Cancer Flashcards
What is cancer?
Arises when normal cells are transformed into malignant ones
What marks cancer?
Marked by uncontrolled cell proliferation and resistance to apoptosis
What is carcinogenesis?
Generation of cancer
Linked to mutagenesis
What is mutagenesis?
Production of a change in DNA sequence
What are the histologies of cancer?
Metaplasia, hyperplasia, dysplasia, neoplasia, metastases
Describe metaplasia
Change in cell type, can be result of injury, develop into dysplasia
- squamous to columnar epithelium in oesophagus
Describe hyperplasia
Increased number of cells, normal cellular appearance, reversible
- benign prostatic hyperplasia
Describe dysplasia
increased proliferation
change in nuclei, loss of tissue architecture
Describe neoplasia
malignancy, no physiological control, irreversible
Describe metastases
spread to different parts in the body
What are the hallmarks of cancer?
Capabilities to promote growth of malignancy
Give examples of self sufficient growth signals
Constitutively active receptors (EGFR), proteins downstream of growth factor signaling (RAS-RAF-MEK pathway)
What is the EGFR pathway?
Epidermal growth factor binds to epidermal growth factor receptor
- stimulates downstream pathway to drive cellular proliferation
- change in gene expression transcription
How do cells evade apoptosis?
Resistance through loss of p53 activity or overexpression of anti-apoptotic Bcl2
What is Bcl2?
Family of apoptotic inhibit enzymes for apoptosis
Why do tumours need blood vessels?
Requirement for tumours to increase significantly in size