Chavez Flashcards
Which genes code for epidermal growth factors (EGFR)?
ErbB1 and ErbB2 (HER2)
ErbB2 aka HER2 can be found in what cancers?
Breast, salivary cancer, prostate, bladder and ovarian cancer
Oncogene: BCR-ABL codes for?
Nonreceptor tyrosine kinase
BCR-ABL found in which cancer?
Chronic Myelogenous leukemia
Oncogene: ALK (Adenocarcinoma of Lung kinase) is found mainly in?
Lung cancer
1st requirement of cancer?
Activated oncogene
2nd requirement of cancer?
Inactivated tumor suppressor gene
P53 controls?
Decision to replicate DNA at G1/ S phase
Tumor suppressor gene: APC function?
Step in signaling pathway
Tumor suppressor gene: APC found in which cancers?
Colon and gastric
Tumor suppressor gene: RB1 function?
Codes for pRB protein- a master break of the cell cycle
Tumor suppressor gene: RB1 found in which cancers?
Retinoblastoma, osteosarcoma, bladder, small cell lung, prostate, and breast cancer
Tumor suppressor gene: P53 function?
Halts cell division and induces apoptosis
Tumor suppressor gene: p53 causes which cancers?
Many types! Responsible for cancer resistance
Tumor suppressor gene: BRCA1 function?
DNA repair and transcriptional regulation
Tumor suppressor gene: BRCA1 cancers?
Breast cancer and ovarian cancer
Tumor suppressor gene: BRCA2 function?
DNA repair
Tumor suppressor gene: BRCA2 cancer?
Breast cancer
Third requirement for cancer?
Evade apoptosis
DNA repair genes/pathways are?
Indirectly involved in growth inhibition/differentiation
4th requirement for cancer?
Immortal cell- stopping senescence and reactivating telomerase
Senescence is caused by?
Loss of telomerase activity
5th requirement cancer?
Vascularization- tumors cannot expand past 1-2 mm diameter without this due to hypoxia (activates growth factor and antigenic factor by inducing inflammatory proteases) and need for nutrients
Cancer cells affect in immune response:
Decrease in MHC Class I expression
Secretion of immunosuppressive molecules enhance immune tolerance of cancer (TGF-beta)
In cancer CTLA-4 is?
Up regulated causing T cell inactivation
Ipilimumab inhibits?
CTLA-4
PD-L1 and 2 cause
T cell dysfunction
PD1 is inhibited by?
Nivolumab or pembrolizumab
PD1 and 2 inhibited by?
Atezolizumab, Durvalumab, Avelumab
6 th requirement of cancer?
Metastasis-new tumor from another existing
Benign tumors?
End in -oma
Osteoma,lipoma,fibroma
Malignant tumors ?
Carcinoma,sarcoma, teratoma
Carcinoma arise from?
Epithelial tissues
Sarcomas arise from?
Mesenchymal tissues
Teratomas arise from?
Germ cell sperm or ova
Seminoma
Malignant of spermatocyte
Lymphoma
Malignant tumor of lymphoid tissues
Melanoma
Malignant tumor of melanocytes
What is paraneoplastic syndrome?
When clinical findings or symptoms are distant from the site of the primary tumor
Elevated AFP (Alpha-fetoprotein) is associated with which cancers?
Germ cell cancer of ovaries and testes
What are the non cancerous reasons for elevated AFP?
Pregnancy, liver disease, inflammatory bowel disease
Elevated Bence Jones proteins or monoclonal immunoglobulins are associated with which cancers?
Multiple myeloma
Elevated Bence Jones proteins or monoclonal immunoglobulins are associated with what non cancer reasons?
Amyloidosis
CA 125 (cancer antigen or carbohydrate antigen) elevation associated with which cancers?
Ovarian cancer
CA 27.29 elevation associated with which cancer?
Breast
PSA (prostate specific antigen) associated with which cancer?
Prostate
CEA (carinoembryonic antigen) elevation associated with?
Colorectal cancers
(Smoking could be reason)
Tumor grading is based off of?
Degree of differentiation of tumor cells
Tumor staging:
Is more important than grade. Allows for optimal treatment plan
T1 to T4
Denotes increasing size of lesion
N0- N3
Denotes increased number of nodes involved
M0-M1
Denotes prescience, location and number of metastases
All stage IV HAS
Metastasis
Grade 1:
Well differentiated: closely resembles tissue and remains some specialized functions
Grade 2:
Moderately differentiated: tumor less resemblance of tissue and more variant in shape/ increased mitosis
Grade 3:
Poorly differentiated- tumor does not closely resemble tissue and has a lot of variation
Grade 4:
Very poorly differentiated- tumor has no resemblance
Small molecule inhibitors?
Block aberrant intercellular signaling pathways
mAbs target?
Extracellular receptors or their natural ligands to prevent ligand binding to the receptor
Cured from cancer when?
Not detectable from 5 years from diagnosis
Same life expectancy as to someone with no cancer
Solid tumors use what criteria?
RECIST
Malignant lymphoma uses what criteria?
Cheson
Complete response
Disappearance of all target lesions
Partial response
> |= 30% decrease in sum of longest diameter or lesions
Progressive disease
> |= 20% increase in sum of longest diameter of lesions or appearance of new lesions
Stable disease
Failure to reach endpoints