Cancer Flashcards
Carcinomas
Cancers of epithelial cells
Colon, breast, lung
Sarcomas
Cancers of supporting tissue
Bone, muscle, cartilage, fat
Lymphomas/leukemias
Cancers of lymphatic or blood origin
Melanoma
Cancer of melanocytes
Skin, eye, intestines
Blastoma
Cancer originating in embryonic cells
Kidney, brain, retina
Affects children
4 common characteristics of cancer
- Uncontrolled proliferation (benign and malignant): unregulated cell division, immortal
- De-differentiated (benign and malignant): return to stem cell-like state
- Invasive (malignant): invade surrounding tissue, crowd out healthy cells
- Metastasize (malignant): able to pick up and move, evade immune system, and form secondary tumors elsewhere
Causes for uncontrolled growth
Telomerase activity Can grow in hypoxia (low oxygen) Ras, cyclin-Cdk malfunctions Avoidance of apoptosis DNA mutations
Causes for de-differentiation
Express stem cell genes
DNA mutations
Causes for invasion
Lack cadherins
Can grow in hypoxia
Lack integrins (anchor cell)
Metalloproteases (destroy cell connections)
Angiogenesis (make blood vessels that feed tumor)
DNA mutations
Causes for metastasis
Invade blood stream (get through basal lamina)
Express proteins that help evade immune system
Angiogenesis (make blood vessels that feed tumor)
DNA mutations
Differences between malignant and benign tumors
Malignant: large and misshapen nuclei, disorganized tissue, poorly differentiated, poorly defined tumor boundary, high rate of division
Benign: normal nuclei, normal tissue organization, well-organized tissue, well differentiated cells, well defined tumor boundary, low rate of division
How normal cell becomes cancerous
Genetic instability causes an accumulation of mutations
Accelerated growth (oncogenes)
Inhibition of cell death (mutated tumor suppressors)
Hallmarks of cancer found in karyotype
Aneuploidy (abnormal # of chromosomes)
Altered chromosomes: accumulation of DNA damage (cell cycle is going too fast- damage isn’t repaired)
Examples: translocation (chromosome breaks and is attached to another non-homologous chromosome), broken chromosomes, more chromosomes than normal
Causes of cancer
Radiation (excitation of water surrounding DNA- free radicals attach to DNA)
Carcinogens
Viruses (ex- HPV inserts its genome into your genome: Rb protein can’t hold back cell cycle)
Hormones
UV
Spontaneous mutations
Inherited mutations
Tumor formation
Progressive increase in number of mutations (usually requires more than one “hit”)
Continually unrepaired DNA damage: mutation gives one cell an advantage, second mutation increases advantage, third mutation increases advantage and makes cell invasive, and so on