Dental Biochemistry Flashcards
there is estimated to be ______ new cases of oral cavity or oropharyngeal cancer for the year 2024
58,450
there is estimated to be _______ deaths from oral cavity or oropharyngeal cancer for the year 2024
12,230
oral cavity or oropharyngeal cancer occur most often in the ______, _______, ________, _____, floor of the _____, and other parts of the _____
tongue, tonsils, oropharynx, gums, mouth, mouth
Almost all cancers in the oral cavity and oropharynx are ________ that start in the squamous cells of the mouth or throat
squamous cell carcinomas
the earliest form of squamous cell cancer is called ______ which means the cancer cells are only in the layer of cells called the _______
carcinoma in situ, epithelium
infections with certain high risk types of the HPV causes most of the _______ of the oropharynx
squamous cell cancers
the two major classes of genes involved in tumorigenesis are ________ and _______
oncogenes, tumor-suppressor genes
oncogenes encode proteins that promote aberrant cell proliferation, activity is then _______ in tumor cells, gene amplification, and chromosomal translocation. Also present in genomes of tumor promoting viruses
up-regulated
tumor suppressor genes encode proteins that negatively regulate cell proliferation and activity is _______ in tumor cells which include loss of function mutations, gene deletions and promoter methylation
down-regulated
cancer is a multi-step process that involves both the _____ of oncogenes and the ______ of tumor suppressor genes
activation, inactivation
oncogenes are recurrently mutated at the _______ position, where as tumor suppressor genes are mutated through ______ (missense, nonsense) throughout their lengths
same amino acid, protein-truncation alterations mutations
the three main signaling pathways relevant to cancer include cell _____, cell ______, and_______
fate, survival, genome maintenance
cell fate can be described as many of the genetic alterations in cancer evade the balance between ______ and ______
differentiation, division
cell survival can be described as the cancer cells acquiring a _______ in growth factor receptors or down stream signaling molecules that allows them to proliferate under ______ nutrient concentration
mutation, limited
genome maintenance is mutations in DNA repair factors can also act earlier in the transformation process by _______ the acquisition of mutations that function through the process of cell fate and survival
accelerating
oncoproteins epidermal growth factor receptor (EGFR/ERB1) tyrosine kinase is frequently found _______ in epithelial tissues which is a gene amplification common mechanism
over expressed
Ras mutations are caused by classic reoccurring _______ mutations at particular residues in the protein that cause Ras to be constantly switched ‘ON”….G12V is the most common
missense
FAT1 tumor suppressors go through _______ that changes their cell fate
loss of function mutations
Most cells are in the absence of mitogenic stimulation, they leave the cell cycle into ____, sometimes its _______ (stem cells, hepatocytes etc) and most times its _______ which leads to terminal differentiation….. genetic and epigenetic alterations in the genes that control this process lead to _____
G0, reversible, irreversible, cancer
eukaryotic cell cycle progression is triggered by _______
cyclin dependent kinases (CDKs)
CDKs phosphorylate other regulatory and structural proteins thereby controlling _______ and activities of ________ and cell cycle factors
gene expression, replication enzymes
CDKN2A gene (p16) is induced by signals that promote _________, loss of function mutations promote aberrant cell proliferation
cell cycle exit
apoptosis can be described as outer membrane _____, shrinking, condensation of the ______, fragmentation of _________, formation of cytoplasmic vacuoles and the cell fragments generated by apoptosis are taken up and eliminated by ________ and _________
blebbing, nucleus, chromosomes, neighboring cells, phagocytes
apoptotic signaling via the extrinsic pathway is mediated by
- ______ receptors (CD95, TNFR1, TRAIL)
- formation of _____ (death-inducing signally complex)
- recruitment of ________ and self cleavage
- activation of effector caspases 3, 6, and 7 — destruction of essential cellular proteins
- can also feed into the intrinsic pathway by cleavage of the BH3 only protein BID
death, DISC, pro-caspase 8
the apoptotic signaling vis the intrinsic pathway is marked by ________
mitochondrial outer membrane permeabilization (MOMP)
apoptotic signaling and MOMP results in the release of ______ from the mitochondrial inner membrane space which triggers the assembly of a ________ and leads to the release of ___ and ________ which degrades DNA
cytochrome C , caspase activating complex, AIF, endonuclease G
the caspase activating complex assembles between ________ and _______ (apoptotic protease activating factor 1) via the caspase recruiting domain of APAF1
caspase 9, APAF1
caspase __ activates the effector caspases 3,6 and 7
9
loss of function CASP8 mutations will suppress ______ signaling and promote _______
apoptosis, cell survival
recombination has two distinct functions in cells which are to _______ double strand damage to chromosomes and _______ genetic information between homologous chromosomes during meiosis in germ line cells
repair, shuffling
BRCA2 loss will promote ______ and genomic _______ due to the inability to repair DNA
DNA loss , instability