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16 Cards in this Set
- Front
- Back
- 3rd side (hint)
Critical point in the prgression to cancer?
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carcinoma in situ
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Point at which tumors can be palpable?
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30 tumor cell doublings
1 gram already fully vascularized |
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average mutation number in tumors?
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80
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Two common gene mutations in colon and breast cancer
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1) p53
2) PIK3CA (phosphoinositide 3-Kinase) --what does this do? |
(lipid kinase that serves as a 2ndd messenger)
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Tumors are:
a) homogeneous b) heterogeneous c) either- depends on the cancer |
heterogeneous
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Major contributor to recurrence of tumors
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resting phase of some tumor cells
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characteristics of tumor cell growth
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-asynchronous
-longer doubling times |
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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
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S-Phase specific measurments of tumor cell cycle kinetics
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-cancerous DNA staining by cytokeratin
- mitotic figure counting - thymine/analog uptake (bromodeoxyuridine-BrdUrd) -growth fraction (using BrdUrd % incorporation) |
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solid tumors are frequently deen to deviate from the diploid state. What is this called?
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aneuploidy
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max size of tumor allowed without angiogenesis
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1 mm
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Mechanism of Angiogenesis
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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 |
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VEGF effects (normal)
VEGF mechanism of action (normal) |
endothelial cell division, migration, cell survival, and inc permeability
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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 |
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how VEGF effects differ in tumors
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increase in tip cell population and uncontrolled tip cell growth
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preventing angiogenesis
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using endogenous inhibitors-
antibody that neutralized VEGF |
angiostatin, endostatin, TGF-b, TNF-a, IL-12
bevacizumab |
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common areas of metastasis for the following primary tumors:
1) lung 2) breast or prostate |
1) brain and liver metastasis
2) bone metastasis |
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