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31 Cards in this Set

  • Front
  • Back
cell cycle is regulated by
check points
cyclins (degrade quickly), cyclin dependent kinases and CDK inhibitors (prevent cyclin from interacting with CDK)
How do CDK inhibitors work?
prevent CDK from interacting with cyclin, which is needed for cell progression through steps
How do cancers overcome cyclin/CDK regulation?
overproduction of cyclin overcomes the CDK inhibitors
What are features of hereditary cancers?
1. multiple in family
2. multiple in person
3. young onset
4. family clustering of rare disorder
what are causes of small changes in dna?
1/ pt mutations
2/ microdeletions
3/ methylation errors
What are causes of big changes in dna sequence?
1/ translocations
2/ large deletions
3/ amplifications - repeats
4/ duplication of chromosome
what are two classes of cancer genes?
oncogenes
tumor suppressor genes
What is knudson's two hit model
1 mutant copy = predisposed
2 mutant copies = affected
What classes of proteins do oncogenes code for?
1/ growth factors
2/ growth factor receptors
3/ signal transduction proteins
4/ nuclear regulators
5/ cell cycle regulators
What types of proteins do oncogenes code for?
1/ growth factors
2/ GF receptors
3/ signal transduction proteins
4/ nuclear reglators
5/ cell cycle regulator
What forms of mutations affect oncogenes?
1. pt mutations
2. amplification
3. translocation (bcr-abl)
4. viral insertion (UAR)
How do oncogenes cause effect?
directly or indirectly increase cell division
what do gatekeepers do?
1. prevent abnormal proliferation of cells
2. promote cell deth
what do caretakers do?
maintain genomic stability
what are two types of tumor suppressors?
gatekeepers
caretakers
what are mechanisms for tumor suppressor gene inactivation
1/ pt mutn, small del
2/ major chromo loss/ del
3/ replace by abnormal allele
4/ silence promoter by hyper-me
what is the genetic cause of HNPCC
mutation in one of 6 mmr genes
Where do many mutations in dna replication occur?
simple tandem repeats or microsattelites
What are the hallmarks of cancer?
1/ genomic instability
2/ inappropriate cell proliferation
3/ angiogenesis
4/ invasion and metastasis
Which tissues are more prone to neoplastic growth?
proliferating - endothelial = skin, lung, gut, hormonally regulated (breast, prostate)
What regulates angiogenesis?
positive and negative regulators in stroma
What are examples of positive regulators?
Vascular endothelial GF
- regulated by ras gene
Basic fibroblastic GF
Define tumor
abnormal swelling or lump
Define neoplasm
abnormal mass of tissue whose growth is uncontrolled and exceeds that of adjacent tissue
Define hypertrophy
increased in cell size in response to stimulus
Define atrophy
decrease in cell number or size in response to stimulus (reversible) or aging
Define hyperplasia
increase in number of cell, response to stimulus, when you remove stimulus will return to normal
Define displasia
premalignant growth, usually of epithelial tissue, characterized by disordered growth and morphological changes
what are types of displasia
low
med
high - synonymous with carcinoma in situ
what is the morphology of displasic nuclei
crowded, overlapping, large, irregular, uneven chromatin, highly mitotic
what is scirrhous tissue
desmoplastic = highly fibrous,