Cancer Stem Cells Flashcards

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1
Q

What are iPS cells

A

Somatic cells induced to be a stem cell

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2
Q

How in an experiment iPS cells were used in the treatment of sickle cell disease

A

In a mouse with sickle cell disease, fibroblast were extracted from the tail, they were reprogrammed to iPSCs, correct gene was introduced in these cells for beta globulins in the Hb, the existing gene was knocked out, these iPSCs were then differentiated into hematopoietic stem cells and then introduced into the mouse, the mouse was cured of sickle cell disease

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3
Q

What was the example that he gave of the heart

A

Basically they made a tinee tiny human heart with all the cardiac muscles, smooth muscles and connective tissue

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4
Q

What was the example that he gave of the heart

A

Basically they made a tinee tiny human heart with all the cardiac muscles, smooth muscles and connective tissue

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5
Q

What are the drawbacks of using iPSCs in treatment as compared to fresh gametes that can fuse and lead to the give us a zygote

A

iPSCs will have all the epigenetic markers (DNA methylation and histone modifications) as well as all the mutations that the somatic cell had. It basically carries all the information that a person has been exposed to. Fusion of gametes resets all the epigenetic markers and it also doesn’t involve a lot of mutations since those are repaired before cell division

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6
Q

Can you make a neuron cell from a fibroblast directly without going back to the stem cell?

A

YES. By introducing the right factors

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7
Q

Different ways you can obtain different form of stem cell

A
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8
Q

What are the top ten factors to consider for a patient before opting for stem cell therapy

A
  1. There are different types of stem cell each with their own purpose 2. A single stem cell treatment doesnt work for diseases that are complex and involves a range of different kinds of cells 3. Currently many stem cell therapies are controversial, few are widely accepted 4. Just because people say stem cell helped them doesnt mean the therapy really worked 5. It is a complicated and difficult process that is still not completely understood 6. Stem cells have to instructed to take specific pathways in treatment 7. If a stem cell comes from your body doesnt mean that it is safe 8. There is something to lose when trying an unproven treatment 9. An experimental treatment offered for sale is not the same thing as clinical trial 10. Stem cell science is still evolving
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9
Q

How can you avoid passing on genetic diseases in the family? Explain the process.

A

By performing the process called Preimplantation Genetic Diagnosing (PGD). This is done by taking out a single cell from the zygote when it is at the 8 cell stage. Only those zygote that dont have the disease are planted on the mothers. At this stage other factors such as sex of the baby or if they will form twins or not cannot be determined

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10
Q

What is another form through which oncogenic risks are associated with pluripotency

A

There are oncogenic risk associated with the manner in which we induce pluripotency, hence the methods matters.

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11
Q

What is the main risk associated with cancer stem cells

A

Some of the cancer stem cells have different sensitivities to radiation and chemotherapy. Also cancer stem cells are quiescent, they are not replicating that often, so if we dont kill all of these cells or miss them, the tumor can arise again

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12
Q

What is the difference in solid and liquid tumors

A

It literally means if the tumor cells are in a solid or liquid form. For example cancers of the blood are liquid tumors.

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13
Q

What are the chances of tumor from stem cells

A

Chances are very small but it can still happen

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14
Q

What is the primary difference in solid and liquid tumors from cancer stem cells

A

For solid tumors, very large number of cancer stem cells are required, often a significant part of the stem cell colony, hence the chances of that happening are small

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15
Q

What are the 2 models of cancer heterogeneity in cancer stem cells

A
  1. Stochastic model: All stem cells can be potential cancer cells however they only have a small probability of proliferation autonomously to contribute to the development of neoplasm 2. Cancer stem cell model: Only a small number of cells in the colony of stem cells have the ability to contribute to neoplasms - this one is in the lead - combination of genetic and epigenetic changes along the proliferation pathway can give rise to a specific cancer stem cell, this has been proved in an assay See the attached slide below
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16
Q

What is associated with metastasis of cancer stem cells

A

Metastasis may cause the cancer stem cells to be in different environment so they would become different types of cancer which would then require different therapies to kill them since the 2 cancers may have different sensitivities to chemotherapy and radiation

17
Q

What is associated with metastasis of cancer stem cells

A

Metastasis may cause the cancer stem cells to be in different environment so they would become different types of cancer which would then require different therapies to kill them since the 2 cancers may have different sensitivities to chemotherapy and radiation

18
Q

How do you treat cancer stem cells

A

This is explained here in the slide below. In conventional therapy we treat the whole mass of cancer cells by chemotherapy and radiation which causes the tumor to shrink and eventually die off. However this does not work for cancer stem cells. The way to treat cancer stem cells is to target the chemotherapy and radiation to the cancer stem cells themselves. By killing off these cells, the tumor loses its reproductive potential and dies off. You can also knock out the transcriptional factors that have caused the stem cells to become cancer stem cells. This will also cause the cancer to die off

19
Q

Can you use stem cells to kill cancer?

A

Yes. Refer to the attachment

20
Q

What is he trying to explain

A

Attacking the specific transcription factors of cancer stem cells can be used to kill off the cancer

21
Q

Summary slide

A