Hallmarks of Cancer Flashcards

1
Q

What are the hallmarks of cancer? (6)

A
Self-sufficiency in growth signals
Insensitivity to anti-growth signals
Evading apoptosis
Limitless reproductive potential
Sustained angiogenesis
Tissue invasion and metastasis
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2
Q

What are the characteristics of cancer cells? (5)

A
Increase in growth factor secretion
Increase in oncogene expression
Loss of contact inhibition
Loss of tumour suppressor genes
Neovascularization
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3
Q

What are the characteristics of normal cells? (3)

A

Oncogene expression is rare
Intermittent or coordinated growth factor secretion
Presence of tumour suppressor genes

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4
Q

What is meant by a ‘hallmark’ of cancer?

A

Essential alterations in cell physiology that collectively dictate malignant growth. These are acquired capabilities that enable carcinogenesis, tumour growth and spread.

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5
Q

Self-sufficiency in growth signals - what is meant by this?

A

Normal cells require mitogenic growth signals before they can move from a quiescent state to a proliferative state. Many oncogenes act by mimicking normal growth signalling, and tumour cells can generate many of their own growth signals, reducing their
dependence on stimulation from their normal
micro-environment.

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6
Q

Insensitivity to anti-growth signals - what is meant by this?

A

Within a normal tissue, anti-proliferative signals
operate to maintain quiescence and homeostasis, including both soluble and immobilised growth inhibitors. These are received by transmembrane cell surface receptors coupled to intracellular signalling circuits.

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7
Q

How do anti-proliferative signals block proliferation? (2)

A
  • Cells may be forced out of the proliferative cycle into the quiescent (G0)
  • Cells may be induced to permanently relinquish their proliferative potential by entering into post-mitotic state associated with differentiation.
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8
Q

Evading apoptosis - what is meant by this?

A

The ability of tumour cell populations to expand in number is determined by the rate of cell proliferation AND the rate of cell attrition (i.e. programmed cell death/apoptosis).

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9
Q

What are the emerging hallmarks of cancer? (4)

A

Avoiding immune destruction
Deregulating cellular energetics
(Tumour-promoting inflammation)
(Genome instability and mutation)

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10
Q

Define ‘oncogene’.

A

A cancer-inducing gene that can transform cells

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11
Q

Define ‘tumour suppressor gene’.

A

A gene whose partial or complete inactivation, occurring in either the germ line or the genome of a somatic cell, leads to an increased likelihood of cancer
developing. Such a gene is responsible for constraining cell proliferation.

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12
Q

Self-sufficiency in growth signals - give an example of a mechanism.

A

Activate H-Ras oncogene

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13
Q

Insensitivity to anti-growth signals - give an example of a mechanism.

A

Lose retinoblastoma suppressor

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14
Q

Evading apoptosis - give an example of a mechanism.

A

Loss of p53

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15
Q

Limitless reproductive potential - give an example of a mechanism.

A

Turn on telomerase

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16
Q

Sustained angiogenesis - give an example of a mechanism.

A

Produce VEGF inducer

17
Q

Tissue invasion and metastasis - give an example of a mechanism.

A

Inactive E-cadherin

18
Q

Loss of function of the p53 tumor suppressor can

facilitate…? (3)

A

Angiogenesis
Resistance to apoptosis
Genomic instability

19
Q

Explain the key events in DNA from colon cancer tissue from normal epithelium to carcinoma. (5)

A
  • Loss of APC (adenomatous polyposis coli tumour suppressor gene) causes hyperplastic epithelium.
  • DNA hypomethylation causes early adenoma
  • Activatation of K-ras oncogene causes intermediate adenoma
  • Loss of 18q (tumour suppressor genes) causes late adenoma
  • Loss of p53 causes carcinoma
20
Q

What is the evidence for adenoma-to-carcinoma progression in colon cancer? (3)

A

-Carcinomas observed growing out of adenomas.
-Adenoma removal (polypectomy) reduces the
number of colorectal cancers diagnosed.
-Patients with Familial Adenomatous Polyposis
(FAP), in which individuals inherit a mutant
form of the tumour suppressor, develop many polyps and have a high risk of colon cancer.