Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
50 Cards in this Set
- Front
- Back
What is cancer?
|
When abnormal cells divide without control and spread to other tissues
|
|
What is metastasis?
|
Describes what happens when cells from a malignant neoplasm break away from the primary tumor and travel through the blood/lymph systems and form neoplasms at distant sites
|
|
What is a sarcoma?
|
CA which arises in mesenchymal tissue (bone, CT, muscle, CNS)
|
|
What is a carcinoma?
|
CA which originates in epithelial tissue
|
|
What is myeloid tissue?
|
Red bone marrow
|
|
What characterizes hereditary CA syndrome?
|
1. Site specific
2. Early onset 3. Bilateral |
|
What is an oncogene?
|
It is a mutant allele of a proto-oncogene
|
|
What is a proto-oncogene?
|
Normal protein coding genes that promote the growth and survival of cells; when they mutate, they can stimulate cell proliferation or inhibit apoptosis.
|
|
What sorts of proteins do proto-oncogenes encode for?
|
Proteins involved in:
1. Signaling pathways for cell-proliferation 2. Transcription factors controlling the expression of growth-promoting genes 3. Inhibitors of the apoptotic process |
|
What are tumor suppressing genes?
|
They protect a cell from moving towards becoming cancerous
|
|
How do TSGs work?
|
1. Repressing genes essential for the continuation of the cell cycle
2. Coupling the cell-cycle to DNA damage 3. DNA repair 4. Cell death 5. Metastasis suppression |
|
What are the two main classifications of TSGs?
|
1. Gatekeepers
2. Caretakers |
|
What do gatekeeper TSGs do?
|
1. Control cell growth
2. Block tumor development by regulating transition of cell through gates in cell cycle 3. Promote apoptosis if things aren't going right |
|
What do caretaker TSGs do?
|
1. Protect the integrity of the genome
|
|
What happens with mutant caretaker TSGs?
|
They permit mutations to accumulate in oncogenes and gatekeeper TSGs, which can then lead to CA
|
|
What do caretaker TSGs code for?
|
Proteins which:
-Detect/repair mutations -Possibly those involved in the apoptosis process |
|
How are tumors initiated?
|
1. Mutations in the gene/propmoter region that turn one allele of a proto-oncogene into an oncogene
2. Heterochronic mutations 3. Chromosomal translocations (w/non-homologous chromosomes) 4. Loss of fxn of both alleles or a dominant negative mutation of one allele of a TSG |
|
How do tumors progress?
|
A cancer progresses by accumulating additional genetic damage.
|
|
How does genetic errors accumulate?
|
-By mutations in or epigenetic silencing of, the caretaker genes that encode for repairing damaged DNA
-Altered expression of genes that promote vascularization and spread of the tumor through local invasion and metastasis |
|
How does the environment act in cancer?
|
Certain agents can act as mutagens that cause somatic mutations, which then cause cancer formation
|
|
What are the two classes of chemical carcinogens?
|
1. Direct-acting: bind to DNA and cause mutations
2. Pro-carcinogens: converted metabolically to active carcinogens |
|
Are oncogenes dominant or recessive?
|
Dominant
|
|
When are oncogenes not a result of a mutation in DNA?
|
When the mutation is the result of translocation; a mutation in the chromosome
|
|
How is an oncogene activated?
|
-Gain of function mutation in the gene
-Mutation in the regulatory elements of the gene -Increase in the copy number of the proto-oncogene, leading to unregulated heterochronic or ectopic expression |
|
How many oncogenic chromosome transolcations have been found?
|
Over 40
|
|
What happens when there is a translocation between chromosomes 9 and 22?
|
Philadelphia chromosome translocation: causes chronic myelogenous leukemia
|
|
What is telomerase?
|
It is a reverse transcriptase that is required to synthesize the hexamer repeat (TTAGGG) at the end of chromosomes
|
|
How does a telomerase mutation cause CA?
|
If telomeres aren't shortened as cells age, then they never stop growing/dividing
|
|
Why do both alleles of a TSG need to be mutated?
|
Because a normal allele can rescue the mutant
|
|
What is hereditary retinoblastoma?
|
-Disease affecting both eyes; usu onset in early childhood
|
|
What is non-hereditary retinoblastoma?
|
A sporadic CA that occurs in one eye later in childhood
|
|
What is the two hit mutation model?
|
One allele can be inherited in a damaged form; then a somatic mutation in the normal allele can cause a loss of fxn mutation to both alleles, resulting in CA
|
|
What do BRCA1 AND BRCA2 code for?
|
Nuclear proteins in the same multi-protein complex
|
|
What does BRCA1 do?
|
Helps repair damaged DNA or destroy cells which cannot be repaired
|
|
What does BRCA2 do?
|
Repair of chromosomal damage w/ an important role in the error-free repair of DNA double strand breaks
|
|
What do mutations in BRCA1 usually come from?
|
Base pair replacements or DNA rearrangements
|
|
What do mutations in BRCA2 come from?
|
Usually insertions or deletions of a small number of DNA BPs in the gene
|
|
What is p53?
|
it regulates the cell cycle and fxns as a tumor suppressor; it is thought to be involved in preventing CA
|
|
What is TP53?
|
The gene that codes for p53
|
|
Where are mutations of TP53 seen?
|
IN CA of the breast, ovaries, bladder, and cervix
|
|
Where is the RB1 gene implicated in?
|
Breast CA
|
|
What is LOH?
|
It is the loss of normal fxn of one allele of a gene in which the other allele was already inactivated
|
|
What are some causes of LOH?
|
1. Chromosome loss
2. Deletion 3. Unbalanced translocation 4. Loss and reduplication 5. Meiotic recombination |
|
Is LOH a feature in both heritable and sporadic tumors?
|
Yes
|
|
What is Li-Fraumeni Syndrome?
|
Disorder that greatly increases the chances of developing cancer
|
|
What is unusual about LFS ppls?
|
They have one of the two mutations needed to inactivate TP53 in their germline
|
|
What are the 2 classes of tumor viruses?
|
1. DNA tumor virus
2. RNA tumor virus |
|
What do the two classes of tumor viruses have in common?
|
The ability to integrate their own genome into that of the host cell
|
|
What is odd about HBV?
|
Its DNA is transcribed into RNA and then the RNA is converted back to DNA; reverse transcription
|
|
Which retroviruses cause CA?
|
Only those which contain oncogenes (v-oncs)
|