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CLIN.CHEM.33/5, 641-646(1987)
Cellular Oncogenes and Human Carcinogenesis
chinlng
J. Der
Experimentalstudiesover the pastdecade have identified30
or so cellular,genes as potential oncogenes. The genetic
eventsthat lead to cellularoncogeneactivationmay result In
the excessiveor inappropriateexpression of the gene, or the
expression of an aberrant gene product. Although the Involvement of these putative cellular oncogenes in human
oncogeflesis has not been proven, the accumulation of
considerable’ experimental evidence strongly implicates
some role of these genes In the malignant process. The
inactivationof certain genetic loci (suppressorgenes) may
also contributeto tumor progression.
Although a genetic basis for the mechanism of human
oncogenesis
has long been assumed, little is known at
present about the precise genetic events responsible
for
malignant transformation. However, recent research developments in several areas of biology have now begun to
define a genetic explanation
for human oncogenesis. The
search for the genetic targets for tumorigenesis
has led to
the identification of a number of cancer genes, or cellular
oncogenes, which have now been implicated in carcinogenesis (1-4). It should be emphasized that a causative involvement of these cellular proto-oncogenes
in carcinogenesis
remains to be established. However, because a considerable
amount of information
has been accumulated
demonstr#{224}ting that many of these cellular oncogenes are altered in
their biological activity, genetic organization,
or expression
in tumor cells, the general belief is that these cellular
oncogenes do contribute to the process of neoplasia. As the
functions of these cellular oncogenes become known, we will
begin to understand how the molecular lesions that activate
these genetic loci contribute to the process of carcinogenesis.
Cellular Homologs of RetroviralOncogenes
Our first glimpse of cellular genes with oncogenic potential has come from studies of the acute transforming
retroviruses (1, 2). These highly oncogenic RNA viruses represent rare isolates from tumors derived from chickens, turkeys, mice, rats, cats, and monkeys. These viruses can
efficiently transform cells in culture and can induce tumors
at high frequency within a short latency period of several
weeks in infected animals. The oncogemcity of these viruses
is a consequence of specific genes (viral oncogenes) present
in each virus (Table 1). These viral oncogenes are not
essential
viral genes, but instead represent transduced
La Jolla Cancer Research Foundation, Cancer Research Center,
10901 N. Torrey Pines Rd., La Jolla, CA 92037.
Presented at the symposium on “Gene Probe Technology: from
Theory to Practice,” San Diego, CA, October 1986.
Received December 29, 1986; accepted February 12,1987.
cellular genes. Thus, each viral oncogene possesses a cellular counterpart
(proto-oncogene) that represents an important normal celiular gene. These cellular proto-oncogenes
are not viral genes in disguise. Cellular proto-oncogenes
represent well-conserved genes, in both structure and function. Each appears to be present in all vertebrate
species,
and at least some are found in invertebrates,
including
yeast, Drosophila, and Dictylostelium
(5-7). Additionally,
virtually all cellular proto-oncogenes
are expressed during
normal growth and development,
encoding for proteins
similar to those produced by their viral counterparts. Presently, the exact role of these cellular genes in normal cells is
not known. Because they represent such well-conserved
genes, presumably they must play an integral role in
normal cell growth and differentiation.
By virtue of their
tendency to transduce cellular sequences, the highly oncogenic retroviruses
have unveiled at least 20 or so cellular
genes that represent potential cellular oncogenes.
Detection of Cellular Transforming Genes by Transfection
A second avenue of research that has resulted in the
unveiling of activated cellular oncogenes comes from genetransfer studies (3,4). The method for detecting biologically
active transforming
genes in cellular DNA is based on the
experiments
of Hill and Hillova (8), who demonstrated
the
transfection
of chicken embryo fibroblasts with DNA from
Rous sarcoma virus-transformed
rat cells. These experiments suggested the possibffity of searching for cellular
oncogenes by the DNA-transfer
technique. Subsequent
Table 1. VIral Oncogenes of Acute Transforming
Retrovlruses
Viral
src
fps
fes
yes
fms
mos
Rous sarcoma virus
Fujinami sarcoma virus
Snyder-Thellenfelinesarcomavirus
Y73 sarcoma virus
McDonough felIne sarcoma virus
Moloney murinesarcoma virus
Ha-ras
Ki-ras
sis
myc
esM,B
myb
Harveymurinesarcoma virus
Kirsten murine sarcomavirus
Myek,cytomatosls virus strain MC29
Avian erythroblastosls virus
Avian myeloblastosis virus
abi
rel
ros
fos
raf
Abelson leukemia virus
Reticuloendotheliosis virus strain T
UR2 aviansarcomavirus
FBJ osteosarcoma virus
3611 murine sarcoma virus
Simiansarcomavirus
chicken
chicken
cat
chicken
cat
mouse
rat
rat
monkey
thicken
thicken
chicken
mouse
turkey
thicken
mouse
mouse
CLINICALCHEMISTRY, Vol. 33, No. 5, 1987 641
studies have utilized NIH 3T3 mouse cells as recipients
because, in contrast to most cell lines, NIH 3T3 cells are
capable of stable integration of exogenous DNA with relatively high efficiencies. The biologic activity of tumor DNA,
detected by transfection of NIH 3T3 cells, has led to the
identification and isolation of transforming
genes that are
activated in a large variety of animal and human neoplasms. Although DNA from normal cells lacks detectable
transforming activity, DNA from many different tumor cells
induces transformation of NIH 3T3 cells with high efficiencies. These observations suggest that the development of
many neoplasms
involves dominant genetic alterations,
leading to the activation of transforming genes that are
detectable by their biologic activity in the transfection
assay.
Table 2 summarizes some of the activated cellular oncogenes detected in the NIH 3T3 transfection assay. Typically,
10-25% of tumor DNAs assayed are positive in the transfection assay; of these, approximately 90% represent activated
cellular homologs of the viral ras genes (9). In addition to
cellular rca activations, several other transfection-detected
activated genes have been identified previously as cellular
homologs of retroviral
oncogenes (ros and raf-1) (10-12),
while the remaining activated transforming
genes represent
novel cellular oncogenes (13-20). Except for the repeated
detection of activated ras in human and rodent tumors, or
the multiple detection of neu activation in rodent glio- and
neuroblastomas (19), the remaining cellular genes active in
the transfection assay have been identified in only one or a
few tuniors. Consequently, the significance of these genes to
tumorigenesis is uncertain because of their limited association with tumor formation.
The presence of activated ras genes in human tumors was
first identified in a human bladder carcinoma (Ha-ras) and a
human lung carcinoma (Ki-ms) cell lines (21-23). Subsequently, a third activated ras gene, N-ms, was detected in a
human neuroblastoma cell line (24-25a). Further studies
have now identified activated ms genes in a wide variety of
human neoplasms, including carcinomas, sarcomas, leukemias, and lymphomas (26, 27). The variety of neoplastic
cells is represented by both established cell lines and
primary tumor isolates, demonstrating that the activation
of cellular ma genes is not a consequence of in vitro
manipulation.
Although the presence of a specific activated rca gene does
not correlate
absolutely with a specific tumor, several
Table 2. Transfectlon-Detected Cellular Oncogenes
from NIH 3T3 Cells
Gene
Ha-ras
Ki-ras
N-ras
OrigIn
Human and rodent carcinoma
Human and rodent carcinoma, sarcoma, leukemia,
lymphoma and others
Human and rodent carcinoma, sarcoma, leukemia,
lymphoma and others
rat-i
ros
B-Iym
met
me!
Human stomach cancer, glioblastoma
Human mammary carcinoma
Human and avian B cell lymphoma
trk
ret
Human coloncarcinoma
Human T-cell lymphoma
r70u
Rodent neuroblastoma, glioblastoma
Human diffuse B-cell lymphoma
Human mammary carcinoma
db!
mas
Human osteosarcoma,chemicallytransformed
Human melanoma
642 CLINICAL CHEMISTRY, Vol. 33, No. 5, 1987
general tendencies can be observed. First, although Ha-ma
activation has been routinely associated with rodent carcinomas, only a few have been detected in human tumors.
Second, activated Ki-ras sequences have been identified in a
wide variety of human tumors, with a frequent association
with lung and colon carcinomas. Finally, N-ma activation
has also been detected in a range of human tumors, but
especially with acute myelogenous leukemias.
In several cases where an activated ma gene was detected
in a tumor isolate, normal cellular DNA isolated from the
same patient lacked any detectable activity in the transfection assay (28-30). These results suggest that ma gene
activation is a consequence of somatic mutation rather than
germ-line mutations. Additionally, the presence of an activated ma gene in the tumor cells would imply a role in
tumor development.
In addition to its common association with human tomore, ms activation has also been described in a number of
experimental rodent systems (31-33). In a study by Barbacid and colleagues, 85% of female rats treated with methylnitrosomethylurea
developed mammary carcinomas
(32).
Transfection analysis of the resulting tumor DNAS revealed
the activation of a Ha-ma gene in 100% of the positive
tumors. Similar results were observed in the other studies
(31,33). Thus the treatment of animals with a specific agent
results in the induction of the same neoplasm, and the
activation of a specific rca gene.
At present, the exact involvement of rca activation in
tumor formation is unclear. However, the frequent activation of ma genes in a wide variety of rodent and human
tumors would certainly provide strong evidence for some
contribution of these genes in tumor development.
Oncogene
Activation and Human Carcinogenesis
What is the evidence that cellular oncogenes are actually
involved in human carcinogenesis? What are the molecular
events that result in their activation? At present, the
evidence is only circumstantial. From cytogenetic studies,
several genetic abnormalities have been identified as characteristic of tumor cells (34-36). These chromosomal aberrations include increases or reductions in chromosome numbers, translocations, deletions, inversions, isochromosomes,
ring chromosomes, double minutes, and homogeneously
stained regions. The identification
of potential
cellular
oncogenes, and the subsequent mapping of these cellular
genes to specific chromosome locations, have produced evidence that many of the chromosomal aberrations may effect
these cellular oncogenes, resulting in a disruption of their
normal expression. It is intriguing to speculate that these
chromosomal abnormalities do contribute to the neoplastic
state, and that the molecular consequences of these chromesomal events are to activate the oncogenic properties of
cellular proto-oncogenes.
One mechanism of oncogene activation involves the quantitative overexpression of the oncogene product (37, 38). In
particular, certain cellular proto-oncogenes are amplified in
tumor cells (Table 3). Associated with gene amplification is
a corresponding overexpression of the oncogene product. The
oncogene amplification observed has ranged from severalfold to several hundred-fold. In some tumors, the amplified
oncogene is located in double-minute
chromosomes and
homogeneously
staining regions, chromosome abnormalities characteristic of gene amplification (39-42).
Several studies have reported the consistent amplification
of a particular oncogene in certain neoplasms. For example,
Table 3. Oncogene Amplification in Human Tumors
Oncogene
N-myc
L-myc
c-myc
myb
ab!
erb-B
erb-B2
Ha-ras
Ki-ras
N-ras
Tumor
Neuroblastoma,retinoblastoma,small cell lung
carcinoma,astrocytoma
Small cell lungcarcinoma
Small cell lungcarcinoma,chronicgranulocytic
leukemia,acute myelocyticleukemia,colon
carcinoma,plasmacell leukemia,breast
carcinoma,gastricadenocarcinoma
Acute myelocyticleukemia,coloncarcinoma
Chronicmyelocyticleukemia
Epidermoidcarcinoma,glioblastoma,squamouscell
carcinoma
Salivaryadenocarcinoma,gastricadenocarcinoma,
mammarycarcinoma
Bladdercarcinoma
Pancreaticcarcinoma,coloncarcinoma,lung
carcinoma,ovariancarcinoma,epidermoid
carcinomaof the lung
Mammary carcinoma
N-myc amplification
has been associated with a number of
human neuroblastoma cell lines and primary isolates (4143), and the degree of N-myc amplification may have a key
role in determining the aggressiveness
of neuroblastomas
(43). N-myc, c-myc, and L-myc amplifications appear to be
frequent occurrences in small-cell lung carcinomas (44-46).
Aside from amplification
of myc family oncogenes, the
majority of other oncogene activations observed represent
limited occurrences, present only in established cell lines or
in a few tumor samples tested. Consequently, the significance of these amplifications to tumor formation has not
been established.
The primary consequence of gene amplification is overexpression of the oncogene product. However, gene amplification may not be a purely quantitative mechanism; in some
cases of oncogene amplification, the amplified gene has also
been found to be structurally
altered (47, 48). Finally,
oncogene overexpression
may also occur by mechanisms
other than gene amplification, such as by mutations in the
regulatory
sequences of the oncogene (49), or by chromosome duplication (45).
Another mechanism of oncogene activation has been
identified from cytogenetic studies of tumor cells. Since
1970, and in association with recent developments in chromosome-banding
techniques, several specific chromosome
rearrangements
have been associated with particular subtypes of human leukemias and lymphomas (34, 35). From
these studies, a remarkable concordance between the chromosome location of certain human cellular oncogenes and
the breakpoints
involved in chromosome translocations in
various forms of cancer is becoming apparent. The two bestdocumented cases at the molecular level identi1 a regulatory activation of c-myc in Burkitt’s lymphoma and structural alteration of c-abl in chronic myelocytic leukemias, both
as a consequence of the chromosome rearrangement.
Burkitt’s lymphoma is a neoplastic condition involving B
cells and predominantly affecting children. In 95% of the
cases, a reciprocal translocation of the distal end of the long
arm of chromosome 8 with either chromosomes 2, 14, or 22
is observed (50). Of these, 85% represent a translocation
between chromosomes 8 and 14. The net result is the
translocation of the c-myc locus on chromosome 8 to the
heavy chain locus on chromosome 14 (51, 52). Molecular
analysis of numerous Burkitt’s t(8;14) translocations demonstrates that there does not appear to be one common way
in which translocations effect the expression and function of
the c-myc gene. The general consensus is that the translocated c-myc is now altered in its regulation, while leaving its
region for protein coding intact (49).
A second well-characterized
involvement
of a cellular
proto-oncogene in a specific chromosome translocation is
observed in chronic myelocytic leukemia. This pluripotent
stem-cell disease is characterized
by the presence of the
Philadelphia (Phi) chromosome in the leukemic cells of 96%
of all patients (53). The abnormal small Phi chromosome is
the result of a reciprocal translocation involving chromosomes 9 and 22, having as its main consequence the shifting
of the c-abl gene from chromosome 9 to 22. Molecular
analysis of the breakpoints in this translocated
region
reveals the involvement of the c-abl locus from chromosome
9 and a small DNA segment on chromosome 22, designated
as the breakpoint cluster region (bcr), resulting in the
formation of a fused bcr/abl gene (54, 55). The resulting
chimeric sequence encodes for an abnormal hybrid protein
that possesses a tyrosine kinase activity not present in the
normal c-abl encoded protein, but similar to that of the
protein product of the transforming
viral abi gene (56).
Thus, in contrast to the altered regulation of myc in Burkitt’s lymphoma, the translocated
c-abl gene results in the
expression of an aberrant abi protein.
A third body of evidence in support of a role for cellular
genes in human carcinogenesis
comes from transfection
studies, which have identified a growing number of cellular
sequences that are activated in tumor cells (Table 4). The
identification of cellular genes whose activities and structures are abnormal in tumor cells provides strong implications for their involvement in tumor developments. Molecular analysis of these activated sequences has identified
structural
alterations
that distinguish
them from their
normal counterparts and that are responsible for the activation of their oncogenic properties. The structural alteration
may be subtle, involving the change of only a single amino
acid (e.g., ma and neu) (57-60), or may involve significant
loss of amino acid sequences via amino or carboxyl terminal
rearrangements
(e.g., met and m/4) (61, 62).
The best characterized
example of oncogene activation by
structural mutations is represented by the activated cellular
rca genes. Nucleotide sequence comparisons between normal and activated ma genes have identified the mechanism
Table 4. Human Tumors with Activated Cellular ras
Genes
ActIvated ras
gene
Cell lines
Ha-ras
Ki-ras
N-ras
Tumor isolates
Ha-ras
Ki-ras
N-ras
Tumor(no. observed)
Bladdercarcinoma,lungcarcinoma,melanoma
Bladdercarcinoma,coloncarcinoma(3), gall
bladdercarcinoma,lungcarcinoma(7),
pancreaticcarcinoma,acute lymphocytic
leukemia
Lungcarcinoma,fibrosarcoma,
rhabdomyosarcoma, acute lymphocytic
leukemia(5), Burkitt’s lymphoma, chronic
myelocytic leukemia, acute myelocytic
leukemia(2), melanoma(3), neuroblastoma,
teratocarcinoma
Bladdercarcinoma,renal pelviccarcinoma
Coloncarcinoma,lungcarcinoma(5), ovarian
carcinoma,pancreaticcarcinoma,
rhabdomyosarcoma,semanoma
Gastriccarcinoma,acute myelocyticleukemia
(6)
CLINICALCHEMISTRY,Vol. 33, No. 5, 1987 643
of activation to be a consequence of nucleotide point niutations in the ma coding region, resulting in single amino acid
substitutions (57-59). Additionally, with the use of synthetic DNA oligonucleotide probes (63), ins gene activation has
now been identified to involve two principal hot spots for
activation. Nucleotide substitutions at codons i2, i3, or 61
have been identified in activated ma genes to result in
single amino acid substitutions that are sufficient for the
activation of ins oncogenic activity (63-68a). In vitro mutagenesis studies have further determined that i8 different
amino acid substitutions at position 12 (69) and 15 different
amino acid substitutions at position 61 (70) will activate Hma transforming activity. Thus, the introduction of structural mutations around positions 12 or 61 of the different ma
proteins result in ins activation, either by introducing a
defect in the normal ins function or, alternatively,
by
activating a novel activity not present in the normal proteins. Finally, experimental overexpression of the normal
human Ha-ma gene will also activate ma-transforming
activity (71), suggesting that the oncogemc properties of the
rca proteins may be activated by either structural or regulatory alterations.
Role of Suppressor
Oncogenesis
Genes (Anti-Oncogenes) in
A second type of genetic loci believed to be important in
the pathogenesis of cancer are suppressor genes, or antioncogenes (72, 73). Unlike the mechanism of oncogene
action, lesions at these genetic loci appear to behave in a
recessive manner (76), requiring
the alteration of both
alleles of the gene. Additionally, whereas oncogene involvement in carcinogenesis
occurs via activating mutations,
genetic lesions that inactivate suppressor gene activity are
believed to contribute to the malignant process.
The physical evidence for the existence of suppressor
genes comes primarily from the study of hereditary cancers,
where offspring of affected persons inherit a predisposition
to one or a few specific cancers, as an autosomal dominant
trait. In particular, much of our recent information comes
from the study of two embryonic tumors, primarily retinoblastomas (75, 76) and more recently Wilms’ tumors (7780). In both instances, the demonstration of their recessiveness has depended upon two principal observations. First,
cytogenetic studies have identified the existence of constitutional deletions in a percentage of patients, thereby permitting the chromosomal localization of the genes. Second, the
use of linked polymorphic genetic markers (RFLPs) has
identified the loss of heterozygosity of the affected chromosome in the tumor.
The general model for suppressor gene involvement in
carcinogenesis is based on the study of retinoblastomas (75,
76), a childhood tumor of embryonic neural retina that
occurs in heritable and nonheritable forms. In heritable
cases, a germ-line mutation at the retinoblastoma locus (Rb1) on chromosome 13 has been proposed. This may occur via
a chromosome deletion or some other submicroscopic lesion.
However, the presence of this inherited mutation is not
sufficient for tumor formation; that is, the effect of the
mutation is recessive. Rather, a second mutational (somatic)
event is required, which has the net result of unmasking the
initial Rb-i mutation. Similarly, in nonheritable forms, two
somatic events are hypothesized to occur at each Rb-i locus.
Several genetic events can be envisioned that will result
in the specific loss of the remaining normal Rb-i locus: (a)
chromosome loss, involving the loss of the whole chrome644
CLINICAL CHEMISTRY, Vol. 33, No. 5, 1987
some 13 carrying the nonmutated
Rb-i locus without chromosome duplication (homozygosity), or with reduplication of
the remaining
chromosome; (b) mitotic recombination, so
that the part of the chromosome containing the mutation
becomes homozygous; (c) chromosome translocation, leading
to deletion or inactivation of the locus; and (d) submicroscopic mutations, such as insertions, inversions, or point mutations. Because the specific location of the Rb-i locus is not
known, the analysis of the genetic mechanisms involved has
been limited to the investigation
of gross chromosomal
changes. The use of RFLPs for various regions of chromosome 13 has identified examples of mechanisms a-c in
retinoblastoma
patients. With the development of more
refined genetic probes, and the isolation of the Rb-i locus
(81), a more thorough understanding
of the genetic events
involving this gene in retinoblastomas
will become evident.
Finally, from our present knowledge of the mechanism of
action of suppressor genes, the number of loci at which
recessive mutations can predispose individuals
to cancer
appears to be limited, with each such locus having a broad,
but specific, spectrum of tissues in which it is active. For
example, the Rb-i locus is also believed to predispose
survivors of retinoblastomas
to the development of second
primary tumors, most commonly osteosarcomas
(82). Similarly, the Wilma’ tumor locus appears to be associated with
the pathogenesis of two additional embryonic tumors, hepatoblastoma and rhabdomyosarcoma (83). Thus, in contrast
to the apparent broad tissue involvement of certain cellular
oncogenes (e.g., ma), suppressor genes appear to display a
considerable tissue specificity.
Because carcinogenesis is a multi-step process, no doubt
additional genetic events, and additional genetic targets for
their action, remain to be elucidated. However, the implication of specific cellular genes in the process, the identification of the specific genetic lesions that result in their
activation (or inactivation), and the determination of the
contribution of these genetic events to human carcinogenesis should provide a better understanding
of the crucial
molecular events leading to human malignancy.
As the
specific role of each cellular gene becomes known, the
advent of genetic probes to identify genetic abberrations
in
these genetic loci will become important for their potential
diagnostic and therapeutic applications in cancer.
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