Antioncogenes by Steven B. Oppenheimer The answer to cancer? 26 hilt causes cancer? At one. level, we know some of the answers-r,,diation, certain chemicals, diet, exposure to certilin viruses. And we can use this knowledge to avoid exposing ourselves to these dangers [6]. But the effects of radiatio:1, chemicals, and so on must be understood at the cellula_r level. We know that cancer is the result of seqtiential ·changes in DNAchanges prob,1bly brought on by carcinogens. An initiation event, possibly a mutation, occurs anrl is followed by a promotion event, which Ccluses the initiated cells to divide uncontrollably [4,5]. Any explanation of cancer must, then, account for the two-step initiation/promotion scenario. One mechanism proposed for these events is the expression of oucogcrres, or dominant cancer-causing genes. Oncogenes h<1ve been identified in a v,1riety of c<1ncers. When inserted into some cell lines, they confe·r on the cells malignilnt ch<1r<1cteristics. Normally re~ pressed, oncogenes could be activated by mutations, in some cases induced by external factors such as exposure to chemicals. But oncogenes have never been proven to cause liUIIIrHI cancer. Only recently have biologists identified a possible alternate mechanism in tHlliollcogt'llt'S, or genes whose presence may prevent tumors from developing and, conversely, whose absence may encourage malignancy. An early · hint of the existence of these tumorsuppressor genes Cilme in 1969 when Henry Harris and his colleagues found that malignancy was suppressed when malignant and nonmalignant cells were fused irr t'ilro, even though the complete genetic complements (including any cancer-causing genes) of both groups of cells remained intact [2]. However, the mechanism for the suppression of the cancer remained a mystery. Rese<Jrch on familial retinoblilstoma, a cancer of the eyes, added pieces to the puzzle. Retinoblastoma .. ,,ff.licts about 1 in 20 000 infilnts and young children ilnd is curable only if detected early. Children of retinoblastoma survivors develop the cancer at rates as high as 50 percent. This fact indicates a genetic component to the disease. As told in a review in Nature [2] in 1986, A. G. Knudson analyzed the histories of 48 retinoblastoma patients · and hypothesized thilt filmilial retinoblilstomil develops as a result of double mutations affecting both alleles at ,, genetic locus called RB-1. The first mutation is probably inherited, and a second occurs spontaneously in the normal homologous chromosome sometime after birth. For retinoblastoma carriers, who start life with one mutilted chromosome, if the normal chromosome is destroyed in any single cell amtmg the millions of cells in the retina, then retinoblastoma is Tilt' Scit'lln' r,mhrrl Ar,ril 198 s likely to develop. In the 1970s through the mid 1980s, a variety of observations suggested that Knudson's model was correct. It appeared that the defect was il deletion in chromosome 13 in a region called q14. The same deletion was found in osteosarcomil cells, a bone cancer that frequently develops in teenagers who have survived retinoblastoma. Researchers eventually concluded that when the normal chromosome 13 spontaneously mutiltes in the q14 region in eye cells, retinoblastoma develops; when the mutation occurs in bone cells, osteosarcoma forms. The cancers, therefore, appear to be Cilused by the ilbsence of gene activity in the q14 region of chromosome 13. Norm,,] cells possess two copies of the retinoblastomil antioncogene, one in the q14 region of each chromosome' 13. (See Figure 1.) Stephen Friend and his colleagues succeeded in tloning a 70-kilobase -fragment of DNA that corresponded to the retinoblastomi1 ilntioncogene, and reported their findings in 1986 [1]. The ge~e was sequenced, but there was still no direct demonstration thilt the absence of RB-1 caused the development of a tumor. Nor was there proof that the gene, when present, could prevent cancer. The evidence that would warrant the label "antioncogene" WiiS still circumstantial. A direct demonstration that specific genetic material could revefse c-ancer was made by Bernard Weissman ilnd his colleagues in their work with Wilms' tumor, a cancer of the kidneys thilt afflicts. small children (71. This malignancy develops in cells that have deletions in the p13 region of both copies of chromosome 11. Working with mice, Weissman and his coStrom B. Oppmltrimrr is 11 professor iu flrl' Jrprrrfmmt of f,iology mul lite tlimlor of tlu u11frr for Crr11ar mul Drvelopmt'flirrl Biolosy nt CnfifonJill Strrfr Urrivmily, 18111 Nordhoff St., Norl!tridgt', CA 91330. Tht Scimrt Tt11clttr!Avril1988 Figure 1 no mutation ---normal mutation in one - n o cancer mutation in both workers inserted a single copy of normal chromosome 11 into Wilms' tumor cells and found that the cells would no longer produce malignancy. The reseMchers also tried inserting chromosome .13 kilrrying the retinoblastoma antioncogene) as well as a second chromosome thought to carry another ilntioncogene. Neither prevented the Wilms' tumors from developing. These experiments directly implicated chromosome 11 as the carrier of the antioncogene(s) that blocks the development of Wilms' tumor. Weissman's work also failed to support the oncogene mtidel. The expression of a variety of oncogenes was the same in bdth' the malignant Wilms' tumor cell lines and in the Wilms' lines that h,1d received the inserts of normal chromosome 11 and subsequently lost their malignilncy. Other cancers have been tentatively associated with the lack of genes: A deletion in chromosome 3 is often found in renal carcinoma and in small cell carcinoma of the lung, and the loss of iln allele on chromosorr1e 5 is often present in cancer of the. colon [3]. Until oncogenes are directly shown to cause human cancer, the antioncogene model appears very plausible. In other words, many human cancers m.1y be c.1used not by the activation oF <111 oncogene, but by inactiv,1tion or destruction of tumor-suppressor genes • present.iti all healthy cells. o. • References 1. F.1il'nd, S.H., et ,,I." A Hum.m DNA 5l'gment With l'rupertits of the Cent' That Predisposl's to Retinobbstom,, .111d Ostl'os,Hcom,,." Nnturr, 323:643-646, Octob<•r 1986. 2. H.1rris, H. "M,>lign,>nt Tumors Ct'l1l'r,>tt·d by Rl'cessive Mut,>tipns-" M'!JJYI', 323:582-583, Ortobt·r 1986. 3. Klein, C. "The Apf>ro,Khing Era ,,f thl' Tumnr Suppressor CPm·." Sci,·lrn•. 238:1539-1545, Decembt•.r-11, 1987. 4. Oppenh~inwr, S.B. "Adv.>nn·s in C.li1Ct·r Bi< >logy." T/r,• Jlmcri.-.r11 Bialogy Tmrha•.. 4 9:11-1 5, f,mu.>ry 1987. 5. - - - . Cmr,·r. 2nd l'O. Bust<lll: jones and B.ntll'tt, 1985. 6. - - - . "Tl'n Str.lt<·gil'S for C.mcl'r l'revl'nti<l11." T/r,· 5.-im(,• Tm(/11-r, 54:38-43, Octnbl'r 1987. 7. WPissm.m, B.E., l'l .1\. "lntroductinn of ,, Norm.1l Hum.111 Chnmwsomt· 11 Into ,, Wilms' Tumor Cdl Linl' Controls Its Tumorigl'llic Expn·ssion." xil'll(r·, 236: 175-180, April 1987. Note This Mticll' is p.1rt ,,f tlw Adv,111Cl'S in Bi<•logic,11 Stit·nn· progr.1m, which is supportl'd by gr.>nt TEl 8650081 from the N.>tion,>l Scil'11l"l' Found.1tion .1nd by till' Thon1.1s Eckstrom Trust. Thl' program is designed to bring the latest advances in biological science to teachers, A p.1g<'·Si7l•d copy of thl' figllrl' th.H c.111 bt• liS<·d "" .111 liVl'rhe.ld pn•il't'tor ,111d lltllt'r A<1Vtll1f(.'S in Biolt)~k.,f Scil'nce tl't\chin~ ,1ids \,r.t' ,1V,1il,,blt• frl'l' from tlw ,1uth<1r. 27 .-