Philip Morris
Commentary Oncogene Activation and Tumor Progression
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Grdtroeenesis Vol.5 no.4 pp.429-435, 1984
4pJ'e-IL
Commentary
Oncogene activation and tumor progression
George Klein and Eva Klein
Department of Tumor Biology, Karolinska Instioutet, 510401 Stockholm,
Sweden
Introduction
25 years ago (I) Leslie Foulds formulated a number of'rules''
for tumor progression, the process whereby 'tumors go from
bad~to worse', in Peyton Rous' original~description (2). These
rules are equally pertinent today and accessible to analysis by
the powerful tools of modern biology.
Foulds dissected the malignant phenotype into 'unit
characteristics', such as growth rate, invasiveness,
metastasizability, hormone dependence, etc. In his own
words (3): 'the behavior of tumors is determined by
numerous characters that, within wide limits, are in-
dependently variable, capable of different combinations and
assortments and liable to independent progression'. This ex-
plains the biological individuality of tumors. No two tumors
are exactly alike, even if induced by the same agent and in the
same type of target cells of the same inbred host genotype.
Foulds pointed out the need for 'particularization or factorial
analysis' (4).
Foulds' definition of the 'unit characteristics' reflects his
working area, experimental pathology. While it was mainly
based on the studies of murine tumors, his examples also in.
cluded human tumors. He emphasized the independent
change of metastasizability and hormone responsiveness in
human prostatic and thyroid carcinomas and' the stepwise
changes in the invasiveness of cervical, gastrointestinal and
bladder carcinomas. In the mouse system, the possibility of
maintaining the tumor beyond the lifespan of the host reveal-
ed that progression does norreach an endpoint in the primary
host. With the passage of tumor cell populations, new oppor-
tunities are created for further microevolutionary changes.
They lead to increased independence from local, systemie or
drug induced growth restrictions..
Fould's'' rules are also applicable to changes in the expres-
sion of defined cellular markers like histocompatibility an-
tigens (5,6) or differentiation related enzymes (7).
In tumors of epithelial tissues the evolution of progres-
sional changes could often be seen directly. Increased in-
vasiveness was detected in sharply outlined focal areas (3),,
suggesting a clonal event. Experimental analysis of progres-
sional changes in the characteristics of transplanted tumors
has first shown that they are due to a Darwinian process of
variation and selection within the cell population (5,6). Before
the arrival of modern molecular biology, analytical ap_
proaches were hampered by the Janus-faced double nature of
'AbbtevVtfons: c-onc, cellular oncogenes; v.oncviral oncogens; LTR, Long-
terminal reptat; M1PC; murine pta4nacytoma; BL, human Burkii[ tymph-
oma; IAP, intracisternal A particle; LCL, lymphoblastoid cell lines-
~IRL Press Ltd., Oxford;,England;
.NOTICE
This material may be
protected by copyright
law (Ttle 17 U.S. Code)~..
tumor cells. While capable of evolving by mutation and'selec-
tion, like asexually reproducing microorganisms, their pheno-
type can also change by differentiation steps, as in normal
somatic cells of higher organisms. Molecular distinctions be-
tween structural changes at the DNA level and' epigenetic
changes in regulation have become possible only very recent-
ly:
Oncogene activation - qualitative or quantitative?
Recent devel'opments in cancer research have shown that the
increased and/or changed activity of certain single genes, col-
lectively termed as cellular oncogenes (c-onc) or proto-
oncogenes, can lead to neoplastic development, alone or
together with other factors. The oncogenes were originally
identified as the cellular homologues of the transfortningg
genes carried by the acute, directly transforming, or class 1'
RNA tumor viruses (for recent reviews, see reference 8). The
number of known oncogenes is limited to about 20. They are
all highly conserved in evolution, suggesting that they may
.
play an important biological role.
It has been debated' whether tumorigenic behavior results
from the constitutive switch-on of unmodified cellular onco-
genes (the 'quantitative' or dosage hypothesis), or from
modifications in their DNA sequence, due to point mutations
or more extensive DNA-rearrangements (the 'qualitative'
hypothesis) (9,10). Probably, both events can occur, and even
in the same cell (11). The'reassortment, of unit characteristics'
during tumor progression may reflect sequential1 quantitative
and/or qualitative changes in oncogene expression.
As a rule, the virally carried oncogenes (v-onc) differ from
the corresponding c-onc sequences to various degrees (review-
ed by Duesberg, reference 9). Some of these modifications oc-
cur because the genes follow the retroviral lifestyle, involving
gene processing and the removal of introns. Others may arise
from genetic drift. It is unknown whether any of them are
essential for the transforming function. In contrast, the point
mutations identified in the resfamily of oncogenes (12,13,14)~
that affect one of two specific amino acid positions, are clear-
ly responsible for the acquisition of the transforming poten-
tial. The replacement of a single amino acid in a strategically
important position is believed to impose major structural
changes on the protein. While this speaks for the qualitative
model, it is also clear that the constitutive switch-on of a nor-
atal c-onc can have a transforming effect as well. This was
proven by the transforming capacity of molecular constructs
carrying c-mas (15) or c-ras (16) coupled to retroviral' long-
terminal repeats (LTR) regions, containing both promoter
and enhancer sequences.. Thus for the ras gene, the switch-on
of the nor7ttal: product was shown to have the same effect as a
mutational change in the structural gene, without any ap-
parent change in regulatory functions.
It has to be noted that not all the viral L7R/c-onc con-
429

7
1
!
?
)
c.>ikin and Ltodn
structs had transforming capacity. This was shown by recom-
binational analysis using the human and murine c-mas gene.
The v-mos carriedd by the murine sarcoma virus(MSV) retain-
ed transforming activity when retroviral LTR sequences were
attached to either its 5' or 3' end. In contrast, the murine
e-mas was only activated if the LTR was attached to the 5'
end'. The lack of transformation by the 3-LTR construct
could be explained by the existence of a regulatory sequence
(designated UMF), flanking the 5' end of c-mos. Removal of
this sequence resulted in an active product. This illustrates the
difficulty of sharp distinctions between the quantitative and
the qualitative model. Removal of a flanking regulatory se-
quence is a structural modification at the DNA level and is
thus a qualitative event which determines the transforming
capacity. Since the activated c-mos makes a normal producr,
however, it is also in line with the quantitative model. A
sharper distinction between the 'qualitative' and 'quan-
titative' models could be made if the definitions of qualitative
changes on the DNA level were further specified as
(i) changes in the structural onc gene leading to an altered
protein product; and~ (ii) changes in the regulatory sequences
of the gene or position effects leading to the expression of a
normally non-expressed protein product or to quantitative
changes in normal expression.
LTR/human c-mos constucts had no transforming effect.
This was explained by the existence of a small gap in an inter-
nal domain of the gene that counteracted the activating in-
fluence of attached LTR sequences. It is tempting to
speculate that the presence of this additional regulation in the
human oncogene may relate to the low transformability of
human cells in vitro and the longer lifespan of the species,
compared to rodents. C-mos is not expressed in normal cells.
Expression at a low level, corresponding to 10 protein mol-
ecules/cell, may already lead to transformation. It can
therefore be assumed that c-mos is a particularly dangerous
oncogene that requires several safeguards against accidental
turn-on.
The difference between the c-mos in men and' mice showss
that subtle structural differences acquired during evolution
can change the activability of an oncogene.
Oncogene activation by chromosomal translocation
Two B lymphocyte derived tumors, murine plasmacytoma
(MPC) and human Burkittlymphoma (BL), carry'principally
similar chromosomal translocations (for review, see reference
17). The same oncogene, c-myc, and! the immunoglobulin
genes are involved in both species.
In the majority' of MPCs, the distal segment of chromo-
some 15 enters into a reciprocal exchange with part of the
IgH-region of chromosome 12 (typical' transiocation), or the
kappa-locus carrying chromosome 6(variant translocation).
In BL, the typical translocation arises from the reciprocal ex-
change between the distal part' of chromosome 8 and the IgH-
carrying region of chromosome 14. Less frequently, the ex-
change occurs with the kappa locus carrying region of the short
arm of chromosome 2 or the lambda region of chromosome
22. Since one of the three translocations is regularly present in
all BL biopsies and derived lines, but not inother lymphomas
or leukemias (except the L2 form of B-cell denved ALL that is
believed to originate from the same cell as BL), we have sug-
gested (18) that they act by bringing an oncogene - and!
presumably the same oncogene - under the influence of a
chromosome region that is highly active in the Ig-producing
430
target cell. We surmised that the resulting constitutive switch
-on of the oncogene may be an essential event in the neoplas-
tic transformation.
Subsequent studies provided molecular evidence (for
reviews, see 17, 19, 2% for the basic correctness of this pic-
ture. Murine chromosome 1S and human chromosome 8 were
found to carry the same oncogene, c-myc, localized at the
place where the translocation breakpoint occurs. The typical
break of the IgH carrying murine 12 and human 14 chromo-
some was seen most frequently within the IgH complex itself,
although its exact site varied. In all cases, the c-myc gene was
found to be transposed to face the IgH sequences head to
head(21-31); therefore transcription of the two genes pro-
ceeds in the opposite direction and from the two opposite
DNA strands. The majority of MPCs produce IgA. In these
tumors, c-myc is usually transposed to the SaCnc region.
Most BLs produce IgM and c-myc is most frequently rear-
ranged to the Sµ-Cµ area. However, this is only an approxi-
mate rule with many exceptions (for review, see 32).
There are considerable variations in the location of the
breakpoint in and around the c-myc gene.. In the typical
translocation where c-myc is transposed to the IgH-carrying
chromosome, the break can affect the non-coding exon 1, but
not the coding exons 2 and 3. It can be upstream of the 5" end
of the gene either within the EcoRl fragment or outside it. In
the latter case, the Southern blot shows no rearrangement of
c-myc, in spite oE the translocation. For MPC, this means
that the breakpoint must be > 10 kb upstream of exon I of
c-myc, or >7 kb downstream of the gene. In BL, it means
that the breakpoints are > 17.5 kb in the 5' direction or
> 8 kb in the 3' direction (24). How can the resumed ac-
tivating effect of the IgH region act over such long distances?
Perry (32) has emphasized that large chromatin areas may be
activated, as reflecte& by hypomethylation and/or the ap-
pearance of DNase I hypersensitive sites.
These variations suggest that the molecular mechanism of
c-myc activation caused by translocation eannot be explained'on a single model. Several alternative
mechanisms of activa-
tion affecting larger regions of the IgH gene and their flank-
ing sequences have to be assumed to exist.
In the variant translocations of BL which involve the lightt
chain genes - kappa from chromosome 2 or lambda .`r---
chromosome 22 - the cytogenetic events are different ;: -
the typical (IgH) translocation (34,35). The c-myc gene stays
in its original position on chromosome 8. The constant genes
and' part of the variable genes of the light chain locus are
transposed to the 3' end of the myc gene giving a tail to head
myc-light chain orientation. The oncogene is probably ac-
tivated from the light chain region in the downstream posi- O
tion.
It is thus clear that both the typical and variant transloca- N
tions involve the c-myc gene in both BL and MPC. The ~
variable breakpoints upstream and downstream of the gene
'focus' on the coding exons 2 and 3 that remain invariably in- W
tact. This suggests that the c-rrtyc protein plays a crucial role ~
in transformation. The considerable variation in the distance
between ~c-myc and the immunoglobulin genes speaks against
the existence of a single enhancer or promoter that would be
responsible for the activation of the transposed~ oncogene: It
may be surmised that the activated state of the chromatin in
the Ig-gene regions, established at the time when the cell
becomes committed to B-cell'differentiation may be responsi,
ble for the constitutive activation of the inserted myc gene, byy
mechanisms that remain to be defined.

Oncageoe activation and lumor proeresion
)
)
)
)
)
)
,
Do the transl'ocat'ions play a decisive role in generating BL
and MPC?
The translocations are regularly found in primary BL and'
MPC (36,37). They do not emerge during serial passage inn
vivo or in vitro. Tetraploid primary MPCs have two
translocated and two normal chromosomes. This means that
the translocation event must have occurred prior to
tetraploidization, i.e., during the microscopical development
of the tumor or already at its very inception.
Trying to distinguish between a causative and a secondary
role in the development of malignancy, great importance
must be attached to the regularity of the association between
a given tumor-associated trait and the tumor type (38). For
BL, the association with the cytogenetic change is absolute at
present. Among all BL biopsies and/or derived lines that
have been examined in a technically satisfactory way, only
one exception can be found, the translocation negative BJAB
line (39,40). All other tumors and lines were found to carry
one of the three translocations (8;14, 8;22 or 8;2). BJAB has
been derived from an African patient,J.A. It does not have
the typical characteristics of BL. While 97o7a of the African
BLs are EBV-DNA and~ EBNA positive (41), both, the J.A.
biopsy and the derived BJAB tine were EBV-negative. Alone
among BL derived lines tested, BJAB has a low agarose
clonability, does not grow when injected subcutaneously into
nude mice (42) and does not contain the BL-associated gp
69/71 membrane glycoprotein marker (43). If BJAB is
eliminated, there is no known exception to the rule that BLs
contain one of the three specific translocations.
In MPC the association is not equally regular. About 15°70
of the plasmacytomas do not carry, either the typical or the
variant translocation. Recently, high resolution banding
analysis of three translocation negative tumors (44) revealed
an interstitial deletion in the D2/3 band region of' chromo-
some 15, corresponding to the location of the typical
translocation breakpoint. This deletion was seen in one of the
two homologous chromosomes in diploid tumors, and in two
of four chromosomes in tetraploids. In these three tumors
c-myc was transcribed at a high level. In one of them, c-myc
was rearranged, according to the EcoRl restriction -
Southern blot analysis. This suggests that in MPC, c-myc can
be regulated by events that are cytogenetically different' from
but functionally analogous to the usual translocations. The
interstitial deletion may have displaced the gene to a func-
tionally active region within the same or another
chromosome..
The importance of the translocations in plasmacytoma-
genesis is also illustrated by their occurrence under cyto-
genetically exceptional circumstances. The AKR 6;15 mouse
strain earrics a centromerically fused (Robertsonian) 6;15
chromosome. Recently we have induced p42timacytomas (PC)
in AKR 6;15 x Balb/c Fr mice (45). Seven of ten PCs had a
typical 12;15 translocation. In the three remaining tumors,
the distal segments of the Robertsonian 6; 15 chromosome
have been exchanged reciprocally; due to pericentric inver-
sion The breakpoints were the same as in the usual 6;15
variant translocation between two different chromosomes. ir
is unlikely that this extraordinary cytogenetic event would
have occurred in three independent tumors, had it not played
a crucial role in the determination of'the malignant
phenotype.
The regularity and precision, of the translocations seen in
MPC and BL and their absence from other types of murine
and human B-cell tumors suggests thar this event is necessary
for the tumorigenic process. The identical features of the
translocations in the two tumors are probably highly mean
ingful. The breakpoints affect the c-myc oncogene in almost
the same fashion (with only minor variations) in the two types
of tumors, in spite of their disparate natural history and
maturation stage of the cell of origin. Moreover, no other
oncogenes than c-myc are known to be shared by the human
chromosome 8 and murine 15. Human 8 but not mouse 15
carries c-mos, murine 15 but not human 8 carries c-sti.
A possible common denominator in the natural history of
MPC and BL may be sought in their relatively long pre-
neoplastic latency period; involving chronic proliferation of
the pre-neoplastic target cell. In the EBV-carrying Africann
form of BL, the target cells are presumably first immortalized
by EBV and then stimulated by chronic malaria (38). Some of
the EBV-carrying B cells cannot follow the normal i pathway
of maturation. The stimulation by the chronic infection mayy
increase the risk of genetic errors, including illegitimate
recombinations between chromosomes. In MPC, the oil (or
other foreign body) induced granulorrtatous reaction within
the peritoneali cavity may provide the proliferation pre-
disposition for the chromosomal changes.
A similar, translocation has also been found in another
B-cell derived'tumor, the spontaneous immunocytoma of the
Louvain strain of rats (46). It arose from a reciprocal ex-
change between chromosomes 6 and' 7 and showed striking
banding homologies with the typical 12;15 translocation in
the murine PC. Recently, our laboratory has localized c-myc
to rat chromosome 7 (47). The rat immunoglobulin geness
have not yet been localized on the chromosome map.
In conclusion, it is most reasonable to assure that the
translocations play an essential role in the genesis of MPC
and BL. This does nor mean that they represent the only im-
portant change.
Secondary changes
For the understanding of tumor progression, secondary,
cytogenetic and molecular events are also of greater interest.
Van Ness et al. (48) described an~aberranr rearrangement, of
the kappa locus in one MPC line that also carried the typical
12; 15 translocation. The additional event involved, chromo-
some 6. It was a tripartite translocation, involving chromo-
somes 6, 12 and 15. This recombinant was quite different
from the usual' 1'2;15 that was also present. The chromosome
15-derived fragment that entered the tripartite rearrangement
did not carry c-myc sequences.
Perlmutter et al. (49) found a 6; 10 recombinant in the NS-1.
murine plasmacytoma line that also contained the typicali
12;15 translocation. This recombination, detected exclusively
at the molecular level, has led to the juxtaposition of Ck and a
single copy element derived'. from chromosome 10. A cor-
responding 6;10 translocation was also foun& in a second
MPC. The chromosome 10-derived sequence was identical in
both tumors, it, was not homologous to any known oncogene,,
it was transcribed at a high level', and homologous sequences
could be detected in three different species: mouse, rabbit and
human. It is possible that the 6;10 translocation reflects a
secondary oncogene activation event that occurs in the course
of tumor progression. Rearrangement of the c-mos oncogene
found in some mouse plasmacytomas may be another case in
point. It may be particularly significant in view of the fact
that c-mos is not transcribed in normal tissues at all (50) and
431,

l.
)
)
c.nde u,d Ltakin
only very rarely in tumors. In the XRPC24 plasmacytoma
that carries a typical 12; I5 translocation and has an already
activated c-myr, the c-mas gene was highly transcribed as
well. The reatranged', doned sequence, designated as rc-mos,
could transform NIH 3T3 cells in transformed assays (51,52).
The 5' end of the gene contained an inuacisternal' A particle
(L4P) gene in a head to head orientation. LAP sequences are
known to behave as movable genetic elements. It was sug-
gested that the insertion of the LAP sequences may be respon-
sible for the activation of c-mas in analogy with the Hayward
model of oncogene activation by retroviral promoter inser-
tion (35). lAP gene integration into the c-mas occurred also
in the NS-1 plasmacytoma, another, 12;15 transl'ocation car-
rier (52). The molecular details were different in the two
tumors, however, both with regard to orientation and
distance between the lAP and c-mas. In NS-1 c-mcis was not
detectably transcribed.
Chromosome 11 trisomy is another frequent secondary
change in murine plasmacytomas (Ohno,E., Migita,S.,
Wiener,F., Babonits,M., Klein,G,, Mushinski,J.F. and Pot-
ter,M., in preparation).
The occurrence of characteristic secondary changes in a
group of tumors that have the same primary change will
doubtlessly be encountered to an increasing extent as the sub-
molecular analysis of experimental and human tumors pro-
gress. It is already known that Phi chromosome carrying
CML is subject to characteristic secondary cytogenetic
changes (54). Also, Steel has found' (55) that the developmentt
of aneuploidy during the prolonged propagation of lympho-
blastoid cell lines (LCL) follows non-rand'om pathways,
characterized by certain trisomies, but without the ap-
pearance of the BL-type translocations. Long-propagated
LCL become tumorigenic in nude mice, in parallel with their
aneuploidisation (42),, illustrating the rule that tumorigenicityy
can be acquired through several independent pathways.
Doubk or nntltipk oncogene activation detected by traastec-
ti'on assays
In several systems where oncogene activation contributed to
the emergence of tumors by one of the three mechanisms so
far discussed, namely viral transduction, viral promoter inser-
tion and chromosome translocation, activated oncogenes
have also been detected by the focus-forming assay on NIH
3T3 fibroblasts after DNA transfection (for reviews see 56,.
57). One of the earliest experiments of this type was carried
out with the ALV-induced chicken B-cell lymphoma where
c-myc became activated through the insertion of a retroviral
promoter (53). Surprisingly, the transforming DNA sequence
was not c-myc but another,, previously unknown oncogene
(58). It was designated as ChBlym-1 or Blym for short (59).
The same oncogene was also detected by transfecting NIH
3T3 with the DNA of six Burkitt lymphomas (60), while in
another BL line (61) the transfecting sequences were N-ras.
AL.V-induced chicken B-lymphoma and human BL
originates from B-cells at a similar intermediate stage of dif-
ferentiation. The involvement of' the same two oncogenes,
c-myc and B-lym in the genesis of these tumors is therefore
particularly intriguing. Transfection experiments with DNA
of mouse plasmacytoma have also identified an active onco-
gene but this was different from both~ c-myc and Blym
(62,63).
ALV-induced chicken lymphorna develops by a multistep
process, including both pre-neoplastic and neoplastic stages
432
(61). Activation of c-myc is probably an early, pre-neoplastic
event (62). In the EBV-carrying African form of BL, the
situation is probably quite different. EBV is a highly potent
transforming (immortalizing) agent in itself. Immortalized
LCL can be established from the blood of EBV-seropositive
persons at any time, suggesting that they harbor virus carry-
ing B-lymphocytes continuously (64). Such lines are diploid,,
polyclonal, have a low agarose cl'onability and do not grow in
nude mice. Translocation carring BL lines are monoclonal,
have a high agarose clonabilty and grow progressively in nude
mice as subcutaneous tumors (42). The rare, c-myc activating
chromosomal translocation is therefore probably a late event,
perhaps the last step that permits the escape of the cell from
some immunological or non-immunological host control that
restricts its immediate predecessor.
The postulated difference in the role of c-myc in the avian
and the human B-lymphoma is entirely conceivable. Already
Foulds' comparative analysis of the natural history of dif-
ferent tumors has shown that the same progressional step can
occur at different stages of neoplastic development (4).
Similar situations have been described in some other
systems. Lane et al. (63) found that Abelson virus-induced
murine pre-B-cell lymphomas contained transforming se-
quences that were not present in the viral genome and had no
homology with the abi oncogene. The v-ebl oncogene itself
could be lost during the serial passage of Abelson virus-
induced lymphomas, without the loss of the tumorigenic
phenotype (65). Transforming DNA sequences derived from
MuMTV induce&rttouse mammary carcinomas differed from
any viral sequences (66,67).
The DMBA + TPA induced carcinogenic process in the
mouse skin was recently studied by Balmain and Pragnell by
the transfection technique (68). DNA isolated from car-
cinogen and/or promoter painted mouse skin had no
transforming activity for NIH 3T3 cells, in contrast to
papilloma and carcinoma DNA. Transforming sequences
isolated from the latter could be assigned to the H-rus family.
The lack of any detectable difference in the transforming
ability of DNA from the benign papillomas and the invasive
carcinomas was puzzling. Balmain suggests that the major
chromosomal differences between the purely diploid
papillomas and the highly aneupioid carcinomas may be
responsible for the difference in tumorigenic behavior.
Infotmative as the NIH 3T3 transfection experiments have
been, the relatively easy transformability of this highly
aneuptoid, immortal ceH' line, and its notorious predilection
for the ras oncogene family has been a source of continuing
concern. It is therefore of great interest that Land, Parada
and Weinberg (69) have recently succeeded in transforming
primary rat embryonic fibroblasts (REF), by transfecting
them with two different oncogenes, ras and myc. A molecular
clone isolated from the human EJ bladder carcinoma line
served as the source of transforming ras. Transfection with
ras alone gave no foci, but certain morphological signs of
transformation were present, provided that the transfectants
were separated from surrounding untransfected cells or were
clone& in soft agar. After they have grown to colonies of
500-5000 cells, they lost the ability to divide, however. In
contrast, an established rat fibroblasn line could be per-
manently transformed by ras, and became also tumorigenic in
vivo. It was concluded that the inability of the activated r¢s
gene to expand transfected REFs in dense monolayer
cultures, or to render them tumorigenicin vivo could be com-

Oncogene activatlon and tumor pro`resoon
pensated by cellular functions that existed in immortal cell
lines prior to transfection. A second transfection step was
then introduced to test whether the myc gene could provide
this function. Proviral v-myc clones had no transforming ef-
fect on either NIH-3T3 or on rat-I cells. When introducediin-
to REFs together with ras, under conditions where neither of
the two oncogenes had any obvious effect, transformed foci'
were readily obtained. They were tumorigenic in nude mice or
in syngeneic rats, although with certain limitations. In con-
trast to the ras transformed continuous rat fibroblastline that
grew progressively, they only grew to a size of about 2 cm
and remained stationary thereafter. The mechanism responsi -
ble for the control of the progressive growth of the tumors is
not known. This system can be regarded as a model in which
the malignant phenotype imposed by the ras gene varies
depending on the combination with other cellular events.
This 'double transfection' system has led to the definition
of two complementation groups. H-ras could be substituted
by N-ras or by polyorrta middle T, whereas v-myc could be
replaced by polyoma large T or by the E I a gene of adenovirus
(70). Polyoma middle T is known to induce morphological
changes and anchorage independence, whereas large T is re-
auired' for immortalization and reduced serum dependence
(71). This contrasting behavior stimulated speculations con-
cerning the possible modes of action of the products of the
two complementation groups. According to this model the
genes belonging to the 'myc complementation group' code
for nuclear proteins, whereas the genes of the 'ras group' pro-
ducts are membrane associated and are responsible for mor-
phological and functional, changes related to the social
behavior of cells. Some of theselike anchorage independence
may form an importantpan of tumorigenic behavior in vivo:
Active ras oncogenes were found in bladder, colon, lung,
pancreas and skin carcinomas, neuroblastomas, sarcomas
and different types of hemopoietic malignancies. Myc-
activation is associated with myelocytomatosis, myeloid
leukemia, bursal lymphomas, Burkitt lymphoma and plasma-
cytomas. V-myc-carrying viruses can induce kidney, pancreas
and liver carcinomas and mesotheliomas. Aartplified copies of
c-myc have been found in neuroendocrine and colonic tumors
(72). Thus, neither of the two oncogenes ras and myc are
tissue specific. This does not mean that the same oncogenic
productcan contribute to the transformed'phenotypes of any
cell. The target cell range is restricted, but the boundaries are
wider for some oncogene products than for others. This can
be exemplified by the fact that the src protein is expressed in
fibroblasts and in certain cells of the hemopoietic system, but
only the fibroblasts are transformed. The myb product is also
expressed in both types of cells, but it transforms only
hemopoietic cells.
These and other findings show that the impact of a given
oncogene product differs depending on the cell type in which
it is expressed. The work of Bishop (73) on the myb oncogene
has clearly shown that the oncogene product and the differen-
tiation program of the target cell can interact in differentt
ways. A cell may ignore or suppress the oncogene in a certain
Phase of differentiation. The arnplifred~mycgene in the HL60
myeloid'leukemia line is switched off when the cells are induc-
ed to differentiate (74).
The stepwise changes in ''unit characteristics' during tumor
progression will have to be redefined,, nov only in terms of
what may correspond~ to the sequential activation of different
oncogenes, butl also with regard to the interactions between
each oncogene produat and the phenotype of the cell where it
is expressed.
It is probable that there are more than two complementa-
tion groups among the known oncogenes. The widely diver-
sified and finely graded phenotypic variation that is
manifested as tumor progression is brought about bycomplez
events. Accordingly, the work of Land et al. (69) has
demonstrated the existence of minor phenotypic differences
between different members of the same complementation
group. The present subdivision is heuristically useful, but will
be replaced by more complex schemes as analysis proceeds. In
addition to the double transfection system with two different
oncogenes, the pick-up of two different oncogenes - unlink-
ed and unrelated but complementary in~thei'r interaction - by
the same transforming virus provides a fascinating tool for
this analysis (75).
Perspectives
In the 1950s, Levan (76), Makino (77) and others developed
the 'stemline concept' of tumor growth. It implies that one
main stemline is responsible for the progressive growth of
each tumor cell population. However, chromosomal and
other genetic variation generates new variants that branch off
from the stemline. The vast majority of these variants is less
adapted for proliferation than the original type. Occasional
rare variants may have a selective advantage and can give rise
to a new stemline. The natural history of most tumors can be
therefore described as a continuous series of stepwise
changes. Tumor progression is the expression of these
changes at the population level.
This microevolutionary process does not put any a priori
restriction on the cellular mechanisms that may contribute to
this variation, nor is there any obvious reason why only a very
limited set of genes should be involved. Nevertheless, the
limited evidence surveyed already shows that sequential ac-
tivation of the presently known oncogenes can be at least a
part of this process. DNA-rearrangement by chromosomal
transposition represents a particularly intriguing mechanism,
since it can bring an oncogene under the cis control of a
highly active chromosome region. In the most extensively
studied systems, Burkitt lymphoma and murine plasma-
cytoma, the activated state of the immunoglobulin gene
region in B-a1Ls may be more important in switching on the
transposed c-myc oncogene, than any one of the presently
definable promoter or enhancer sequences. 'Open' regions of
the chromatin as possibly reflected by DNA hypomethyla-
tion, DNAse I hypersensitive sites, or Z-DNA may be par-
ticularly important, as already indicated by their role in the
activation of rearranged' variable regions within the Ig-gene
system itself (78,79). As a result of the translocations, a varie-
ty of alternative promoters and/or enhancers may emerge
from previously cryptic positions. Molecular comparisons
between different tumors that carry the same chromosomal,
translbcation is particularly rewarding, since they reveal the
range of permissible variation with regard to breakpoints,
orientation, and sequence combinations with maintained
transforming activity. The invariable conservation of certain
regions - like exon 2 and 3 of' c-myc - permits, on the other
hand, a closer focusing on the products that play an essential
role for the neoplastic transformation.
, 433

1
)
).
3
3
t
G.Kkfr and EKlde
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(Received'on 20 February 1964; accepted on 22 February 1984)
