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HDD_Lecture_12
Oncology
27
Biology
Graduate
08/04/2014

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Cards

Term
What are the main cancer types?
Definition
Carcinomas (epithelial tumors)
Leukemias/Lymphomas (hematological tumors)
Sarcomas (mesenchymal tumors)
Term
The process of cancer development
Definition
benign-> transformed cells(unlimited growth) -> tumour cells -> malignant
Term
Why recently incidence of cancer increased?
Definition
Aging
Term
What are hallmarks of neoplastic diseases?
Definition
ustaining proliferative signaling,
evading growth suppressors, resisting
cell death, enabling replicative immortality, inducing angiogenesis, activating invasion and metastasis
Term
What are the new hallmarks of cancer?
Definition
reprogramming of energy
metabolism and evading immune destruction.
Tumors exhibit another dimension of complexity: they contain a repertoire of recruited normal cells that contribute to the tumor microenvironment.
Term
What are characteristics of tumour development?
Definition
Autonomous proliferation
Loss of contact inhibition
Inhibition of aging program
Intracellular cell death defense mechanisms
Immune attack defense mechanisms
Term
What is oncogenes?
Definition
Normal growth factor genes which become constitutively activated.
Term
What is tumour-supressor genes?
Definition
Inactivation of normal genes which control and suppress cell proliferation.
Term
What is caretaker genes?
Definition
control integrity and stability of genome; e.g. FA, ATM, XP, BRCA genes
Term
What is gatekeeper genes?
Definition
control cell cycle progression of cells; e. g. RB, p53, NF genes
Term
What are genetic alterations in human cancers?
Definition
Somatic mutations
Copy-number-variations
Aneuploidy
Chromosomal translocations
DNA methylation
Non-protein-coding RNAs
Viral gene sequences
Term
What are chemical causes of sporadic cancer?
Definition
Mutagenic molecules (genotoxins):cigarette smoke,nitrosamines, metals
Term
What are physical causes of sporadic cancer?
Definition
Oxygen radicals from water hydrolysis
Irradiation(UV, X-rays)
Term
What are biological causes of sporadic cancer?
Definition
Viruses
Term
What are endogenous DNA damage agents?
Definition
reactive oxygen species (ROS), spontaneous chemical DNA decay, replication errors
Term
What are exogenous DNA damage agents?
Definition
many clastogenic compounds and irradiation
Term
How many mutations does cancer posses?
Definition
Many
Term
What are characteristics of autosomal recessive genes in cancer contest?
Definition
DNA stability/caretaker genes
Gene dosis of 50 % sufficient for normal function.
Term
What are characteristics of autosomal dominant (supressor) genes in cancer contest?
Definition
Tumor suppressor genes
Inherited heterozygous gene defect, and mutation in remaining wildtype allele during life span.
Term
What are characteristics of autosomal dominant (oncogenes) genes in cancer contest?
Definition
oncogenes, RTK pathways
Heterozygote single allele mutation sufficient for cancer development.
Term
Knudson hypothesis
Definition
At least 2 hits of gene by mutation are necessary for cancer development
Term
How vascularization of tumour occurs? What for?
Definition
secretion of growth factors
For: Improvement of energy supply
• Improvement of growth factor and oxygen supply
• Higher elimination rate of toxic metabolits
Term
Describe hierarchical CSC evolution model
Definition
Only the cancer stem cell can accumulate additional genetic changes that can drive tumour progression and drug resistance.
Term
Describe stochastic/clonal CSC evolution model
Definition
Cellular phenotypes are not stable and can change as the tumour evolves. All tumour cells have the capacity to undergo self-renewing division;
Term
Describe niche CSC concept
Definition
Model of cancer stem cells (CSCs) in solid tumors. CSCs are associated with the stromal components of the tumor, including fibroblasts and/or blood vessels, which make up the CSC ‘niche’. The niche cells secrete factors that support CSC self renewal. CSCs retain differentiation potential and may
express CSC-specific antigens.
Term
How tumour effects immune cells?
Definition
The tumour microenvironment polarizes immune cells and macrophages towards a tumor-promoting phenotype. Changed macrophages can induce blood vessels growth
Term
What are cancer treatment options?
Definition
Surgery
Irradiation
Chemotherapy
Endocrine therapy
Protein therapy
Nucleic acid therapy
Cell therapy
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