Anti-cancer Therapies: Radiation and Drugs Flashcards

1
Q

What are the key properties of cancer cells?

A

-reproduce without regard to the normal restraints on cell growth and cell division
-invade and colonize areas normally reserved for other cells

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2
Q

What are tumors/neoplasms?

A

abnormal cells that grow (increase in mass) and proliferate (divide)

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3
Q

When are tumors considered benign?

A

when they do not become invasive

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4
Q

When are tumors considered cancerous?

A

if it acquires the ability to invade surrounding tissue at which point is has become malignant

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5
Q

What are metastases?

A

cells that break from the primary site and form secondary tumors

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6
Q

Is a single mutation enough to cause cancer?

A

no

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7
Q

What are potential risk factors for cancer?

A

-radiation exposure
-UV light from the sun
-Chemicals
-life style (smoking, certain diets)
-viruses (EBV, HIV, and HPV)

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8
Q

Does cancer increase with age?

A

yes, at an exponential rate

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9
Q

Exposure to what causes an increase prevalence of bladder cancer?

A

2-napthylamine

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10
Q

What causes an increase is lung cancer mortality?

A

smoking

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11
Q

What happens to a cell if the control mechanisms detect DNA damage?

A

it will either try to correct the damage, arrest the cell, or go through apoptosis

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12
Q

What is a key protein that helps to recognize damage to the DNA?

A

p53

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13
Q

What is the guardian of the genome?

A

p53

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14
Q

What is the point of using drugs or radiation for cancer treatment?

A

to damage the DNA of the cancer cells and prevent them from continuing to divide

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15
Q

What is the issue seen with drugs and radiation for cancer treatment?

A

damaging noncancerous cells

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16
Q

What is external beam therapy?

A

uses a machine to send high energy beams from outside the body to the tumor area

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17
Q

What is internal radiation therapy?

A

radioisotope given internally, radiation generally only travels a short distance depending upon the isotope and its energy

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18
Q

What is photon therapy?

A

use X-rays or Gamma rays
-direct ionization of atoms in the DNA chain or indirect ionization of water to form hydroxyl radicals that can then damage DNA

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19
Q

What is charged particle or proton therapy?

A

use a particle accelerator to beam high energy particles
-has a better ability to precisely localize the radiation dosage and less damage to surrounding, healthy tissue

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20
Q

which therapy is more targeted?
-photon
-proton

A

proton therapy is more targeted and will cause less damage to healthy surrounding tissue

21
Q

What is Doxorubicin hydrochloride (adriamycin)?

A

it intercalates between base pairs in the DNA helix, thereby preventing DNA replication and ultimately inhibiting protein synthesis

22
Q

examples of anti-cancer drugs

A

-doxorubicin hydrochloride
-bleomycin sulfate
-cisplatin
-methotrexate
-vinblastine

23
Q

What is Bleomycin sulfate?

A

mixture of the sulfate salts of basic glycopeptide antineoplastic antibiotics
-reduce molecular oxygen to superoxide and hydroxyl radicals
-cause single and double stranded breaks in DNA

24
Q

What is cisplatin?

A

highly reactive, charge, platinum complexes which bind to nucleophilic groups such as GC-rich sites in DNA
-induce instrastand and interstand DNA cross-links, as well as DNA-protein cross-links

25
What is methotrexate?
inhibition of DNA and RNA syntheses -potent immunosuppressant activity
26
What is vinblastine?
binds to tubulin and inhibits microtubule formation -disrupt mitotic spindle assembly
27
What does immunotherapy do?
induce, enhance, or suppress the immune response -stimulate a person's own immune response to destroy cancer cells
28
What is chronic myelogenous leukemia?
leukemia characterized by increased production/growth of granulocytes in the bone marrow that then circulate in the blood
29
What caused CML?
chromosomal translocation called Philadelphia chromosome
30
What genes are fused in CML?
BCR and ABL genes
31
What fusion protein is associated with CML?
tyrosine kinase
32
What is the parent drug used to treat CML?
Gleevec
33
What Gleevec do?
bind to the Bcr-Abl binding site and prevent the formation of leukemia by preventing phosphorylation
34
What are the three treatment phases of leukemia?
1. induction 2. consolidation 3. maintenance
35
What is the induction phase of leukemia?
first phase of treatment -goal is to kill leukemia cells in the blood and bone marrow -puts leukemia into remission -remission induction phase
36
What is the consolidation phase of leukemia?
second phase of treatment -begins once leukemia is in remission -goal is to kill any remaining leukemia cells that may not be active but could begin to regrow and cause a relapse
37
What is the maintenance phase of leukemia?
third phase of treatment -kill any remaining leukemia cells that may regrow in lower doses -continuation therapy phase
38
What are other names for acute myeloid leukemia?
Acute myelogenous leukemia, acute myloblastic leukemia, acute granulocytic leukemia, and acute nonlymphocytic leukemia
39
What is the most common type of leukemia?
acute lymphoblastic leukemia
40
What happens in acute lymphoblastic leukemia? (ALL)
bone marrow produces too many immature lymphocytes (at the expense of other blood cell types)
41
What are risk factors of ALL?
-being exposure to X-ray before birth -being exposed to radiation -past treatment with chemotherapy -having certain changes in genes -having certain genetic conditions (down syndrome, ataxis telangiectasia, bloom syndrome)
42
What are the possible signs/symptoms of ALL?
fever, foul smelling urine, easy bruising or bleeding, petechiae, bone or joint pain, painless lumps in neck, etc
43
How do you diagnose ALL?
blood CBC, bone marrow analysis, cytogenic analysis
44
What determines prognosis or ALL?
-age, gender, and race -number of WBC at diagnosis -whether its from B or T lymphocytes -whether there are chromosomal changes -whether the child has down syndrome -whether the leukemia has spread to the brain, spinal cord, or testicle
45
who are included in the standard (low) risk group for ALL?
children aged 1 to younger than 10 years who have a WBC count of less than 50,000/uL at diagnosis
46
who are included in the high risk group for ALL?
children younger than 1 or 10 years or older who have a WBC count of more than 50,000/uL at diagnosis
47
what are the common drugs used to treat ALL during induction?
-systemic chemotherapy -intracranial chemotherapy
48
what environment has organisms that provide 25% of the active ingredients for treating cancer?
THE RAINFOREST