At its most fundamental, cancer is a genetic disease resulting from inherit
ed or acquired mutations in tumour suppressor genes and proto-oncogenes. En
vironmental factors, including ingested food components, interact with gene
tic inheritance to determine individual cancer risk. There is growing evide
nce that the immune system exerts selective pressure during neoplastic deve
lopment. Tumour cells that evade this immunosurveillance because they are n
on-antigenic or because they defend themselves successfully against immune
attack have a survival advantage. Effective chemopreventative agents will i
nclude dietary components that enhance the immune system's ability to ident
ify transformed cells and to target them for apoptosis.