REVIEW PAPER
Molecular and Cellular Mechanisms of Chemically
Induced Hepatocarcinogenesis
P. Czekaj*
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II Department of Histology & Embryology, Medical University of Silesia, Medykow 18, 40-752 Katowice, Poland
Pol. J. Environ. Stud. 2004;13(5):477-486
KEYWORDS
ABSTRACT
Liver is the main organ of xenobiotic biotransformation. Since biotransformation may generate highly
mutagenic active metabolites and reactive oxygen species, liver cells are both the producers and targets for
these compounds. Xenobiotics can lead to liver tumour formation via genotoxic or non-genotoxic mechanisms.
Non-genotoxic chemicals are often inducers of monooxygenase reactions depending on cytochrome
P450 isoforms, active metabolites of which are potencial carcinogens. Moreover, non-genotoxic xenobiotics
influence expression of genes responsible for cell proliferation and apoptosis. Increased proliferation
may lead to an increased number of cells mutated as a result of genotoxic effects. In animal models of hepatocarcinogenesis
at least three steps of tumour development are characterized: initiation, promotion and
progression, but it is still unclear what the cellular origin of the liver cancer is. It is likely that either cancer
cells originate from differentiated adult hepatocytes or from undifferentiated liver stem cells. Better knowledge
about cell changes in neoplastic transformation during hepatocarcinogenesis and gaining control over
this process may lead to determination of therapy alternative to cytostatic treatment.