Abstract
Occupational and environmental exposures to metals are strongly associated with an increased risk of various cancers. Although carcinogenesis caused by metals has been intensively investigated, the exact mechanisms are still ambiguous. Given the different chemical properties of metals, a uniform mechanism of action for all metals is unlikely. Recent evidence suggests that carcinogenic metals induce genotoxicity in a diversity of ways, either alone or by enhancing the effects of other agents.
This review summarizes current information on the mechanisms of carcinogenesis of metals including arsenic, chromium, cadmium, nickel, cobalt, beryllium, copper, lead, vanadium, silver, zinc, selenium, iron, antimony, manganese, and aluminum. Each of these metals is distinct in its primary modes of action; yet there are several mechanisms induced by more than one metal, including the induction of oxidative stress, inhibition of DNA metabolism and repair, formation of DNA and/or protein cross-links, induction of cancer-related genes and proteins, and disturbance of cell cycle and function. Also attention is paid to responsive signal transduction pathways with major roles in cell growth and development such as growth factor receptors, ras, src, MAPKs, NFkB, Nrf2, HIF-1, p53, NFAT, and AP-1. These signaling pathways can lead to induction of transcription in genes that promote proliferation or confer apoptosis resistance to metal-exposed cells. Dysregulation of protective pathways, including cellular antioxidant network against free radicals as well as impaired DNA repair, is related to oncogenic stimulation. Epigenetic modifications including DNA methylation, histone modification, microRNAs, and their roles in metal carcinogenesis are also reviewed.
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Ghaedi, E., Esfahani, S.A., Keshavarz-Fathi, M., Rezaei, N. (2023). Molecular Mechanisms of Metal-Induced Carcinogenesis. In: Rezaei, N. (eds) Cancer Research: An Interdisciplinary Approach. Interdisciplinary Cancer Research, vol 1. Springer, Cham. https://doi.org/10.1007/16833_2023_151
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DOI: https://doi.org/10.1007/16833_2023_151
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