Test 3: 51-52 Flashcards
what are some variables that make a person susceptible to cancers
gender and ethnicity, health status, nutrition, young age and genetics
Chemically induced and ___ induced mutations are thought to be causative factor in a large majority of human and animal cancers.
oxidative stress
Most cancers are “___” in origin
clonal
what does it mean when cancer is clonal in nature
cancer begins with genetic and metabolic changes in one or a few cells. These cells then duplicate/ clone rapidly and lead to malignant cells
vogelstein model
how cancer forms:
Mutations in the tumor suppressor genes APC and DCC drive the progression of colon epithelial cancer. K-Ras mutation augments proliferation of cells carrying mutations further increase the chances of accumulating additional mutations. P53 is another important tumor suppressor gene and its mutation culminates in the formation of full blown carcinomas, and metastasizing tumors
steps of chemical carcinogenesis
chemical carcinogens get taking into the body and activated by cytochrome P450 to become activated carcinogens (UCs).
they body tries to stop by carcinogen inhibitors but mutations in Class II drug metoblizing enzymes leads to UCs binding to DNA and causing mutations
tumor promoters cause cell division of bad cells into hyperplastic nodules
tries to block with cis Retinols, diallyl sulfide and perillyl alochol but if unsuccesful will become neoplasia (cancer)
Cancer is a multi-step process and involves a series of mutational events, changes in metabolic profiles, cell cycle ___, and large scale changes in gene ___pattern.
regulation
expression
Simple steps involved in chemically induced cancer:
Tumor initiation (mutations induced by DNA reactive chemicals)
tumor promotion (changes in cell cycle progression rapid cell division and changes in gene expression) leading to the formation of hyperplastic nodules
progression to full blown cancer
metastasis.
Most chemical carcinogens are inert and they need to be ___ by the host enzyme system.
activated
Chemicals activated by ___ enzyme systems contain reactive groups (chemical radicals), or electron deficient group. A majority of them are detoxified by the class II drug metabolizing systems.
cytochrome P450
Binding of activated chemicals to DNA and induction of mutations in the critical genes is regarded as the ___step
initiation
Tumor promotion is essentially amplification of cells carrying mutations by agents that induce ___ and ___
cell cycle progression and cell proliferation
in ___ stage the tumor is still benign and may grow into nodules. At this stage they can be treated surgically, X-ray irradiation or by chemotherapeutic agents
hyperplastic
last step of cancer, tumors are aggressive, resistant to apoptosis, ___into other tissues, and cause tissue or system failure. They can still be treated surgically or by new generation of drugs that target specific molecules or signaling pathways that are either specific or predominate in tumor cells.
metastasize
tumor initiators
broadly classified as chemical carcinogens. They are invariably lipophilic and inert until metabolically activated by cytochrome p450 monooxygenases (class I drug metabolizing enzymes). Activated chemicals physically bind to DNA and induce mutations or chromosomal damage
tumor initiators are invariably ___ and inert until metabolically activated by ___
lipophilic
cytochrome p450 mono-oxygenases (class I drug metabolizing enzymes).
tumor promotors
chemicals, which induce cell proliferation and amplify the mutational damage or help populate the damaged cells. These compounds do not directly bind to or interact with DNA and are not mutagenic. Their action is mostly epigenetic in nature
___ are chemicals, which induce cell proliferation and amplify the mutational damage or help populate the damaged cells.
tumor promoters
Tumor promoters do not directly bind to or interact with DNA and are not ___ . Their action is mostly ___ in nature
mutagenic
epigenetic
tumor inhibitors
A) chemicals which detoxify activated carcinogens by direct binding or by altering the electrophylic property of carcinogens. Examples are GSH and gulcuronic acid and their specific transferases enzymes (class II drug metabolizing enzymes)
Chemicals which cause tumor regression by altering the transcription activity of genes involved in cell cycle regulation and cell proliferation
examples of tumor inhibitors are
GSH and gulcuronic acid and their specific transferases enzymes (class II drug metabolizing enzymes)
___ are chemicals which detoxify activated carcinogens by direct binding or by altering the electrophylic property of carcinogens.
tumor inhibitors
tumor inhibitors cause tumor regression by altering the ___ of genes involved in cell cycle regulation and cell proliferation
transcription activity
Cytochrome P450 (___ metabolism) enzymes play direct roles in the metabolic activation of carcinogens:
class I drug
Metabolic activation of carcinogens to reactive (electron deficient) forms requires a specific CYP isoenzyme, ___ as an electron donor, and ___ as the source of electrons
cytochrome P450 reductase
NADPH
In the reaction cycle, CYP gets reduced by the transfer of a pair of electrons from ___ and reduced CYP binds to the substrate and O2 and catalyzes the ___ of substrate.
CYP reductase,
oxidation
mechanism of tumor initiation by metabolically activated by a fungal product often contaminates food and feed, ____
aflatoxin B1
Although majority of chemical carcinogens require activation by the CYP monooxygenase system, please note that an important group of environmental/industrial pollutants belonging to the family of ___, are not metabolized by any of the known class I or class II enzymes
polychlorinated biphenyls (PCB)
___ belongs to a large family of polycyclic aromatic hydrocarbons that are found in auto exhaust, industrial combustion, cigarette smoke, byproducts of oil and coal industry.
Benzo(α)pyrene (BaP)
BaP are potent tumor ___
initiators
Activation of Bap requires ___ that are abundantly found in the hepatic and lung ER fraction (widely called as microsomes) and ___ that is also present in the microsomal fraction of most tissues
CYP1A1 (or 1B1)
CYP reductase