LT13 - Heterogeneity in cancer Flashcards
intratumor heterogenity
several clones inside a tumor mass
Intertumor heterogenity
different tumors in one patient
does a strong immune response to a tumor a better or worse clinical outcome?
Better
Mostly mutated in CRC:
APC
Mostly mutated in breast cancer:
CDH1
often mutated in both CRC and breast cancer
TP53 and PIK3CA
HER2 is often mutated in:
Breast- and urothelial cancer
Therapy against HER2 mutation cancers
trastuzumab
Why cant EGFR, KRAS and BRAF not be in the same pathway
they are oncogenes in the same pathway
A big percentage of CRC cancers is DNA repair proficient , this means
little mutations
Drivers genes
Have high mutation frequency
Examples of drivers genes
APC, TP53, KRAS
Passenger genes
have low mutation frequency
When does 5-FU only work?
in MMR-proficient tumors, because 5-FU needs to be incorperated into the DNA