Patho Flashcards

1
Q

Name oncogenes

A

ALK, BCR-ABL, BRAF, ERBB1, ERB22 (HER2), EGFR (ERB1), KIT (CD117), MYC, PI3KCA, RAS (NRAS, HRAS, KRAS), RET

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2
Q

Name tumor suppressor genes

A

BRCA1, BRCA2, TP53, PTEN
RB1, VHL, NF1/2, APC, MSH, MLH, PMS

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3
Q

TP53

A

Loss of tp53 is associated with anti cancer drug resistance
Most common mutated gene leading to cancer- loss of p53 found in most cancers

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4
Q

What enzyme is needed for error prone DNA REPAIR pathway

A

PARP1

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5
Q

Passenger mutation

A

No contribution to development of cancer

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6
Q

Driver mutations

A

Growth advantage to cancer cells and support cancer survival of cells

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7
Q

ErbB2 (HER2) over expression predicts response to?

A

Trastuzumab

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8
Q

Cancer is highly?

A

Heterogeneity-accumulates mutations

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9
Q

TML- tumor mutational load (mutation burden) is

A

A measure of the number of mutations within a tumor genome

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10
Q

TML is used for?

A

The prediction of the formation of specific neo-antigens that allow the immune system to distinguish between tumor and normal cells
-used in cancer immunotherapy

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11
Q

10 somatic mutations or 3X10^9 base pairs results in?

A

150 AA mutations that alter protein function, drug sensitivity, antigenicity

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12
Q

Histone deacetylases (HDAC)

A

Represses transcription

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13
Q

DNA Methyl Transferases

A

Causes DNA methylation at CpG islands

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14
Q

In epigenetic machinery, anti cancer drugs target?

A

HDAC Inhibitors or DNMT inhibitors

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15
Q

Epigenetics is

A

The change in gene expression without the alteration of DNA Sequence

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16
Q

An immortal cell has?

A

Over expression of oncogenes and down regulation of tumor suppressor genes

17
Q

Cancer has overexpression of telomerase which is?

A

Telomerase replaces telomeres which avoids cell senescence (cessation of cell division). This allows infinite number of cell doubling

18
Q

Cancer immunosurveilance

A

-inhibits carcinogenesis and maintains cellular homeostasis BUT cancer cells can evade the immune system and use it to stay alive and grow (suppress immune response)

19
Q

What is invasion?

A

Penetration of cancer cells into neighboring tissues. Initial step to develop secondary tumors leading to metastasis

20
Q

What is metastasis?

A

Cancer moves to a distant new location
-poorer prognosis and short survival

21
Q

In metastasis what occurs?

A

Angiogenesis upregulation
Regulated by pro and anti-angiogenic growth factors due to hypoxia and cell stress

22
Q

What are anti-angiogenic growth factors?

A

IL-12, IFN, tissue inhibitor of metalloproteases (TIMPs)

23
Q

What are pro-angiogenic growth factors?

A

VEGF, FGF, PDGF, TNF-a