Case 4 Flashcards
Grade of cancer
How closely tumours resemble their tissue of origin
Stage of cancer
How far a tumour has spread at the time of presentation
Examples of oncogenes
B-catenin and K-RAS
Examples of tumour suppressor genes
p53 and APC
Wnt signalling mutation in colorectal cancer
Wnt signal attaches to the receptor, GSK-3B is not activated, B-catenin is not phosphorylated, so doesn’t degrade, enters cell nucleus, transcription occurs, alters gene expression of cyclin D and Myc
MSH2 and MLH1 genes were mutated in HNPCC Pts
…
W/o anti proliferative effect of TGF-B pathway
colon sensitised to inflammation
Inflammatory bowel disease and type 2 diabetes
risk factors for colorectal cancer
Inflammatory bowel disease includes
Ulcerative colitis and crohn’s disease