Tumour Pathology 4 Flashcards

1
Q

What is the cell cycle defined as?

A

Time between mitotic divisions

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2
Q

What are the external factors that affect cell cycle control?

A

Hormones
growth factors
cytokines
stroma

(cells and tissues that support and give structure to organs, glands, or other tissues in body)

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3
Q

When is the cell cycle dependant on external stimuli and when is it autonomous?

A

Prior to restriction point - external stimuli
After restriction point - autonomous

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4
Q

What are the different steps in the cell cycle

A

G1 - Gap/Growth phase 1 (synthesis of components for DNA synthesis)
S - DNA synthesis
G2 - Gap/Growth phase 2
M - Mitotic phase

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5
Q

Where do checkpoints in the cell cycle exist?

A

G1
S
G2-M

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6
Q

What is the function of G1 checkpoint

A

Restriction point, after cell commits no longer needs growth factors

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7
Q

What is the function of G2-M checkpoint

A

Stops cell cycle if DNA damage

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8
Q

What is the function of growth factors

A

Bind to specific receptor
Push cell along G1 to restriction point

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9
Q

Describe retinoblastoma

A

Proteins
Unphosphorylated form is active form
Tumour suppressor - blocks cell cycle progression

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10
Q

What is the function of phosphorylation of retinoblastoma

A

Unphosphorylated has E2F bound
Phosphorylation releases E2F
E2F activates DNA regulatory sequences, cell cycle goes ahead

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11
Q

What are the environmental factors that can cause genetic damage?

A

Chemicals
Radiation
Oncogenic viruses

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12
Q

Describe the multistep process of carcinogenesis

A

Multiple genes need to be abnormal
Genes may be involved in:

Precancer formation
Invasion locally
avoid cell death

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13
Q

How do chemicals cause carcinogenesis?

A

Oxidising and alkylating agents damage bases
Carcinogens or their metabolites react with DNA forming DNA adducts
Formation of covalently bound products at particular chromosome sites causes cancer

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14
Q

What are the targets for radiation carcinogenesis?

A

Purine and pyrimidine bases

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15
Q

Which forms of high energy radiation are carcinogenic?

A

Ultraviolet radiation
X rays
Gamma radiation

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16
Q

What is the function of P53?

A

Maintains genomic integrity

17
Q

When do levels of p53 increase?

A

When cell is damaged

18
Q

What is the effect of increased levels of P53?

A

Cell cycle arrest at G1
Facilitates DNA repair
Apoptosis

19
Q

What is the effect of a mutated P53 gene?

A

No G1 arrest or repair of DNA
Genetically damaged cells proliferate and form malignant neoplasms

20
Q

What is an oncogene

A

Mutated proto-oncogene

Gene with potential to cause cancer

21
Q

What is a proto-oncogene

A

Promotes cell through normal cell cycle

22
Q

How to oncogenes cause cancer

A

Mutations

Increase oncogene product
Allow protein product to work independently of control mechanisms

23
Q

What are tumour suppressor genes

A

Inhibit cell proliferation and tumour formation

Mutation results in loss of/reduced function

24
Q

How can tumour suppressor genes cause cancer

A

Mutations

Stop protein product working (e.g. Rb)
Remove regulators of cell proliferation