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]. |