Tumour Pathology 5 Flashcards
What is carcinogenesis due to?
Geographic and environment factors
Age
Heredity
What are the 2 categories of normal genes that can be disrupted and cause cancer?
Tumour suppressor genes (anti-oncogenes)
Proto-oncogenes
What are tumour suppressor genes?
Normal growth inhibitor genes that regulate:
Mitosis (Rb)
Apoptosis (p53)
DNA repair
What are anti-oncogenes also known as?
Tumour suppressor genes
What does p53 regulate?
Apoptosis
What is a key event in tumour formation?
Uncontrolled proliferation, due to cell cycle dysfunction, due to loss of tumour suppressor gene function
What are other mutations that can directly impact the performance of pRb?
CKD4
Cyclin D
CDKIs
What does absent or inactive pRb do?
Releases the brake on the cell cycle, causing cell proliferation
What are the causes of retinoblastomas?
Sporadic
Inherited
What are examples of inherited predispositions to cancer?
Familial retinoblastoma
Familial adenomatous polyposis of colon
Multiple endocrine neoplasia
Neurofibromatosis
Van Hippel-Lindou Syndrome
What are some known inherited mutations of anti-oncogenes?
APC
p53
Rb
p16
BRCA1/2
What does an inherited mutation of APC cause?
FAP colon cancer
What does an inherited mutation of Rb cause?
Retinoblastoma
What does an inherited mutation of p16 cause?
Malignant melanoma
What does an inherited mutation of BRCA1/2 cause?
Breast cancer