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DOI10.1126/science.aaf9011
Stem cell divisions, somatic mutations, cancer etiology, and cancer prevention
Tomasetti C.; Li L.; Vogelstein B.
发表日期2017
ISSN0036-8075
起始页码1330
结束页码1334
卷号355期号:6331
英文摘要Cancers are caused by mutations that may be inherited, induced by environmental factors, or result from DNA replication errors (R).We studied the relationship between the number of normal stem cell divisions and the risk of 17 cancer types in 69 countries throughout the world. The data revealed a strong correlation (median = 0.80) between cancer incidence and normal stem cell divisions in all countries, regardless of their environment. The major role of R mutations in cancer etiology was supported by an independent approach, based solely on cancer genome sequencing and epidemiological data, which suggested that R mutations are responsible for two-thirds of the mutations in human cancers. All of these results are consistent with epidemiological estimates of the fraction of cancers that can be prevented by changes in the environment. Moreover, they accentuate the importance of early detection and intervention to reduce deaths from the many cancers arising from unavoidable R mutations.
英文关键词cancer; cells and cell components; disease treatment; epidemiology; etiology; genomics; mutation; adolescent; adult; aged; Article; breast cancer; cancer classification; cancer epidemiology; cancer incidence; cancer patient; cancer prevention; cancer registry; cancer risk; cell division; child; controlled study; correlation coefficient; DNA replication; early cancer diagnosis; environmental factor; female; human; human cell; human tissue; lung adenocarcinoma; major clinical study; male; malignant neoplasm; multicenter study; pancreas adenocarcinoma; priority journal; prostate adenocarcinoma; risk factor; somatic mutation; stem cell; very elderly; Africa; Asia; Caribbean; cytology; genetics; genotype environment interaction; incidence; mutation; Neoplasms; North America; Pacific islands; primary prevention; South and Central America; stem cell; Africa; Asia; Caribbean Region; Cell Division; DNA Replication; Female; Gene-Environment Interaction; Humans; Incidence; Latin America; Male; Mutation; Neoplasms; North America; Oceania; Primary Prevention; Stem Cells
语种英语
来源期刊Science
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/245762
作者单位Division of Biostatistics and Bioinformatics, Department of Oncology, Sidney Kimmel Cancer Center, Johns Hopkins University School of Medicine, 550 North Broadway, Baltimore, MD 21205, United States; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, United States; Ludwig Center and Howard Hughes Medical Institute, Johns Hopkins Kimmel Cancer Center, 1650 Orleans Street, Baltimore, MD 21205, United States
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Tomasetti C.,Li L.,Vogelstein B.. Stem cell divisions, somatic mutations, cancer etiology, and cancer prevention[J],2017,355(6331).
APA Tomasetti C.,Li L.,&Vogelstein B..(2017).Stem cell divisions, somatic mutations, cancer etiology, and cancer prevention.Science,355(6331).
MLA Tomasetti C.,et al."Stem cell divisions, somatic mutations, cancer etiology, and cancer prevention".Science 355.6331(2017).
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