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Definition
An oncologist who won a Nobel Prize for his work with viral carcinogens
Believed all cancers were from viruses |
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An oncologist who won a Nobel Prize
Initiated modern research of cancer (researching genetic damage and biochemical function) |
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What are the two types of cancer? Which is more common? |
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Definition
1. Sarcomas (cancers from bone, blood, muscle, nerves)
2. Carcinomas (cancers from epithelial tissue), 90% |
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In a cancer test, give the equation for test sensitivity |
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Definition
Test sensitivity= true positive / (true positive x false negative)
note: prostate cancer tests have a lot of false negatives |
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In a cancer test, give the equation for test specificity |
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Specificity = True negatives / (True negatives x false positives)
False positives are a waste of test money, but better than a false negative |
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What are the five stages of cancer? |
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Definition
0, I, II, III, IV,
III and IV are when metastasis occurs |
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Cancer spreading outside the initial tissue/organ |
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What are the two broad categories of mutations that lead to cancer? |
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Definition
1. Mutations of proto-oncogenes to oncogenes
2. Mutation in tumor suppressor genes |
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List the steps of the cell cycle and the associated regulatory proteins with each step |
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Definition
1. G1 2. S (SPF, CdK, cyclins, Rb, EF2) 3. G2 4. M (MPF, cdc2, cyclins) |
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What is the role of S-phase regulatory protein CdK? |
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Definition
CdK phosphorylates retinoblastoma tumor supressor (Rb)
(This would lead to higher levels of EF2) |
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What is the role of retinoblastoma tumor supressor (Rb)? |
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Definition
Unphorphorylated Rb inhibits transcription factor EF2 |
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How is SPF CdK inhibited? |
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Definition
By binding of the CdK interacting protein Pic1/WAF/p21
(p53 initiates the Pic1 gene) (This would lead to lower levels of EF2) |
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What is the role of M-phase regulatory protein MPF cdc2? |
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Definition
cdc2 phosphorylates nuclear histone and lamin, required for chromosome condensation and nuclear membrane breakdown |
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The "guardian of the cell cycle"
Senses abnormalities and can induce apoptosis
One of its functions is to turn on Pic1/p21 gene, inhibiting CdK and preventing the S-phase |
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p53 is a tumor suppressor, so how can p53 be a marker for tumor cells? |
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Definition
Mutant p53 has low degradation rates, therefore it will have elevated levels in tumor cells |
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The death rate from colon cancer by age is a non-linear, exponential function. Why? |
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Definition
Colon carcinomas result from a multi-step process in which a series of DNA mutations combine |
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List genetic changes in development of colon carcinoma |
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Definition
1. Familial adenomatous polyposis (fap) gene
2. Heriditary non-polyposis (hnpcc) gene
3. RAS mutations
4. dcc mutations
5. p53 mutations |
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In colon cancer, the Familial adenomatous polyposis (fap) gene is often present. What is the effect of this gene? |
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Definition
It is associated with cell adhesion molecules
Many, many polyps in the colon as young as age 12 (common in Native Americans) |
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In colon cancer, the heriditary non-polyposis (hnpcc) gene is sometimes present. What is the effect of this gene? |
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Definition
This gene is associated with improper mismatch DNA repair |
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In colon cancer, the dcc gene is usually present. What is the effect of this gene? |
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Definition
This gene encodes a protein with sequence homology to cell surface glycoproteins
(Not sure why this causes cancer, but whatever) |
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What three proteins are required to initiate mismatch repair in bacteria? |
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Definition
MutS- recognizes mismatch MutL and MutH- form the secondary structures and strand incision |
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What causes xerodoma pigmentosa |
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Definition
Loss of nuclear excision repair, leading to thymidine dimers and dramatic skin cancer when exposed to any UV light |
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Has a virus been shown to directly cause cancer in a human? |
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Definition
No, but some viruses are "associated" with some cancers
Ex. SV40 and polyomavirus |
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What viruses are associated with liver cancer? |
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Definition
Hepatitis B (small DNA) and hepatitis C (RNA) |
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What virus is associated with cervical cancer? |
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Definition
Papillomaviruses (small DNA) |
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What virus is associated with Burkitt's lymphoma? |
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Definition
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Why does Epstein-Barr virus cause mononucleosis in America but lymphoma in 3rd world countries? |
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Definition
Due to younger children having closer familial contact (involving saliva in their food), it is possible that their immune systems are not as developed as teenagers kissing in America |
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Definition
A complication from AIDS arising from retroviruses causing T-cell leukemia |
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What are the three genes retroviruses contain |
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Definition
1. gag: group-specific antigen
2. pol: RNA-dependent DNA polymerase
3. env: Viral envelop protein |
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Definition
Rous scarcoma virus (the virus Peyton Rous won his Nobel prize for)
A complete transforming virus, containing src gene that forms tumors in chickens |
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What is ALV? How is it different from RSV? |
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Definition
Avian leukosis virus
A "slow transforming" virus because it dos not contain the src gene that directly forms tumors
Instead, it increases myc transcription required for cell growth |
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Term
What is the src gene and how does it function? |
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Definition
src gene is a proto-oncogene located on the inner plasma membrane attached to myristiate fatty acid
Self-phosphorylating tyrosine kinase |
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What happens when src gene is exposed to Rous sarcoma virus (RSV)? |
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Definition
The proto-oncogene changes to an oncogene (lacks the coding region for its C-terminal)
RSV-viral src loses its ability to autoregulate its tyrosine kinase activity, resulting in unregulated signal transduction |
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A growth factor receptor that has tyrosine kinase activity |
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What are MYC, fos, and jun? |
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Definition
DNA binding proteins that regulate cell division |
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A growth factor related to platelet-derived growth factor
Overproduction increases cell division |
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List four general ways proto-oncogenes can transform into oncogenes |
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Definition
1. Nucleotide substitutions (ex. p53)
2. Altered RNA polymerase promoters
3. Chromosomal translocations (ex. Burkitt's)
4. Gene amplification (ex. HER-2 GF in breast tumors) |
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Definition
The four nucleotides (pun)
The Cancer Gene Atlas, a project with a goal to derive the genome of all cancers Unfortunately, there is too much variety in possible mutations. Any step in signal transduction can be an oncogene. |
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What causes chronic myelogenous leukemia (CML)? |
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Definition
Chromosomal translocation switching of the c-abl proto-oncogene on 9q with bcr on 22q
(9q:22q) indicates chromosome locations
This generates an altered c-ABL tyrosine kinase |
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What causes Burkett's lymphoma |
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Definition
Translocation of the myc proto-oncogene to a region of over-expression
Induced by the Epstein-Barr virus |
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In what genes are point mutations found in the majority of human carcinomas? |
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Definition
ras proto-oncogene and p53 |
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What is the "Philadelphia chromosome"? |
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Definition
The shorter chromosome 22 that is a diagnostic for chronic myelogenous leukemia
(due to CML resulting from 9q:22q gene translocation) |
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In a chromosome, what does 'p' or 'q' mean? |
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Definition
p is the short arm, q is the long arm |
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How does the cancer drug Gleevec work? How effective is it? |
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Definition
Inhibits ABL tyrosine kinase (the TK activated by the chromosomal translocation in CML) and induces apoptosis in these bcr-able active cells
95% effective in remission, but the receptor often mutates so Gleevec doesn't work anymore |
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How does anti-cancer drug Nexavar (sorafenib) work? What cancer is it used to treat? |
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Definition
Inhibits the RAF kinase in the signal transduction pathway
Also inhibits tyrosine kinases PDGFR and VEGFR ("multikinase inhibitor")
Approved for renal carcinomas |
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Give some examples of members of the epidermal growth factor (EGF) receptor family |
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Definition
The erbB oncogene found in avian erythroblastosis virus and the HER-2/neu proto-oncogene found in about 30% of human breast tumors |
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How does the anti-cancer drug Herceptin work? |
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Definition
It is a monoclonal antibody which binds to HER-2 |
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How does the anti-cancer drug Erbitux work? |
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Definition
It is a monoclonal antibody that binds to and internalizes epidermal growth factor receptors, blocking the EGFs from signaling division |
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What is the function of a VEGF protein? |
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Definition
To bind to the Vascular Endothelial Growth Factor Receptor (VEGFR aka KDR) and activate angiogenesis |
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What is the function of anti-cancer drug IMC-1C11? |
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Definition
It is a monoclonal antibody that binds to the VEGR receptor, blocking angiogenesis |
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What is the function of anti-cancer drug Avastin? |
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Definition
It targets and binds Vascular Endothelial Growth Factor itself, inhibiting cell growth |
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What percentage of cancer deaths can be attributed to tobacco and diet? |
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Definition
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What carcinogens are present in tobacco? How are they harmful? |
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Definition
Polycyclic aromatic hydrocarbons, PAHs, such as benzypyene
Their oxidized "detoxified" products diol-epoxides are carcinogens, causing DNA C-G transversions |
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The American Cancer Association thinks pollution causes 2% of cancer. Does Dr. Hanas agree? |
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Definition
No, he thinks it is likely much higher |
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What are the two steps in inducing cancer in lab mice? |
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Definition
1. Initiation of mutations with carcinogens like dimethylbenzanthracene or benzyprene
2. Neoplasm promoting with diacylglycerol or tetradeanoyl-phorbol acetate |
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How do most carcinogens damage DNA? |
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Definition
Most are alkylating agents that require cellular oxidation to generate active compounds and cause point mutations |
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Where does ras proto-oncogene get mutated? |
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Definition
On codons 12 and 61, which are present at a turn |
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Definition
Farnesyl transferase adds a farnesyl lipid group to the cysteins in the C-terminal CAAX
(Current research is trying to inhibit RAS farnesyl transferase) |
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What does the anti-cancer drug benzodiazepine do? |
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Definition
It structurally mimics the dipeptide turn found in the CAAX motif, possibly inhibiting RAS function |
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What is the role of transcription factors FOS and JUN? |
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Definition
They form a leucine-zipper heterodimer termed AP-1 which functions in transcription activation of growth-related genes |
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Define mitogens and give an example |
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Definition
Compounds that stimulate production of FOS and MYC transcription factors
Ex. tumor promoters like DAG and TPA |
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What is anti-sense RNA technology? |
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Definition
Hybridizing complementary oligonucleotides to the RNA strand that codes for cancer transcription factors |
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How does the anti-cancer drug tamoxifen work? |
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Definition
It binds to zinc fingers of estrogen receptors to inhibit estrogen-dependent breast cancers |
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How does anti-cancer drug raloxifene work? |
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Definition
It works similarly to tamoxifen, but does not promote uterine cancer |
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What do p53, Wilm's T1, RB1, DCC, and NF1-RAS GTPase all have in common? |
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Definition
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It is a tumor suppressor that has a zinc finger |
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A pediatric tumor of the eye that is caused by mutations in the rb1 locus on chromosome 13 |
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A tumor suppressor that binds to and inhibits the EF2 transcription factor
A mutated version is found in breast, lung, and pancreas cancer |
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Definition
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Describe the Wilms' tumor suppressor |
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Definition
A DNA binding domain that consists of 4 zinc fingers
A mutated version results in alternative splicing that abolishes normal binding specificity |
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What are the roles of the five regions of the p53 protein? |
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Definition
Region I is the transcriptional activation domain
Regions II-V comprise the zinc finger DNA binding domain |
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Out of the 500 human lung carcinomas containing p53 mutations, where are the "hotspots" of mutations? What kind of mutations are they? |
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Definition
Codons 157, 248, 273
All are G-T transversiosn characteristic of diol-epoxide |
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How does p53 bind to DNA? |
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Definition
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What is required for tumors to metastasize into other cells? |
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Definition
Tumor cells activate and secrete enzymes to degrade the protein and polysaccharides of the other cell's extracellular matrix |
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Term
Define aggrecan. How is it involved with cancer? |
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Definition
A protein in the cartilage of ECM
Metastasis requires aggrecanase and other MMPs to degrade this protein
(aggrecanase is also involved in arthritic diseases) |
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Define MMPs and describe some qualities |
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Definition
Matrix metalloproteinases that degrade the extracellular matrix and collagen before metastasis
N-terminal signal sequence for secretion, propeptide region in zymogen
Zinc catalytic site coordinated by histidine |
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What is one way scientists have discovered to inhibit aggrecanase and other MMPs? |
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Definition
Hydroxymates that inhibit the zinc catalytic site |
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Definition
A metalloproteinase involved in lung tissue degradation in emphysema
Two zinc molecules (one in prosequence and one in active site) |
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How is elastase inhibited? |
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Definition
A hydroxamic zinc chelator can negate the zinc active site by hydrogen bonds and the enzyme pocket by hydrophobic interaction |
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What is the biochemical mechanism of action of Iressa, a drug used to treat non-small cell lung carcinoma? |
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Definition
Inhibits the EGF receptor |
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