Lecture 18 - Cancer Flashcards

(44 cards)

1
Q

Mutations can occur

A

in any cell

Germline
Somatic

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2
Q

Germline mutation

A

Inherited, passed to next gen

gametes (egg or sperm cells)

eg born errors of metabolism

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3
Q

Somatic mutation

A

in other cells (except gamete)

not passed on

result in cancer

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4
Q

what mutation can result in cancer?

A

somatic

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5
Q

How many cells make up human body?

A

37.2 trillion cells

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6
Q

Human cells

A

grow, divide, renew

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7
Q

what is Cancer?

A

collection of related diseases and can start anywhere in body.

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8
Q

Cancer cells

A

no longer respond to signals that control cellular growth and death.

Over time cells become increasingly resistant to controls that maintain normal tissue — and divide more rapidly.

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9
Q

Despite multiple abnormalities, What do cancer cells evade?

A

programmed cell death.

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10
Q

In the late stages of cancer, cells…

A

break through normal tissue boundaries and metastasize

(spread) to new sites in body.

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11
Q

what underlies the development of cancer?

A

Multiple mutations

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12
Q

Cancer is the result of an accumulation of

A

mutations.

Most associated with DNA replication.

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13
Q

why does the incidence of cancer greatly increases with age?

A

The more times a cell divides, more likely it to gain a mutation -

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14
Q

How many genes encode proteins that normally regulate cell growth and division?

A

Hundred

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15
Q

What can lead to cancer?

A

Mutations that alter genes that regulate cell growth and division in somatic cells.

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16
Q

Mutations may be

A

Spontaneous (occur by chance)

Exposure to mutagen (Carcinogen)

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17
Q

what are the 2 types of genes that can cause cancer when mutated?

A

Tumor suppressor genes

Onco-genes

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18
Q

Car analogy
Car is…
Brake is…
Accelerator is…

A

cell proliferation/growth

Tumor suppressor genes

Onco-genes

19
Q

Brake pedal are Tumor suppressor genes

A

Encode proteins that normally prevent uncontrolled cell growth e.g
• proteins that inhibit cell division
• Prevent other mutations (DNA repair enzymes)

20
Q

Lack of Tumor suppressor genes

A

stimulate cell growth

  • i.e. recessive mutations promote cancer
21
Q

Accelerator are Onco-genes

A

Encode proteins that promote cell growth (cell division)

Cancer mutations increase activity of these genes.

Dominant mutations promote cancer

22
Q

Tumor suppressor genes

A

mutations that decrease gene activity cause cancer

23
Q

Tumor suppressor genes

Signal for cell division results in…

A

E2F transcription factor
going to nucleus.

Cell division genes can be expressed.

24
Q

Tumor suppressor genes

What cause activation of the
E2F transcription factor?

A

Loss of function mutation in RB gene.

AND

Loss of function mutation in p16 gene

25
Oncogenes
result from mutations that increase gene activity.
26
Proto-oncogene
a normal gene that when mutated can promote uncontrolled cell growth.
27
Oncogenes What Increased cell growth?
Mutations that imcrrease transcription Mutations that increase protein activity Chromosomal changes (Gene duplications, Translocation)
28
Oncogenes Region controlling amount transcription... Mutations that increase transcription...
Alter control region Normal growth stimulating protein in excess Increase cell growth
29
Oncogenes Protein coding region... Mutations that increase protein activity...
A protein that is always active or is not degraded. Increase cell growth.
30
Chromosomal changes
Gene duplications and Translocation New control region Increase cell growth
31
Chronic Myeloid Leukemia example of how
oncogene and tumor suppressor mutations lead to cancer
32
Leukemia is a group of
blood cancers that | begin in bone marrow and result in high numbers of abnormal blood cells.
33
blasts or leukemia cells.
abnormal blood cells that are not fully developed.
34
Chronic Myeloid Leukemia are
Mutations that cause blood cells in bone marrow to keep dividing. results high number of leukemia cells that are not fully developed.
35
BCR gene + ABL gene
Philadelphia Translocation chromosome BCR - ABL gene (Oncogene gene) Protein always active
36
Normal ABL protein needs
a cellular signal to activate it to promote cell division. And Tyrosine Kinase.
37
Does BCR-ABL oncogene protein need a signal to promote cell division?
No
38
Genetic Predisposition | inherited mutations
increase chance of cancer
39
Inherited (germline) mutation
a tumor suppressor gene
40
Cancer treatments
* Surgery * Radiation therapy * Chemotherapy * Targeted therapy
41
Surgery
remove cancer cells
42
Radiation therapy
targeted radiation to kill cancer cells
43
Chemotherapy
uses drugs that target dividing cells as cancer cells grow and divide rapidly – but it also affects normal cells. Mercaptopurine – DNA base inhibits with enzymes that make dATP and dGTP nucleotides. Adenine DNA base
44
Targeted therapy
drugs that target changes in cancer cell that allow them grow and divided. Gleevac inhibits kinase activity BCR - ABL