exam 4- cancer 1 Flashcards

(45 cards)

1
Q

type of cancer most prominent in men & women

A

prostate
breast

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2
Q

cancer in animals & plants

A

cancer is leading cause of death in dogs (especially over 10 yo) and cats

  • plant tumors are less frequent and are not as lethal as those in animals (then typically do not spread)
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3
Q

death rate from cancer in the US has declined steadily over the past 25 years, because of:

A

better management of cancer patients:
prevention
early diagnosis
innovative treatments
nanotechnology has made an impact on cancer

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4
Q

cancer is a diseased caused by a ___ division of ___ cells in part of the body

A

uncontrolled
abnormal

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5
Q

cancer could potentially arise from a…

A

single mutation
particularly in genes that control cell growth & division

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6
Q

what is cancer? internal & external

A

DNA damage
- internal: intermediates of metabolism (free radicals) and DNA replication errors (during mitosis)
- external: from sunlight, carcinogens, or ionizing radiation

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7
Q

usually DNA damage is detected by ___

A

checkpoints

mutation is repaired or cell undergoes apoptosis (in cancer, those checkpoints fail)

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8
Q

average human cell cycle time (life span) is ___

the duration of the cell cycle depends on…

A

24 hr

the cell type (embryonic vs. nerve cells)

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9
Q

describe the cell cycle checkpoints

A

G1 phase (interval b/w mitosis & DNA replication- the cell is metabolically active & growing)

S phase (synthesis): DNA replication takes place

G2 phase: cell growth continues, proteins are synthesized in preparation for mitosis

Mitosis: cell division

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10
Q

name the 3 cell cycle checkpoints

A

cell growth checkpoint (end of G1 phase)

DNA synthesis checkpoint (during S phase)

Mitosis checkpoint (during M phase)

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11
Q

what does the cell growth checkpoint check?

A

end of G1 phase

  • checks whether the cell is big enough and has made the proper proteins for the synthesis phase

–> if not, cell goes through a resting period (G0) until it’s ready to divide

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12
Q

what does the DNA synthesis checkpoint check?

A

occurs during S phase

  • checks whether DNA has been replicated correctly
  • DNA damage

–> if all this is in order, cell continues on to mitosis (M)

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13
Q

what does the mitosis checkpoint check?

A

occurs during M phase

  • checks whether mitosis is complete

–> if so, cell divides & then repeats

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14
Q

Checkpoint Kinase 2 (Chek2) is a ___ kinase involved in—

A

serine-threonine

DNA repair, cell cycle arrest or apoptosis in response to DNA damage (active in S, G1, or G2)

543 amino acids

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15
Q

what are the 2 things that exactly go wrong in cancer?

A

1- mutations in checkpoint kinase 2

2- loss of regulation in cell cycle

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16
Q

describe mutations in checkpoint kinase 2

A
  1. DNA damage trigger activation of the DNA damage checkpoint kinase ATM
  2. activated ATM phosphorylate p53 (TF)
  3. in addition, activates Chek2 and HIPK2
  4. p53 phosphorylated at Ser15, Ser20, and Ser46 activates proapoptotic genes and triggers apoptosis
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17
Q

in regulation of cell cycle, once cells have passed start, they are…

progression of cells through the division cycle is regulated by both ___ and ___ signals

A

committed to enter S phase

extracellular & intracellular signals

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18
Q

what are the external & internal signs or regulating the cell cycle

A

external signals = growth factor (hormones of proteins that stimulate cell proliferation), nutrients

internal signals = metabolomic state

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19
Q

list the 4 hallmarks of cancer

A

disruption of cell cycle checkpoints can cause cancer

1- uncontrolled proliferation
2- failure to undergo apoptosis
^^ benign tumors (remain confined to original location)

3- promotion of angiogenesis
4- metastasis

20
Q

a ___ is a gene that has potential to cause cancer

21
Q

Mitogen-activated-protein-kinase (MAPK) cascade aka ___ pathway

A

Ras/Raf/MEK/ERK pathway

22
Q

in MAPK cascade, Ras is part of the ___ family, its active when bound to ___

A

G protein family
GTP

23
Q

in MAPK cascade, B-Raf is a ___ kinase, it phosphorylates the ___

A

serine/threonine protein kinase

OH group of the serine or threonine

24
Q

in MAPK cascade, ERK activates transcription factors that lead to expression of ___

25
list the steps of MAPK cascade
EGFR --> Ras --> B-Raf --> MEK-1 ---> ERK-1 ---> ERK-1 to nucleus --> cyclin-D1
26
new growth in the vascular network is important since the proliferation and metastatic spread of cancer cells depends on an adequate supply of ___ and ___ and the removal of ___ some new cancer drugs target ____ factors
oxygen and nutrients removal of waste products angiogenic
27
tumor ___ has been a target for new cancer drugs , within a tumor, cancer cells are surrounded by ___, ____ and ___ cancer cells change their own...
microenvironment non-cancerous cells connective tissue other molecules such as collagen & growth factors microenvironment
28
the _____ is the observation that the vasculature of tumors is often leaky & accumulates molecules in the blood stream to a greater extent that in normal tissue
enhanced permeability & retention effect
29
the EPR of microenvironment vasculature shows a lack of...
lack of lymphatic drainage NP's can naturally accumulate in tumors
30
the tumor microenvironment is often ___
hypoxic interior of tumor becomes farther away from existing blood supply (angiogenesis can reduce this effect to some degree)
31
pressure of oxygen in tumors is usually....
below 5 mmHg (venous blood has a PO2 of 40 mmHg)
32
some tumoral cells undergo ____, in which they preferentially produce ___ from glucose, even given abundant oxygen, called the ___ effect
aerobic glycolysis lactate Warburg
33
name 3 current cancer treatments
surgery radiation chemotherapy
34
risk in surgery to treat cancer
pain and infections (expensive depending on what type of tumor/location) - also not all cancer cells are being removed
35
describe radiation therapy to treat cancer
high doses of radiation to kill cells or change DNA so the cells stop growing 1. photon radiation (xrays & gamma rays) 2. particle radiation (such as electrons, protons, neutrons, alpha particles, and beta particles)
36
risk in radiation therapy to treat cancer
radiation not only kills or slows the growth of cancer cells, it can also affect nearby healthy cells (damage to healthy cells can cause side effects)
37
chemotherapy is a type of cancer treatment that uses ___ to kill fast-growing cancer, generally after surgery or radiation to destroy cancer cells that may remain after treatment
drugs
38
risk in chemotherapy to treat cancer
not only kills fast-growing cancer cells, but also kills/slows growth of healthy cells that grow & divide quickly
39
why does chemotherapy only affect fast growing cells?
some chemo drugs target cells that are in S phase (cells are making a copy of their genome) other drugs target cells in mitosis (when cells are actually dividing) 5FU kills cells that are replicating their genome- it does this by inhibiting enzymes for DNA synthesis (or intercalate in the DNA, like doxorubicin)
40
4 nanotechnology parameters and cancer
1- prevention (vaccine development, against cervical cancer) 2- early detection of cancer (diagnosis): silver plated gold nanostars- detect early cancer biomarkers peptide-coated iron oxide NPs first genetic-based tool to detect circulating cancer cells in blood 3- treatment (targeting cancer using nanocarriers) 4- theranostics
41
the first nanoparticle-based formulation introduced in market was ___
doxil
42
doxil formulation: NP ___ active drug ____ targeting motifs ___
liposomes doxorubicin active (EndoTag-1) & passive targeting (Doxil)
43
liposomes- nanoparticles made through self-assembly of ___ lipids, the case of doxil: ___ and ___
cationic (amphipathic) phosphatidylcholine & phophatidylglycerol
44
self-assembly driving force of liposomes
hydrophobic and electrostatic interactions
45
process of encapsulation of doxorubicin in liposomes
1- mixing components 2- self-assembly process 3- purification