Exam 3: Chp 20 - Cancer Flashcards

(32 cards)

1
Q

What 2 heritable processes define cancer cells

A

1) Reproduce in defiance of normal constraints
2) Invade and colonize places usually inhabited by other cells

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2
Q

Cancer cells do not respond appropriately to

A

social control extracellular signals

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3
Q

Tumors occur when

A

an an abnormal cell grows and proliferates out of control

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4
Q

Benign tumor

A

noninvasive tumor

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5
Q

Malignant tumor

A

can invade surrounding tissue and form secondary tumors called metastases

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6
Q

Balance of cell death and proliferation in cancer

A

either apoptosis downregulated or proliferation upregulated

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7
Q

Tumor microenvironment

A

consists of many kinds of cells

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8
Q

6 attributes of cancer cells

A

1) grow when they should not
2) divide when they should not
3) escape from their home tissue
4) survive and continue dividing even during conditions of stress
5) genetically and epigenetically unstable
6) escape replicative senescence by producing telomerase or stabilizing their telomeres

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9
Q

Cancer critical genes

A

genes whose alteration contributes to the causation or evolution of cancer

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10
Q

Two types of mutations in cancer critical genes

A

1) gain of function
2) loss of function

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11
Q

oncogene

A

a mutation that causes a gain of function = cancer

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12
Q

proto-oncogene

A

gene that can undergo a “gain of function” mutation to cause cancer

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13
Q

How many mutations are required to create an oncogene?

A

only one mutation on one allele

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14
Q

tumor suppressor gene

A

a mutation that causes loss of function = cancer

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15
Q

How many mutations are required to cause loss of function of a tumor suppressor gene?

A

a mutation of BOTH alleles

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16
Q

Three gain of function mutations

A

1) change in DNA sequence
2) gene amplification
3) chromosome rearrangement

17
Q

two sources of change in DNA sequence causes gain of function

A

1) deletion or point mutation
2) regulatory mutation

18
Q

6 major mutations/causes that cause loss of function

A

1) aneuploidy causes chromosome loss
2) miotic recombination event
3) gene conversion during miotic recombination
4) deletion
5) point mutation
6) epigenetic silencing

19
Q

3 predominantly mutated pathways in cancer

A

1) Rb pathway
2) RTK/Ras/PI3K pathway
3) p53 pathway

20
Q

Mutations in Myc cause

A

contribute to cancer by over activating G1-Cdk, phosphorylates E2F, allows E2F to be active

21
Q

What does overactivation of the RTK/Ras/PI3K pathway cause?

A

Decreased apoptosis
Increased cell growth and division

22
Q

What do mutations in p53 pathway do?

A

prevent blocking entry into cell cycle
prevent apoptosis

23
Q

What does human papillomavirus cause?

A

uterine cervix cancer

24
Q

Human papillomavirus under normal conditions

A

only impacts host cell when virus is programmed to produce infectious progeny in outer epithelial layers; manifests as a benign growth or wart

25
How do PARP inhibitors kill cancer cells?
blocks one of two DNA replication/repair, killing cancer cells in which the second pathway is mutated
26
Brca1 and Brca2
tumor suppressor genes that repair double stranded breaks
27
Chronic myelogenous leukemia
associated with the Philadelphia chromosome, Abl-Brc hybrid gene produces hyperactive tyrosine kinase involved in cell signaling that stimulates cells to proliferate and resist apoptosis
28
Gleevec
drug that targets Abl-Brc hybrid protein
29
PDL1
expressed by cancer cells and bind to inhibitory receptors on T cells, preventing them from attacking the cancer cell
30
Combination therapies
more successful to treat tumor with multiple drugs and at once to prevent development of resistance
31
What stages are difficult for metastases?
exiting parent tissue into blood vessel and colonization of a remote site
32
What stages are easy for metastases?
travel though circulation and exiting blood vessels