Lecture 1 - Intro Flashcards
What is precision cancer medicine?
Use molecular data and traditional clinical information to tailor medicine to provide most benefit and minimize risks
5 properties of cancer cells:
Loss of Contact inhibition increased GF secretion increased oncogene expression Loss of tumour suppressor genes Neovascularisation
10 Hallmarks of cancer
Sustaining proliferative signalling Evading growth suppressors Avoiding immune destruction Enabling replicative immortality tumour promoting inflammation activating invasion and metastases Inducing angiogenesis Genome instability and mutation Resisting cell death Deregulating cellular energetics
5 types of chemo drugs
Alkalyting and platinum agents
antimetabolites
Intercalating agents
Spindle poisons
What do alkalyting and platinum agents target?
DNA
What to antimetabolites target?
DNA synthesis
What are nitrogen mustards?
Alkalyting
What is methotrexate?
Antimetabolite
What is doxorubicine?
intercalating
vinblastine
spindle poisons
4 clinical endpoints:
Complete remission
partial remission
stable disease
disease progression
How to target sustained proliferative signalling?
EGFR inhibitors
How to target evading growth suppressors?
Cyclin dep kindase inhib
Target avoiding immune destruction
anti-CTLA4 mAb
Target enabling replicative immortality
telomerase inhibitors