Exam 3 - D.O.G Flashcards
steps of carcinogenesis
initiation
promotion
progression
initiation
nature of change to cells?
cellular phenotype?
reversible or irreversible?
DNA mutation, nonlethal
no permanent morphologic change
irreversible
promotion
nature of change to cells?
cellular phenotype?
reversible or irreversible?
clonal expansion of initiated cells, epigenetic changes (altered gene expression w/o altered DNA) - NO DNA mutation
morphological change
reversible
progression
nature of change to cells?
cellular phenotype?
reversible or irreversible?
DNA mutations, successful subclones, heterogenous population
morphological change - malignant phenotype
irreversible
proto-oncogene defintion
examples
normal genes promoting growth & differentiation
growth factors, growth factor receptors/transmembrane proteins, signal transducing proteins, nuclear regulatory proteins, cyclins and cyclin-dependent kinases
oncogene definition and action
example
mutated proto-oncogenes resulting in proliferation of cancer cells
- defective proteins all on/all off
- overproduction of normal proteins by gene amplification (increased gene copy number)
- overproduction of normal proteins by abnormal gene activity (abnormal regulation)
- defective proteins by abnormally combined genes (chromosomal translocation)
BCR-ABL –> production of abnormal tyrosine kinase –> proliferation, survival of myeloid cells
tumor suppressor genes
examples
negative feedback on growth, slow down proliferation
1. retinoblastoma gene
2. p53 gene
Retinoblastoma (pRB)
tumor suppressor gene
DNA binding protein
control of cell cycle
p53
tumor suppressor gene
DNA proofreading - delay for repair
Apoptosis
BRCA1
tumor suppressor gene
repairs ds break in DNA
breast, ovary cancer
how does retinoblastoma gene mutations support the “2 hit” hypothesis of carcinogenesis
usually recessive alleles - thus must lose both for loss of control
characteristics of neoplastic cells
immortal or mortal
______ of anchorage dependence
_______ cell-cell adhesion
______ of contact inhibition
________ IC communication
________ motility
_______ requirement for growth factors
_____ or ______ cell surface antigens
_______ karyotype
immortal
loss of anchorage dependence
decrease cell-cell adhesion
loss of contact inhibition
altered IC communication
increased motility
decreased requirement for growth factors
altered or new cell surface antigens
abnormal karyotype
properties cancer cells must acquire to metastasize
- invade extracellular matrix
- penetrate vascular basement membrane/endothelium
- move into blood/lymphatics
- embolize/adhere at new site
- penetrate vascular wall
- grow at new site w/ blood supply
routes of metastasis
direct location invasion
blood vascular system (e..g embolism)
lymphatics
implantation (w/in body cavity)
transplantation
metastasis typically has a ______ distribution but this pattern may also be due to ________ transformation
multifocal
multicentric
example of transplantation metastasis
canine transmissible venereal tumor
general mechanisms of clonal selection of tumor cells
selection for phenotypically superior tumor invasion, metastasis, evasion of immune response
benign, poor growth, non-viable, malignant, anaplastic
tumor latency
-time between initiation and appearance of a clinically recognizable condition/lesion
-cancer dz of old age = latent for 30-45 years
-clinical detection needs certain # tumor cells
steps in tumor angiogenesis
avascular tumor (relies on diffusion)
vascular tumor (more than diffusion)
angiogenesis - growth of new vessels from pre-existing ones, essential for metastasis
1. activation
2. formation