oncology part 2 Flashcards
4 phases of carcinogenesis
initiation
promotion
progression
metastasis
cancer genetics
gene mutation can be hereditary or sporadic, meaning that they were acquired during a persons lifetime
P53 gene
tumor suppressor gene in cells that controls cellular apoptosis ( natural death of cells with damaged DNA)
Tumor suppressor genes
defective cells that loose the ability to inhibit cellular growth and division, thus allowing cancer formation
proto-oncogenes
genes that stimulate and regulate a cell’s movement through the cell cycle, resulting in cellular growth and proliferation
what happens when proto-oncogenes mutate?
become oncogenes that stimulate constant, unrelenting cellular proliferation and cell cycling
what are carcinogens?
substances that cause development of cancer
can alter cell DNA
damage = cumulative
Classification of carcinogens
known
probable
possible
promoters
agents that promote development of cancer
examples of promoters
diet
alcoholic beverages
tobacco
hormones
viral- induced cancer
from any virus to live and propagate, it must inset genes into host cell’s genome
host cell becomes a manufacturer of virus
MOA of viral-induced cancer
always involves the activation of growth-promoting pathways or inhibition of tumor suppressors in infected cells
Vascular endothelial growth factor
a substance that gives them the capability to develop new blood vessels
cancer is spread by
seeding
implantation
metastasis
what are the two types of metastasis?
lymphatic
vascular
lymphatic spread
spread through lymph system, cells trapped in lymph nodes
death, dormancy, flourish/proliferate
vascular spread
spread by vascular drainage
penetrate local veins and travels the body
often 1st stop in liver
clumping, trapping, proliferation
most common places for secondary tumors
lungs
bone
liver
brain
secondary tumors need what to survive
oxygen
nutrients
access to blood (angiogenesis)
lung cancer often metastases’ to?
bone, brain
colon cancer often metastases’ to?
liver
breast cancer often metastases’ to?
bone, brain, liver, lung
prostate cancer often metastases’ to?
vertebrae
melanoma often metastases’ to?
brain