Path Flashcards
PDGF
Secreted by activated platelets and macrophages
Induces vascular remodeling and smooth muscle
cell migration
Stimulates fibroblast growth for collagen synthesis
FGF
Stimulates angiogenesis
EGF
Stimulates cell growth via tyrosine kinases (eg,
EGFR/ErbB1)
TGF-β
Angiogenesis, fibrosis
Metalloproteinases
Tissue remodeling
VEGF
Stimulates angiogenesis
ALK
Oncogene
Receptor tyrosine kinase
Lung adenocarcinoma
BCR-ABL
Oncogene
Tyrosine kinase
CML, ALL
BCL-2
Oncogene
Antiapoptotic molecule (inhibits apoptosis)
Follicular and diffuse large B cell lymphomas
BRAF
Oncogene
Serine/threonine kinase
Melanoma, non-Hodgkin lymphoma, papillary
thyroid carcinoma
c-KIT
Oncogene
Cytokine receptor
Gastrointestinal stromal tumor (GIST)
c-MYC
Oncogene
Transcription factor
Burkitt lymphoma
HER2/neu (c-erbB2)
Oncogene
Receptor tyrosine kinase
Breast and gastric carcinomas
JAK2
Oncogene
Tyrosine kinase
Chronic myeloproliferative disorders
KRAS
Oncogene
GTPase
Colon cancer, lung cancer, pancreatic cancer
MYCL1
Oncogene
Transcription factor
Lung tumor
MYCN
Oncogene
Transcription factor
Neuroblastoma
RET
Oncogene
Receptor tyrosine kinase
MEN 2A and 2B, medullary thyroid cancer
APC
Tumor suppressor gene
Negative regulator of β-catenin/WNT pathway
Colorectal cancer (associated with FAP)
BRCA1/BRCA2
Tumor suppressor gene
DNA repair protein
Breast, ovarian, and pancreatic cancer
CDKN2A
Tumor suppressor gene
p16,blocks G1 to S phase Melanoma, pancreatic cance
DCC
Tumor suppressor
gene
DCC—Deleted in
Colon Cancer Colon cancer
DPC4/SMAD4 r
Tumor suppressor gene
DPC—Deleted in Pancreatic Cancer
Pancreatic cance
MEN1
Tumor suppressor gene
Menin
MEN 1
NF1
Tumor suppressor
gene
Neurofibromin (Ras GTPase activating protein) Neurofibromatosis type 1
NF2
Tumor suppressor gene
Merlin (schwannomin) protein Neurofibromatosis type 2
PTEN
Tumor suppressor gene
Tyrosine phosphatase of PIP3 (eg, protein kinase
B [AKT] activation)
Breast cancer, prostate cancer, endometrial
cancer
Rb
Tumor suppressor gene
Inhibits E2F; blocks G1 to S phase
Retinoblastoma, osteosarcoma
TP53
Tumor suppressor gene
p53, activates p21, blocks G1 to S phase
Most human cancers, Li-Fraumeni syndrome
(multiple malignancies at early age, aka, SBLA
cancer syndrome: Sarcoma, Breast, Leukemia,
Adrenal gland)
TSC1
Tumor suppressor gene
Hamartin protein
Tuberous sclerosis
TSC2
Tumor suppressor gene
Tuberin protein
Tuberous sclerosis
VHL
Tumor suppressor gene
Inhibits hypoxia inducible factor 1a
von Hippel-Lindau disease
WT1
Tumor suppressor gene
Transcription factor that regulates urogenital
development
Wilms tumor (nephroblastoma)
Ca associated with EBV
Burkitt lymphoma, Hodgkin lymphoma, nasopharyngeal carcinoma, 1° CNS lymphoma (in immunocompromised patients)
Ca associated with HBV, HCV
Hepatocellular carcinoma
Ca associated with HHV-8
Kaposi sarcoma
Ca associated with HPV
Cervical and penile/anal carcinoma (types 16,
18), head and neck cancer
Ca associated with H pylori
Gastric adenocarcinoma and MALT lymphoma
Ca associated with HTLV-1
Adult T-cell leukemia/lymphoma
Ca associated with Liver fluke (Clonorchis sinensis)
Cholangiocarcinoma
Ca associated with Schistosoma haematobium
Bladder cancer (squamous cell)
Aflatoxins (Aspergillus)
Affects: Liver
Hepatocellular carcinoma
Alkylating agents
Affects:Blood Leukemia/lymphoma
Aromatic amines
(eg, benzidine,
2-naphthylamine)
Affects: Bladder
Transitional cell carcinoma
Arsenic
Affects: Liver Lung Skin Angiosarcoma Lung cancer Squamous cell carcinoma
Asbestos
Affects:Lung
Bronchogenic carcinoma > mesothelioma
Carbon tetrachloride
Affects: Liver
Centrilobular necrosis, fatty change
Ethanol
Affects: Esophagus and Liver
Squamous cell carcinoma
Hepatocellular carcinoma
Ionizing radiation
Affects: Thyroid
Papillary thyroid carcinoma
Nitrosamines (smoked
foods)
Affects:Stomach
Gastric cancer
Radon
Affects: Lung
Lung cancer (2nd leading cause after cigarette
smoke)
Vinyl chloride
Affects:Liver
Angiosarcoma
Tumor Marker: Alkaline phosphatase
Metastases to bone or liver, Paget disease of bone, seminoma (placental ALP)
Must exclude hepatic origin by checking LFTs
and GGT levels
Tumor Marker: α-fetoprotein
Hepatocellular carcinoma, hepatoblastoma, yolk sac (endodermal sinus) tumor, mixed germ cell tumor
High levels associated with neural tube and abdominal wall defects, low levels
associated with Down syndrome
Tumor Marker: β-hCG
Hydatidiform moles and Choriocarcinomas (Gestational trophoblastic disease), testicular cancer, mixed germ cell tumor
Produced by syncytiotrophoblasts of the
placenta
Tumor Marker: CA 15-3/CA 27-29
Breast cancer
Tumor Marker: CA 19-9
Pancreatic adenocarcinoma.
Tumor Marker: CA 125
Ovarian cancer
Tumor Marker: Calcitonin
Medullary thyroid carcinoma (alone and in MEN2A, MEN2B)
Tumor Marker: CEA
Major associations: colorectal and pancreatic cancers. Minor associations: gastric, breast, and medullary thyroid carcinomas. Very nonspecific
Tumor Marker: Chromogranin
Neuroendocrine tumors
Tumor Marker: PSA
Prostate cancer
Tumor Marker: P-glycoprotein
Also known as multidrug
resistance protein 1 (MDR1)
adrenocortical carcinoma but also expressed by other cancer cells (eg, colon, liver)