Exam 4 (Donnelly) Flashcards
What phase of the cell cycle are most cells in?
G0 (turned on by GFs/inflammation)
What push the cell cycle forward?
proto-oncogenes (normal genes that turn on cycle)
If genes are more functional or mutated, they become ____.
oncogenes
What stops/slows cell cycle?
tumor suppressor genes
What is KIT?
common mutation of oncogenes that leads to mast cell tumor
What are the 6 hallmarks of cancer?
- sustain proliferative signaling
- evade growth suppressors
- activate invasion / metastasis
- enable replicative immortality
- induce angiogenesis
- resist cell death
Which cancer hallmark is the most fundamental?
Sustain proliferative signaling
Two barriers to cancer having immortality?
senescence (being in irreversible, non-proliferative state of G0)
crisis (cell death)
How does cancer avoid cell death (crisis)?
autophagy (eats itself)
Some cancers can add _____ using _____ (enzyme) to lengthen and divide longer than a normal cell.
Telomeres
Telomerase
Angiogenic switch
point where vasculature sprouts new vessels toward cancer
What is the promoter of angiogenesis?
VEGF (vascular endothelial growth factor)
What is an inhibitor of angiogenesis?
TSP
Epithelial-Mesenchymal Transitions (EMTs)
cancer figures out how to move away from other cells and survive somewhere else
Therapy directed at antigen/molecule specific to tissue is _____
Targeted therapy
What are two targets for targeted therapy of cancer?
Tumor Associate Antigens
Tumor Specific Antigens
Tumor Associated Antigens
tumor overexpresses proteins on cell surface (still in normal cells)
Tumor Specific Antigens
tumor cell has specific antigens (NOT in normal cell)
Monoclonal antibodies
every antibody finds same antigen (same binding site)
Antibody
protein that seeks out antigens
Drugs that end in ____ are monocloncal antibodies
Mab
3 Mechanisms for Monoclonal Antibodies as Targeted Cancer Therapy
- antibody-dependent cell cytotoxicity
- compliment-directed cytotoxicity
3 stim apoptosis directly
Antibody-dependent cell cytotoxicity
NK (natural killer) cell binds to antibody
= stimulated & kills B cell
Compliment directed cytotoxicity
antibodies stimulate cascade –> hole/leaky B cell
CD20
antigen/protein on surface of B cells
What is the example of CD20 directed monoclonal antibody targeted therapy?
Rituximab
What does Rituximab treat?
B cell lymphomas
What is the function of CD20?
B cell activation | proliferation/differentiation of B cells
Function of CD52
unknown cell surface glycoprotein
Drug which targets CD52 in humans
Alemtuzumab
Where is CD52 located?
B & T cells | monocytes | dendritic cells | sperm (NOT specific)
What do small molecule drugs end in?
ib
Toceranib (Palladia) blocks which receptors? (and therefore blocking cell growth?)
KIT | PDGFRB (receptor tyrosine kinases)
What does Toceranib (Palladia) treat?
MCT in dogs
Two drugs that are small molecule inhibitors
Toceranib (Palladia)
Imatinib (Gleevec)
What receptors are blocked by Gleevec (Imatinib)?
KIT | PDGFRA/B
What does (Imatinib) treat?
chronic leukemia
What growth factor is secreted by tumor cells for angiogenesis?
VEGF
What is the function of Bevacizumab (Avastin)?
bind/destroy VEGF so it can’t bing to VEGFR = stops angiogenesis
What is the function of Bevacizumab (Avastin)?
bind/destroy VEGF so it can’t bind to VEGFR = stops angiogenesis
What does EGFR do (epidermal growth factor receptor)?
dimerization –> cell division
EGFR = _____
HER