The Tumour Microenvironment Flashcards

1
Q

What are most cancers derived from?

A

Epithelial cells

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2
Q

Why are most cancers derived from epithetial cells?

A
  • Exposed to toxic substances
  • Divide constantly to replace lost cells
  • Normally migrate during embryonic development and in response to wounding
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3
Q

What do fibroblasts do?

A
  • Make and organise connective tissue
  • Create new extracellular matrix to support other cell types
  • Contact to pull sides of wound together
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4
Q

Where are normal fibroblasts produced?

A

In extracellular matrix

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5
Q

How do cancer-associated fibroblasts form?

A
  • Cancer is recognised by body as a wound
  • Tissue resident fibroblasts are modified by factors secreted by cancer cells or recruited from other tissues
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6
Q

Are cancer associated fibroblasts mutated?

A

No

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7
Q

How do cancer associated fibroblasts promote cancer?

A
  • Produce growth factors and cytokines
  • Recruit endotheial cells, forming blood vessels
  • Alter extracellular matrix in tumour promoting cancer spreading
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8
Q

What growth factors important to cancer do cancer associated fibroblasts produce?

A
  • TGF-β
  • EGF
  • VEGF
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9
Q

How do tumour associated macrophages promote cancer?

A
  • Promote inflammation
  • Promote cancer cell growth
  • Suppress immune responses to cancer cells
  • Recruit endothelial cells, forming blood vessels
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10
Q

How are tumour associated macrophages formed?

A
  • Either tissue resident or derived from blood monocytes
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11
Q

What do macrophages require to proliferate?

A

CSF-1

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12
Q

How do cancer cells promote macrophage proliferation?

A

They produce CSF-1

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13
Q

What T cells are involved in cancer?

A
  • Cytotoxic T cells
  • Regulatory T cells
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14
Q

What drives T cell proliferation?

A

Cytokines

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15
Q

How do T cells promote cancer?

A
  • Regulatory T cells and cancer cells express inhibitors of Cytotoxic T cell responses
  • Turn down cytotoxic T cell responses
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16
Q

How do regulatory T cells suppress cytotoxic T cells?

A

Secrete IL-10 and TGF-β

17
Q

What molecules inhibit cytotoxic T cell proliferation?

A

PD-1

CTLA-4

18
Q

How can T cells be targeted for cancer treatment?

A

Enhancement of cytotoxic T cells by using antibodies which bind to PD-1 and CTLA-4 receptors to prevent inhibition of Cytotoxic T cells