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12 Cards in this Set

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  • Back
What are the steps of oncogenesis? 6

(objective)
1. Division out of control (uncontrolled cell cycle progression)

2.Growth Factor insensitivity

3. Immortalization (unlimited replication and division--telomerase)

4. Evasion of apoptosis

5. Angiogenesis

6. Metastasis
What helps with immortalization of cancers?
Telomerase
What is the Multiple Hit Model of Carcinogenesis?

*****TEST
There is no one mutation of one gene that will cause cancer..must have multiple genes

remember there are multiple checkpoints looking for errors (Rb, p53, etc)
What is the difference between an oncogene and tumor suppressor? (what do they do, and what does a mutation do)

***TEST
Oncogene: Promotes cell cycle (mutation type: gain of function); Inheritance Pattern: AD

Tumor Suppressor: inhibits cell cycle (mutation: loss of function);
Inheritance Pattern: AR
what are the two major tumor suppressors? what do they control?

**TEST
Retinoblastoma: Controls G1 to S (replication)

p53: blocks G1 to S and G2 to M, , or induces apoptosis in response to DNA damage and expression of certain oncogenes
What is the two hit model? what are the 2 forms...

**
Specific to retinoblastoma (refers to the fact that both (2) alleles must be mutated)

causes tumors on the retina-->blindness

2 Forms of Retinoblastoma:
(familial starts with one mutated Rb right off the bat, so the chances of a mutation matching up with the other allele is likely)

(Sporadic--Because there are billions of retinoblasts the chance of mutating both Rb allele in the same cell is slim.)
What are the 2 forms of retinoblastoma? how are they different/similar?
Inherited (Familial):
Bilateral, multiple foci, early age of onset, AD (familial starts with one mutated Rb right off the bat, so the chances of a mutation matching up with the other allele is likely)

Sporadic:
Asymmetric, isolated tumor, late onset, no inheritance pattern
what the important relationship btw ECM and cancer in metastasis?

*
cancer can change the extracellular matrix when it mets to act like the ECM of the location it came from

**Influenced by E-cadherin**
what happens in Chronic Myelogenous Leukemia (CML) genetically?

*
T(9;22) translocation

Philadelphia chromosome

Produces a fusion protein between the abl oncogene
and the “Breakpoint Cluster Region”
what happens genetically in Burkitt's Lymphoma?

*
T(8;14)
Translocation links
immunoglobulin enhancer on chromosome 14 with
c-myc oncogene on 8.
Double minutes and homogenous staining regions lead to what?

(objective)
carcinogenic gene amplication

example is neuroblastoma
What are chromosome instability syndromes?

(objective)
group of inherited conditions associated with chromosomal instability and breakage. They often lead to an increased tendency to develop certain types of malignancies

**Caused by mutations in DNA-Repair enzymes**

examples:
Xeroderma pigmentosa
Bloom Syndrome
Ataxia Telengiectasia
Fanconi Anemia