Carotenoids are plant pigments that are present in the human diet as m
icrocomponents of fruit and vegetables. Since 1980, a consistent bulk
of the results from both epidemiologic and experimental studies has st
rongly suggested that beta-carotene, a widespread food carotenoid with
provitamin A activity, could prevent the onset of cancers, especially
lung cancer. Unfortunately, subsequent large-scale intervention studi
es failed, with one exception, to demonstrate any chemopreventive pote
ncy for beta-carotene supplementation in humans, revealing a lack of k
nowledge of the mechanisms involved. In addition to their antioxidant
properties, which have long been thought to be the clue to their biolo
gical effects, carotenoids appear to have a variety of cellular action
s that make them remarkable 'physiological modulators'. Research is st
ill needed before new chemoprevention trials can eventually be underta
ken on a strong scientific basis.