| Literature DB >> 30623292 |
Vittorio Perduca1,2, Ludmil B Alexandrov3, Michelle Kelly-Irving4,5, Cyrille Delpierre4,5, Hanane Omichessan2, Mark P Little6, Paolo Vineis7, Gianluca Severi8,9.
Abstract
An intense scientific debate has recently taken place relating to the "bad luck" hypothesis in cancer development, namely that intrinsic random, and therefore unavoidable, mutagenic events would have a predominant role in tumorigenesis. In this article we review the main contributions to this debate and explain the reasons why the claim that cancer is mostly explained by intrinsic random factors is unsupported by data and theoretical models. In support of this, we present an analysis showing that smoking-induced mutations are more predictive of cancer risk than the lifetime number of stem cell cellular divisions.Entities:
Keywords: Cancer; Environment; Epidemiology; Risk factors; Somatic mutations
Mesh:
Year: 2019 PMID: 30623292 DOI: 10.1007/s10654-018-0477-6
Source DB: PubMed Journal: Eur J Epidemiol ISSN: 0393-2990 Impact factor: 8.082