Exam 4 Lesson 42 Flashcards
How are cancers classified?
Based on tissue of origin
carcinoma
Cancers arising from epithelial cells (most common)
sarcomas
Cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue
leukemias
Cancer that starts in blood-forming tissue such as the bone marrow and causes large numbers of abnormal blood cells
Lymphomas and myeloma
Cancers that begin in the cells of the immune system
melanomas
Arise from the cells that produce the dark pigment in skin, hair
carcinogens
Substances that cause DNA mutations that cause cancer
Non- hereditary cancer
Somatic mutations cause most cancers
Hereditary cancer
Germline mutations , rare (~5% of cancers)
What kind of disease is cancer?
A genetic disease. Caused by gene mutations.
Where do most cancers originate?
From a single aberrant cell
What kind of mutations cause cancer?
cancer is caused by a progressive accumulation of random mutations in a single lineage of cells
clonal evolution theory
Accidental production of mutant cell
Cell proliferates and there are two mutations
Cell proliferates and there are three mutations
Can lead to dangerous cell proliferation
What are the two kinds of mutation events?
Genetic change and epigenetic change
What are the two kinds of genetic changes?
Small scale and large scale
Small scale genetic changes
A small gene in one or a few nucleotides; point mutation, insertion, deletion
Large scale genetic changes
In chromosomal structure; duplication, amplification, deletion, insertion, inversion, translocation
Epigenetic change
Histone modification (heterochromatin pathway; not inherited); DNA methylation (an inherited pattern of methylation of C nucleotides in CpG sequence)
What is Gleevec?
A drug that targets a protein kinase that promotes development of leukemia.
What are oncogenes?
They have a gain-of-function mutation. They produce overactive proteins that drive the cell cycle or contribute to some other aspect of the cancer process.
What are tumor suppressor genes.
They suffer a loss-of-function mutation. The loss of both copies of the normal gene leads to cancer. Loss of gene activity may come from a genetic change or an epigenetic change.