Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Timeline
  • Published:

Cancer prevention research — then and now

Abstract

Throughout history, humankind has won the battle against deadly diseases, including small pox and polio, by defeating them through prevention. Cancer prevention is a global priority, but studying history suggests that the journey towards achieving this goal is difficult and full of detours and roadblocks. Epidemiology and clinical evidence clearly indicate that specific genetic, environmental and behavioural factors are associated with an increased risk for cancer development. What can we learn from the past that is applicable to the reality of successful cancer prevention?

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Epidemiological and observational agents that might prevent cancer.
Figure 2: Effective routes to preventing cancer.
Figure 3: Complete strategy for eliminating cancer.

References

  1. Danaei, G., Vander Hoorn, S., Lopez, A. D., Murray, C. J. & Ezzati, M. Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet 366, 1784–1793 (2005).

    Article  PubMed  Google Scholar 

  2. Gurunluoglu, R. & Gurunluoglu, A. Paul of Aegina: landmark in surgical progress. World J. Surg. 27, 18–25 (2003).

    Article  PubMed  Google Scholar 

  3. Ramazzini, B. De Morbis Artificium Diatriba (translated by Wright, W. C.) (Univ. of Chicago Press, Chicago,1940).

    Google Scholar 

  4. Hill, J. Cautions Against the Immoderate Use of Snuff (Baldwin and Jackson, London, 1761).

    Google Scholar 

  5. Pott, P. Chirurgical Observations Relative to the Cataract, the Polypus of the Nose, the Cancer of the Scrotum, the Different Kinds of Ruptures and the Mortifications of the Toes and Feet (Haves, Clarke and Collins, London,1775).

    Google Scholar 

  6. Hutchinson, J. On some examples of arsenic-keratosis of the skin and of arsenic-cancer. Trans. Pathol. Soc. Lond. 39, 352–393 (1888).

    Google Scholar 

  7. Rehn, L. Bladder tumours in fuchsin workers. Arch. Fuer Klin. Chirurgie 50, 588–600 (1895).

    Google Scholar 

  8. Huff, J. Carcinogenicity Testing, Predicting, and Interpreting Chemical Effects (ed. Kitchin, K. T.) 21–123 (Dekker, New York, 1999).

    Google Scholar 

  9. Frieben, A. Demonstration eines Cancroid der rechten Handdruckens das sich nach langdauerneder Einwirkung von Roentgenstrahlen entwickelt hat. Fortschr. Roentgenstr. 6, 106–111 (1902).

    Google Scholar 

  10. Sick, H. Karzinom der Haut das auf dem Boden eines Roentgenulcus enstanden its. Muench Med. Wochenschr. 50, 1445 (1902).

    Google Scholar 

  11. Rous, P. A sarcoma of the fowl transmissible by an agent separable from the tumor cells. J. Exp. Med. 13, 397–411 (1911).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Yamagiwa, K. & Ichikawa, K. Experimental study of the pathogenesis of carcinoma. CA Cancer J. Clin. 27, 174–181 (1977).

    Article  CAS  PubMed  Google Scholar 

  13. Hill, M. J. Changes and developments in cancer prevention. J. R. Soc. Health 121, 94–97 (2001).

    Article  CAS  Google Scholar 

  14. Gofman, J. W. & O'Connor, E. Cancer in the family: does each case require more than one cause? The likelihood of co-action. Committee for Nuclear Responsibility [online],; (1999).

    Google Scholar 

  15. Creech, H. J. Historical review of the American Association of Cancer Research, Inc., 1941–1978. Cancer Res. 39, 1863–1890 (1979).

    CAS  PubMed  Google Scholar 

  16. Adams, S. H. What can we do about cancer? The most vital and insistent question in the medical world. Ladies Home J. 30, 21–22 (1913).

    Google Scholar 

  17. Cantor, D. Introduction: cancer control and prevention in the twentieth century. Bull. Hist. Med. 81, 1–38 (2007).

    Article  Google Scholar 

  18. Cantor, D. Cancer, quackery and the vernacular meanings of hope in 1950s America. J. Hist. Med. Allied Sci. 61, 324–368 (2006).

    Article  PubMed  Google Scholar 

  19. Wynder, E. L. & Graham, E. A. Tobacco smoking as a possible etiologic factor in bronchiogenic carcinoma; a study of 684 proved cases. J. Am. Med. Assoc. 143, 329–336 (1950).

    Article  CAS  PubMed  Google Scholar 

  20. American Institute for Cancer Research. Food, nutrition and the prevention of cancer: a global perspective. World Cancer Research Fund/American Institute for Cancer Research [online], http://www.dietandcancerreport.org/ (1997).

  21. American Institute for Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. World Cancer Research Fund/American Institute for Cancer Research [online], http://www.dietandcancerreport.org/ (2007).

  22. Doll, R. & Hill, A. B. Smoking and carcinoma of the lung; preliminary report. BMJ 2, 739–748 (1950).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Hammond, E. C. & Horn, D. The relationship between human smoking habits and death rates: a follow-up study of 187,766 men. J. Am. Med. Assoc. 155, 1316–1328 (1954).

    Article  CAS  PubMed  Google Scholar 

  24. Hammond, E. C. & Horn, D. Smoking and death rates; report on forty-four months of follow-up of 187,783 men. II. Death rates by cause. J. Am. Med. Assoc. 166, 1294–1308 (1958).

    Article  CAS  PubMed  Google Scholar 

  25. Hammond, E. C. & Horn, D. Smoking and death rates; report on forty-four months of follow-up of 187,783 men. I. Total mortality. J. Am. Med. Assoc. 166, 1159–1172 (1958).

    Article  CAS  PubMed  Google Scholar 

  26. Doll, R. & Hill, A. B. The mortality of doctors in relation to their smoking habits; a preliminary report. BMJ 1, 1451–1455 (1954).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Doll, R. & Hill, A. B. Lung cancer and other causes of death in relation to smoking; a second report on the mortality of British doctors. BMJ 2, 1071–1081 (1956).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Doll, R., Peto, R., Boreham, J. & Sutherland, I. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ 328, 1519 (2004).

    Article  PubMed  PubMed Central  Google Scholar 

  29. Hammond, E. C. Cancer etiology: new prospective epidemiological study. CA Cancer J. Clin. 9, 177–178 (1959).

    Article  CAS  PubMed  Google Scholar 

  30. Hammond, E. C. Smoking in relation to mortality and morbidity. Findings in first thirty-four months of follow-up in a prospective study started in 1959. J. Natl Cancer Inst. 32, 1161–1188 (1964).

    CAS  PubMed  Google Scholar 

  31. Royal College of Physicians. Smoking and Health (Pitman Medical, London, 1962).

  32. Houseman, M. Smoking and health: the 1964 Surgeon General's report as a turning point in the anti-smoking movement. Harvard Health Policy Review 2, 118–126 (2001).

    Google Scholar 

  33. Wagner, J. C., Sleggs, C. A. & Marchand, P. Diffuse pleural mesothelioma and asbestos exposure in the North Western Cape Province. Br. J. Ind. Med. 17, 260–271 (1960).

    CAS  PubMed  PubMed Central  Google Scholar 

  34. IARC (ed.) Tobacco smoke and involuntary smoking. World Health Organization; International Agency for Research on Cancer [online], http://monographs.iarc.fr/ENG/Monographs/vol83/volume83.pdf (2002).

  35. US Department of Health and Human Services. The health consequences of involuntary exposure to tobacco smoke: a report of the Surgeon General. Office of the Surgeon General [online], http://www.surgeongeneral.gov/library/secondhandsmoke/report/fullreport.pdf (2006).

  36. Leborgne, R. Diagnosis of tumors of the breast by simple roentgenography; calcifications in carcinomas. Am. J. Roentgenol. Radium Ther. 65, 1–11 (1951).

    CAS  PubMed  Google Scholar 

  37. Sam, S. Evidence on screening for breast cancer from a randomized trial. Cancer 39, 2772–2782 (1977).

    Article  Google Scholar 

  38. Shapiro, S. Periodic screening for breast cancer: the HIP randomized controlled trial health insurance plan. J. Natl Cancer Inst. Monogr. 27–30 (1997).

  39. Lilienfeld, A. M. The relationship of cancer of the female breast to artificial menopause and martial status. Cancer 9, 927–934 (1956).

    Article  CAS  PubMed  Google Scholar 

  40. Jordan, V. C. Antitumour activity of the antioestrogen ICI 46,474 (tamoxifen) in the dimethylbenzanthracene (DMBA)-induced rat mammary carcinoma model. J. Steroid Biochem. 5, 354 (1974).

    Article  Google Scholar 

  41. Miki, Y. et al. A strong candidate for the breast and ovarian cancer susceptibility gene BRCA1. Science 266, 66–71 (1994).

    Article  CAS  PubMed  Google Scholar 

  42. Wooster, R. et al. Localization of a breast cancer susceptibility gene, BRCA2, to chromosome 13q12–13. Science 265, 2088–2090 (1994).

    Article  CAS  PubMed  Google Scholar 

  43. Papanicolaou, G. New cancer diagnosis. Proceedings of the Third Race Betterment Conference 528–534 (1928).

  44. Papanicolaou, G. N. & Traut, H. The diagnostic value of vaginal smears in carcinoma of the uterus. Am. J. Obstet. Gynecol. 42, 193–206 (1941).

    Article  Google Scholar 

  45. Wynder, E. L., Cornfield, J., Schroff, P. D. & Doraiswami, K. R. A study of environmental factors in carcinoma of the cervix. Am. J. Obstet. Gynecol. 68, 1016–1047; discussion, 1048–1052 (1954).

    Article  CAS  PubMed  Google Scholar 

  46. Beral, V. Cancer of the cervix: a sexually transmitted infection? Lancet 1, 1037–1040 (1974).

    Article  CAS  PubMed  Google Scholar 

  47. Hewitt, H. The vast investment in research into the role of viruses in human cancer has largely been wasted because there is still little firm evidence for such a role. Eur. J. Cancer Prev. 1, 187–189 (1992).

    Article  Google Scholar 

  48. Blumberg, B. S. & London, W. T. Hepatitis B virus and the prevention of primary hepatocellular carcinoma. N. Engl. J. Med. 304, 782–784 (1981).

    Article  CAS  PubMed  Google Scholar 

  49. Durst, M., Gissmann, L., Ikenberg, H. & zur Hausen, H. A papillomavirus DNA from a cervical carcinoma and its prevalence in cancer biopsy samples from different geographic regions. Proc. Natl Acad. Sci. USA 80, 3812–3815 (1983).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Barrasso, R., De Brux, J., Croissant, O. & Orth, G. High prevalence of papillomavirus-associated penile intraepithelial neoplasia in sexual partners of women with cervical intraepithelial neoplasia. N. Engl. J. Med. 317, 916–923 (1987).

    Article  CAS  PubMed  Google Scholar 

  51. Schiffman, M. H. et al. Epidemiologic evidence showing that human papillomavirus infection causes most cervical intraepithelial neoplasia. J. Natl Cancer Inst. 85, 958–964 (1993).

    Article  CAS  PubMed  Google Scholar 

  52. Manos, M. M. et al. Identifying women with cervical neoplasia: using human papillomavirus DNA testing for equivocal Papanicolaou results. JAMA 281, 1605–1610 (1999).

    Article  CAS  PubMed  Google Scholar 

  53. Callaghan, J., Karim, S., Mortlock, S., Wintert, M. & Woodward, N. Hybrid capture as a means of detecting human papillomavirus DNA from liquid-based cytology specimens: a preliminary evaluation. Br. J. Biomed. Sci. 58, 184–189 (2001).

    CAS  PubMed  Google Scholar 

  54. Koutsky, L. A. et al. A controlled trial of a human papillomavirus type 16 vaccine. N. Engl. J. Med. 347, 1645–1651 (2002).

    Article  CAS  PubMed  Google Scholar 

  55. Paavonen, J. et al. Efficacy of a prophylactic adjuvanted bivalent L1 virus-like-particle vaccine against infection with human papillomavirus types 16 and 18 in young women: an interim analysis of a phase III double-blind, randomised controlled trial. Lancet 369, 2161–2170 (2007).

    Article  CAS  PubMed  Google Scholar 

  56. [No authors listed.] New vaccine prevents cervical cancer. FDA Consum. 40, 37 (2006).

  57. Future II study group. Quadrivalent vaccine against human papillomavirus to prevent high-grade cervical lesions. N. Engl. J. Med. 356, 1915–1927 (2007).

  58. Ault, K. A. Effect of prophylactic human papillomavirus L1 virus-like-particle vaccine on risk of cervical intraepithelial neoplasia grade 2, grade 3, and adenocarcinoma in situ: a combined analysis of four randomised clinical trials. Lancet 369, 1861–1868 (2007).

    Article  PubMed  CAS  Google Scholar 

  59. Hockberger, P. E. A history of ultraviolet photobiology for humans, animals and microorganisms. Photochem. Photobiol. 76, 561–579 (2002).

    Article  CAS  PubMed  Google Scholar 

  60. Findlay, G. M. Ultra-violet light and skin cancer. Lancet 1070–1073 (1928).

  61. Bode, A. M. & Dong, Z. Mitogen-activated protein kinase activation in UV-induced signal transduction. Sci. STKE 2003, RE2 (2003).

  62. Epstein, J. H. Photocarcinogenesis, skin cancer, and aging. J. Am. Acad. Dermatol. 9, 487–502 (1983).

    Article  CAS  PubMed  Google Scholar 

  63. Fitzpatrick, T. B., Sober, A. J., Pearson, B. J. & Lew, R. in Research in Photobiology (ed. Castellani, A.) 485–490 (Plenum, New York, 1976).

    Google Scholar 

  64. Forbes, P. D., Davis, R. J. & Urbach, F. in Research in Photobiology (ed. Castellani, A.) 469–478 (Plenum, New York, 1976).

    Google Scholar 

  65. International Agency for Research on Cancer. Solar and ultraviolet radiation. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans [online], http://monographs.iarc.fr/ENG/Monographs/vol55/volume55.pdf (1992).

  66. Kusewitt, D. F., Budge, C. L., Anderson, M. M., Ryan, S. L. & Ley, R. D. Frequency of ultraviolet radiation-induced mutation at the hprt locus in repair-proficient murine fibroblasts transfected with the denV gene of bacteriophage T4. Photochem. Photobiol. 58, 450–454 (1993).

    Article  CAS  PubMed  Google Scholar 

  67. Ley, R. D. Photoreactivation in humans. Proc. Natl Acad. Sci. USA 90, 4337 (1993).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Setlow, R. B. The wavelengths in sunlight effective in producing skin cancer: a theoretical analysis. Proc. Natl Acad. Sci. USA 71, 3363–3366 (1974).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. de Laat, A., van der Leun, J. C. & de Gruijl, F. R. Carcinogenesis induced by UVA (365-nm) radiation: the dose-time dependence of tumor formation in hairless mice. Carcinogenesis 18, 1013–1020 (1997).

    Article  CAS  PubMed  Google Scholar 

  70. de Laat, J. M. & de Gruijl, F. R. The role of UVA in the aetiology of non-melanoma skin cancer. Cancer Surv. 26, 173–191 (1996).

    CAS  PubMed  Google Scholar 

  71. Gasparro, F. P. Sunscreens, skin photobiology, and skin cancer: the need for UVA protection and evaluation of efficacy. Environ. Health Perspect. 108 (Suppl. 1), 71–78 (2000).

    CAS  PubMed  PubMed Central  Google Scholar 

  72. Runger, T. M. Role of UVA in the pathogenesis of melanoma and non-melanoma skin cancer. A short review. Photodermatol. Photoimmunol. Photomed. 15, 212–216 (1999).

    Article  CAS  PubMed  Google Scholar 

  73. Setlow, R. B. Spectral regions contributing to melanoma: a personal view. J. Investig. Dermatol. Symp. Proc. 4, 46–49 (1999).

    Article  CAS  PubMed  Google Scholar 

  74. Greegor, D. H. Diagnosis of large-bowel cancer in the asymptomatic patient. JAMA 201, 943–945 (1967).

    Article  CAS  PubMed  Google Scholar 

  75. Wolff, W. I. Colonoscopy: history and development. Am. J. Gastroenterol. 84, 1017–1025 (1989).

    CAS  PubMed  Google Scholar 

  76. Wynder, E. L. & Gori, G. B. Contribution of the environment to cancer incidence: an epidemiologic exercise. J. Natl Cancer Inst. 58, 825–832 (1977).

    Article  CAS  PubMed  Google Scholar 

  77. Doll, R. & Peto, R. The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J. Natl Cancer Inst. 66, 1191–1308 (1981).

    Article  CAS  PubMed  Google Scholar 

  78. Committee on Diet, Nutrition, and Cancer. Diet, Nutrition and Cancer. National Research Council [online],http://books.nap.edu/catalog.php?record_id=371#toc (1982).

  79. Reddy, B. S. et al. Nutrition and its relationship to cancer. Adv. Cancer Res. 32, 237–345 (1980).

    Article  CAS  PubMed  Google Scholar 

  80. Koop, C. E. The Surgeon General's Report on Nutrition and Health, US Department of Health and Human Services [online], (1988).

  81. Wattenberg, L. W. Chemoprophylaxis of carcinogenesis: a review. Cancer Res. 26, 1520–1526 (1966).

    CAS  PubMed  Google Scholar 

  82. Sporn, M. B. Approaches to prevention of epithelial cancer during the preneoplastic period. Cancer Res. 36, 2699–2702 (1976).

    CAS  PubMed  Google Scholar 

  83. Wattenberg, L. W. Chemoprevention of cancer. Cancer Res. 45, 1–8 (1985).

    Article  CAS  PubMed  Google Scholar 

  84. Hong, W. K. & Sporn, M. B. Recent advances in chemoprevention of cancer. Science 278, 1073–1077 (1997).

    Article  CAS  PubMed  Google Scholar 

  85. Fisher, B. et al. Tamoxifen for prevention of breast cancer: report of the National Surgical Adjuvant Breast and Bowel Project P-1 study. J. Natl Cancer Inst. 90, 1371–1388 (1998).

    Article  CAS  PubMed  Google Scholar 

  86. Fisher, B. et al. Tamoxifen for the prevention of breast cancer: current status of the National Surgical Adjuvant Breast and Bowel Project P-1 study. J. Natl Cancer Inst. 97, 1652–1662 (2005).

    Article  CAS  PubMed  Google Scholar 

  87. Vogel, V. G. et al. Effects of tamoxifen vs raloxifene on the risk of developing invasive breast cancer and other disease outcomes: the NSABP Study of Tamoxifen and Raloxifene (STAR) P-2 trial. JAMA 295, 2727–2741 (2006).

    Article  CAS  PubMed  Google Scholar 

  88. Cummings, S. R. et al. The effect of raloxifene on risk of breast cancer in postmenopausal women: results from the MORE randomized trial. Multiple Outcomes of Raloxifene Evaluation. JAMA 281, 2189–2197 (1999).

    Article  CAS  PubMed  Google Scholar 

  89. Barrett-Connor, E. et al. Effects of raloxifene on cardiovascular events and breast cancer in postmenopausal women. N. Engl. J. Med. 355, 125–137 (2006).

    Article  CAS  PubMed  Google Scholar 

  90. Thompson, I. M., Klein, E. A., Lippman, S. M., Coltman, C. A. & Djavan, B. Prevention of prostate cancer with finasteride: US/European perspective. Eur. Urol. 44, 650–655 (2003).

    Article  CAS  PubMed  Google Scholar 

  91. Kulkarni, G. S. et al. Evidence for a biopsy derived grade artifact among larger prostate glands. J. Urol. 175, 505–509 (2006).

    Article  PubMed  Google Scholar 

  92. Redman, M. W. et al. Finasteride does not increase the risk of high-grade prostate cancer: a bias-adjusted modeling approach. Cancer Prev. Res. (Phila Pa) 1, 174–181 (2008).

    Article  CAS  Google Scholar 

  93. Pinsky, P., Parnes, H. & Ford, L. Estimating rates of true high-grade disease in the prostate cancer prevention trial. Cancer Prev. Res. (Phila Pa) 1, 182–186 (2008).

    Article  Google Scholar 

  94. Thun, M. J., Namboodiri, M. M. & Heath, C. W. Jr. Aspirin use and reduced risk of fatal colon cancer. N. Engl. J. Med. 325, 1593–1596 (1991).

    Article  CAS  PubMed  Google Scholar 

  95. Steinbach, G. et al. The effect of celecoxib, a cyclooxygenase-2 inhibitor, in familial adenomatous polyposis. N. Engl. J. Med. 342, 1946–1952 (2000).

    Article  CAS  PubMed  Google Scholar 

  96. Bertagnolli, M. M. et al. Celecoxib for the prevention of sporadic colorectal adenomas. N. Engl. J. Med. 355, 873–884 (2006).

    Article  CAS  PubMed  Google Scholar 

  97. Arber, N. et al. Celecoxib for the prevention of colorectal adenomatous polyps. N. Engl. J. Med. 355, 885–895 (2006).

    Article  CAS  PubMed  Google Scholar 

  98. Meyskens, F. L. Jr et al. Difluoromethylornithine plus sulindac for the prevention of sporadic colorectal adenomas: a randomized placebo-controlled, double-blind trial. Cancer Prev. Res. (Phila Pa) 1, 32–38 (2008).

    Article  CAS  Google Scholar 

  99. Sporn, M. B. & Hong, W. K. Concomitant DFMO and sulindac chemoprevention of colorectal adenomas: a major clinical advance. Nature Clin. Pract. Oncol. 5, 628–629 (2008).

    Article  CAS  Google Scholar 

  100. Williams, R. W. The Natural History of Cancer With Special Reference to Its Causation and Prevention (Heinemann, London, 1908).

    Google Scholar 

  101. Lambe, W. Water and Vegetable Diet in Consumption, Scrofulla, Cancer, Asthma, and Other Chronic Diseases (Fowlers and Wells, New York, 1854).

    Google Scholar 

  102. The Alpha-Tocopherol, Beta Carotene Cancer Prevention Study Group. The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers. N. Engl. J. Med. 330, 1029–1035 (1994).

  103. Omenn, G. S. et al. Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease. N. Engl. J. Med. 334, 1150–1155 (1996).

    Article  CAS  PubMed  Google Scholar 

  104. Omenn, G. S. et al. The β-carotene and retinol efficacy trial (CARET) for chemoprevention of lung cancer in high risk populations: smokers and asbestos-exposed workers. Cancer Res. 54, 2038s–2043s (1994).

    CAS  PubMed  Google Scholar 

  105. Albanes, D. et al. α-Tocopherol and β-carotene supplements and lung cancer incidence in the alpha-tocopherol, beta-carotene cancer prevention study: effects of base-line characteristics and study compliance. J. Natl Cancer Inst. 88, 1560–1570 (1996).

    Article  CAS  PubMed  Google Scholar 

  106. Virtamo, J. et al. Incidence of cancer and mortality following α-tocopherol and β-carotene supplementation: a postintervention follow-up. JAMA 290, 476–485 (2003).

    Article  CAS  PubMed  Google Scholar 

  107. Neuhouser, M. L. et al. Fruits and vegetables are associated with lower lung cancer risk only in the placebo arm of the β-carotene and retinol efficacy trial (CARET). Cancer Epidemiol. Biomarkers Prev. 12, 350–358 (2003).

    CAS  PubMed  Google Scholar 

  108. Goodman, G. E. et al. The Beta-Carotene and Retinol Efficacy Trial: incidence of lung cancer and cardiovascular disease mortality during 6-year follow-up after stopping β-carotene and retinol supplements. J. Natl Cancer Inst. 96, 1743–1750 (2004).

    Article  CAS  PubMed  Google Scholar 

  109. Taylor, P. R. & Albanes, D. Selenium, vitamin E, and prostate cancer — ready for prime time? J. Natl Cancer Inst. 90, 1184–1185 (1998).

    Article  CAS  PubMed  Google Scholar 

  110. Brawley, O. W. & Parnes, H. Prostate cancer prevention trials in the USA. Eur. J. Cancer 36, 1312–1315 (2000).

    Article  CAS  PubMed  Google Scholar 

  111. Kumar, N. B. & Besterman-Dahan, K. Nutrients in the chemoprevention of prostate cancer: current and future prospects. Cancer Control 6, 580–586 (1999).

    Article  CAS  PubMed  Google Scholar 

  112. Lippman, S. M. et al. Effect of selenium and vitamin E on risk of prostate cancer and other cancers: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA 301, 39–51 (2009).

    Article  CAS  PubMed  Google Scholar 

  113. Alberts, D. S. et al. Lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas. Phoenix Colon Cancer Prevention Physicians' Network. N. Engl. J. Med. 342, 1156–1162 (2000).

    Article  CAS  PubMed  Google Scholar 

  114. Pierce, J. P. et al. A randomized trial of the effect of a plant-based dietary pattern on additional breast cancer events and survival: the Women's Healthy Eating and Living (WHEL) study. Control Clin. Trials 23, 728–756 (2002).

    Article  PubMed  Google Scholar 

  115. Pierce, J. P. et al. Influence of a diet very high in vegetables, fruit, and fiber and low in fat on prognosis following treatment for breast cancer: the Women's Healthy Eating and Living (WHEL) randomized trial. JAMA 298, 289–298 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  116. Blackburn, G. L. & Wang, K. A. Dietary fat reduction and breast cancer outcome: results from the Women's Intervention Nutrition Study (WINS). Am. J. Clin. Nutr. 86, s878–s881 (2007).

    Article  PubMed  Google Scholar 

  117. Chlebowski, R. T. et al. Dietary fat reduction and breast cancer outcome: interim efficacy results from the Women's Intervention Nutrition Study. J. Natl Cancer Inst. 98, 1767–1776 (2006).

    Article  PubMed  Google Scholar 

  118. Pierce, J. P. Diet and breast cancer prognosis: making sense of the Women's Healthy Eating and Living and Women's Intervention Nutrition Study trials. Curr. Opin. Obstet. Gynecol. 21, 86–91 (2009).

    Article  PubMed  PubMed Central  Google Scholar 

  119. Cummings, N. B. Women's health and nutrition research: US governmental concerns. J. Am. Coll. Nutr. 12, 329–336 (1993).

    Article  CAS  PubMed  Google Scholar 

  120. Design of the Women's Health Initiative clinical trial and observational study. The Women's Health Initiative Study Group. Control Clin. Trials 19, 61–109 (1998).

  121. Prentice, R. L. et al. Low-fat dietary pattern and risk of invasive breast cancer: the Women's Health Initiative Randomized Controlled Dietary Modification Trial. JAMA 295, 629–642 (2006).

    Article  CAS  PubMed  Google Scholar 

  122. Prentice, R. L. et al. Low-fat dietary pattern and cancer incidence in the Women's Health Initiative Dietary Modification Randomized Controlled Trial. J. Natl Cancer Inst. 99, 1534–1543 (2007).

    Article  PubMed  Google Scholar 

  123. Rohan, T. E. et al. Low-fat dietary pattern and risk of benign proliferative breast disease: a randomized, controlled dietary modification trial. Cancer Prev. Res. (Phila Pa) 1, 275–284 (2008).

    Article  CAS  Google Scholar 

  124. Wactawski-Wende, J. et al. Calcium plus vitamin D supplementation and the risk of colorectal cancer. N. Engl. J. Med. 354, 684–696 (2006).

    Article  CAS  PubMed  Google Scholar 

  125. Tomatis, L. & Huff, J. Evolution of cancer etiology and primary prevention. Environ. Health Perspect. 109, A458–A460 (2001).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  126. International Human Genome Sequencing Consortium. Finishing the euchromatic sequence of the human genome. Nature 431, 931–945 (2004).

  127. Food and Drug Administration. Guidance for industry, investigators, and reviewers: exploratory IND studies. Center for Drug Evaluation and Research [online], http://www.fda.gov/cder/guidance/7086fnl.pdf (2006).

  128. Kummar, S. et al. Phase 0 clinical trials: conceptions and misconceptions. Cancer J. 14, 133–137 (2008).

    Article  PubMed  PubMed Central  Google Scholar 

  129. Doroshow, J. H. & Parchment, R. E. Oncologic phase 0 trials incorporating clinical pharmacodynamics: from concept to patient. Clin. Cancer Res. 14, 3658–3663 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  130. van den Brandt, P. A., Botterweck, A. A. & Goldbohm, R. A. Salt intake, cured meat consumption, refrigerator use and stomach cancer incidence: a prospective cohort study (Netherlands). Cancer Causes Control 14, 427–438 (2003).

    Article  PubMed  Google Scholar 

  131. La Vecchia, C., Franceschi, S. & Levi, F. Epidemiological research on cancer with a focus on Europe. Eur. J. Cancer Prev. 12, 5–14 (2003).

    Article  CAS  PubMed  Google Scholar 

  132. Tsugane, S. Salt, salted food intake, and risk of gastric cancer: epidemiologic evidence. Cancer Sci. 96, 1–6 (2005).

    Article  CAS  PubMed  Google Scholar 

  133. Archer, V. E. Latitudinal variation of digestive tract cancers in the US and China. Nutr. Cancer 12, 213–223 (1989).

    Article  CAS  PubMed  Google Scholar 

  134. Coggon, D., Barker, D. J., Cole, R. B. & Nelson, M. Stomach cancer and food storage. J. Natl Cancer Inst. 81, 1178–1182 (1989).

    Article  CAS  PubMed  Google Scholar 

  135. Boeing, H. Epidemiological research in stomach cancer: progress over the last ten years. J. Cancer Res. Clin. Oncol. 117, 133–143 (1991).

    Article  CAS  PubMed  Google Scholar 

  136. Cohen, A. J. & Roe, F. J. Evaluation of the aetiological role of dietary salt exposure in gastric and other cancers in humans. Food Chem. Toxicol. 35, 271–293 (1997).

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by the Hormel Foundation and NIH grants CA027502, R37CA081064, CA077646, CA111536, CA1203889 and ES016548.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zigang Dong.

Related links

Related links

DATABASES

National Cancer Institute Drug Dictionary 

celecoxib

finasteride

raloxifene

tamoxifen

FURTHER INFORMATION

Zigang Dong's homepage

About NCI

ACS

AHF

AICR

At A Glance Budget

Cancer Prevention Overview

ClinicalTrials.gov

CPS II

Division of Cancer Prevention History and Mission

Fruit and Vegetable Consumption Data and statistics

Important events in NCI History

Non-Profit Organizations Receiving Corporate Funding

Produce for Better Health Foundation

The Promise of Prevention and Early Diagnosis

WHO Cancer Fact Sheet

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bode, A., Dong, Z. Cancer prevention research — then and now. Nat Rev Cancer 9, 508–516 (2009). https://doi.org/10.1038/nrc2646

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrc2646

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing