CANCER; Lecture 1, 2 and 3 - Cell pathology of cancer, Cell cycle and regulation, Signalling mechanisms in growth and division Flashcards
What is metaplasia?
Reversible change in which one adult cell is replaced by another adult cell type -> adaptive and it isn’t neoplastic
What is dysplasia?
An abnormal pattern of growth in which some of the cellular and architectural features of malignancy are present -> pre-invasive stage with intact basement membrane, so this is the stage at which cancers need to be caught as it doesn’t spread into lymphatics -> low-grade is reversible but high grade not really
Where are the common sites of dysplasia?
Cervix (HPV iinfection), bronchus (smoking), colon (UC), larynx (smoking), stomach (pernicious anaemia), oesophagus (acid reflux)
What are the cell characteristics of dysplasia?
Loss of architectural orientation, loss in uniformity of individual cells; nuclei are hyperchromatic/enlarged, mitotic figures are abundant, abnormal and in places where they aren’t usually found
What is a neoplasia, tumour or malignancy?
An abnormal, autonomous proliferation of cells unresponsive to normal growth control mechanisms
What is the difference between benign and malignant?
1) Don’t invade/met. 2) Encapsulated (leiomyomas are benign but not encapsulated). 3) Usually well differentiated. 4) Slowly growing. 5) Normal mitoses
When are benign tumours fatal?
What are the characteristics of malignant tumours?
What is metastasis?
A discontinuous growing colony of tumour cells, at some distance from the primary cancer
How does metastasis occur?
What is the nuclear-cytoplasmic ratio in well vs poorly differentiated tumours?
High in poorly diff. and low in highly diff.
What are the different kinds of tumours?
Benign epithelial tumours, carcinoma, benign soft tissue tumours, sarcoma, leukaemia & lymphoma, teratoma, hamartoma (localised malformation, not neoplastic)
What are benign epithelial tumours?
Of surface epithelium = papilloma (skin, bladder); glandular epithelium = adenoma (stomach, kidney, pit, thyroid, colon)
What are carcinomas?
A malignant tumour derived from epithelium
What are sarcomas?
A malignant tumour derived from connective tissue (mesenchymal) cells
What are leukaemias and lymphomas?
- Tumours of WBC;
- leukaemia = malignant tumour of bone marrow derived cells which circulate in the blood;
- lymphoma = malignant tumour of lymphocytes in lymph nodes
What are teratomas?
- Tumour derived from GERM cells, which has potential to develop into tumour of all 3 germ cells layers;
- Testes (mainly malignant) and ovaries (mainly benign) mainly;
- dermoid cysts = mature/benign teratomas in ovaries (have teeth, eyeball, brain, hair)
What are hamartomas?
- Localised overgrowth of cells and tissue native to the organ - No malignant potential;
- common in children and should stop growing when they stop.
How do you assess differentiation of tumours?
Evidence of normal function still present production of:keratin (squamous cells), mucin (Glandular epithelium), bile (hepatocytes), hormones
How do we differentiate tumours?
Grading - how much a tumour looks like tissue; staging (!!) - how far it has spread; also if aren’t differentiated then called anaplastic carcinoma
What is TNM?
NB: stage is so much more than grade
What is the Gleason grading system?
(Prostate)
What are the different cell division times in specific cells?
What is the relevance of appropriate regulation of cell division?
Contact inhib of growth = cells usually grow by sensing neighbouring cells -> tumours lack this
What is the cell cycle?
Orderly sequence of events in which a cell duplicates its contents and divides in two.
What is the regulated progression through the cell cycle?
Cells need to duplicate their genetic material with mitosis being the most vulnerable point in the cell cycle
Which is the most vulnerable period of the cell cycle and why?
Mitosis -> Cells are more easily killed (irradiation, heat shock, chemicals), DNA damage can not be repaired, Gene transcription silenced, Metabolism?
What is the eukaryotic cell cycle?
Cells normally rest in G0 and mitosis happens fast (5min)
What is the function of the S phase?
DNA replication; protein synthesis (initiation of translation and elongation increased (capacity increased); replication of organelles (centrosomes, mitochondria, golgi) in case of mitochondria, needs to coordinate replication of mDNA
What is the centrosome?
Organelle near the nucleus of a cell which contains the centrioles and from which the spindle fibres develop in cell division -> regulate microtubule network to orchestrate cell division
What is the life cycle of centrosomes during mitosis?
- Cell initiates duplication and enters the cell cycle, centrosomes duplicate ->
- mother and daughter will separate into a mother and daughter taking place in the S phase.
- Cloud of protein complexes surround them and make nucleating sites for the microtubules
What are the 6 different phases of mitosis?
What is prophase?
- Condensation of chromatin -> condensed chromosomes -> each consists of 2 sister chromatids, each with a kinetochore.
- Condensation of DNA occurs so you can minimise DNA damage during mitosis
- -> double helices wrapped around histones to form chromatin and further wrapped until forms chromosome
What is a kinetochore?
Complex of proteins which is a key regulator of processes around chromosomes in the cell cycle
What occurs in prophase?
- Replicated chromosomes condense,
- nuclear envelope breaks down so chromosomes move into cytoplasm,
- duplicated centrosomes (late prophase) migrate to opposite sides of the nucleus and
- organise the assembly of the microtubules;
- mitotic spindle form outside nucleus between 2 centrosomes -> centromeres act as a belt (constricts around chromosomes)
How does spindle formation occur?
Radial arrays meet in the middle (called polar microtubules), form highways letting chromosomes know where to go
What is metaphase?
Chromosomes leak into cytoplasm, following breakdown of nuclear envelope and go with their pairs to the centre of the cells
What occurs in early prometaphase?
One microtubule array will attach to the kinetochore on one side and another microtubule array will attach to the other side