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Figure 1. The initiation/promotion/progression model of carcinogenesis.
1=rate of terminal differentiation and death of stem cell daughter;
2=blockage of normal terminal differentiation of the initiated stem cell (---||
) but not of the proliferation of the initiated cell. This initiated cell can no longer divide asymmetrically but can divide symmetrically;
1=rate of stem cell renewal after stem cell divides asymmetrically;
2=rate of cell division of initiated cells; µ1=rate of the molecular event leading to initiation (i.e. mutation); µ2=rate at which the second event occurs within an initiated cell. (With permission from: Trosko et al. In: Hertberg EL, Johnson RG, editors. Gap junctions: Modern cell biology, Vol. 7. New York, NY: Alan R Liss Inc., 1998:43548.)