cancer hallmarks 2 Flashcards

(32 cards)

1
Q

what is the 4th hallmark of cancer

A

infinite replicative potential

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2
Q

where and what are telomeres

A

DNA segments at ends of chromosomes, regions of repetitive nucleotide sequence at each end of the chromosome

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3
Q

function of telomeres

A

protect chromosomal integrity, tally the number of replicative generations and initiate senescence and crisis

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4
Q

how do telomerase enzyme complexes enable endless replication

A

telomerase complex restores telomeres to the end of chromosomes

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5
Q

is telomerase complex active or inactive in cancer and normal cells

A

cancer=active
normal=inactive (telomere shortens each division to reach a limit)

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6
Q

what is telomere reverse transcriptase (TERT) and what does it do

A

RNA dependent reverse transcriptase, elongates chromosome by adding TTAGGG sequences

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7
Q

what is telomerase made up of

A

hTERT=protein enzyme
hTR=RNA template

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8
Q

what is hTR and what does it do

A

human telomerase RNA

-provides template (AAUCCC) that tells enzyme what DNA sequence to add (TTAGGG)

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9
Q

what is hTERT and what does it do

A

human telomerase reverse transcriptase

-reads RNA template and adds DNA repeats to the 3’ end of chromosome

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10
Q

what is 5th hallmark of cancer

A

sustained angiogenesis

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11
Q

what is angiogenesis

A

proliferation of new capillaries/formation of new blood vessels

-can be turned on tumour cells

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12
Q

what is VEGF and bFGF

A

VEGF=vascular endothelial growth factor

bFGF=basic fibroblast growth factor

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13
Q

what is angiogenesis important for

A

-primary tumour growth (promotion of small clusters of mutated cells to large malignant growth)

-metastasis (cardiovascular system provides escape for tumour cells from primary site)

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14
Q

what is the 6th hallmark of cancer

A

tissue invasion and metastasis

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15
Q

two ways cancer spreads through body

A

invasion=penetrate neighbouring tissue

metastasis=colonisation at distant sites

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16
Q

what is EMT and what does it do

A

epithelial mesenchymal transition programme

-regulates tumour invasion and metastasis

17
Q

difference between benign and malignant tumours

A

malignant=abnormal chromosomes, poorly differentiated, frequent division, can invade and metastasise

benign=normal chromosomes, differentiated, rare division/slow growing, encapsulated

18
Q

describe anchorage dependent in normal tissues

A

cells adhere to cells and extracellular matrix (needs attachment to a solid surface to survive/divide)

19
Q

describe anchorage independent in cancer tissues

A

cell adhesion molecule E-cadherin is compromised or absent (can survive and proliferate without attaching to a surface)

20
Q

cancer cells release MMPs, what are they and what do they do

A

MMP=matrix metalloproteinase

-dissolves basement membranes to allow invasion and escape

21
Q

invasion of vascular beds of distant organs allow what

A

secondary tumours, metastasis usually to lungs/liver/bone/brain

22
Q

secondary tumours are more…

A

aggressive and resistant to therapy

23
Q

how do tumours promote inflammation

A

-tumours attract inflammatory cells
-inflammatory cells release ROS
-ROS damages proteins and DNA
-ROS causes mutations in cells, making them more malignant

24
Q

what is ROS and what do they do

A

reactive oxygen species, highly reactive chemical that damages DNA and proteins

25
how does smoking contribute to cancer
damages DNA of lungs, impairs functions
26
mutagenic causes of cancer
-tobacco -body weight -physical acitivty -diet -hormones -sunlight/UV -occupational carcinogens (asbestos, benzene, pesticides) -infectious agents (viruses like HPV or bacteria like H pylori) -medial treatment -pollution -heritable cancer predisposition syndromes (Li fraumeni)
27
infectious causes of cancer
oncogenic human virus -hepatitis C RNA virus causes hepatocellular carcinoma through cycles of inflammation, repair, regen oncogenic bacteria -helicobacter pylori (spiral flagellated gram negative bacteria which causes gastritis, peptic ulceration and cancer)
28
what is the 7th hallmark of cancer
reprogramming energy metabolism -glycolytic fuelling correlates with mutant oncogenes and tumour suppressor genes
29
what is the 8th hallmark of cancer
immune evasion -immune system is an effective barrier to tumourigenesis
30
how do cancer cells evade immune destruction
paralyse infiltrating CTLs and NK cells by secreting immune suppressive factors and recruit inflammatory cells that are immunosuppressive
31
what are CTLs
CD8 cytotoxic T lymphocytes
32
what are CD4 and NK cells
CD4=helper cells NK=natural killer