Revisiting Epithelial Carcinogenesis

The origin of cancer remains one of the most important enigmas in modern biology. This paper presents a hypothesis for the origin of carcinomas in which cellular aging and inflammation enable the recovery of cellular plasticity, which may ultimately result in cancer. The hypothesis describes carcino...

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Main Author: Luis Fernando Méndez-López
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/13/7437
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author Luis Fernando Méndez-López
author_facet Luis Fernando Méndez-López
author_sort Luis Fernando Méndez-López
collection DOAJ
description The origin of cancer remains one of the most important enigmas in modern biology. This paper presents a hypothesis for the origin of carcinomas in which cellular aging and inflammation enable the recovery of cellular plasticity, which may ultimately result in cancer. The hypothesis describes carcinogenesis as the result of the dedifferentiation undergone by epithelial cells in hyperplasia due to replicative senescence towards a mesenchymal cell state with potentially cancerous behavior. In support of this hypothesis, the molecular, cellular, and histopathological evidence was critically reviewed and reinterpreted when necessary to postulate a plausible generic series of mechanisms for the origin and progression of carcinomas. In addition, the implications of this theoretical framework for the current strategies of cancer treatment are discussed considering recent evidence of the molecular events underlying the epigenetic switches involved in the resistance of breast carcinomas. The hypothesis also proposes an epigenetic landscape for their progression and a potential mechanism for restraining the degree of dedifferentiation and malignant behavior. In addition, the manuscript revisits the gradual degeneration of the nonalcoholic fatty liver disease to propose an integrative generalized mechanistic explanation for the involution and carcinogenesis of tissues associated with aging. The presented hypothesis might serve to understand and structure new findings into a more encompassing view of the genesis of degenerative diseases and may inspire novel approaches for their study and therapy.
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spelling doaj.art-340f770bbfbc494dbfccb6bff091d64f2023-11-23T20:13:53ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-07-012313743710.3390/ijms23137437Revisiting Epithelial CarcinogenesisLuis Fernando Méndez-López0Centro de Investigación en Nutrición y Salud Pública, Facultad de Salud Pública y Nutrición, Universidad Autonoma de Nuevo Leon, Monterrey 66460, MexicoThe origin of cancer remains one of the most important enigmas in modern biology. This paper presents a hypothesis for the origin of carcinomas in which cellular aging and inflammation enable the recovery of cellular plasticity, which may ultimately result in cancer. The hypothesis describes carcinogenesis as the result of the dedifferentiation undergone by epithelial cells in hyperplasia due to replicative senescence towards a mesenchymal cell state with potentially cancerous behavior. In support of this hypothesis, the molecular, cellular, and histopathological evidence was critically reviewed and reinterpreted when necessary to postulate a plausible generic series of mechanisms for the origin and progression of carcinomas. In addition, the implications of this theoretical framework for the current strategies of cancer treatment are discussed considering recent evidence of the molecular events underlying the epigenetic switches involved in the resistance of breast carcinomas. The hypothesis also proposes an epigenetic landscape for their progression and a potential mechanism for restraining the degree of dedifferentiation and malignant behavior. In addition, the manuscript revisits the gradual degeneration of the nonalcoholic fatty liver disease to propose an integrative generalized mechanistic explanation for the involution and carcinogenesis of tissues associated with aging. The presented hypothesis might serve to understand and structure new findings into a more encompassing view of the genesis of degenerative diseases and may inspire novel approaches for their study and therapy.https://www.mdpi.com/1422-0067/23/13/7437senescenceEMTNF-κBinflammationepigeneticsaging
spellingShingle Luis Fernando Méndez-López
Revisiting Epithelial Carcinogenesis
International Journal of Molecular Sciences
senescence
EMT
NF-κB
inflammation
epigenetics
aging
title Revisiting Epithelial Carcinogenesis
title_full Revisiting Epithelial Carcinogenesis
title_fullStr Revisiting Epithelial Carcinogenesis
title_full_unstemmed Revisiting Epithelial Carcinogenesis
title_short Revisiting Epithelial Carcinogenesis
title_sort revisiting epithelial carcinogenesis
topic senescence
EMT
NF-κB
inflammation
epigenetics
aging
url https://www.mdpi.com/1422-0067/23/13/7437
work_keys_str_mv AT luisfernandomendezlopez revisitingepithelialcarcinogenesis