YW - Molecular Basis of Cancer I Flashcards

1
Q

What is the basic difference between a normal cell and a cancer cell? (2)

A

Normal cell: Has regulated gene expression

Cancer cell: Active oncogene and deleted tumor suppressor gene, causing uncontrolled growth

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2
Q

What is Selective Toxicity in cancer treatment? (2)

A

The use of chemical agents toxic to cancer cells but not affecting the host.

  • Problem: Diseased cells are similar to healthy cells (e.g., bone marrow, skin, GI mucosa).
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3
Q

What are windows of opportunity in cancer treatment?

A

Times when cancer cells are especially vulnerable to treatment.

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4
Q

What is the role of precision medicine in cancer treatment?

A

Developing therapies tailored to an individual’s specific genetic abnormalities in their tumor.

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5
Q

How does PTEN- affect cancer?

A

PTEN- (green) is cancerous.

PTEN+ being left is the best anticancer situation.

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6
Q

How does the Raf mutation relate to melanoma? (2)

A
  • Raf mutation is crucial in melanoma development.
  • Selectively targeting Raf signaling can have anticancer effects.
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7
Q

What is proliferation in the context of normal and cancer cells?

A
  • Normal proliferation: Growth and reproduction of cells.
  • Cancerous proliferation: Increased cell growth, a hallmark of cancer.
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8
Q

What is apoptosis and its role in cancer? (2)

A
  • Apoptosis is the self-destruction of damaged cells.
  • Cancer cells avoid apoptosis, allowing them to proliferate uncontrollably.
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9
Q

What distinguishes benign and malignant tumors? (2)

A

Benign: Local growth, defined boundaries, retains tissue characteristics. (not cancer)

Malignant: Invasive, undefined edges, less differentiated, capable of metastasis.

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10
Q

What is neoplasia in cancer?

A

Excessive cell proliferation that is not related to normal growth and repair.

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11
Q

What are metastases in cancer?

A

Secondary tumors that form when cancer cells invade surrounding tissues and spread to other parts of the body.

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12
Q

How are cancer cells genetically different from normal cells?

A

Cancer cells have altered genomes, with chromosome size/number abnormalities and interchromosomal rearrangements.

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13
Q

What is the difference between germline mutation and somatic mutation? (2)

A

Germline mutation: Inherited, present in sperm or egg.

Somatic mutation: Acquired, present in cancer cells but not in the patient’s healthy cells.

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14
Q

What percentage of cancers have a hereditary component?

A

5–10% of cancer cases have a hereditary component, e.g., BRCA1/2 in breast cancer.

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15
Q

What is hereditary predisposition in cancer?

A

Some families are more susceptible to certain cancers, but cancer itself is not inherited.

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16
Q

What are the four levels of tumor heterogeneity?

A
  • Inter-patient: Population subtypes
  • Intra-patient: Spatial, temporal
  • Intra-tumor: Tissue
  • Intra-tumor genetic: Genetic differences within the tumor
17
Q

What are the two main types of cancer genes?

A
  • Tumor suppressor genes
  • Oncogenes