Topic 1 - Cancer Flashcards

Cause and mechanism

1
Q

What is cancer?

A

A group of diseases that includes solid tumours at almost any site in the body, and leukaemias. A disease of the body’s own cells.

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2
Q

What causes cancer?

A

Uncontrolled division of abnormal cells in a part of the body

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3
Q

What are the features of cancer at a cellular level?

A
  • uncontrolled cell division
  • change in morphology
  • dedifferentiation of cells
  • cell mitigation into adjacent and distal tissues
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4
Q

What are the characteristics of cancer cells grown in lab?

A
  • Uncontrolled growth
  • Loss of contact inhibition
  • Immortal
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5
Q

What are the stages of cancer development?

A
  1. Normal cells
  2. Hyperproliferative cell population
  3. Early adenoma
  4. Late adenoma
  5. Carcinoma
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6
Q

What is hyperproliferation?

A

An abnormally high rate of proliferation of cells by rapid division; substantial overproliferation

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7
Q

What is adenoma?

A

A benign tumour formed from glandular structures in epithelial tissue.

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8
Q

What are the steps of cancer development at a cellular level?

A
Normal cells
Mutation
Proliferation 
Mutation
Rapid growth 
Tumour
Mutation
Malignant tumour
Mutation
Enters blood stream
Metastatic tumour
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9
Q

What are the common genetic abnormalities?

A
  • Point mutation
  • Deletion
  • Insertion
  • Gene amplification
  • Chromosomal translocation
  • Aneuploidy
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10
Q

What can point mutations result in?

A
  • A change in gene function
  • Amino acid substitution
  • Introduce a stop codon early
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11
Q

What can insertions and deletions result in?

A
  • Gain or loss of one or two bases results in a shift in the reading frame of a gene transcript
  • Frameshift mutation
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12
Q

What can gene amplification result in?

A

-A cell having anywhere up to 100 copies of a gene it would normally have 2 of

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13
Q

What can chromosomal translocations result in?

A
  • Genes being moved to a more transcriptionally active site of the chromosome
  • Two genes being recombined into a new gene fusion
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14
Q

What can aneuploidy result in?

A

-Any departure from the normal structure or number of chromosomes

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15
Q

What are the two things mutations can do to genes?

A
  • Disrupt the coding sequence sufficiently to stop protein product from functioning normally
  • Make the protein more active by improving the amino acid sequence, or by allowing more copies to be made
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16
Q

What does genetic instability caused by carcinogens/mutations lead to?

A

Genetic variation in populations of tumour cells for natural selection to work on

17
Q

What does mutation induction require?

A
  • Chemical modification of DNA
  • Replication of DNA
  • Resulting in misincorporation of DNA by polymerase
18
Q

What induces normal cells to divide?

A

+ve growth factors

19
Q

What prevents normal cells from dividing?

A

-ve growth factors

20
Q

What is apoptosis?

A

The death of cells which occurs as a normal and controlled part of an organism’s growth or development

21
Q

What are the characteristics of normal cells?

A
  • Induced to divide by +ve growth factors
  • Prevented from dividing by -ve growth factors
  • Finite life span
  • Self-destruct by apoptosis
  • No influence on blood vessel formation
  • Tightly joined and immobile
  • Genetically stable
22
Q

What are the hallmarks of cancer cells?

A
  • Genetic instability
  • Invasive and metastatic
  • Independent of +ve growth factors
  • Resistant to -ve growth factors
  • Immortal
  • Resistant to apoptosis
  • Angiogenic
23
Q

What is Angiogenesis?

A

The formation of new blood vessels

24
Q

What are oncogenes?

A

Mutated versions of normal genes that have a key role in promoting growth and division of cells - mutations lead to increased activity/inappropriate switching on of cell division

25
Q

What are tumour suppressor genes?

A

Genes that play a role in controlling growth/protecting cells against damage

26
Q

What can cause cancer?

A
  • Genetics

- Environmental agents (Biological, chemical and physical)

27
Q

Give two examples of rare inherited cancer syndromes?

A
  • Li Fraumeni syndrome

- Xeroderma pigmentosum

28
Q

What are some biological causes of cancer?

A
  • Hep B (liver cancer)
  • HPV (cervical cancer)
  • H. pylori (stomach cancer)
29
Q

What are some chemical causes of cancer?

A
  • Cig smoke (lung bladder etc, cancer)

- Heterocyclic amines in cooked meat (colon)

30
Q

What are some physical causes of cancer?

A
  • UV in sunlight (skin cancer)

- X-Rays/Gamma rays (radiotherapy related leukaemia)

31
Q

What are carcinogens?

A

Agents that induce cancer:

  • Any agent that significantly increases risk
  • Often genotoxic
32
Q

How do we show that a chemical is carcinogenic?

A
  • Animal tests
  • In vitro tests
  • Epidemiological studies
33
Q

What is a case control study?

A

Compares disease groups with matched control groups to look for factors more common in people with the disease

34
Q

What are prospective studies?

A

Follow a population over time to confirm that the disease is linked to the suspected cause

35
Q

What is a cohort study?

A

Healthy people are recruited and followed over time. Data collected about exposure is later used to establish whether there is an association between exposure and disease

36
Q

What is an example of a carcinogen found in tobacco smoke?

A

Benzo[a]pyrene - binds to deoxyguanosine to form a DNA adduct. Adduct leads to increased chance of mutation

37
Q

What is one form of DNA damaged caused by exposure of skin to UV?

A

Thymine dimer - the input of energy from the UV light causes the formation of covalent bonds between adjacent thymine molecules