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Cancer Causes: Genetic Mutations, Environmental & Lifestyle Risk Factors

Core Molecular Drivers

  1. DNA mutations from carcinogens (UV radiation, tobacco, chemicals, radiation) or replication errors.
  2. Tumor suppressor gene inactivation (e.g., TP53, RB1) removing growth brakes.
  3. Oncogene activation (e.g., RAS, MYC, HER2) driving uncontrolled proliferation.
  4. Telomere maintenance via telomerase reactivation, enabling replicative immortality.

Contributing Risk Factors

  • Genetic predisposition (inherited mutations: BRCA1/2, Lynch syndrome, etc.)
  • Chronic inflammation (IBD, hepatitis, H. pylori) causing DNA damage.
  • Environmental exposures (air pollution, asbestos, radon, occupational carcinogens).
  • Lifestyle factors: tobacco, alcohol, diet (processed meats, low fiber), inactivity, obesity.

Prevention & Early Detection

Understanding these pathways informs screening (colonoscopy, mammography, LDCT, Pap/HPV), vaccination (HPV, HBV), and modifiable risk reduction—cornerstones of modern cancer control.

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