Genetics of Cancer: Oncogenes and Tumor Suppressors Flashcards
types of genetic diseases (4)
chromosome disorders
single gene disorders
multifactorial or complex
sex linked and mitochondrial
chromosome disorders (4)
rearrangements/translocations
deletions
insertions
duplications
single gene disorders (3)
dominant
recessive
codominant
multifactorial or complex (2)
multiple genes
gene environment
Chronic Myelogenous Leukemia (CML)
Bone marrow produces excessive amounts of abnormal granulocytes at the expense of the other healthy white blood cells
The Philadelphia chromosome, creates a fusion of the (2) genes
BCR and ABL
BCR
break point cluster region
BCR + ABL =
oncogene
what lineages can the blood stem cell differentiate into?
myeloid
lymphoid
is a single mutation enough to cause cancer?
no
while cancer predisposing mutations can be (and often are) —, cancer or tumor formation is a — — involving other mutations and environmental factors
inherited
somatic event
most inherited mutations associated with cancer affect a persons
risk for developing cancer
can caner be inherited?
no, it is somatic. it can increase your risk of developing cancer, but that doesn’t mean you will get it because it takes multiple things to accumulate
tumor growth and progression generally involves
multiple, successive rounds of genetic changes with the end results of natural selection of a clonal cel that produces a tumor or cancer
rumors can arise from (2)
increased cel division
decreased apoptosis
normal cell division and normal apoptosis leads to
homeostasis
increase cell division and normal apoptosis leads to
tumor
normal cell division and decreased apoptosis leads to
tumor
tumors can arise from (2) changes
genetic
epigenetic
penetrance
how many people that inherit a genetic change experience the phenotype
we carry different variants of genes, with different
penetrance
higher relative risk associated with rare, high-penetrance genetic variants, such as mutations in the — genes associated with hereditary breast and ovarian cancer and the mismatch repair genes associated with Lynch syndrome
BRCA1/ BRCA2
how are malignant tumors classified
according to the tissue or cell type from which they originated
carcinomas
cancers arising from epithelial cells
sarcomas
arise from connective tissue or muscle cells
leukemias
derive from WBC and their precursors (hematopoietic cells)
gliomas
derive from glial cells of the CNS
benign tumors are
likewise classified
adenomas
benign epithelial tumors with glandular organization
chondromas
arise from cartilage
benign tumor
tumor contained within tissue they originated in
malignant tumor
tumor moves out of tissue it originated in to invade/metastasize
risk factors for cancer (5)
occupational exposure
tobacco related
diet (low in vegetables, high salt, high nitrate)
diet (high fat, low fiber, fried and broiled foods
tobacco and alcohol
top 2 % of total cases
tobacco related (24) diet (high fat, low fiber, fried and broiled foods) (37)
many cancers are maintained by a population of
cancer stem cells
cancer stem cells generally divide
more slowly
cancer stem cells may survive
radiate and or chemotherapy as these treatments generally target more rapidly dividing cells
tumors secrete — signals
angiogenic
tumor angiogenic signals promote the formation of new
blood vessels need to supply the nutrient needs of the growing tumor
these new blood vessels also provide a means by which — can colonize distant sites
metastasis
cancer cells are more — — than normal cells
self sufficient
cancer cells are relatively insensitive to
anti-proliferative extracellular signals
cancer cells are less prone to undergo
apoptosis