Exam 3 Ch 20 Flashcards
Cancer
What are the 2 defining heritable properties of cancer cells?
- They reproduce in defiance of normal constraints
- Invade and colonize places usually inhabited by other cells
Benign tumor
Non-invasive BUT can become invasive
Malignant tumor
Can invade tissue
Can form secondary tumors
Metastase
Secondary tumors
How are cancered classified?
By their site of origin
Is the tumor microenvironment just cancerous cells?
No it consists of many cells
Is a cancer cell caused by a single mutation?
No it is the accumulation of many mutations
How do cells metastasize?
- The must leave their tissue of origin (hard)
- Enter into either the blood or lymphatic system
- Travel to new site (easy)
- Exit vascular system
- Enter new tissue (hard)
- Proliferate
Carcinogenesis
The generation of cancer
Mutagenesis
Cancer starting because of mutations
6 key attributes of cancer cells
- They grow when they should not
- They divided when they should not
- They escape from their home tissue
- They survive and continue dividing even during conditions of stress
- They are genetically and epigenetically unstable
- The escape replicative senescence by producing telomerase or stabilizing their telomeres
Cancer-critical genes
All genes whose alternation contributes to the causation or evolution of cancer (two types)
Gain of function
Oncogenes
Overactive/overexpressed proto-oncogene that can promote cancer development
Only required on ONE allele
Proto-oncogenes
gene that can undergo “gain of function” mutation
Loss of function
Tumor suppressor genes
Loss of function mutation of these genes promotes cancer development
Requires BOTH alleles
What are the three ways proto-oncogenes can be converted into oncogenes
- Change in DNA sequence
- Gene amplification
- Chromosome rearrangement
What are the 6 ways tumor suppressor genes can be inactivated?
- Aneuploidy causes chromosome loss
- mitotic recombination event
- gene conversion during mitotic recombination
- deletion
- point mutation
- epigenetic silencing
How can cancers of the Uterine Cervix be prevented?
Vaccination Against Human Papillomavirus
PARP inhibitors
Kill cancer cells that have defects in BRAC1 or BRAC 2 genes
BRAC genes
Repair double stranded breaks
Why are combination therapies useful in treating cancer?
It prevents rare mutant cells that are resistant to one drug from forming new tumors