Lecture 4 2/7/25 Flashcards

1
Q

What are the hallmarks of metastasis?

A

-dissociation of cells due to decreased E-cadherin
-invasion into the extracellular matrix via proteases

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2
Q

What are the steps of metastasis?

A

-cancer cells leave site of primary tumor
-cells pass through to tumor basement membrane and then through or between endothelial cells
-cells enter circulation
-cells resist anoikis (cell death due to loss of cellular contact)
-cells evade immune recognition
-cells arrest at distant organs
-cells leave circulation
-cells survive in a hostile microenvironment

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3
Q

What are the characteristics of metastatic inefficiency?

A

-metastasis is inefficient
-less than 1% of cancer cells that successfully enter circulation survive at distant sites
-metastatic cells must recognize, adapt, and endure the new environment to be successful

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4
Q

What is premetastatic niche?

A

-modulation of secondary microenvironment before cancer cells arrive
-early and effective interaction with stromal and inflammatory cells within new environment
-allows select populations of cells to survive and proliferate

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5
Q

How do neoplasms arise?

A

-arise from accumulation of mutations
-evade normal constraints of proliferation
-promote immortalization
-modify and maintain a supportive niche for survival and expansion

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6
Q

What are the characteristics of neoplasia in the early steps?

A

-DNA mutations allow for uncontrolled cell proliferation and tumor formation
-formerly normal cells undergo irreversible genetic changes
-cells become unresponsive to ordinary controls on cell growth

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7
Q

What are the characteristics of cellular mutations?

A

-each time a cell divides, it incurs mutations and/or errors with replication
-mutations can be inherited or environmental
-most mutations are silent and do not affect cell function
-mutations that disable tumor suppressor genes and/or activate proto-oncogenes are important for tumor formation

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8
Q

What are the characteristics of multi-stage carcinogenesis?

A

-results from accumulation of mutations in a stepwise fashion over time
-non-lethal genetic damage is key to carcinogenesis
-tumor is formed by clonal expansion of a single precursor cell that has incurred genetic damage

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9
Q

What are the steps of multi-stage carcinogenesis?

A

-initiation
-promotion
-progression

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10
Q

What are the characteristics of initiation?

A

-mutation of a single gene
-may provide survival advantage to the cell
-irreversible

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11
Q

What are the characteristics of promotion?

A

-proliferation of initiated cell in response to stimuli
-non-mutagenic
-reversible
-creates a proliferative environment for initiated cells

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12
Q

What are the characteristics of progression?

A

-tumor going from benign to malignant
-accumulation of mutations leads to uncontrolled cell growth
-irreversible

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13
Q

What are the intrinsic factors that allow tumors to arise?

A

-inherited errors
-mistakes in replication
-hormonal
-reactive oxygen intermediates

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14
Q

In which tumors does inflammation contribute to the formation of the tumor?

A

-squamous cell carcinoma in dogs with chronic keratitis
-feline injection site sarcomas
-feline post-traumatic ocular sarcoma

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15
Q

Which viruses can contribute to tumor formation?

A

-bovine leukosis virus
-avian leukosis virus
-feline leukemia virus
-bovine papillomavirus

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16
Q

Which extrinsic factors can lead to tumor formation?

A

-viruses
-chemical carcinogens
-radiation

17
Q

What is a complete carcinogen?

A

carcinogen that, by itself, can push a cell through initiation, promotion, and progression

18
Q

Which DNA mutations most commonly contribute to cancer?

A

-proto-oncogenes
-tumor suppressor genes
-DNA repair genes
-genes that regulate apoptosis

19
Q

What are the characteristics of the G1/S checkpoint?

A

-monitors DNA integrity
-irreversibly commits cell resources to DNA replication
-cell replication occurs independent to extracellular growth signals after this checkpoint

20
Q

What are the characteristics of the G2/M checkpoint?

A

-pre-mitotic checkpoint
-ensures that DNA replication is accurate before the cell divides

21
Q

What is a proto-oncogene?

A

gene that promotes autonomous cell growth

22
Q

What happens when proto-oncogenes are mutated?

A

-growth factors are overproduced
-growth factor receptors are always β€œon”
-cyclins that allow progression through the cell cycle are overproduced

23
Q

How many copies of a proto-oncogene must mutate to cause cancer?

24
Q

What are tumor suppressor genes?

A

genes that stop the cell cycle, such as p53 and BRCA-1

25
Q

How many copies of a tumor suppressor gene must mutate to cause cancer?

A

two copies

26
Q

What are the characteristics of familial cancer syndromes?

A

-mutated tumor suppressor gene is passed on to offspring
-only one additional mutation is required to inactivate the gene
-cancer occurs earlier in life

27
Q

What happens when DNA repair genes are mutated?

A

the cell is able to accumulate more and more mutations without a way to fix them

28
Q

What happens when genes that regulate apoptosis are mutated?

A

damaged cells continue to live instead of dying