Test 1 Flashcards
What is cancer?
Genetic disease in which abnormal cells divide without control and can invade other tissues
Tumor
Mass of tissue that results from growth of the abnormal cells that serves no physiological function
Benign tumor properties
- Small
- encapsulated
- no metastasis
- well differentiated
- typical organization
- slow growth
Malignant tumor properties
- Large
- Infiltrative/invasive
- Metastasizing
- poorly differentiated
- atypical tissue structure
- rapid growth
- hemmorage
Two fundamental properties of cancer cells
- unregulated cell proliferation
- metastatic spread
Multi-step concept of Carcinogenesis
Cancer does not occur after a single genetic change
Clonal
Originated from a common ancestral cell that accumulated numerous specific mutations. All cancer cells in primary and secondary tumors are this
Types of genomic alterations associated with cancer
- single-nucleotide subs
- large-scale chromosomal rearrangements
- amplifications
- deletions
Causes of cancer
- any substance or event that damages DNA has the potential to be carcinogenic if it cause to occur in proto-oncogenes or tumor suppressor genes
what are Carcinogens
chemicals, radiation, and some viruses
How can DNA mutations result in abnormal cell proliferation
- growth and differention of cells are strictly regulated
- Many of the genes that control these functions are mutated or aberrant expressed, leading to uncontrolled cell proliferation
What happens normally vs cancer cells
normally if DNA damage is so severe that repair is impossible, the cell may initiate apoptosis, or programmed cell death. Cancer cells dont obey these rules
Two ways mutations in genes can lead to uncontrolled cell proliferation
- Make stimulatory genes hyperactive (oncogenes)
- make inhibitory genes inactive (tumor suppressor genes)
Oncogenes
- Originate from genes incolced in regulating normal cell growth
- Mutations in these genes result in gain of function of the proteins they encode for
- Accelerator stuck “on”
- act in dominant manner
Tumor Suppressor Genes
- normal role is to block uncontrolled cell proliferation
- mutations in these genes result in loss of function of proteins they encode for
- eliminates “brake” mechanism
Gatekeeper
Tumor suppressor genes that controls cell growth
Caretaker
Tumor suppressor gene that protects integrity of genome
Sporadic cancer
Two acquired mutations in SAME cell
Hereditary cancer
- One mutation inherited (present in every cell)
- 2nd mutation is acquired (in any cell)
DNA repair genes
- normal role is to repair DNA damage caused from DNA damaging agents or spontaneous errors from replication
Base excision repair
Removal of abnormal bases
Nucleotide excision repair
Removal of pyrimidine dimers, large chemical adducts
Mismatch repair
Corrects mismatched bases caused by mistakes in DNA replication
How to metastasize from primary tumor
Cancer cell must digest components of EM and basal lamina that normally inhibit migration of cells
Multistep process of metastasis
- detachment
- invasion
- survival in circulation
- attachment
- extravasation
- proliferation
- induction of neovasculature
- evasion of host defenses
MUST POSSESS ALL OF THESE FUNCTIONS
Proteolytic enzymes
Present at higher than normal levels in highly malignant tumors and are not susceptible to normal controls conferred by regulatory molecules
Metalloproteinases (MMP)
a type of proteolytic enzyme
Tissue inhibitors of metalloproteinases (TIMP)
Regulatory molecules which are normal controls for MMP
Angiogenesis
formation of new blood vessels. Required condition for cancer metastasis
properties of TIMP
- slow binding, reversible inhibitors
- inhibitory activity resides in N-terminal domain
- inhibit all active MMPs, with different affinities
- TMPs inhibit tumor invasion
Is there a way to prevent, cure or slow alzheimer’s
no
Age factor in AD
- greatest risk factor
- risk of Alzheimer’s doubles every five years after age 65
Risk genes (in alzheimers)
Increase the likelihood of developing a disease, but does not guarantee it will happen
Deterministic genes
Directly cause a disease, guaranteeing that anyone who inherits one will develop a disorder
Inheritance of AD
- 90% of AD cases are sporadic and occur at 60-90 years
- 10% show autosomal dominant inheritance and have earlier age of onset
Autosomal dominant familial AD can be attributed to mutations in one of three genes
- amyloid presursor protein (APP)
- presenilin 1 (PSEN1)
- presenilin 2 (PSEN2)
Best known genetic risk factor for AD
Inheritance of the e4 allele of the apoliopoprotein E (APOE)
Amyloid beta precursor protein
- Mutations affect its processing or expression levels
- speculated to bind other proteins on the surface of cells or help cells attach to one another
PSEN1 and PSEN2
- proteins identified as part of the enzymatic complex, y-secretase, that cleaves the AB peptide from APP
- mutations increase the AB42/AB40 ratio
APP is processed by 3 secretases
- a-secretase
- B-secretase
- y-secretase
a-secretase
- Transmembrane protease that cleaves APP within the AB domain, preventing AB generation
- cuts 90% of APP
B-secretase
- Directly involved in cleavage of APP at the site which generates the N-term end of AB
y-secretase
- multiprotein catalytic complex
- Cleabes APP after a- or B- cleavage to generate the C-term end of AB
If APP is processed by a and y secretases…
AB NOT produced
If APP processed by B and y secretases
AB produced