Table 1: Hypothetical Two-step Model of “Initiation” in the Process of Experimental Carcinogenesis by PAHs (skin) and AZOs (Liver)

Step 1 Step 2 Step 3 Step 4 Result
------- INITIATION B CONVERSION PROMOTION No Tumors
INITIATION A ------- CONVERSION PROMOTION Nonautonomous Tumors: Papillomas (skin) Nodules (liver) Regression
INITIATION A INITIATION B CONVERSION PROMOTION Persistent Tumors Progression → CANCER
Complete Initiation Complete Promotion
INITIATION A: Point mutations by “ultimate carcinogens” and hence also the activation of proto-oncogenes to oncogenes [9].

Result: Among other things, the activation of oncogenes whose products are active at the plasma membrane.

INITIATION B: Formation of PAH/cholesterol/apoA-I - or AZO/cholesterol/apoA-I complexes in the plasma membrane [3, 4].

Result: Reversible changes in the membrane architecture and its functions.

Hypothesis: INITIATION A can co-operate with INITIATION B at the plasma membrane. See text.

Result: An irreversibly modified membrane architecture with negative consequences for growth control.

CONVERSION and PROMOTION see: Marks and Frstenberger [1]; Schwarz [2].