Rh. Li et al., Aneuploidy vs. gene mutation hypothesis of cancer: Recent study claims mutation but is found to support aneuploidy, P NAS US, 97(7), 2000, pp. 3236-3241
Citations number
102
Categorie Soggetti
Multidisciplinary
Journal title
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA
For nearly a century, cancer has been blamed on somatic mutation. But it is
still unclear whether this mutation is aneuploidy, an abnormal balance of
chromosomes, or gene mutation. Despite enormous efforts, the currently popu
lar gene mutation hypothesis has failed to identify cancer-specific mutatio
ns with transforming function and cannot explain why cancer occurs only man
y months to decades after mutation by carcinogens and why solid cancers are
aneuploid, although conventional mutation does not depend on karyotype alt
eration. A recent high-profile publication now claims to have solved these
discrepancies with a set of three synthetic mutant genes that "suffices to
convert normal human cells into tumorigenic cells." However, we show here t
hat even this study failed to explain why it took more than "60 population
doublings" from the introduction of the first of these genes. a derivative
of the tumor antigen of simian virus 40 tumor virus, to generate tumor cell
s, why the tumor cells were clonal although gene transfer was polyclonal, a
nd above all, why the tumor cells were aneuploid. If aneuploidy is assumed
to be the somatic mutation that causes cancer, all these results can be exp
lained. The aneuploidy hypothesis predicts the long latent periods and the
clonality on the basis of the following two-stage mechanism: stage one, a c
arcinogen (or mutant gene) generates aneuploidy; stage two, aneuploidy dest
abilizes the karyotype and thus initiates an autocatalytic karyotype evolut
ion generating preneoplastic and eventually neoplastic karyotypes. Because
the odds are very low that an abnormal karyotype will surpass the viability
of a normal diploid cell, the evolution of a neoplastic cell species is sl
ow and thus clonal, which is comparable to conventional evolution of new sp
ecies.