cancer Flashcards

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1
Q

define retrovirus

A

their rna genome is reverse transcribed into DNA and inserted in the eukaryotic genome.

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2
Q

what is the only retrovirus causing human tumors?

A

the human T cell leukemia/lymphoma virus

example: Hepatitis virus

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3
Q

whats a dna virus?

A

dna virus can include oncogenes and inorporate them in the host dna
example: HPV

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4
Q

how does the microbiota play a role in cancer?

A

it can have an anti-tumoral effect or a pro-tumoral effect

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5
Q

define tumor supressor?

A

proteins that inhibit cell growth and proliferation which become inactivated by mutation (loss of function mutatioin)

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6
Q

how can cancer arise?

A

when mutation blocks the activity of a tumor suppressor

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7
Q

what are the 5 major types of tumor suppressors?

A

inhibitors of the cell cycle
receptors and signal transducers inhibiting cell proloferation
checkpoint proteins that stop the cell cycle if dna is damaged
activators of apoptosis
dna repair mechanisms

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8
Q

what are the checkpoints?

A

g1 checkpoint
g2checkpoint
metaphase checkpoint

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9
Q

how does p53 supress cell division?

A

by turning on the cdk inhibitor p21

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10
Q

what activates p53?

A

dna damage

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11
Q

what does p21 turn off?

A

S-phase CDK

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12
Q

what is micrometastatic?

A

small collection of cancer cells that have been shed from the original tumor and spread to another part of the body through the blood or lymph nodes

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13
Q

the loss of function mutation needs ?

A

both alleles to be mutated to induce cancer

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14
Q

what is loss of heterozygosity mutation?

A

when person with one mutated allele develops a single mutation of the second allele which is enough to induce transformation.

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15
Q

genetic basis of cancer for Rb?

A

Rb blocks G1 phase of cell cycle. Rb+/- predisposes to retinoblastoma if it mutates to its absence Rb-/-

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16
Q

genetic basis of cancer for APC?

A

APC prevents the expression of proto-oncogene Myc. APC +/- predisposes to colon cancer if it mutates to its absence APC-/-

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17
Q

genetic basis of cancer for BRCA-1?

A

BRCA-1 blocks cell cycle progression. BRCA+/- predisposes to breast cancer if it mutates to its absence BRCA-/-

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18
Q

whats hereditary retinoblastoma ?

A

somatic retinal cell has Rb+/- then a somatic mutation occurs leading to Rb-/- which is a homozygous cell that gives rise to tumors in retina

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19
Q

whats sporadic retinoblastoma?

A

somatic retinal cell first has Rb+ Rb+ then 1st mutation occurs to give heterozygous Rb+/- then 2nd somatic mutation occurs to give Rb-/- leading to tumors in retina

20
Q

what mutation slows down GTPase activity of Ras, which becomes a constitutively active oncoprotein

A

mutation of glycine at position 12

21
Q

what blocks the activity of Bcr-ABl Protein?

A

Gleevec binds the kinase domain and inhibits the enzyme which causes no signal and no leukemia

22
Q

what is the cancer therapy of Gleevec?

A

Treats chronic myelogenous leukemia with philadelphia chromosome. its the first drug targeting a signaling pathway specific of a cancer cell. mutations can make cancer cells resistant to gleevec

23
Q

what is TGFbeta?

A

an inhibitor of cell growth. can promote apoptosis. when it binds to a dimeric receptor with serine/threonine kinase activity, TGF beta activates intracellular messengers Smad proteins.

24
Q

what are smad proteins?

A

smads activate expression of cell cycle inhibitors genes like p15
and PAI - inhibitor of proteases

25
Q

what do mutatioins in TGF beta pathway lead to?

A

increased proliferatioin by blocking p15

increased risk of metastasis by blocking PAI

26
Q

what are cyclins?

A

they promote progression through cell cycle which is induced by growth factors. cyclins bind and activate specific cyclin dependent kinases ( CDKs)

27
Q

what do CDK do?

A

phosphorylate inhibitors of cell cycle like Rb which when Rb is phosphorylated it become inactivated and cells are allowed to proliferate

28
Q

what can inhibit CDK?

A

p15 and p16

29
Q

what is a common cause of cancer involving mutations?

A

1) Over production of cyclins which allow cell cycle progression
2) Loss of Rb or p15/p16 (cell cycle inhibitors) which causes excessive proliferation

30
Q

define carcinogen

A

natural or synthetic chemicals that increase risk of mutations for cancer by DNA mutations grouped in 2 classes

  1. direct acting carcinogens on N and O atoms on DNA
  2. indirect acting carcinogens - chemicals that become reactive after they are modified by cellular enzymes. addition of OH to make the compound more soluble for exretion.
31
Q

list carcinogens

A
vinyl chloride
benzene
arsenic
asbestos
radium
32
Q

overcooked meat can cause what cancer?

A

colon cancer

33
Q

what are caretaker genes?

A

prevent or repair dna damage. their inactivation increases risk of mutations for tumors

34
Q

how does multidrug cancer therapy help?

A

treating cancer with 2 drugs at a single time shows resistance and do not cure cancer
treating cancer with 2 drugs simultaneously shows cell is not resistant to both drugs and cancer is cured

35
Q

what are the mechanisms of cancer?

A

carcinogens
hormones
viruses
they all genetically damage the cell and cause excessive proliferation

36
Q

define oncogenesis

A

progressive development of a cancer

37
Q

define proto-oncogenes

A

normal regulator of cell growth that becomes an oncogene when a mutation creates excessive activity (gain of function mutation)
example: Ras , EGF receptor, Akt

38
Q

benign vs malignant tumor

A

benign tumor has 1 mutation of epithelial cell

malignant tumor grows and invades other organs

39
Q

what are the 5 types of cancers?

A

carcinoma - derived from epithelial cells
sarcoma - derived from mesoderm (muscle, blood, connective tissue)
Leukemia - derived from white blod cells in bone marrow
lymphhoma - derived from lymphocytes and plasma cells in lymph nodes
Blastomas - cancer cells that lost their differentiation characteristics

40
Q

what are mast cells?

A

white blood cell found in connective tissue

41
Q

what are the hallmarks of cancer?

A

deregulating cellular energetics
avoiding immune destruction
tumor promoting inflammation
genome instability and mutation

42
Q

define angiogensis

A

formation of bew blood vessels to promote the growth of tumor by providing more O2
and open the path to tumor metastasis

43
Q

what gowth factors promot angiogeneis?

A

beta FGF, TGF alpha, and VEGF

44
Q

what is HIF-1 (hypoxia inducible factor)

A

activates glucose anaerobic metabolism to increase survival of cancer cell in hypoxic environment

45
Q

what controls movement of tumor cell?

A

actin cytoskeleton