Molecular Biology of Cancer Exam 1 Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

List the 10 defining characteristics of Cancer.

A
  1. Growth Signal Autonomy
  2. Growth Inhibitory Signals
  3. Avoiding Immune System Destruction
  4. Unlimited Replicative Potential
  5. Tumor-promoting Inflammation
  6. Invasion and Metastasis
  7. Angiogenesis
  8. Genomic Instability and Mutation
  9. Evasion of Cell Death
  10. Reprograming of Energy Metabolism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe Growth Signal Autonomy

A

●Normal cells need external signals from growth factors to divide
●Cancer cells are not dependent on normal growth factor signaling
●Acquired mutations (mutant oncogenes) short-circuit growth factor pathways leading to unregulated growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe Evasion of Growth Inhibitory Signals

A

●Normal cells respond to inhibitory signals to maintain homeostasis (most cells of the body are not actively dividing)
●Cancer cells do not respond to growth inhibitory signals
●Acquired mutations (mutant tumor suppressor genes) or gene silencing interfere with the inhibitory pathways.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe Avoiding Immune System Destruction

A

●There is evidence to support the theory of immune surveillance-that the immune system can recognized and eliminate cancer cells.
●Successful cancer cell may be those that do not stimulate an immune response or can interfere with the immune response so as to avoid immune destruction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe Unlimited Replicative Potential

A

●Normal cells have an autonomous counting device to define a finite number of cell doublings after which they become senescent. This cellular counting device is the shortening of chromosomal ends, telomeres, that occurs during every round of DNA replication
●Cancer cells maintain the length of their telomeres
●Altered regulation of telomere maintenance results in unlimited replication potential

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe Tumor-promoting Inflammation

A

●Virtually all tumors contain inflammatory immune cells
●Inflammation is an immune response that can facilitate acquiring the core hallmarks of cancer. For example, inflammatory cells can provide growth factors and enzymes that promote angiogenesis and invasion
●In addition, inflammatory cells can release oxygen species that are mutagenic.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe Invasion and Metastasis

A

●Normal cells maintain their location in the body and generally do not migrate
●The movement of cancer cells to other parts of the body is a major cause of cancer deaths
●Alterations of the genome may affect the activity and/or levels of enzymes involved in invasion or molecules involved in cell-cell or cellular-extracellular adhesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe Angiogenesis

A

●Normal cells depend on blood vessels to supply oxygen and nutrients but the vascular architecture is more or less constant in the adult
●Cancer cells induce angiogenesis, the growth of new blood vessels, needed for tumor survival and expansion
●Altering the balance between angiogenic inducers and inhibitors can activate the angiogenic switch.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe Genomic Instability and Mutation

A

●Acquiring the core hallmarks of cancer usually depends on genomic alterations
●Faulty DNA repair pathways can contribute to genomic instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe Evasion of Cell Death

A

●Normal cells are removed by apoptosis, often in response to DNA damage
●Cancer cells evade apoptotic signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe Reprograming of Energy Metabolism

A

●Uncontrolled cell division demands increases in fuel and biosynthetic precursors that is obtained by adjusting energy metabolism
●Unlike normal cells, cancer cells carry out glycolysis even in the presence of oxygen. Glycolysis intermediates can be used in biosynthetic pathways.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the process a new cancer drug undergoes to receive FDA approval.

A

●PreClinical Trials
In vitro
Cell culture
In vivo
Animal testing
●Clinical Trials
●Human trials
Phase 0
Phase I
Phase II
Phase III
Phase IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Explain how uvB causes mutations that can cause cancer.

A

Damage by UVB
•Pyrimidone Photoproducts
Mimics an abasic site
Relatively easily repaired
•Cyclobutane pyrimidine dimers
20X to 40X more prevalent than pyrimidone photoproducts
More difficult to repair accurately
Errors in DNA synthesis if not repaired
Causes a bend in the DNA that blocks accurate reading by DNA Polymerase
DNA polymerase incorporates A residues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Explain how ionizing radiation causes mutations that can cause cancer.

A

Any radiation process in which the individual quanta of radiated energy are able to ionize atoms or molecules of the substance in which the energy is absorbed. This leads to chemical changes that can damage biological tissues and structural materials

•Likely to cause mutations by creating ions that can lead to damaged DNA

•Produces reactive oxygen species when interacting with water (most likely molecule for ionizing radiation to damage)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Explain how four different types of chemical carcinogens increase the risk of acquiring cancer.

A

•Polycyclic aromatic hydrocarbons (PAHs)
•Addition of rings and/or methyl groups into the bay region of three aromatic rings converts the chemicals to carcinogens
Ex Benzopyrene conversion to benzopyrene diol epoxides by P450 enzymes

•Aromatic Amines
•HCAs (heterocyclic amines) are formed when amino acids, sugars, and creatine (a substance found in muscle) react at high temperatures.
•Ex fried hamburgers or steaks

•Nitrosamines and Nitrosamides
•Found in tobacco
•Formed when preservative nitrates react with amines in fish and meats during smoking

•Alkylating Agents (Aldehydes and Phenolics)
•Mustard Gas
•Forms intra-chain and inter-chain crosslinks in DNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Explain how conventional chemotherapy kills cancer cells without killing the individual.

A

•Chemotherapy and radiation therapy
•Goal:
•To induce extensive DNA damage to trigger apoptosis
•To block DNA synthesis in rapidly dividing cancer cells
•To block proteins needed for mitosis and cytokinesis to inhibit cell division in rapidly dividing cancer cells

17
Q

Explain why not all cancer cells are destroyed using conventional chemotherapy.

A

Tumor is not homogeneous
•Deep tumor cells will not receive as high of a dose of ionizing radiation
•Deep tumor cells may be farther from a blood supply causing decreased delivery of chemotherapeutic agents to these cells
•Some cells in tumors will mutate to develop resistance to different chemotherapeutic agents
•Chemotherapy then selects for those cells in the tumor that are drug resistant
•Relapse of cancer can often be resistant to initial drug

18
Q

Explain why censoring is used in determining a survival curve.

A
19
Q

Describe two types of cohort studies that are used to determine data used in a survival curve and the advantages and disadvantages of each.

A

Prospective cohort study: The researcher is present at the time of exposure and follows the population into the future for a period of time to observe death or disease outcome.
-Observes individuals from one point in time to another point in time to evaluate an end point.

Retrospective cohort studies: The research collects past information and exposure in a population and evaluates the outcome of disease or death in the present.
-Analyze medical records of hospitals for patients that meet study criteria

20
Q

Explain how AP-1 and steroid hormone receptors regulate cell division.

A

•AP-1 Transcription Factor Family
•18 possible combinations of Jun family and Fos family proteins are possible to form AP-1 transcription factors of varying activities
•Jun acts as a positive regulator of AP-1 activity
•Jun B acts as a negative regulator of AP-1 activity

•Activity of AP-1 dimers also influenced by growth factors, ROS and radiation damage

Steroid Hormone Receptors (48 different kinds)
•General mechanism
•Steroid hormones released into blood stream and diffuse into all cells of the body
•Target cells will contain a constitutively expressed steroid hormone receptor
•Steroid hormone binds to ligand-binding domain
•Hormone:Protein complexes dimerize and diffuse to specific binding site on DNA
•Activate transcription of target gene to alter gene expression in response to steroid

21
Q

Explain how retinoic acid receptors regulates cell differentiation.

A

•Retinoic Acid Receptor (RAR)
•Regulates genes important for differentiation

•No Retinoic Acid
•RAR forms a heterodimer with RXR
•RAR: RXR complex binds corepressor and binds to binds to RA Response Element (RARE)
•Acts as a transcriptional repressor in absence of retinoic acid (RA)
•Plus Retinoic Acid
•RA diffuses into cell and binds to RXR
•RAR:RXR:RA complex binds coactivator and binds to RA Response Element (RARE) in target genes and activates transcription
•Gene expression changed in response to the hormone

22
Q

Describe how telomeres are extended after cell division. Be able to diagram and label this.

A

•Human telomerase RNA (hTR)
•11 complementary bps to the TTAGGG repeats and acts as a template for the hTERT to add new repeats to telomeric DNA on the 3’ ends of chromosomes

•90 % of tumors have up regulated telomerase gene expression
•Efficient replacement of telomere sequences leads to continuous cell division
•C-myc increases the expression of hTERT gene via REs in the promoter
•Efficient replacement of telomere sequences leads to continuous cell division
•Mutations that prevent apoptosis with critically short telomeres result in chromosome instability causing loss of sections of DNA
•May delete tumor suppressor genes causing loss of cell cycle control

23
Q

Explain how changes in DNA methylation can lead to cancer.

A

•DNA Methylation Inhibitors
•5-azacytidine and 5-aza-2’-deoxycytidine target DNA methltransferases
•Analogs of normal substrate of deoxycytidine
•Covalently linked to DNMT and inactivate enzyme
•After several rounds of replication, demethylation is widespread due to failure to methylate newly synthesized DNA
•Potential Problems
•No control over change in gene expression
•Can cause DNA instability that triggers apoptosis
•Aberant methylation returns if drug is stopped

24
Q

Explain how changes in histone modification can lead to cancer.

A

•Inhibitors of histone deacetylases
•Inhibitors have been developed that bind to HDAC active site
•Alteration of gene expression has little or no effect on normal cells
•Many HDAC inhibitors induce p21WAF1, a cyclin-dependent kinase inhibitor important for growth arrest