotion in vivo, promoter-induced resis
tance to apoptosis was reversible after culturing in the absence of pr
omoter. These findings provide new insight into the mechanism of tumor
promotion and suggest a novel in vitro screening assay to detect new
tumor-promoting agents in the environment.