Epidemiology and Incidence of Cancer Flashcards

1
Q

Define: Genetic aberration

A

Abnormal/irregular portion of chromosomal DNA

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2
Q

What are the function of oncogenes?

A

Signal proliferation of cell cycles

Their over expression is associated with uncontrolled cell growth

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3
Q

What are the function of TSGs?

A

They code for inhibitory proteins.
Loss of function causes uncontrolled tumour growth
p53 (TSG) known as the “guardian of the genome”

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4
Q

Which UV light spectrum are we less concerned with?

A

UV-C because its blocked out by the ozone layer

[280 – 100 nm]

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5
Q

Causes of UV-B [320 – 280 nm] ?

A
  • Sunburn :/
  • Directly damages DNA bases: causes formation of
    cyclobutane pyrimidine dimer (CPD)

CPD contains 2 thymine bases linked by strong covalent bonds. This disrupts the DNA strand and makes it difficult to read by DNA polymerase –> SKIN CANCER

This mutation causes:

  • 8% malignant melanoma
  • Mostly produces melanin (causes a TAN)
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6
Q

Causes of UV-A [400 – 320 nm] ?

A

Contributes to skin cancer through free radical formation - does not cause sunburn

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7
Q

What do UV-A and UV-B light produce?

A

Free radicals !
Free radicals are:
- Linked with ageing
- Cause indirect DNA damage (92% malignant melanoma)

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8
Q

Which type of cancer is radon gas associated with?

A

Lung cancer.

uranium miners most at risk because radon gas is a daughter product of radioactive decay of uranium in Earth’s crust

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9
Q

Three types of ionising radiation that causes cancer

A
  1. Excessive background radiation
  2. Excessive diagnostic radiology exposure
  3. Therapeutic radiation
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10
Q

Define: Ionisation

A

When an atom or molecule gains a positive or negative charge by gaining or losing electrons

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11
Q

Radiation-induced cancer Mechanisms

A

Energy deposited in biological material can produce ionisations in:

  • Target molecules e.g. DNA
  • interaction with water molecules to produce free radicals. These free radicals cause damage to DNA

DNA damage includes: Base damage, single-strand breaks (SSBs), double-strand breaks (DSBs)

Genomic instability

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12
Q

Identify the 2 modifiers to risk of radiation-induced cancer

A

Age: increased risk associated with exposure during childhood

Genetic susceptibility: Those with specified hereditable gene mutations

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13
Q

Name at least 2 cancers that can develop from this virus: Epstein-Barr Virus [EBV]

A

Burkitt lymphoma
Hodgkin lymphoma
Post-transplant lymphoma
Nasopharyngeal carcinoma

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14
Q

Human Papilloma Virus [HPV] can lead to what type of cancer?

A

Cervical cancer

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15
Q

What type of virus is HPV?

A

DNA virus affecting the epidermis or mucous membranes of humans

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16
Q

Which types of HPV cause cervical cancer ?

A

HPV-16 and HPV-18

17
Q

Which types of HPV cause genital warts?

A

HPV-6 and HPV-11

18
Q

Which types of HPV cause common warts?

A

HPV-1 and HPV-2

19
Q

What is a consequence of overstimulation of hormone receptors (by endogenous or exogenous receptors)?

A

Excessive cell proliferation because:

  • Altered hormone sensitivity is associated with development of cancer and chemo-resistance
  • Hormonal intervention significant in cancer prevention and treatment

E.g. prostate, breast, cervical, gynaecological cancers

20
Q

What is the correlation between Immunosuppression and cancer

A

T cell mediated response to tumour cells
Immunosuppression increases incidence of some cancers
- 40% of patients with AIDS develop cancer
- transplant patients increased risk of Hodgkins lymphoma

21
Q

What are the dietary risk factors for cancer?

A

Bodyweight
- Obesity/overweight patients

Alcohol

  • classed as a carcinogen
  • increased risk of numerous cancers

Dietary fat

  • animal fats contribute to cancer risk
  • red meat in excess contribute to colon cancer and ER+ breast cancer
22
Q

Dietary pevention of cancer

A
  • Increased Vitamin D intake

- Physical activity (primary prevention) but also useful during treatment and after (survivors)

23
Q

How can pharmacy help ?

A
  • Smoking cessation

- Community pharmacy-based education and screening interventions are in development