Carcinogenesis : Causes of Cancer Flashcards

1
Q

What is the strongest association with eating red meat?

A

Colorectal cancer

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2
Q
The categories of human carcinogens are as follows. Give an example for each.
Chemicals
Infectious Agents
Radiation
Minerals
Physiological
Chronic Inflammation
A

1) Chemicals:
- PAHs (Polycyclic aromatic hydrocarbons)
- nitrosamines

2) Infectious agents
- human papilloma virus
- Helicobacter Pylori

3) Radiation
- UV light
- Radon

4) Minerals
- asbestos
- heavy metals

5) Physiological
- oestrogen
- androgens

6) Chronic Inflammation
- free radicals
- growth factors

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3
Q

PAHs are chemical carcinogens. What does it stand for?

A

Polycyclic aromatic hydrocarbons

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4
Q

Aflatoxin is associated with

A

Liver

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5
Q

Alcohol is associated with

A

Pharynx, Larynx, oesophagus, liver

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6
Q

Asbestos is associated with

A

Lung pleura

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7
Q

Xrays are associated with

A

bone marrow (leukaemia0

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8
Q

UV-Light is associated with

A

skin

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9
Q

Oestrogen is associated with

A

breast

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10
Q

Tobacco smoke is associated with

A

mouth, lung, oesophagus, pancreas, kidney, bladder

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11
Q

Hepatitis B virus is associated with

A

Liver

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12
Q

Human papilloma virus is associated with

A

cervix

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13
Q

What are initiators?

A

carcinogens that are genotoxic that can modify or damage DNA

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14
Q

What are promoters

A

carcinogens that induce proliferation and DNA replication.

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15
Q

What are complete carcinogens

A

They can both initiate (modify DNA) and promote (induce proliferation) e.g. UV light

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16
Q

What makes a carcinogen a good promoter?

A

1) can stimulate 2 rounds of DNA replication requires for mutation fixing
2) can stimulate clonal expansion of mutated cells

17
Q

What are the common genetic abnormalities? (there are 7)

A

1) Base pair Substitution
2) Frameshift
3) Deletion
4) Gene amplification
5) Chromosomal translocation
6) Chromosomal inversion
7) aneuploidy

18
Q

The term given to “the smallest change in the DNA sequence that can give rise to a change in gene function. They can result in an amino acid substitution (missense) or can introduce a stop condon into the coding sequence of a gene resulting in a truncated protein product”

A

Point mutation (or base pair substitution)

19
Q

What is a frameshift mutation?

A

Gain or loss of one to several base pairs that results in a shift in the reading frame of a gene transcript

20
Q

What does aberrent methylation of gene promoters leads to ……..

A

inactivation of Tumour Suppressor Genes (TSGs)

21
Q

How are Tumour Suppressor Genes most commonly inactivated?

A

Methylation of gene promotors causes inactivation of TSGs

22
Q

What are oncogenes?

A

oncogene is a gene that has the potential to cause cancer. In tumor cells, they are often mutated or expressed at high levels.

23
Q

Mutuations in which genes lead to a GAIN of function

A

Oncogenes

oncogenes have a potential to cause cancer. If there is a mutation in the gene it becomes overactive&raquo_space;>cancer

24
Q

Mutations found in XXX lead to a LOSS of function

A

Tumour suppressor genes

if there is a mutation in TSGs then it can’t work properly&raquo_space;>cancer

25
what are procarcinogens?
Pro-carcinogens require enzymatic (metabolic) activation before they react with DNA. e.g. PAHs (polycyclic aromatic hydrocarbons)
26
What are direct carcinogens?
Direct carcinogens interact directly with DNA e.g oxygen radicals, UV light
27
What is benzopyrene?
Benzopyrene is a PAH that can be generated through the combustion of most organic material such as meat, tobacco and fuel. It is a PRO CARCINOGEN.
28
What is also known as Lynch Syndrome?
HNPCC (Hereditary non-polyposis colorectal cancer). It is an autosomal dominant disorder.