Cancer biology Flashcards
List the 10 hallmarks of cancer
- Growth Signal Autonomy
- Insensitivity to growth inhibitory signals
- Resisting apoptosis
- Unlimited replicative potential
- Angiogenesis
- Metastasis
- Evading immune response
- Reprogrammed energy metabolism
- Genomic instability
- Promoting inflammation
List the 5 proto-oncogenes involved in growth signal autonomy
- HER-2
- EGFR tyrosine kinase
- MAPK pathway - Ras and Raf
- MYC
- Cyclin D1 and CDK4
List the tumour suppression genes involved in insensitivity to growth inhibitory signals
- RB gene, Rb protein
- TP53 gene, p53 protein
Genes involved in resisting apoptosis
- p53, Bax protein
- BCL-2
Genes involved in angiogenesis
- Anti: p53 thrombospondin 1
- Pro: Vascular endothelial Growth factor
List at least 3 growth factors of angiogenesis
- **Vascular endothelial GF
- Macrophage derived growth factor (DGF)
- Platelet DGF
- Transforming/ epidermal/ fibroblast GF
What are the 4 steps of metastasis
- Loosening
- Epithelial Mesenchymal Transition
- Emboli
- Proliferation
Explain the hallmark, unlimited replicative potential
Cancer cells can maintain the length of their telomeres via telomerase and thus have replicative immortality.
What are 3 ways cancer cells evade the immune system?
- Reduce expression of tumour antigens
- Reduce expression of MHC class 1
- Deactivate PD-L1 ligands and PD-1 receptors
- Deactivate B7 ligands and CTLA-4 receptors
- Cytokine signalling: TGF-beta - reduce immune response
Explain the hallmark, reprogrammed energy metabolism
Increased glycolysis = more glucose for high glucose and energy demand tumour cells
What are the pairs of DNA mismatch proteins
MSH 2 MSH 6
MLH 1 PMS 2
Other than mismatch proteins, which protein is involved in DNA repair?
p53
Explain the hallmark, promoting inflammation
Chronic inflammation with prolonged tissue injury and repeated attempts at healing.
Benefits cancer cells because:
1. Growth factor secretion
2. Angiogenesis as part of healing and repair
3. Extracellular matrix-modifying enzymes that can breakdown connective tissue
4. Reactive oxygen species – promotes mutations.