Module 10 Flashcards
neoplasia
disorganized tissue growth, a tumor
neoplasm
lost balance of proliferation and differentiation
dedifferentiated
cell reverting back from specialized to unspecialized cell type
carcinoma
external or internal body cancer (skin)
sarcoma
cancer in supportive or connective tissues
leukemia/lymphoma
cancer in blood tissues
cancer treatments (6)
surgery, chemo, radiation, hormone therapy, immunotherapy, oncogene specific inhibitors
cell cycle control system
triggers cell division
G1 checkpoint
entry into S phase, leaves the cell cycle
oncogene
cancer causing gene driver or initiator. mutation to proto-oncogene dominant, gain of function
proto-oncogene
triggers cell division
tumor suppressor gene (tsg)
controls cell division, mutation results in loss of function
DNA repair genes
genomic stability, mismatch repair, mutations accumulates more mutations
uncontrollable growth
cancer makes own external growth factors, mutation in Ras oncogene
Ras oncogene
mutation activates cell division. dominant
philadelphia chromosome
cell division by translocation. leukemia/lymphoma
pRB retinoblastoma protein
tsg prevents inhibition of cell cycle, loss of function
retinoblastoma
hereditary or spontaneous. Rb gene on chromosome 13
two hit model
one copy of Rb is inherited. it only takes one more hit for a second copy of Rb to trigger tumor growth
loss of heterozygosity
from one copy of Rb to 2. hetero to homo
rescue of trisomy
2 mutants inherited and a normal, 3 copies inherited. when one is discarded to fix the mistake, the 2 Rb mutants can remain
mitotic recombination
replication mistake during mitosis, 2 Rb genes
germline cancer
inherited cancer, every cell has the mutation
Brca1/2
breast cancer mutation, DNA repair gene. not a tsg
sporadic cancer
somatic mutation induces tumorigenesis
apoptosis
programmed cell death
P53
tsg that triggers apoptosis
angiogenesis
induce blood vessel growth recruitment
VEGF
stimulates growth of nearby vessels
telomerase
enzyme that lengthens telomeres and prevents erosion
immunotherapy
boosting immune system by components
immune checkpoint inhibitors
molecule blocks suppressor signal on cancer to allow t-cell recognition
CAR T therapy
super t-cell combines b/t cells to detect and destroy
reprogramming metabolism
abnormal energy metabolism, reprogram energy pathways
promoting genomic instability
replication and mitosis mistakes, defective DNA repair
multistage model
many steps to acquire cancer each due to genetic alteration
tumor-promoting inflammation
inflammation enhances cancer growth with growth factors and the release of ROS
cancer study
GWAS sequencing cancer genomes, exome sequencing, microarray analysis
TCGA
high throughput sequencing cancer genome
cell-free tumor DNA (ctDNA)
small tumor DNA circulating in bloodstream. responsible for detection, staging, and treatment.