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Volume 616 Issue 7955, 6 April 2023

Tumour promotion

In 1947, Isaac Berenblum proposed that the development of cancer was a two-stage process: the first step introduces mutations into healthy cells, the second then promotes tumour growth through tissue inflammation. In this week’s issue, Charles Swanton and his colleagues investigate the role of particulate matter in prompting the development of non-small-cell lung cancers and find that cancer initiation in response to pollution conforms to Berenblum’s model. The researchers investigated especially fine particles called PM2.5, which are smaller than 2.5 micrometres and are typically found in smoke and vehicle emissions. Looking at nearly 33,000 people from four countries, they found a clear link between prolonged exposure to PM2.5 and the development of lung cancers observed in people who had never smoked. In further studies in mice, the team found that PM2.5 seems to trigger an influx of immune cells and the release of the signalling molecule interleukin-1β in lung cells, which exacerbates inflammation and helps drive tumour progression in cells in normal tissue with specific cancer-driver mutations. Taken together, the results suggest that PM2.5 could act as a tumour promoter and could aggravate existing cancerous mutations present in normal tissue.

Cover image: Amal KS/Hindustan Times via Getty Images

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