Table 2.
Involvement of the cellular pathways promoting replicative immortality in the development of the hallmarks of cancer identified by Hanahan et al. (165)
| Replicative immortality priority targets | Deregulated metabolism | Evasion of antigrowth signaling | Angiogenesis | Genetic instability | Resistance to cell death | Immune system evasion | Sustained proliferative signaling | Tissue invasion and metastasis | Tumor promoting inflammation | Tumor micro- environment |
|---|---|---|---|---|---|---|---|---|---|---|
| Telomerase activation | + (266) | + (266) | + (266) | + (266) | + (267) | + (266) | + (266) | + (266) | + (266)) | − (268) |
| P53 inactivation | + (269) | + (270) | + (271) | + (272) | + (273) | + (274) | + (275) | + (276) | + (277) | + (278) |
| pRb inactivation | + (279) | + (280) | + (281) | + (282) | + (283) | 0 | + (284) | + (285) | + (286) | + (287) |
| mTOR inactivation | + (288) | + (289) | − (290) | + (291) | − (292) | − (293) | − (288) | − (294 | − (295) | +/− (278) |
Targets that were found to have opposing actions in a particular hallmark (i.e. anticarcinogenic) were denoted using ‘−’, while targets that were found to have promoting actions in a particular hallmark (i.e. pro-carcinogenic) were denoted using ‘+’. In instances where reports on relevant actions in other hallmarks were mixed (i.e. reports showing both pro-carcinogenic potential and anticarcinogenic potential), the symbols ‘+/−’ were used. Finally, in instances where no literature support was found to document the relevance of a target in a particular aspect of cancer’s biology, were denoted using ‘0’.