Cancer Genetics Flashcards

1
Q

How may cells are in the Human body?

A

There are 37 trillion cells in the human body. There are many types of tissues.
(body has to have continuous division of cells to generate these cells)

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2
Q

What are the different types of cells?

A

Types of cells:
-nerve cell (transmit info within body)
Muscle cells (thick cells full of myosin fibers that contract to move the body)
bone cells
Gland cells
Blood cells (RBCs can carry Hemoglobin and be smooth)
Reproductive cells (sperm tiny and carry DNA; egg must be huge and carry DNA)
(wide variety of cells that are controlled by gene that regulate development)

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3
Q

What is the life span of the different kinds of cells (brain, liver, RBC, skin cells and stomach lining cells) ?

A

Some cells have very short life spans
Brain cells = 30-50 years
Liver cells= 200 days
Red blood cells= 120 days
Skin cells= 20 days
Stomach lining cells= 2 days

(body tends to generate new cells to replace the old ones)
(We must control the pattern of cell division through our lives and also control how cells develop )

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4
Q

What is the goal of chemoterha

A

Chemotherapy- it is trying to kill bad cells; This chemotherapy process kills all cells that are dividing
-Hence why people lose hair, and feel very sick, weak.

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5
Q

What are the three key process that cells undergo? What signals do cells have?

A

All cells face three key processes (choices) :
-Differentiation
-Growth and cell division
-Cell death (Apoptosis)

Signals:
-growth factors
-steroid hormones
-cell-cell interactions

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6
Q

What causes cancer?
Differentiate between benign and malignant tumors

A

Cancer is caused by the UNCONTROLLED division of cells
-these cells have become ABNORMAL through genetic changes
-Tumors can be Benign- large growths that are restricted to one location and usually NOT harmful
-Tumors can be Malignant or Cancerous by gaining the ability to invade other tissues and spread in the body.
(these cells keep dividing and migrating through body)

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7
Q

Desciteb the The”Two Hit Theory of Cancer” and the meaning behind it. Who discovered this theory? Why is it significant?

A

The two-hit theory of cancer : describes how TWO MUTATIONS are needed to cause cancers
-one mutation is not usually sufficient to cause cancer
Two Hit Theory (Alfred Knudson) described how mutations act together to initiate a cancer
-Eventually many mutations play a role in tumor formation, growth and metastasis

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8
Q

What are Retinoblastomas ?

A

Retinoblastomas are RARE cancers of the retina
(images show tumors growing in both left and right eye of a patient with retinoblastoma)

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9
Q

How are Retinoblastomas inherited?

A

Some retinoblastomas are inherited
-Mutations in the RB gene cause retinoblastomas
-These mutations are DOMINANT
-The Rb mutations inactivate the gene
-Thus Rb mutations are Haploinsufficient for cancer risk

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10
Q

What happens when there is a Rb allele? how does this affect risk of cancer? What factors did Knudsen consider in regards to retinal cells?

A

An Rb allele creates a risk that a mutation in the good Rb gene will cause cancer

Knutson considered:
-The number of susceptible retinal cells
-The number of tumors found in each eye
-Age of onset
Based on this, he calculated a mutation rate of:
u= 2 x 10^-7 per cell per year
-The rate for spontaneous retinoblastomas is similar

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11
Q

Describe the types of cancers seen in patients base on frequency in Rb/+ (heterozygous genotype)

A

Type of Cancer——-> Frequency in Rb/+
Unaffected ————> 1-10%
Unilateral (1 eye) ——-> 25-40%
Bilateral (2 eyes) ——-> 60-75%
eye function and tumors in people who were heterozygous for mutation (small number were unaffected; largest group at mutation in both eyes)
- if you are heterozygous for mutation, one copy of gene is already NOT working (you only need second copy of gene to be affected for cell to be tumor )

-individuals who start without no mutations in retinalblastoma have a LOWER chance of getting disease, because they would first need one mutation in one copy of gene and descendant of cell will have to get other mutated copy (Rare case of getting disease)

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12
Q

What can cause you to get high chance of developing cancer?

A

if the gene protects you from cancer and you already missing one good copy of gene; the other gene is now at risk .If any of the the trillion cells gets a mutation in surviving good copy, get high chance of developing cancer.

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13
Q

What is the Poisson Distribution? How does it work?

A

Poisson Distribution: calculation used to predict distributions
-We can use it if an event:
-can be repeated
-Each case is independent
-Occurs at a regular frequency
-Let the average number of events = lambda
Then the chance of Zero events - e^lambda
In general, the chance of k events = lambda^ke- lambda/k! (factorial )
k=1 or 2 or more events
factorial (ex: 5! is 5x4x3x2x1)

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14
Q

Provide an example of when you can use the Poisson distribution

A

Example: Woburn Leukemia cluster
-in Early 1990s, a leukemia cluster (of 8 cases) was identified in Massachussetts town of Woburn. Many more cases of leukemia, a malignant cancer that originates in a cel in the marrow of bone, appeared in this small town than would be predicted.
Goal: Determine the probability of this cluster, was due to chance, NOT carcinogens
-

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15
Q

How would you set up the Poisson distribution for example of Woburn Leukemia center?

A

Setting up Poisson distribution
Key initial information you must find out:
-chance of getting leukemia f= 0.00011
Population of Woburn = 35,000
First thing to calculate
-Expected number of cases = lambda= 35000 x 0.00011= 3.85
(figuring out chance of getting 8 or more cases; include rare cases)
Then Applying the Poisson Distribution union
P(0)= e^-3.85= 0.0213
P(1) = (3.85)^1 x e^-3.85/1!= 0.0819
P(2)= (3.85)^2 x e^=3.85/2!= 0.1577
P(3) = (3.85)^3 x e^3.85/3!= 0.2024
P(4)=(3.85)^4 x e^-3.85/4!= 0.1948
P(5)= (3.85)^5 x e^-3.85/5!= 0.1500
P(6)= (3.85)^6 x e^-3.85/6!= 0.0962
P(7)=(3.85)^7 x e^-3.85/7!= 0.0529
Total chance for 1-7 cases (add values up) = 0.9572
-so 95.72% of towns of 35000 should have only 7 or fewer cases of leukemia
-There was a chance of 4.28% that the Woburn cluster was due purely to chance
-Based on these odds, local chemical companies settled with families on the presumption that the trichlorethylene wast in local drinking water causes these cancers.

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16
Q

Where do Cancers result from?

A

Cancers result form the Accumulation of mutations in a cell line
(a cell will divide and then daughters will divide;
process of cells constantly dividing and one gets a mutation and one of its second descendants get another mutation, and then another mutation that leads to cancer)
-build up of mutations between descendants lead to uncorontrollable growth in the cell (Cancer)
ex; Colon Cancer

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17
Q

Explain what happens in Colon Cancer

A

Colon cancer : that occurs due to one mutation in tumor suppressor gene (APC) that changes cell and causes small benign growth. Then second mutation that activates another gene (ex; Ras Oncogenes) and third tumor affecting another gene, you get Larger benign growth and get additional mutations that allow cell to move causes malignant cell which spreads through body and can kill
-hence early detection of cell growth before mutations accumulate.

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18
Q

What kind of mutation can start the process of cancerogenesis?

A

A new somatic mutation might start the process of cancerogenesis
-a first mutation and second mutation can occur and lead to early tumor formation
(mutation happening in cell and in its descendant cell leading to lethal combination)

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19
Q

Which mutation is higher than the gremline rate?

A

The SOMATIC mutation is HIGHER than the germ lie rate
We have good control on mutation rate in our germ cells (cells that make eggs or sperm)
-the cells that make up our body have higher mutation rate (fewer protection) the risk of mutations that may cause cancers are higher.
The body accumulates somatic chromosomes on EVERY chromosome

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20
Q

What correlates with the mutation frequency?

A

The RISK of CANCER correlated with the mutation frequency in particular cells
(cells with low mutation rate, low cancer risk;
cells with higher mutation rate, higher cancer rate)

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21
Q

What can also help start a cancer?

A

DELETIONS of part of a chromosome can also help start cancer
(ex: the loss of an entire arm or half an arm of chromosome can be severe)

mutations in individual genes (ex: point mutations) cause gene to change function and promote tumors)

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22
Q

What can start the process of cancergenesis?

A

An INHERITED mutation might start the process of cancerogenesis and make it much more likely to proceed
(if one carrying Rb1 mutation passes it on to child; child already starts Rb1 (retinoblastoma) mutation and only need one more mutated copy to get cancerous cell.

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23
Q

Descirbe the different types of cancer genes? How do they affect cells.

A

Types of cancer genes
some mutation affect ONCOGENES: (Onco–> cancer)
-Proto-oncogens: are normal genes
-Oncogenes are Mutant genes that cause cancer (cell divides abnormally)
Some mutations affect TUMOR SUPPRESSORs:
-The body has elaborate mechanisms to protect it from cancer
(tumor suppressor genes carry out protective role of recognizing and preventing cancers from forming in the body)
-These methods depend on tumor suppressor genes like Rb
-Mutations in these genes weaken the bodies defenses.
(prevent body from defending itself)

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24
Q

How were oncogenes discovered? What are Viral oncogenes? Provide examples. How do they affect cells?

A

Oncogenes were first discovered with people studying Viral oncogenes
Viral Oncogenes: some viruses can induce cancers
-Epstein-Barr Virus
-Hepatitis B and C
-Human papillomavirus
-Some viruses cause mutations by integrating into human DNA at random locations
-Some viruses make proteins that cause cancer by affecting the cell cycle

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25
Q

What is structure of the Human Papillomavirus ?

A

simple genetic structure with less than 10 genes.

26
Q

What are the different Oncogenes that actively cause cancer in their mutant state?

A

Oncogenes actively causes cancer in their mutant state:
v-src: (src–> sarcoma)
-A viral oncogene isolated from a chicken retrovirus.
-cells make a related c-src tyrosine kinase that promotes cell proliferation
ras:
-Normal ras is a regulatory GTPase that promotes cell proliferation. Mutations can activate inappropriately (cells keep dividing)
myc:
-Normal Mac is transcription factor that promotes cell proliferation. Mutations can activate it innappropriately (continue to cause cells to divide) .

27
Q

What is the role of Tumor Suppressors?

A

Tumor Suppressors: genes that protect us from tumors
(if their is mutation in tumor suppressor, we lose one of our defensive genes)

28
Q

What are the important proteins and genes that are used in preventing cancer? What are examples and why are they important?

A

*DNA repair proteins
- BRCA1, BRCA2, XP genes, HNPCC, MEN1
(if cell cannot repair errors in DNA, there will be accumulation of mutations at higher rate, leading to high risk of cancer)
*Genes that pause the cell cycle for DNA repair
ex: p53, p21
(if you don’t pause, won’t be able to fix things)
* Genes that repress the cycle (so cell stop dividing at inappropriate times)
*Genes that induce apoptosis in mutant cells
*Genes that block metastases by adhering to neighboring cells or mediating contact inhibition (

29
Q

What is the role of p53? When does it become activated? What occurs when there’s a mutation in p53?

A

The p53 tumor suppressor
-Activated by DNA damage and other stresses
-in unstressed cells, p53 is continually degraded, keeping its levels low.
(p53 is a transcription factor, so it will bind to DNA)
-Mutations in p53 are involved in many cancers:
some are new somatic mutations (no family history)
Li-Fraumeni syndrome involves an inherited p53 mutation
(with this syndrome, cancer is inherited by p53 mutation by family)

30
Q

What kind of disease is Li-Fraumeni Syndrome? What causes it? What kind of cancers can it cause an increase in?

A

Li-Fraumeni syndrome
-Inherited as an Autosomal Dominant disease
-Caused by mutations that Inactivate the p53 gene, so it is Haploinsufficient
(haploinsuffiencient: only have one good copy and it is mutated)
Causes an increase in many types of cancers:
-Breast cancer
-Osteosarcoma (bone cancer)
-Soft tissue sarcomas (like muscle cancer)
-Leukemia
-Adrenocortical carcinoma

31
Q

What is the risk associated with p53 heterozygotes?

A

p53 heterozygotes risk a mutation in their good copy of the gene
-The p53 gene is needed to help protect us from cancer
-In most individuals, the chance that both copies of the gene will be inactivated by somatic mutations Is very low.
-In p53 heterozygotes, the chance that a single somatic mutation will inactivate the good copy of the gene is much Higher

32
Q

What activates the p53 protein?

A

The p53 protein is activated in response to damage or stress
-normally p53 is bound to protein mdm2
-But stress or DNA damage will cause p53 to detach from mdm2 protein and become active and promote 2 processes :
1. DNA repair and blocking of cell cycle (so you can fix damage)
OR
2. Trigger Cell death (Apoptosis, to eliminate new tumor cell formed from the body)
(Apoptosis is critical defense mechanism)
p53 regulates both DNA repair and regulating Cell death.

33
Q

What kind of molecules do Active p53 promote? What occurs in the cell cycle? How is the cell cycle regulated? What molecules are involved?

A

Active p53 promotes the expression of p21.
As cells go through mitosis, they divide to make 2 daughter cells, then daughter cell will arrest in G1. Then eventually get signal to synthesize new DNA and prepare for further cell diviosn. Then rest in G2. Then divide. hence it is a cycle
-This process must be tightly controlled by group of proteins called cyclins.
-Cyclins regulate when cells moves through each step of the cycle
-Kinases control all other things that occur in cell in response to cyclin, by phosphorylating target proteins (prepare for cell division )
Cyclin bind to protein kinases to help control when they work.
p53 can activate other cancer gene p21 to stop cell cycle for repair

cell cycle: set of decisions
some of genes involved in cancer are regulated whether pause cycle or not
p53 control pause in cell cycle in response to DNA damage

34
Q

How does cell cycle studied. Why are they important?

A

Cell cycle ( involved in control of cell division)
Cell cycle was studied using yeast cells
-yeast cells will undergo process of budding
(daughter start out as new bud on cell wall of older yeast cell, bud grow and when it is large enough, mitosis begins)
-Cyclins control process of mitosis, DNA synthesis and pause periods between cycle

35
Q

What are the phases of the cell cycle? How is it regulated/

A

Phases of the cell cycle : S (synthesis) , G1 (pause phase) , G2, M (mitosis phase)
Progress through the Cell cycle is regulated by Cyclin genes

36
Q

What is the role of p21 in the cell cycle? what promotes it? what happens when there is a Lack of p21 in mice?

A

p21 INHIBITS the cell cycle
-Active p53 promotes p21
-Active p21 binds CDK2 (cyclin dependent kinase 2)
-p21/CDK2 binding prevents the cell cycle from proceeding
-this block allows time for DNA repair
-LACK of p21 allows mice to regenerate organs

37
Q

What other cancer genes regulate the cell cycle?

A

Many cancer genes regulate the cell cycle:
p53, p21
p21 (CDKN1A) regulates cyclin b and cyclin dependent kinase 2 (CDk2)
p16 controls retinalblastoma gene (Rb1) and control cyclin E

38
Q

What does CDKN2A (aka p16) encode? What happens when there are mutations in CDKN2A?

A

CDKN2A:
Encodes two tumor suppressors:
-p16 (protein itself) slows down the cell cycle
-p14 protects p53 from being broken down

-CDKN2A mutations cause many types of cancers
ex: head and neck squamous cell carcinomas

39
Q

Summarize how cancer genes regulate the cell cycle

A

Cancer genes regulate the cell cycle:
-p53 regulates p21, which controls cyclin dependent kinases (CDK2) and cyclins (E) and control cell cycle.
p16 and p14 proteins made by CDKN2A
-Larger one p16 controls another cyclin (D) and and cell cycle
smaller one p14 protects critical regulator p53
-The controls on cyclins are affecting how retinoblastoma genes works and interact with other genes to control cell cycle.

(mutations that change regulation of cell cycle could cause inability to repair DNA or inability to stop dividing (causes tumor)

40
Q

What medical condition is caused by any mutation in genes that are involved in DNA repair ? What are clinical symptoms of this condition?

A

Xeroderma Pigmentosa: condition that is cause by mutation in any of the genes invovled in DNA repair
symptoms:
-Skins and eyes are very sensitive to the sun
-extensive freckling
-development of solar keratoses and skin cancers
-Patients usually die at a young age from malignant cancers

41
Q

How does Sunlight affect DNA?

A

The sunlight damages DNA by forming thymidine dimers

42
Q

What happens to Thymidine dimers in Xeroderma pigmentosum patients ?

A

These dimers CANNOT be fixed in Xeroderma pigmentosum patients
-Normal cells recognize, cut out and repair these lesions in the DNA
-Patients with Xeroderma pigmentosum CANNOT carry out these repairs
-As a result, XP patients accumulate many new mutations in tissues exposed to UV light

43
Q

What is the process for normal excision repair?

A

Normal Excision Repair:
1. Formation of DNA dimer
2. Recognition of dimer and DNA cut
3. Excision of dimer
4. Gap filled by DNA polymerase
5. Nick sealed by DNA ligase

44
Q

What kind of mutations causes Xeroderma pigmentosum ?

A

RECESSIVE mutations

45
Q

How can XP (Xeroderma pigmentosum) genes repair DNA?

A

Studies show that eight different XP genes cooperate to repair DNA
ALL eight need to have a NORMAL copy for repair to work*

46
Q

Which genes are involved in mediating DNA repair?

A

DNA repair can be mediated by BRCA1 and BRCA2

47
Q

What is the role of BRCA1 gene? What happens if there are mutations in this gene? Describe the mutations seen in BRCA1

A

The BRCA1 gene normally prevents cancers
-Mutations in BRCA1 raise the risk of breast cancer in both sexes (women have higher rate)
-These mutations also raise the risk off any other kinds of tumors
BRCA1 mutations:
-Are dominant
-Cause a loss of function in the gene
Thus, BRCA1 normally protects from cancer.
(you need this gene to repair DNA)
if you are heterozygous, you are okay until once of cell bodies gets a mutation in surviving copy of BRCA1 gene and you have serious problem

48
Q

Explain why BRCA1 gene is essential for life

A

The BRCA1 gene is essential for life
-No people have been found with serious mutations in both copies of their BRCA1 gene, even though there are families where both parents are heterozygotes
(not many individuals who are homozygous for gene)
-When BRCA1^0 /BRCA1^0 mice were made, they died as embryos
So BRCA1 is essential

49
Q

Describe the frequency of BRCA1 mutations in some populations ?

A

BRCA1 mutations are frequent in some populations
-About 1/400 in many populations
-About 1/40 among Ashkenazi Jews (more frequent)
-About 1/1250 in the Finnish population

50
Q

What can occur as a result of BRCA2 mutations ?

A

BRCA2 mutations can also cause cancers
-BRCA2 mutations also increase the risks of breast cancers and related cancers
BRCA2 mutations:
-Are Dominant
-Cause a loss of function in the gene
Thus, BRCA2, also normal protects form cancer

51
Q

Describe the frequency of BRCA2 mutation in some populations

A

BRCA2 mutations are also frequent in some populations
-About 1/250 in many populations
-About 1/65 among Ashkenazi Jews
-About 1/400 in the Finnish population

52
Q

Explain how BRCA1 and BRCA2 can regulate repair in DNA

A

BRCA1 and BCRA2 regulate the repair of double-stranded breaks in DNA
1. Observing the Double stranded break in DNA leads to a proteins ATM and CHEK2 phosphorylating BRCA1, which activates BRCA1.
2. BRCA1 binds to BRCA2 and other proteins (BARD1 and RAD51) forming a complex
3. The complex of repair proteins will then bind to DNA to heal the double stranded break

53
Q

What occurs in Programmed Cell Death ? What gene is involved ?

A

Programmed Cell Death
-Bcl-2 (B cell lymphoma gene 2) has a role in a cancer

54
Q

What occurred in the Nematode cell death pathway? What genes were involved? What happens when there is mutation in ced9 gene vs when Bc1-2 gene is activated in nematode?

A

Nematode cell death pathway
group of genes that regulate whether nematodes live or die
ced9 controlled whether ced 4 and ced3 killed cells
mutations that turn ced9 on prevented all cells from dying in nematodes
mutations that Destroy gene (ced 9 gene) cause ALL cells to commit suicide (fatal to animal)
Bc1-2 gene inserted in nematode will prevent cell death
cell make decision to die–> suicide–> Engulfment

55
Q

What was found in mammals that were also in worms?

A

Versions of all cell death genes from worms are found in mammals
-Bcl-2 family (Ced-9) , Caspases, (ced-3, ced-4). Apaf-1, CrkII, PH Domain, Rac1, DOCK180, ABC Transporter (ced-7) , PTB domain, Scavenger Receptor (ced-1, ced-6)

56
Q

What is the role of Bc1-2 ?

A

Bc1-2 protects cells form apoptosis

(Bc1-xl prevents cell death)

57
Q

What can over-activate the Bcl-2 gene? How does this occur?

A

Translocations frequently over-activate the Bc1-2 gene
These patients have reciprocal translocation (the end of chromosome 14 and end of chromosome 18 got swapped )
The break (translocation) is next to bcl-2 gene in chromosome 18 and immunoglobin H gene on chromosome 14.
-in the rearranged chromosome a normal bcl-2 gene is brought next to promoter region in immunoglobulin H
bcl-2 is a tumor suppressor (prevents cells that become cancerous from committing suicide) since bcl-2 in this translocation is always on, it will Not work properly; (It won’t get rid of cells that may cause cancers and patients will have blood cancers (lymphomas)

58
Q

What kind of cells do Normal Bcl-2 function in ? What can lead to inactivation of bcl-2

A

Normal Bcl-2 ONLY works in Healthy cells
-Bcl-2 protects cells from apoptosis
-Healthy cells do NOT usually die by apoptosis
-Several types of problems lead to inactivation of bcl-2 and cell death
-viral infections
-Tumorgenesis (cell gets messed up during cell cycle)
mutations that can keep Bcl-2 active are harmful

59
Q

What is the benefit of cell death ?

A

Cell death normally eliminates tumors.
cell death is a big way for our body to stay healthy, protects us cells that are dangerous (better for dangerous cells to kill itself)

lymphoma cells and blood cells with mutations in myc oncogenes were injected into control mice (tumor cells quickly eliminated from node)
in bcl-2 mice, tumor cells not removed; cell death does not destroy tumor

hence cell death plays a role in protecting us from cancer

60
Q

Explain how tumors evolve to become more dangerous? What traits must tumors have to be more dangerous ?

A

Tumors evolve to become more dangerous
-Tumors originate with mutations that lead to uncontrolled cell death
-To become dangerous, most tumor need to acquire additional traits:
-the ability to migrate
-the ability to invade new tissue types
-The ability to recruit resources from the body
Over time, mutations that lead to metastasis can accumulate in evolving tumors.

(metastasis hard to treat since it has spread to many places in the body)

61
Q

what can make colorectal cancers progressively more dangerous ?

A

NEW MUTATIONS can make colorectal cancers progressively more dangerous