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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)