Neoplasia 3&4 The "how" Flashcards

1
Q

What are some requirments of carcinogenesis?

A
  • Self-sufficiency in growth signals
    • Insensitivity to growth-inhibitory signals
    • Altered cellular metabolism
    • Evasion of apoptosis
    • Limitless replicative potential
    • Sustained angiogenesis
    • Ability to invade/ metastasize
    • Ability to evade host immune response
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2
Q

How do neoplastic cells become “immortal”?

(3)

A
  • Autocrine growth stimulation
  • Reduced apoptosis
  • Telomerase
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3
Q

What is a tumour suppressor gene?

A
  • Genes which inhibit neoplastic growth (under normal conditions)
  • Caretaker genes
  • Gatekeeper genes

e.g TP53 which encodes for p53 protein

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4
Q

What functions does p53 have?

A

Both caretaker and gatekeeper functions

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5
Q

How does p53 lose function?

A

Mutations

Missence, Nonsence

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6
Q

What are oncogenes?

A

Genes which drive the neoplastic behaviour of cells

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7
Q

What do oncogenes produce?

A

Oncoproteins

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8
Q

What are the five groups of oncogenes/oncoproteins?

A
  1. Growth factors
  2. Receptors for growth factors
  3. DNA binding transcription factors
  4. Signalling mediator with tyrosine kinase activity
  5. Signalling mediator with nucleotide binding activity
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9
Q

What does “diploid” mean?

A

Normal amount of DNA, two copies of each chromosome

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10
Q

What does “polyploidy” mean?

A

When cell contains exact multiples of DNA

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11
Q

What does “Aneuploidy” mean?

A

When the cell contains inexact multiples of DNA

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12
Q

Define “carcinogen”

A

An environmental agent which participates in causing tumours

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13
Q

How are carcinogens identified?

(5)

A
  • Epidemiological studies
  • Occupational risks
  • Direct evidence
  • Experimental testing
  • Cell culture, animal testing
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14
Q

Give an example of a chemical carcinogen acting directly

A

Polycyclic aromatic hydrocarbons

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15
Q

Give an example of a carcinogen acting indirectly

A

The conversion of dietary nitrates into nitosamines by GI bacteria

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16
Q

Low risk human papillomavirus takes the form of what?

A

Warts

17
Q

What is high risk forms of human papillomavirus associated with?

A

Squamous cell carcinoma

18
Q

What is epstein barr virus (EBV) a type of?

A

Herpesvirus

19
Q

What are some routes of metastasis?

A
  • Haemtogenous
  • Lymhatic
  • Transcoelomic
20
Q

What are the 6 steps of metastasis?

A
    1. Detachment
      1. Invasion of surrounding tissue
      1. Intravasation into vessels
      1. Evasion of host cell defences
      1. Adherence to endothelium elsewhere
      1. Extravasation of cells from vessel into surrounding tissue
21
Q

What are some reasons for cancers behaving badly?

A
  • Decreased cellular adhesion
  • Secretion of proteolytic enzymes
  • Abnormal or increased celular motility