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42 Cards in this Set

  • Front
  • Back
Name two growth-inhibitory signals
TGF-beta

cyclin dependent kinase (CDK)
Lymphatic spread is more characteristic of what type of cancer?
Carcinomas
Hematogenous spread is more characteristic of what type of cancer?
Sarcomas
Hematogenous spread follows arterial or venous drainage?
Venous
What are common sites of metastasis through hematogenous spread?
Liver and lung
Which carcinomas have an affinity for vein invasion?
Renal cell carcinoma

Hepatocellular carcinoma
Which family of CDK inhibitors have a broader action?
CIP/WAF family
Which CDK inhibitors are part of the CIP/WAF family?
p21

p27

p57
Which family of CDK inhibitors have selective inhibition of cyclinD/CDK4 and cyclin D/CDK6?
INK family
Which CDK inhibitors are part of the INK family?
p15

p16

p18

p19
UV light causes cross linking of what type of residues?
Pyrimidine
Tumor giant cells are common in dysplasia or anaplasia?
Anaplasia
Number of doublings for neoplasm to require more blood supply
20 (10^6 cells, 1 mg)
Number of doublings for neoplasm to be detectable
30 (10^9 cells, 1 gm)
Maximum number of doublings for compatibility with life.
40 (10^12 cells, 1 kg)
How does ovarian carcinoma commonly metastasize?
Direct seeding of body cavities or surfaces
What is the GADD45 gene involved in?
DNA repair

-p53 causes expression of GADD45 to repair damaged DNA
What is the MDM2 gene involved in?
Degradation of p53 when DNA repair is successful. Cell cycle continues
What mutation occurs in the RAS gene to turn it from a protooncogene to an oncogene?
Mutation in GAP-induced breakdown of GTP to GDP
Translocations are common in which type of neoplasms?
Hematopoietic
The Philidelphia chromosome is associated with which chromosome?
Chromosome 22 as a result of a (9:22) BCR-ABL translocation
Which gene mutations change a protooncogene into an oncogene?
Point mutation

Translocation

Gene amplification
Which gene mutations cause loss of tumor suppressor genes?
Deletion
Deletions are common in which type of neoplasms?
Non-hematopoietic
Are epigenetic changes a type of gene mutation?
No-hypermethylation or hypomethylation
What genes are involved in the RB pathway?
RB

INK4

Cyclin D/CDK
What genes are involved in the p53 pathway?
p53

p14ARF

HDM2
What needs to occur in order for an initiator to cause carcinogenesis?
Damage must overwhelm repair mechanisms

Damage must be replicated at least once to become permanent
Cancers that typically have high growth fractions
Lymphoma

Leukemia

Small cell CA
What are tumor initiating cells?
Cancer stem cells-not all neoplasms contain TICs
What proteolytic enzymes are secreted by invasive tumor cells in order to metastasize?
Type IV collagenase

Plasminogen factor

Serine proteases

Cysteine proteases

MMPs
What are the different types of carcinogens?
Initiators

Promoters
How are pro carcinogens usually metabolically activated?
Metabolism by CYP450
What is the use of the Ames test?
To determine whether a particular chemical is an initiator.
Name two growth factors?
EGF (epidermal growth factor)

PDGF (platelet derived growth factor)
What is the role of BCL-2?
Anti-apoptosis gene
What is the role of BAX?
Promotes apoptosis
What does E7 bind to?
RB protein
What does E6 bind to?
p53
What cells do EBV infect?
Epithelial cells of oropharynx

B cells (via CD21)
Cleavage products from what places are growth-promoting, and have angiogenic and chemotactic activity?
Collagen

Proteoglycans
How do neoplastic cells protect themselves from destruction in blood vessels?
Adhesion to each other and to platelets