[P] Week 4: Neoplasia - Part 2 Flashcards

1
Q

EVASION OF IMMUNE SURVEILLANCE

In tumor cells, as they proliferate, there is selective
outgrowth of?

A

Antigen-negative variants

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2
Q

EVASION OF IMMUNE SURVEILLANCE

cells that do not exhibit antigens that can be recognized by the cells of our immune system, which are the ones that proliferate

A

Antigen-negative variants

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3
Q

EVASION OF IMMUNE SURVEILLANCE

There is loss or reduced expression of MHC molecules (MHC class I), it will escape what killing cell?

A

escape CYTOTOXIC T CELLS

they dont hace mhc c1 kasi kaya antigen will not be displayed and makaktakas from cytoxic t cell reaction

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4
Q

EVASION OF IMMUNE SURVEILLANCE

The activation of immunoregulatory pathways can inhibit tumor immunity. This can be done by:

A
  • Upregulated CTLA4 on T cells (binds to B7)
  • Upregulated PDL1 and PDL2 (binds to PDR on T cells)
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5
Q

EVASION OF IMMUNE SURVEILLANCE

To prevent a successful display of antigen of B7 wirth CD28 what molecule competes with the binding to inhibit immune response

A

CTLA4 inaagaw niya yung place of CD28 “the kabit”

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6
Q

EVASION OF IMMUNE SURVEILLANCE

  1. Secretion of what Immunosuppressive factors
  2. Induction of what immunosuppressive regulatory cell
A
  1. TGFb
  2. Regulatory T cells
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7
Q

CANCER-ENABLING INFLAMMATION

Proposed cancer-enabling effects of inflammatory cells and resident stromal cells include the following:

Release of ____ ____ that promote proliferation

A

growth factors

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8
Q

CANCER-ENABLING INFLAMMATION

Proposed cancer-enabling effects of
inflammatory cells and resident stromal cells include the following:

Removal of ____ ____

A

Growth suppressors

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9
Q

CANCER-ENABLING INFLAMMATION

Proposed cancer-enabling effects of
inflammatory cells and resident stromal cells include the following:

Enhanced resistance to ____ ____

A

cell death

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10
Q

CANCER-ENABLING INFLAMMATION

Proposed cancer-enabling effects of
inflammatory cells and resident stromal cells include the following:

Inducing ____

A

Angiogenesis

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11
Q

CANCER-ENABLING INFLAMMATION

Proposed cancer-enabling effects of
inflammatory cells and resident stromal cells include the following:

Activatin ____ and ____

A

Invasion and Metastasis

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12
Q

CANCER-ENABLING INFLAMMATION

Proposed cancer-enabling effects of
inflammatory cells and resident stromal cells include the following:

Evading ____ destruction

A

IMMUNE DESTRUCTION

due to TGF beta and M2 Macrophages

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13
Q

Enumerate the Carcinogenic Agents

A
  1. Chemical Carcinogenesis
  2. Radation Carcinogenesis
  3. Microbial Carcinogenesis
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14
Q

CHEMICAL CARCINOGENESIS

  • do not require metabolic conversion to become carcinogenic.
  • Most are weak carcinogens, but some are important because they are cancer chemotherapeutic drugs (e.g., alkylating agents).
A

Direct-Acting Carcinogens

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15
Q

CHEMICAL CARCINOGENESIS

  • require metabolic conversion to become active carcinogens; the carcinogenic products are called ultimate carcinogens.
  • Some of the most potent indirect chemical carcinogens—the polycyclic hydrocarbons—are present in fossil fuels.
A

Indirect-Acting Carcinogens

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16
Q

CHEMICAL CARCINOGENESIS

what are the examples stated with indirect acting carcinogens?

A
  • Benzopyren (from tobacco and sigaretes)
  • Polycyclic hydrocarbons (from animal fats - inihaw shits)
17
Q

RADIATION CARCINOGENESIS

carcinogenic because of its ability to cause pyrimidine dimers to form in DNA. It is implicated in some
cancer

Derma reco the use of sunscreen

A

UVB light

18
Q

RADIATION CARCINOGENESIS

Electromagnetic (x-rays, γ rays) and particulate (α particles, β particles, protons, neutrons) radiations are
all carcinogenic.

A

Ionizing Radiation

19
Q

MICROBIAL CARCINOGENESIS

Firmly implicated in the pathogenesis of cancer in humans

A

HTLV-1

20
Q

MICROBIAL CARCINOGENESIS

Associated with squamous cell carcinoma and cervical cancer

A

HPV

21
Q

MICROBIAL CARCINOGENESIS

Associated with nasopharyngeal carcinoma

A

EBV

22
Q

MICROBIAL CARCINOGENESIS

Liver cancer

A

Hepatitis B and C

23
Q

MICROBIAL CARCINOGENESIS

Adenocarcinoma in stomach

A

Helicobacter pylori

24
Q

GRADING AND STAGING OF TUMORS

Grading of a cancer is based on the degree of?

A

Differentiation

25
Q

GRADING AND STAGING OF TUMORS

Tumors may be reported as:
a) Well-differentiated: ?
b) Moderately differentiated: ?
c) Poorly-differentiated: ?

A

a) Well-differentiated: 1
b) Moderately differentiated: 2
c) Poorly-differentiated: 3

The higher the number, the poorer the differentiation

26
Q

The staging of solid cancers is based on what factors? enumerate

A
  • Size of the primary lesions
  • Spread to regional lymph node
  • Presence or Absence of blood-borne metastases
27
Q

The major staging system currently in use is the American Joint Committee on Cancer Staging. This system uses a classification called the?

A

TNM system

28
Q

what does TNM system stands for?

A

T - Primary tumor
N - Regional lymph node involvement
M - Metastases

29
Q

STAGE

If u see this card

A

check nalang on how yung grading 1 to 4 lang naman