Cancer Biology Flashcards
what is neoplasm (tumour)?
a new and abnormal growth resulting from autonomous (uncontrolled) cell division
what is a benign tumour?
grow slowly and remain localised to the site of origin
what is a malignant tumour?
invade and spread to different sites = cancer
what does metastasis mean?
it is a multi step process by which tumour cells move from a primary site to colonise a secondary site
oncogene
a gene whose product is involved In inducing cancer. most oncogenes are mutated forms of normal genes (proto-oncogenes) involved in the control of cell growth or division
proto-oncogene
a normal cellular gene that encodes a protein usually involved in regulation of cell growth and proliferation. when mutated it becomes a cancer promoting oncogene
tumour suppressor gene
a gene whose encoded protein directly or indirectly inhibits progression through the cell cycle and in which a loss of function mutation is oncogenic
how can the cell cycle and cancer be linked
deregulation of the cell cycle can lead to autonomous and unregulated cell proliferation
what does tumourigenesis mean?
the initial formation of a tumour in the body. a multi step process where a normal cell accumulates a number of alterations or mutations.
what is the initiation of tumourigenesis?
carcinogen exposure eg radiation or chemicals or it can be caused by a virus
what happens after the carcinogen exposure?
the accumulation of many more mutations which can activate oncogenes or inhibit tumour suppressor genes. after the amplification of these mutations due to proliferation one cell passes the threshold to malignency
what does anaplasia mean?
when cells become less differentiated and become less like their tissue of origin.
how can proto oncogenes become oncogenes?
- deletion/ point mutation
- regulatory mutation
- gene amplification
- chromosome rearrangement
deletion/point mutation
hyperactive protein made in normal amounts (eg RAS)
regulatory mutation
normal protein greatly overproduced
gene amplification
normal protein greatly overproduced (ERB B2)
chromosome rearrangment
- nearby regulatory DNA sequence causes normal protein to be overproduced
- fusion to actively transcribed gene produces hyperactive fusion protein with altered function
(eg BCR gene on chr 22 and abl gene on chr 9)
what has a mutation of p53 been linked to?
brain tumours, breast, oesophageal, liver ect. it is the most frequently mutated gene in cancer
what has a mutation on RB been linked to?
retinoblastoma, sarcomas, bladder, breast, lung sarcomas
what has a mutation in BRCA1 been linked to?
breast and ovarian carcinoma
what is apoptosis?
cell death, it is an intrinsic pathway and is an intracellular death signal.
what inhibits apoptosis?
BCL-2 inhibits apoptosis. this can be over expressed and can cause tumour formation or cancer
telomeres
- tandem repeats of hexameter (650-2500 copies)
- prevent end to end fusion of chromosomes
protect chromosome end from degradation - ensure complete replication
- in most human somatic cells telomeres shorten with age
how are telomeres added onto the end of chromosomes?
enzymes called telomerase , this process is amplified in cases of cancers which prevents them for shortening and in turn higher replicative potential
what is angiogenesis
when tumours become too large and far away from blood supply (become hypoxic) they produce VEGF (vascular endothelial growth factor) which makes vessels grow towards the tumour