This talk will be limited to a consideration of lymphoma and leukemia
development ( or certain types) in mice and men where there is extensive
evidence for the role of the specific genetic changes recognizable
at the chromosomal level. To start with the conclusion, it is clear
that lymphoma development can be initiated by a variety of agents.
In all probability, the initiation process creates long-Iived preneoplastic
cells, which are frozen in their state of differentiation and capable
of continued division. These cells constitute the raw material for
the subsequent cytogenetic evolution that converges towards a common,
distinctive pattern. The nature of this pattern as it appears in
the overt lymphomas depends on the subclass of the target lymphocyte
rather than on the initiating ("etiologic" ) agent.
A. Human Lymphomas
The most extensive evidence concerns Burkitt lymphoma (EL). About
97% of the BLs tested that arose in the high endemic regions of
Africa were monoclonal proliferations of Epstein-Barr virus(EEV)-carrying
cell clones of E lymphocyte origin (Klein 1975; Klein 1978 ; Zur
Hausen et al. 1970). EL tumor cells in vivo and derived cell lines
are similar in carrying multiple copies of the EEV genome and often
carry around 30-40 per cell. Some of the EEV genome copies are integrated
with the cellular DNA, while the majority are present as free plasmids
(Kaschka-Dierich et al. 1976; Falk et al. 1977). EL cells show no
detectable viral expression in vivo except the EEV -determined nuclear
antigen, EENA (Reedman and Klein 1973 ), which is a DNA-binding
protein that is present in all cells carrying EBV DNA. Superficially
at least the properties of EENA resemble those of the tumor (T)
antigens induced by the oncogenic papovarivurses (Klein et al.,
to be published; Luka et al. 1978). In the majority of the cases,
EL-derived cell lines arise by the growth in vitro of the same clone
that is tumorigenic in vivo (Fialkow et al. 197 1 ; f'ialkow et
al. 1973 ). These cell lines are also similar to the tumor in vivo
with regard to EENA expression. In addition, many lines (termed
producers) also contain a small number of cells that switch on viral
production ; other lines are nonproducers (Nadkarni et al. 1969).
The EBV-carrying lymphoid cell lines with an essentially similar
EEV DNA status and viral gene expression can also be derived from
the peripheral blood (Diehl et al. 1968) or the lymph nodes (Nilsson
et al. 1971) of normal seropositive donors; they are referred to
as Iymphoblastoid cell lines (LCLs). LCLs differ from EL lines in
a number of phenotypic characteristics (Nilsson and Ponten 1975
). On the basis of the limited information now available it has
not been possible to attribute this to differences in the viral
genome or the virus-cell relationship (for review see Adams and
Lindah 1974 ). The cytogenetic differences between LCLs and EL lines
discussed below suggest, on the other hand, that the differences
may be determined by the cellular genome rather than by the viral
genome. There is firm evidence that EBV is a transforming virus
in vitro (Gerber and Hoyer 1971; Henle et al. 1967; Miller 1971;
Moss and Pope 1972 ) and induces lethal lymphoproliferative disease
in certain nonhuman primates in viva (Frank et al. 1976). In humans,
primary infection of adolescents or young adults causes infectious
mononucleosis, a self limiting benign Iymphoprolifcrative disease
(for review sec Henle and Henle 1972). During mononucleosis a relatively
small number of EEV-carrying E blasts appear in the peripheral circulation;
they disappear again during convalescence (Klein et al. 1976 ).
They are probably reduced in number by the EEVspecific killer T
cells that appear in parallel. The killer cells can lyse autologous
and allogeneic EEV -carrying (but not EEV -ncgative ) target cclls
without any apparcnt syngcneic restriction (Bakacs et al. 1978;
Jondal et al. 1975; Svedmyr & Jondal1975 ; Svedmyr ct al. 1978).
In fatal cases of mononucleosis the lymphoid tissues are usually
infiltrated with EENA-positive cells (Eritton et al. 1978 ; Millcr.
pcr,onal communication) In somc acutc cases of infectious mononucleosis
EEV DNA could be demonstratcd in thc bone marrow during the acute
phase of the disease (Zur Hausen 1975). Infectious mononuclcosis
is thus accompanied by, and probably due to, an extensive but usually
temporary proliferation of EEV-carrying cells. Moreover, it has
been postulated that a number of chronic mononucleosis like conditions,
which border on lymphoma and are often familiar and X-Iinked, are
due to polyclonal proliferation of EE V -carrying cells which is
not properly immunoregulated (Purtilo et al. 1978). As already mentioned,
experimental oncogenicity of EEV is restricted to a few New World
monkey species (Frank ct al. 1976). Large apcs and Old World monkeys
are resistant. This is understandable, because they carry EEV -related
herpes viruses that induce cross-neutralizing antibodies. The EEV
-like chimpanzec, baboon, and orangoutan viruses were studied in
some detail (Falk et al. 1977 ; Gerberg et al. 1976; Ohno et al.
1977; Rahin et al. 1978). They can immortalize E lymphocytes. Their
DNA sequences are partially homologous with EEV and their antigens
are crossreactive but not identical. New World monkeys tested carried
no EEV -related virus and had no cross-neutralizing antibodies.
Some of them have Iymphotropic herpesviruses of their own (reviewed
by Deinhardt et al. 1974), but these are quite different from the
EEV family and will not be discussed here. The nature of the EEV-induced
malignant Iymphopraliferative disease in susceptible New World monkeys
( e.g., marmosets) has not been analyzed in detail. It is not yet
clearly established whether it is due to the polyclanal growth of
virally transformed cells like the rare fatal cases of human mononucleosis
or is a monoclonal tumor like EL. Parallel cytogenetic and nude
mouse inoculation studies (Nilsson et al. 1977; Zech ct al. 1976)
have recently dispelled the earlier notion that all EEV -transformed
human lines are tumorigenic irrespective of origin. Virally immortalized
normal E lymphocytes remained purely diploid during several months
of cultivation in vitra, failed to grow subcutaneously in nude mice,
and had a low (1 *-3*) cloning efficiency in agarose. After prolonged
passage in vitro they became aneuploid as a rule and acquired the
ability to grow in nude mice and in agarose. In contrast, EL biopsy
cells and derived lines were aneuploid and tumorigenic from the
beginning and had a high clanability in agarose. In immunologically
privileged sites such as the nude mouse brain or the subcutaneous
tissue of the newborn nude mouse, both diploid LCL and aneuploid
EL lines could grow progressively, however (Giovanella et al. 1979).
Growth in these immunologically privileged sitcs did not enable
the diploid LCL to grow subsequently in the subcutaneous tissue
of the adult nude mouse, however. The chromosomal changes of the
lang-passaged LCLs showd no apparent specific features. In contrast,
most EL cells contain the same highly specific marker. The marker
was first identified as 14q + , with an extra band at the distal
end of the long arm of one chromosome 14 (Manolov and Manolova 1972).
14q+ markers were subsequently described in a variety of other Iymphoreticular
noeplasias (Fleischman and Prigogina 1977; Fukuhuara and Row Icy
1978; Mark et al. 1977; McCaw et al. 1977; Mitelman and Levan 1973;
Yamada et al. 1977; Zech et al. 1976 ). Closer scrutiny revealed
important differences between the 14q + marker of EL and non- EL
lymphomas. In EL the extra band is derived from chromosome 8 (Zech
et al. 1976) and represents a reciprocl translocation between 8
and 14 with precisely identical breaking points in different cases
(Manolova et al. 1979). In non-EL with a 14q+ marker the donor chromosome
was variable; pieces could be derived from chromosomes 1, 4, 10,
11, 14, 15 or 18 in addition to 8 (reviewed by Fukuhara and Rowley
1978). The EL-assaciated reciprocal 8; 14 translocation is not limited
to EEV-carrying African BL. It was also found in EBV -negative American
BL (McCaw et al. 1977 ; Zech et al. 1976 ) and in the rare B-cell
form of acute lymphocytic leukemia (Mitelman et al. 1979) believed
to represent the neoplastic growth of the same cell type as BL.
This, together with the fact that EBV-transformed LCLs of non-BL
origin do not carry the 8; 14 translocation. suggests that EBV is
not involved in causing the translocation. We have suggested (Klein
1978) that African BL develops in at Ieast three steps. The first
step is the EBV-induced immortalization of some B lymphocytes upon
primary infection, This does not differ from the seroconversion
of normal EBV carriers, except perhaps in one respect. The prospective
study in the high endemic West Nile district has suggested that
pre-BL patients may carry a higher load of EBV -harboring cells
than normal controls (de The et al. 1978). The slecond step is brought
about by an environment-dependent factor, perhaps chronic holoendemic
malaria (Burkitt 1969; O'Connor 1961), that would urge the latent
EBV -carrying cells frozen at a particular stage of B-cell differentiation
to chronic proliferation and could further facilitate this process
by a relative immunosuppression. In away this would resemble the
promotion step in experimental two-phase carcinogenesis. By forcing
the long-lived preneoplastic cells to repeated division, the environmental
cofactor would provide the scenario for cytogenetic diversification.
The third and final step would occur when the "right" reciprocal
8;14 translocation occurred; this would lead to the outgrowth of
an autonomous monoclonal tumor. The reciprocal translocation could
arise by a purely random Darwinian process or by more specific mechanisms
as suggested by Fukuhara and Rowley ( 1978). The ubiquity of EBV,
the high virus load carried by the African populations at risk,
and the large number of cell divisions that must occur in the chronically
hyperplastic Iymphoreticular system of the parasite-Ioaded children
makes a purely random process perfectly conceivable, particulary
when contrasted against the relative rarity of the disease even
in the high endemic regions. The majority of the sporadic cases
in nonendemic areas (Andersson et al. 1976 ), which show no evidence
of clustering, are constituted by EBV negative BLs. The identical
8 ;14 translocation suggests that their development is triggered
by the same final cytogenetic event, while the earlier initiating
and promoting steps are probably quite different. Initiation may
be due to another viral or nonviral agent or could reflect a spontaneous
(mutation-Iike?) change. The frequent involvement of chromosome
14 in the genesis of human neoplasia of largely, if not exclusively,
B-cell origin suggests that some determinant(s) on this chromosome
is (are) closely involved with the normal responsiveness of the
B lymphocy1e to growth-controlling mechanisms. It is interesting
to note that chromosome 14 allomalies were found in a high frequency
in ataxia teleangiectasia, a condition noted for a marekdly increased
incidence of lymphoreticular neoplasia (McCaw et al. 1975 ). It
must be noted, however, that the most frequent breakpoint ill chromosomes
of patients with ataxia telangiectasia is in band 14q 12, whereas
the BL-associated breakpoint is ill band 14q32.
B. Murine T Cell Leukemia
Dofuko et al. (1975) reported that the cells involved in "spontaneous"
T cell leukemias of the AKR mouse frequently contain 41 chromosomes
instead of 40, with trisomy of chromosome 15 as the most common
change. We found a similar predominance of trisomy 15 in T cell
leukemias induced in C57BL mice by two different substrains of the
radiation leukemia virus (Wiener et al. 1978a,b) and by the chemical
carcinogen dimethylbenz(a)anthrancene (Wieller et al. 1978c). Trisomy
17 was the second most common anomaly, much less frequent than trisomy
15, and never found without the latter. Trisomy 15 was also identified
as the main cytogenetic change in X-rayinduced mouse lymphomas (Chang
et al. 1977). In contrast, Iymphoreticular neoplasias of non- T
cell origin, induced by the Rauscher , Friend, Graffi, and Duplan
viruses, some B Jymphomas of spontaneous origin, alld a series of
milleral oilillduced plasmacytomas showed no trisomy 15 (Wiener
et a]., unpublished data). The question whether they have other
types of distinctive chromosomal changes has IlOt yet been answered.
It is sometimes postulated that all murine T cell lymphomas are
due to the activation of latent type C viruses. Careful examination
of the pathogenesis of these lymphomas makes this most unlikely,
however (for review see Haran-Ghera and Peled 1979). It is more
likely that X-rays and chemical and viral carcinogens can all play
the role of initiating agents that can create long-lived preleukemic
cells. The development of overt leukemia depends on additional changes
that occur during the prolonged latency of the preleukemic cells
in their host. It is very likely that the duplication of certain
gene(s), reflected by the trisomy 15, plays a key role in this process.
The trisomy of the spontaneous AKR leukemia is particularly remarkable
in this context. The high leukemia incidence of this strains stems
from prolonged inbreeding and selection for leukemia. As already
mentioned in the first part of this article, AKR mice carry at least
four different genetic systems that favor leukemia development by
independent mechanims (for review see Lilly and Pincus 1973 ). In
spite of this high genetic preneness for leukemia, the disease fails
to appear until 6-8 months after birth. This long latency period,
together with the appearance of trisomy 15 in overt leukemia, supports
the notion that the leukemogenic virus is not self-sufficient in
changing norma] T lymphocytes to autonomous leukemia cells. Is there
a specific region on chromosome 15 that needs to be duplicated for
the development of leukemia ? We have also examined the karyotype
of dimethylbenz(a)anthracene-induced T cell leukemias in CBAT6T6
mice (Wiener et al. 1978a,b ). The T6 marker has arisen by a breakage
of chromosome 15 not far from the centromere and translocation of
the distal part of the long arm to chromosome 14. Six independently
induced leukemias showed trisomy of the 14;15 translocation, while
the small T6 marker was present in only two copies. This suggests
the involvement of specific region(s) in leukemogenesis localized
in the distal part of the long arm of chromosome 15. Additional
trans locations will be helpful in defining the region more precisely.
C. Is Trisomy a Cause or a Consequence of a Murine T -Cell Leukemia
?
It is conceivable that trisomy 15 is merely a consequence of leukemogenesis.
It could be imagined, for example, that it is only one among many
different trisomies that can arise but that the others are incompatible
with continued life and proliferation of the murine T -lymphocytes.
We have recently excluded this possibility by inducing leukemias
in mice that carry Robertsonian translocation (Spira et al., to
be published). T -cell leukemias were induced by the chemical carcinogen
DMBA and by Moloney virus, respectively, in mice carrying 1 ;15,5;16,
and 6;15 Rb translocations. In the resulting leukemias the entire
translocation chromosome was present in three copies. This proves
that trisomy of even the longest chromosome (No. I) must be tolerated
by the cell if it is fused with the crucially important chromosome
IS. This strong]y supports the idea that trisomy of chromosome No.15
is essential for T -cell leukemogenesis. Our most recent studies
(Wiener et al., to be published) have focused on the induction of
T -cell leukemias in F 1 hybrids derived from crosses between mouse
strains with cytogenetically distinguishable 15-chromosomes. The
CBAT6T6 strain that carries the characteristic 14;15 translocation
was crossed with strains AKR, C57BI, and C3H, all of which have
cytogenetically normal 15-chromosomes. T -cell leukemias were induced
in the resulting Fl hybrids by DMBA and Moloney virus, respectively.
Duplication of chromosome IS was nonrandom, depending on the genetic
content of the chromosome. In the crosses between T6T6 and AKR,
the AKR-derived normal 15 chromosome was duplicated preferentially.
Both the C57BI xT6T6 and C3H X T6T6 F 1 hybrids showed the opposite
behavior, with preferential duplication of the T6-derived I4 ; 15
translocation chromosome. Since the chances for duplication must
be approximately equal for the 15 chromosomes derived from one or
the other parental strain, this must mean that the selective advantage
of the two alternative 15-duplications must be unequal in the course
of leukemia development. These findings suggest a certain "hierarchy"
among what is probably an allelic series of genes located on chromosome
15. Apparently, the genes are unequal with regard to the selective
advantage they convey on the preleukemic cell in relation to its
transition to turning into overt leukemia.
D. Is Abelson Virns a Transducer or Cellular Gene ?
In contrast to all other known mouse leukcmia viruscs, Abelson
virus transforms (immortalizes) Iymphocytcs in vitro and induces
leukemia after short latency periods in vivo. It has been shown
(Klein 1975) that the viral genome contains a large cellular insert
that occupies the most of the middle portion of the viral genome.
It specifies a large polyprotein that is probably associated with
the cell membrane and is endowed with protein kinase activity. We
have recently examined the karyotype of Abelsonvirus induced Ieukemias
(Klein al. 19bO) and found it to be purely diploid with no demonstrable
anomalies by banding analysis. Moreover, the Abelson virus transformed
lines remained diploid over long periods of time. Is it conceivable
that the change in gene dosage that is achieved by the duplication
of a whole chromosome in leukemias that arise after long latency
periods is directly achieved by the viral transduction of a corresponding
piece of crucial genetic information ? If this is correct, it would
follow that directly transforming viruses that carry pieces of normal
genetic information and induce tumors with short latency periods
would tend to induce diploid tumors. Clearly, changes in gene dosage,
whether achieved by chromosome duplication or viral transduction,
must play an important role in the emancipation of tumor cells from
host control.
E. Some Conclusions
The following points can be made on thc basis of these findings
and related findings of others.
I. Transformation
In Vitro Is Not Synonymous with Tumorigenicity In Vivo This point
has been made many times before, but it can hardly be overemphasized.
To mention only a few examples, Dulbecco and Vogt (1960) showed
in their pioneering studies that foci of cells transformed in vitro
by polyoma virus were not necessarily tumorigenic; at least one
additional step was required for growth in vivo. Stiles et al. (1975)
reported that human lines transformed by simian virus 40 failed
to grow in nude mice in contrast to the regular takes of culture
lines derived from tumors in vivo. Diploid Iymphoblastoid cell lines
transformed in vitro by EEV are clearly "immortal" but nontumorigenic
in nude mice as already mentioned (Nikson ct al. 1977). Transformation
in vitro may merely reflect a relative emancipation of the cell
from its earlier dependence on exogenous mitogenic signals. Most
and perhaps all normal cells have a limited lifespan in vitro, Lymphocytes
will not grow, not even temporarily, unless supp lied with appropriate
mitogenic factors. Trans formation in vitro abolishes this requirement,
It also .'freezes'. differentiation at a given level It is noteworthy
that transformed fibroblasts and lymphocytes show certain common
changes associated with immortalization in spite of their very different
phenotypes -namely, increased resistance to saturation density,
decreased serum requirements, and altered Iectiyn agglutination
and capping patterns (Steinitz and Klein 1975; Steinitz and Klein
1977 ; Yefenof and Klein 1976; Yefenof et al. 1977). Most DNA viruses
that transform in vitro induce DNA synthesis and mitosis in their
target cells (Einhorn and Ernberg 1978; Gerber and Hoyer 1971 ;
Gershon et al. 1965; Martin ct al 1977; Robinson and Miller 1975).
For the oncogenic papovavirus systems it has been shown that the
virally determined T -antigen or one from of it plays a direct role
in initiating host cell DNA synthesis (Martin et al, 1977). If transformation
in vitro reflects a "builtin" ability to grow in the absence of
exogenous stimulation, tumorigenicity in vivo must imply in addition,
resistance to negative feedback regulations of the host. The latter
may be brought out by appropriate cytogenetic changes. Trisomy,
as observed in the murine T cell leukemias, may tilt the balance
of the long-Iived preneoplastic cells towards definite disobedience
through gene dose effects, Reciprocal translocations that give rise
to the Philadelphia chromosome and the 8; 14 translocation associated
with EL may also work through gene dosage -e.g., by position effects
that stop the function of important regulatory genes when they arc
dislocated from their natural surroundings. Similar position effects
may be responsible for the action of src, the extra genetic information
carried by the transforming avian sarcoma viruses. Conceivably,
this originally cell-derived information may become integrated,
together with the rest of the proviral DNA, into new regions where
it is no longer subject to the same control as in the original location
(Stehelin et al. 1976; Varmus et al. 1976 ). In this connection,
our recent finding on the Abelson virus induced leukemia system
may be of interest. This virus, as the only one among the known
murine leukemia viruses, transforms in vitro and induces leukemia
after only a short latency period in vivo. It is a highly defective
virus, with a large cellular insert in its middle (Rosenberg and
Baltimore 1980). Sequences homologous with the cellular insert and
proteins identical or immunologically cross reactive with its product
are present in normal mouse cells. We have recently examined a series
of Abelson virus induced leukemias and found them to be purely diploid
(Klein et al. 1980). It is intriguing to speculate that transformation
is compatible with diploidy in this case, since the provirus-mediated
integration of the cell-derived sequences may alter gene dosage
in a way appropriate to generate leukemia. The apparently tissue-specific
involvement of different chromosomes in tumor-associated nonrandom
karyotype changes suggests that genes that are of crucial importance
for the responsiveness of different cell types to growth control
are located on different chromosomes. Some determinant on human
chromosome 14 thus appears to be involved with the normal responsiveness
of the B lymphocyte; determinants on chromosome 22 or 9 ( or both)
appear to influence myeloid differentiation; the dosage of some
determinant on murine chromosome 15 seems to influence the balance
between the restrained proliferation of the preleukemic cell and
overt leukemia.
II. Host Cell Controls Can Modify the Expression of Transformation
In Vitro
The successful isolation of phenotypic revertants from both chemically
and virally transformed cell lines demonstrates the importance of
host cell controls for the expression of transformation- associated
characteristics. Sachs and his group (Yamamoto et al. 1973) have
shown that specific chromosomal changes must play an important role
in transformation and reversion. As a rule transformation was accompanied
by the duplication of some chromosomes. On reversion, the same chromosomes
often decreased in number, whereas other increased (Benedict et
al. 1975; Yamamoto et al. 1973). Sachs speaks about expressor and
suppressor elements and stresses the importance of their balance
for the control of the normal vs the transformed phenotype. The
temperature-sensitive host control mutants, isolated from virally
transformed cell lines by Basilico ( 1977), are another important
demonstration of cellular forces that can counteract the transforming
function of an integrated viral genome.
III. Host Cell Controls Can Reverse Tumorigenic to Nontumorigenic
Phenotypes
Tumorigenicity in vivo can be counteracted experimentally by two
fundamentally different types of control, i.e., genetic and epigenetic.
The former was demonstrated by somatic hybridization experiments.
Fusion of tumorigenic cells with low or nontumorigenic normal or
transformed partners has regularly led to a suppression of tumorigenicity
as long as the hybrid has maintained a nearly complete karyotype
(Harris 1971; Harris et al. 1969 ; Klein et al. 1971; Wiener et
al. 1971). High tumorigenicity reappeared after the loss of specific
chromosomes derived from the nontumorigenic partner (Jonasson et
al. 1977 ; Wiener et al. 1971). Suppression of tumorigenicity by
normal cells was equally effective with tumors of viral, chemical,
and spontaneous origin. Different types of normal cells were effective,
including fibroblasts, lymphocytes, and macrophagcs. It is not known
whether the normal karyotype compensates a deficiency of the malignant
cell by genetic complemcntation or acts by imposing normal rcsponsiveness
to its own superimposed growth control. The latter possibility appears
more likely. It could be explored by determining whether the reappearance
of high tumorigenicity is linked to the loss of different chromosomes,
depending on the type of normal cell used for the original suppressive
hybridization. A fundamentally different, nongenetic mechanism of
malignancy suppression was discovered by Mintz, who demonstrated
the normalization of diploid teratocarcinoma cells after their implantation
into the carly blastocyte (Mintz and Illmensee 1975). It is not
yet clear whether this is a special case, dependent on the pluripotentiality
of the teratocarcinoma cell and its normal karyotype, or is of more
general significance. The well-documented abilities of certain tumor
cells to respond to differentiation-inducing stimuli represent more
limited examples of the same or similar phenomena (Azumi and Sachs
1977; Rossi and Friend 1967).
IV. Concept of Convergence in Tumor Evolution
This concept is not new. In essence, it corresponds to one of the
rules of tumor progression as formulated by Foulds ( 1958). He stated
that the "multiple reassortment of unit characteristics" that formed
the basis of the progression concept "could follow one of several
alternative pathways of development." Some aspects of this process
were stated here in a more specific way. They are as follows: 1.
Like chemical or physical carcinogens, viruses, play essentially
the role of initiator~ in tumor progression. Their major effect
is the establishment of long-lived preneoplastic cells. 2. Specific
genetic changes are responsible for the transition of preneoplastic
to frankly malignant cells. In some systems they are expressed as
cytogenetically detectable chromosomal anomalies which are characteristic
for the majority of the tumors that originate from the same target
cell. The changes may arise by random mechanisms. They are selectively
fixed due to the increased growth advantage of the clone that carries
them. This advantage is based on a decreased responsiveness to growth-controlling
or differentiation-inducing host singals. This selection process,
rather than any specific induction mechanism, is responsible for
the "cytogenetic convergcnce" of preneoplastic cell lineages initiated
("caused") by widely diverse agents towards the same nonrandom chromosomal
change. 3, The cytogenetic changes act by shifting the balance between
genes that favor progressive growth in vivo and genes that counteract
it. Changes in effective gene dosage are brought about by nonrandom
duplication of a whole chromosome, as jn trisomy, or by reciprocal
translocation that may effect gene expression on the donor or the
recipient chromosome.
Acknowledgements
This work was supported by Grant Nr. 2 R01 CA 14054-06 awarded
by the National Cancer Institute, US, Department of Health, Education,
and Welfare.
References
Adams A. Lindahl T ( 1974) In De The G, Epstein MA, zur Hausen
H (eds) Oncogenesis and Herpesvi ruses. 11 Proceedings of a Symposium,
Nurcmberg. West Germany, part I International Agency for Research
on Cancer, Lyon, pp 125- 132 -Andersson M., Klein G, Ziegler 1L,
Henle W (1976) Nature 260.357-359 -Azumi 1-1, Sachs L ( 1977) Proc
Nati Acad Sci USA 74253-257- Sakacs T. Svedmyr E, Klein E, Rombo
L, Weiland D ( 1978) Cancer Lett 4 185-189 -Sasilico C ( 1977) Adv
Cancer Res 24.223-266 -Senedict WF, Rucker ;\I, Mark C, Kouri RE
(1975) 1 Katl Cancer 1nst 54.157-162 Sritton S, Andersson-Anvret
M, Gergely P, Henle W, 10ndal M, Klein G, Sandstedt S, Svedmyr E
(1978) N Engl 1 Med 29889-92- Surkitt DP (1969) 1 Natl Cancer Inst
42.19-28 -Chang TD, Siedler 1L, Stocker E, Old L1 ( 1977) Proc Am
Assoc Cancer Rcs 18 22') -Deinhardt FW, Fa!k LA, Wolfe LG ( 1974)
Adv Cancer Res 19 167-205 -Dichl V, Henle G, Henle W, Kohn G (1968)
1 Viro12663-666 -Dofuko R, Biedler 1L, Spengler SA, Old L1 (1975)
Proc Natl Acad Sci USA 721515-1517 Dulbecco R, Vogt M (1960) Proc
Natl Acad Sci l;SA 461617-1623- Einhorn L, Ernberg I (1977) 1nt
1 Cancer 21 157-160-Falk L, Henle G, Henlc W, Deinhardt F, Schudel
A (1977) Int 1 Cancer 20.219-226- Fialkow P1, Klein G. Giblett ER,
Gothoskar S, Clifford P ( 197 I) Lancet i: 883-886- Fialkow P1,
Klein E, Klein G. Clifford P, Singh S (1973) 1 Exp Med 138.89-102-
Fleischman EW, Prigogina EL () 977) Hum Genet 35 269-279- Foulds
I ( 1958) 1 Chronic Dis 8. 2-37 Frank A, Andeman WA, Miller G (1976)
Adv Cancer Res 23. 171-201 Fukuhara S, and Rowley 1D (1978) 1nt
1 Cancer 22 14-21 -GerberP, Hoyer SH (1971) Nature 231 '46-47- Gerber
P, Pritchett RF, Kieff ED (1976) 1 Virol19: 1090-1093 -Ger,hon D,
Hausen P, Sachs L, Winocour E (1965) Proc Natl Acad Sci USA 54'
1584-1592- Giovanella S, Nilsson K, Zech L, Yim 0, Klein G, Stehlin
1S (1979) 1nt 1 Cancer 24.103-113- Haran-Ghera N, Peled A ( 1979)
Adv Cancer Rcs 30 '45-88 Harris H ( 1971) Proc R Soc Lond [Siol
J 179.1-20 -Harris H, Miller 01, Klein G, Worst P. Tachibana T (1969)
Nature 223'363-368- Henle W, Diehl V, Kohn G, zur Hausen H, Henle
G (1967) Science 157.1064-1065 Hcnle W, Henle G (1972) 1n Biggs
PM. De The G, Payne LN (eds) Oncogenesis and herpesviruses. 1nternational
Agency for Research on Cancer, Lyon, pp 269-274- 1onasson 1, Povey
S, Harris H (1977) 1 Cell Sci 24'217-254 -1ondal "-'1, Svedmyr E,
Klein E, Singh S ( 1975) Nature 255.405-47 Kaschka-Dierich C, Adams
A, Lindahl T, Bornkamm GW, Bjursell G, Giovanella B, Singh S ( 1976)
Nature 260 302-306- Klein G (1975) Cold Spring Harbor Symp Quant
BioI .783-790 K!ein G (1978) In. Kurstak E, Maramorosch K (eds)
Viruses and environment. Academic Press, New York, pp 1-12- Klein
G. Brcgula U, Wiener F, Harris H (1971) J Cell Sci 8' 659-672 -Klein
G, Svedmyr E, Jondal M, Persson PO (1976) 1nt J Canccr 1721-26 Klein
G, Ohno S, Rosenberg N, Wiener F, Spira J, Baltimore D (1980) Int
J, Cancer 25 i\05-811 Klein G, Luka J, Zeuthen J (to be published)
Cold Spring Harbor Symp Ouant BioI Lilly F, Pincus T (1973) Adv
Cancer Re'i 17231-277 Luka J, Lindahl T, Klcin G (197i\) J Virol
27'604-611 -Manolov G, Monolova Y ( 1972) Naturc 23733-34- Manolova
Y, Manolov G, Kieler J, Levan A, Klein (; (1979) Hereditas 90 5-10-
Mark J, Ekedahl C, Hagman A ( 1977) Hum Genet 36 277-2i\2 -Martin
RG, Pcrsico-Dilauro M, Edwards CAF, Oppenheim A (1977) In' Schultz,J,
Brada Z (eds) Gcnctic manipulation a'i it affccts the canccr problem,
Academic, New York, pp ~7-1 02 -McCaw BK, Kaiser B, Hccht F, Harnden
DG, Teplitz RL (1975) Proc Natl Acad Sci USA 72'2071-2075 McCaw
BK, Epstein AL, Kaplan HS, Hccht F (1977) Int J Canccr 194i\2-4i\6
Miller G (1971) Yale J Bioi Med 4335i\-361 -Mintz B, Illmensee K
(1975) Proc Natl Acad Sci USA 72' 35i\5-3589 Mitelman F, Levan G
(1973 ) Hcreditas i\9 ' 207-232 -Mitelman F, AnderssonAnvret M,
Brandt L, Catovsky D, Klein G, Manolov G, Manolova Y, Mark-Vcndcl
E, Nilsson PG (1979) Int J Canccr 24'27-33 Moss DJ, Popc JH (1972)
J Gen Virol 17' 233-236 -Nadkarni JS, Nadkarni JJ, Clifford P, Manolov
G, Fcnyo EM, Klein E (1969) Cancer 23'64-79 -Nilsson K, Ponten J
(1975) Int J Cancer 15 321-341 Nilsson K, Klein G, Henle W, Henle
G (1971) Int J Cancer i\443-450 -Nilsson K, Giovanella BC, Stehlin
JS, Klein G (1977) 1nt J Canccr 19'337-3440'Connor GT (1961) Cancer
14'270-2i\3 -Ohno S, Luka J, Falk I", Klein G (1977) IntJCanccr20'941-946
-Purtilo DT, Bhawan J, Hutt LM, De Nicola L, Szymanski I, Yang JPS,
Boto W, Maier R, ThorleyLawson D (1978) Lancct 15 79i\-i\01 Rabin
H, Neubauer RH, Hopkins RF ll1, Nonoyma M ( 1978) 1nt J Cancer 21'
762- 767 -Reedman BM, Klein G (1973) Int J Cancer 11 '499-520 Robinson
J, Miller G (1975)J Virol15' 1065-1072-Rosenberg N, Baltimore D
( 19~0) Isolation of Abclson murinc leukemia virus, In' Klein G
(ed) Viral oncology Raven, New York, pp 1~7-203 Rossi GB, Fricnd
C (1976) Proc Natl Acad Sci USA 5~'1373-1380 Spira J, Wicner F,
Ohno S, Klcin G (to be published) Proc ;\!atl Acad Sci USA Stchclin
D, Varmus HE, Bishop JM, Vogt PK ( 1976) Nature 260'170-173- Steinitz
M, Klcin G (1975) Proc Natl Acad Sci USA 72'351~-3520 -Steinitz
M, Klein G ( 1977) Eur J Canccr 13' 1269-127,) -Stiles GD, Desmond
W Jr, Sato G, Saier MH (1975) Proc Natl Acad Sci USA 72'4971-4975
Svelimyr E, Jondal M Proc Natl Acad Sci USA 72' 1622-1626 Svedmyr
E, Jondal M, Henle W, Wciland 0, Rombo L, Klein G (197i\) Clin Lab
Immunol 1 225-232- de The G, Gcscr A, Day NE, Tukei PN, Williams
EH, Beri DP, Smith PG, Dcan AG, Bornkamm GW, Feorino P, Hcnlc W
( 197i\) Nature 274'756-761 -Varmus HE, Stehelin DS, Spector D,
Tal J, Fiuita D, Padgett T, Roulland-Dussoix D, Kung HJ, Bishop
JM (1976) Baltimorc D, Huang AS, Fox CF (eds) Animal virology, Academic,
New York, pp 339-35i\ Wiener F, Klcin G, Harris H ( 1971) J Cell
Sci i\ ' 6i\ 1-692- W cncr F, Ohno S, Spira J, Haran-Ghera N, Klein
G (197~a) J Natl Canccr Inst 61 '227-23i\ -Wicncr F, Ohno S, Spira
J, Haran-Ghcra N, Klein G (197~b) Nature 275' 65i\-660 -Wicncr F,
Spira J, Ohno S, HaranGhera N, Klcin G (197i\c) Int J Cancer 22
'447-453 Wiener F, Spira J, Babonits M, Haran-Ghcra N, Klein G (to
be publishcd) -Yamada K, Yoshioka M, Oami H (1977) J Natl Cancer
Inst 59' 1193-1195 Yamamoto T, Hayashi M, Rabinowi(z Z, Sachs L
(1973) 1nt J Cancer 11 :555-566- Yefenof E, Klein G ( 1976) ExpCcl1
Res99' 175-17~ -Ycfcnof E, Klein G, Ben-Bassat H, Lundin L ( 1977)
Exp Ccll Res 10i\'185-190 -Zcch L, Haglund U, Nilsson K, Klein G
(1976) Int J Cancer 17'47-56 -Zur Hausen H (1975) Biochim Biophys
Acta 41725-53- Zur Hausen H, Schulte-Holthausen H, Klein G, Henle
W, Hcnle G, Clifford P, Santcsson L (1970) Nature 22~' 1056-106i\
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