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Molecular basics cancer
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38
Medical
Professional
04/22/2013

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Term
Pancreatic progression
Definition
12 years from initiation and parent
7 years from parent to met potential
3 years from met potential to death

19 years till danger
Term
Brain cancer proof molecular basis
Definition
CD133+ cells required to implant cancer but majority cells in cancer CD 133-
Term
PGDF cancer
Definition
autocrine self growth in astrocytoma
osteosarcoma
Term
EGF receptor overexpression
Definition
Her2Neu (endodermal groth factor receptor): Breast and ovarian cancer

Ras = downstream, will not respond to monoclonal antibodies to this
Term
Ret oncogene
Definition
thyroid cancer, MEN syndromes
(constiuatively active or paired receptors)
Term
ALK
Definition
constituatively active cell surface recpt

*ADNOCARCINOMA LUNG NONSMOKER*
Term
BCR/ABL
Definition
(9:22) CML - protein kinase
abl = kinase w/o inhibitor

hybrid gene fusion with different kinase targets
Term
RAS
Definition
= downstream G-protein signalling

mutations codons 12&13 stop GTP to GDP transformation

most common oncogene
Term
BRAF
Definition
(downstream RAS): theonine/serine kinase

V600E

melanoma, colorectal,thyroid cancers
Term
NF-1
Definition
AR tumor repressor gene (GTP-ase activator): missing melanoma also
Term
APC
Definition
regulates B-catenin transcription factor
many colorectal cancers
Term
PTEN
Definition
PI3K regulator (tumor supressor):
PI3K phosphorlates and recuits atk, and activates mTOR

biomarkers mTOR sensitive breast cancer
Term
myc
Definition
transcription factor
c-myc burkits lymhoma
l-myc lung cancer
n-myc neuroblastoma

appears in double minutes or homologous staining regions
Term
let7 microRNA
Definition
deleted or underexpressed lung cancer (act as tumor supressor here)

increases RAS expression
Term
RB
Definition
cell cycle regulator protein G1-S
RETINOBLASTOMA/OSTEOSARCOMA:

-hypophosphorlated binds E2F to supress

-cyclin->CDK->hyperphosphorlated RB = no supression

-p16 - inhibits CDK

E7 by HPV phosphorlates RB
Term
Knudsons hypothesis
warburg effect
Definition
1 hit 2 hit model for tumor supressor inheretance (think RB)

effect = increase in glycolysis
Term
Cyclin D1
Definition
BCL-1 gene in Mantle cell lymphoma ...overexpression leads to phosphorlation RB
Term
ATM
Definition
gene in ataxia/telangiectasia:
senses and repairs DNA breaks in chromatin by phosphorlating and activating p53

HPV inhibitis p53

Also phosphorlates H2AX, which leads to k63 ubiquination which in turn activates BRCA 1
Term
Nucleotide Excision repair
Definition
Needed to repair x-linked Py DNA by UV

defect = xeroderma pigmentosa
1. global slow
2. transcription fast
Term
Base excision repair
Definition
for damage due to ROS (smoke)
- base then backbone then polymerase
Term
Mismatch repair
Definition
By MSH complexes:
delta MSH2/MLDH1 = common cancer lynch
Delta PMS2/MSH6 = less common

lead to microsatelite instability and measured by CG repeats
Term
Homologous recombination
Definition
HR alignes broken DS DNA strands and invades them to allow broken ends to copy homologs.

DEFECT = BRCA1/BRCA2 = breast/ovarian cancer
Term
Nonhomologous end joining
Definition
Ku heterodimer senses DS break and fuses together ... error prone
Term
Translesional DNA synthesis
Definition
responds to thimine dimers by using alternative polymerases k and b.

high error rate as well
Term
t(8:14)
Definition
myc overexpression in burkitts lymphoma
Term
DNA methylation
Definition
- "MO" means turns off transcription
occurs at CpG islands (promotors)
Term
Acetylation H3/H4
Definition
gene transcription upregulated
Term
Histone methylation
Definition
4 = on
9 = off

ALL1 = h3 methyltransferase increases transcription
Term
colorectal cancer mechanisms
Definition
1. APC/MYH = polyp to kras/p53... male>female, L>R, most sporatic and FAP

2. = BRAF/cimp = serrated with high microsatellite. Serrated with
female>male, R>L about 20% sporatic

3. = LYNCH = defect MSH2/MLH1/PMS2 dna mismatch repair...starts as nonserrated adenoma
Term
lynch vs fap
Definition
FAP: develope hundreds benign (APC)... tx is total procolectomy

lynch = few tumors with high progression rate...tx is frequent colonoscopy younge..subtotal colectomy
Term
apoptosis
Definition
signal phase, integration phase, execution phase with caspases 3,6,7

extrinsis = TNF and Fas
intrinsic= pro = Bax/bad/bak
anti = bcl2 --> pores mito yield cytochrome c wich yields afp ->caspase

karposi sarcoma express
Term
bcl1 vs bcl2
Definition
bcl1 = phosphorlator/cyclin D1 (mantle)
bcl2 = anti-apoptosis
Term
necrosis and autophagy advances
Definition
autophagy: survive poor blood
necrosis: attact progrowth inflam cells
Term
What virus increases telomerase
Definition
EBV for B cells
usually aquired after transformation
Term
t(15:17)
Definition
promylocytic AML
joins pml to retinoic acid receptor
use ATRA to treat first
Term
VEGF
Definition
trapped endothelial cell matrix

pro-angiogenic factor
thromboplasmin 1 - anti angiogenic
Term
tissue invastion/mets
Definition
EMT:
1. mphage secrete protease
2. stromal stem secrete ccl5 for inva
3. slug = melanoma = inherent

decreased ecadherin = loss attachemnt

secrete tgf to recruit T/NK cells
Term
Drainage and trophisms
Definition
1. sarcoma to lung
2. lung c. to brain
3. colorectal to liver

1. clear kidney to thyroid
2. breast to ovary
3. prostate to bone via SDF1
4. melanoma to liver
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