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16 Cards in this Set

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Critical point in the prgression to cancer?
carcinoma in situ
Point at which tumors can be palpable?
30 tumor cell doublings
1 gram
already fully vascularized
average mutation number in tumors?
80
Two common gene mutations in colon and breast cancer
1) p53
2) PIK3CA (phosphoinositide 3-Kinase) --what does this do?
(lipid kinase that serves as a 2ndd messenger)
Tumors are:

a) homogeneous
b) heterogeneous
c) either- depends on the cancer
heterogeneous
Major contributor to recurrence of tumors
resting phase of some tumor cells
characteristics of tumor cell growth
-asynchronous
-longer doubling times
Which is most likely correct in reference to asynchronous cell growth:

1) baisch Model of variable S-phase duration

2)Smith-Martin Model of fixed S-phase duration
Smith-Martin Model of fixed S-phase duration
S-Phase specific measurments of tumor cell cycle kinetics
-cancerous DNA staining by cytokeratin
- mitotic figure counting
- thymine/analog uptake (bromodeoxyuridine-BrdUrd)
-growth fraction (using BrdUrd % incorporation)
solid tumors are frequently deen to deviate from the diploid state. What is this called?
aneuploidy
max size of tumor allowed without angiogenesis
1 mm
Mechanism of Angiogenesis
Hypoxia-induced factor 1-alpha (HIF-1a) induces VEGF realse by Tumors

Tumors also release bFGF

inflammatory cells release TGF-b, EGF, PDGF, and bFGF
VEGF effects (normal)

VEGF mechanism of action (normal)
endothelial cell division, migration, cell survival, and inc permeability
Tip cells bind VEGF, upregulating DII4

DII4 binds notch receptor on stalk cells

stalk cells divide and vessel elongates

tip cell b/ms desensitized to VEGF

how VEGF effects differ in tumors
increase in tip cell population and uncontrolled tip cell growth
preventing angiogenesis
using endogenous inhibitors-

antibody that neutralized VEGF
angiostatin, endostatin, TGF-b, TNF-a, IL-12

bevacizumab
common areas of metastasis for the following primary tumors:

1) lung
2) breast or prostate
1) brain and liver metastasis

2) bone metastasis