Cancer – cell bio – Flashcards
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Requirements for cancer: - cells ___ uncontrollably. and - ___ : cells are able to invade and colonize other territories
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cell proliferate & metastasis - are ____ for cancer
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What does the cell need to do to metastasize?
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It must degrade the surrounding ECM so that it can migrate to other locations - this is required for cell to ____
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Cancer type: ___ (all of them)
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- carcinomas -sarcoma -leukemias / lymphomas -nervous system cancer
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In carcinomas cells are derived from ___
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from epithelial cells - are derived cell for which cancer type ? ___
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In sarcoma cells are derived from ___
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from connective tissue or muscle cells - are derived cell for which cancer type ? ___
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In Leukemias/lymphomas cells are derived from ___
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from hematopoietic cells - are derived cell for which cancer type ? ___
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In Nervous system cancers cells are derived from ___
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from CNS cells - are derived cell for which cancer type ? ___
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80% of human cancers are ____
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carcinomas - make __% of human cancer
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Most cell proliferation occurs in ____
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in epithelia - occurs most cell ____
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___ tissues are most exposed to carcinogesn
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epithelial tissues- are most exposed to ___
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-Tobacco use -Obesity -Chemical carcinogens that damage DNA (e.g. aromatic hydrocarbons, tobacco smoke) -Radiation (e.g. UV light from sun) -Viruses and other infections -Can alter control of cell division in host cell -Can cause chronic inflammation and stimulate cell division All these are ____
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causes for cancer - are ___?
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Cancer is caused by the accumulation of ___
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accumulation of mutations - causes ___
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Agents that contribute to cancer (tobacco) are often ____ that damage DNA
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mutagens - are ___ that damage ___
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In normal cells there are limits to the accuracy of DNA replication and repair In a lifetime, the average human gene will be mutated ___ times
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10^9 time - ___ will be mutated
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Genes are ____, and cells require multiple mutations to become _____.
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cells are redundant(excess) -and they require multiple _____ to become - cancerous.
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This is why cancer is associated with aging - b/c ______
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b/c mutations accumulate over many years - thus cancer is associated with ____
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a tumor is cancerous only if its cells have the ability to invade surrounding tissue - this is called ______
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malignant - (def)
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tumor progresses through ____ evolution
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through clonal evolution - ____ progresses
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a single cell undergoes mutations that enhances cell ______ or decreased cell ____
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enhances cell proliferation or decreases cell death
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Final step in tumor progression allows invasion through ____ membrane
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basement-membrane allows ____ which is the final step of tumor progression
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Hallmarks of Metastatic cancer: (are - 6 of them)
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These are the _____ of _____ 1.self sufficiency in growth signals 2.Insensitivity to antigrowth signals 3.evasion of apoptosis 4.limitless replicative potential 5.tissue invasion and metastasis 6.sustained angiogenesis
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Cancer cells have decreased dependence on other cells for growth, survival and division - this is one of the hallmarks of ____ ___ (which one?)
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hallmark of metastatic(process of metastasis) cancer - 1.self sufficiency in growth signals - (explain)
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2. Insensitivity to antigrowth signals - example: cancer cells often have mutations in the ___gene or ___ pathway
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Example: cancer cells often have mutations in the p53 gene or p53 pathway - this is hallmark # ___
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3. Cancer cells have evolved ways to evade apoptosis -example: cancer cells often have increased levels of ___ which block apoptosis
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For example, cancer cells often have increased levels of Bcl2 which block apoptosis - hallmarks # ___?
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4. Cancer cells proliferate indefinitely by reactivating _____. Cancer cells maintain telomerase activity through originating from __ ___ or epigenetically activating the telomerase gene.
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by reactivatin telomerase - cancer cells _____ indefinetily: hallmark # __? The limited number of possible cell divisions in normal cells depends on shortening of telomeres with each cell division due to lack of telomerase in most proliferating cells (not stem cells). Cancer cells maintain telomerase activity through originating from stem cells or epigenetically activating the telomerase gene
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hallmark # 5 - ___. They lack ______ ,which holds cells toghether.
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Cancer cells are invasive and metastatic - this is hallmark # ___? lack cadherins-which does what?___
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A marker of cancer progression is loss of _____, allowing the cell to move and invade other ____
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loss of cadherins - allows cells to _____ and ____ other cells
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hallmark # 6 ____
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6. Cancer cells have sustained (supported) angiogenesis
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angiogenesis - (def) ___
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the formation and development of blood vessels - is called ____.
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neoplastic / neoplasm - (def) ____
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a new, often uncontrolled growth of abnormal tissue; tumor - is called ____
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what does "hallmark of cancer" mean? ___
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- an organizing principle for understanding/rationalizing the complexities of neoplastic disease. this is the ________ ____
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the hallmarks are: ___ (name them - 6 total)
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-sustaining proliferative signaling / -evading growth suppression / -resisting cell death / -enabling replicative immortality / -inducing angiogenesis / -activating invasion and metastasis ->these are the ___ ____
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All those hallmarks are GENETIC _____
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GENETIC INSTABILITY - are all __ __ together
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Genome instability - generates the genetic _____ that expedites their acquisition, and ___, which fosters(promotes) multiple hallmark functions.
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genetic diversity - and inflammation - are generated by ____ ____.
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Conceptual progress in the last decade has added two emerging hallmarks of potential generality the hallmark list: -reprogramming of __ ___ and -evading __ ___.
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reprogramming of energy metabolism- and evading immune destruction - are two new _____ that evolved in the last decade
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In addition to cancer cells, TUMORS- contain a repertoire of recruited, evident normal cells that contribute to the acquisition of hallmark traits by creating the _______
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"TUMOR MICROENVIROMENT" - is created by the recruited, normal cells of _____
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Cancer cells are genetically __. Normal cell: DNA damage activates checkpoint mechanisms, allowing cell to arrest cell cycle and correct the problem Cancer cell: checkpoint defects allow cells to continue through cell cycle without repairing damage
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genetically unstable- are __ cellsNormal cell: DNA damage activates checkpoint mechanisms, allowing cell to arrest cell cycle and correct the problem Cancer cell: checkpoint defects allow cells to continue through cell cycle without repairing damage
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the check point defects allows cell to continue through cell cycle - this contributes to further ____ and _____ abnormalities
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further mutations and chromosomal _____ are caused by allowing the cell cycle to continue in cancer cell
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forms of genetic instability: - ___(3). which allows rapid accumulation of additional mutations in cancer cells. ex: in breast cancer in metaphase - are 48 chromosomes instead of 46
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--inability to repair specific types of damaged DNA -inability to repair replication errors -failure to maintain chromosomal number or integrity -> these are form of ______
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mutations underlying cancer are mainly - ____ mutations
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mutations underlying cancer are mainly - somatic mutations
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Mutagens- cause changes in the nucleotide sequence of DNA
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Mutagens- cause changes in the nucleotide sequence of DNA
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Cancer cells predominantly utilize ____for ATP production even in the presence of abundant oxygen
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glycolysis - is utilized for ___ production in cancer cells
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Cancer cells must ___ immune response
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Cancer cells must evade immune _____
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_____ -the production or development of tumors
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tumorigenesis - ___(def)
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The tumor ______ plays a role in tumorigenesis
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the tumor microenvironment - plays a role in _____
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microenvironmnet: - Cross-talk between tumor cells and ___ cells is important in tumor development -Cancer cells cause changes in ___ of the stromal cells -______ secrete signals that stimulate cancer cell growth and division The cancer cells and stromal cells thus co-evolve
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-Cross-talk between -stromal cells- and ___ cells are important in tumorigenesis -changes are caused in ECM of the ___ cells -Stromal cells- secrete signals that ____cancer cell ____ and ____ The cancer cells and stromal cells thus co-evolve
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____ cells are connective tissue cells of any organ
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stromal cells are ___
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Cancer-critical genes: ____ and ____ genes
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oncogenes and tumor suppressor genes - are cancer ____ genes
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Dominant mutation - is gain of ___ Recessive mutation - loss of ___
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gain of function - is ___ mutation. Loss of function - is ___ mutation
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Dominant mutation leads to - excessive cell ____ and ____. It enables ___genes. It inactivates only one gene in a normal cell (mutation in one gene).
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excessive cell survival and proliferation - is ____ mutation. Which produces single mutation event in proto-oncogene enabling oncogene.
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Recessive mutation leads to - excessive cell ___ and ___ (same as dominant mutation). It inactivates both suppressor genes of a cell (mutations in both genes).
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excessive cell survival and proliferation - is ____ mutation.
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oncogene - is a ___ gene. The corresponding normal gene is called - ____ (is a normal gene that can become an oncogene due to mutations or increased expression.)
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the mutant gene-is called ____ proto-oncogene - is a normal gene that can become an oncogene due to mutations or increased expression.
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Proto-oncogene - can be converted into an oncogene by: __ (3)
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-mutation in coding sequence / -gene amplification / -chromosome rearrangement ->these are ways to convert _____ into ____
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Mutation in code sequence-a ____protein is produced in normal amounts. In gene amplification- a normal protein is _____ produced. In chromosome rearrangement- 1.nearby regulatory DNA sequence causes normal protein to be ______ produced. 2. fusion to actively transcribed gene produces hyperactive transcribed gene.
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Mutation in __ __ - a hyperactive protein is produced in normal amounts. In __ -__- a normal protein is over produced. In chromosome rearrangement- 1.nearby regulatory DNA sequence causes ___ protein to be overproduced. 2. fusion to actively transcribed gene produces _____ transcribed gene.
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tumor suppressor gene, or anti-oncogene - is a gene that protects a cell from one step on the path to cancer. When this gene is mutated to cause a loss or reduction in its function, the cell can progress to cancer
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tumor suppressor gene, or anti-oncogene - is a gene that protects a cell from one step on the path to cancer. When this gene is mutated to cause a loss or reduction in its function, the cell can progress to cancer
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Predisposition to colorectal cancer: -In a small number of cases, a predisposition to this cancer is ____and patients often develop the disease at an early age -These patients frequently have inherited a mutation or deletion of one of their ____ genes. Upon loss or inactivation of the second ___ gene during adulthood, the patients will develop cancer
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early development of ____ cancer is b/c it is -inherited - -mutations or ___ in APC genes-have a predisposition to ______ cancer Upon ___ or __ of the second APC gene during adulthood, the patients will develop cancer
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Inactivation of APC in the ___ signaling pathway leads to ________ of cells in the gut and colon cancer
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Inactivation OR activation? of APC in the Wnt signaling pathway leads to hyperproliferation of cells in the __ and ___ cancer
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APC is a tumor ____ gene. Usually when a patient inherits one mutant copy and one normal copy of the APC gene
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___ is a tumor suppressor gene in colorectal cancer.
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APC - adenomatous polyposis coli
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APC - adenomatous polyposis coli
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In colorectal cancer patient that inherited 2 normal copies of APC - how do they get this cancer? - the tumor cell has lost both copies of these gene - presumably through two independent somatic cells. In 60% of cases, both copies of the APC gene is inactivated
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In colorectal cancer patient that inherited 2 normal copies of APC - how do they get this cancer? - the tumor cell has lost both copies of these gene - presumably through two independent somatic cells. In 60% of cases, both copies of the APC gene is inactivated
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APC is activated (in Wnt path way) - when there is no Wnt signal - thus activated APC complex degrades _______
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B(beta)-catenin - is degraded by ____ when Wnt signals or not the receptor? __
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Wnt binds to ____ by activating it, which then active/inactive the ______- _____ , which activates/deactivated _____ containing complex. The stable ________activates ____complex which leads to proliferation of gut stem cells.
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_____(the signal) binds to receptor by activating it-which activates the signaling protein- which deactivates APC containing complex. The stable B-catenin activates TCF complex which leads to proliferation of gut stem cells.
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The development of colorectal cancer is ____. Usually occurs at an older age.
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sporadic/occasional - is the development of ____ cancer. Usually occurs at an ___ age
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The loss of other tumor ____ genes or activation of ___ are required for the patient to develop cancer
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loss of suppressor gene or activation of oncogenes - are required to develop ___
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Ras is an _____ gene activated which Stimulates cell-____ and promotes cell ___
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__ is an oncogene activated, which ___ cell survival and __ cell proliferation
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APC and p53 are tumor _____ gene
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which are tumor suppressor genes? (2) __, __
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___ gene - Prevents entry into __ phase. Gives time for DNA to be repaired. When p53 is inactive, the cell cycle proceeds even with damaged DNA, leading to cancer.
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p53 gene - Prevents entry into S phase. Gives time for DNA to be repaired. When p53 is inactive, the cell cycle proceeds even with damaged DNA, leading to cancer.
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Ras ia a ___-oncogene
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___ ia a proto-oncogene
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proto-oncogene is a normal gene that can become an ___ due to mutations or increased expression.
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______ is a normal gene that can become an oncogene due to mutations or increased expression.
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Cancers are the result of different ___ of mutations, so no single therapy will work for all cancers
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Cancers are the result of different combinations of mutations, so no single ___ will work for all cancers
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Cancer cells rapidly ____ due to genetic instability, and can quickly become resistant to ____
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Cancer cells rapidly evolve due to _____ ___, and can quickly become ____ to therapies
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Cancers are usually detected at __ cm or larger- at about __ cells or more
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Cancers are usually detected at 1 cm or larger- at about 10^8 cells or more
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Tumors usually contain millions of cells when they are first ___
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___ usually contain millions of cells when they are first diagnosed
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tumor first palpable at __#_ cels
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at 10^9 cells tumor is first _____
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at 10^12 cells the patient ____
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patient death is at _#_ cells
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Surgery- cut out the tumor. If the cancer has not ___, this can be highly effective.
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Surgery- cut out the tumor. If the cancer has not metastasized, this can be highly effective.
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DNA damaging therapies such as ____ and certain ___. Takes advantage of cancer cells having lost DNA damage ____. -Normal cells can repair damage due to treatment -Cancer cells may obtain sufficient irreparable damage that they die
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____ damaging therapies such as radiation and certain chemotherapies. Takes advantage of cancer cells having lost DNA damage checkpoints. -Normal cells can repair damage due to treatment -Cancer cells may obtain sufficient irreparable damage that they die
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Multidrug treatments are more effective than ____ treatments
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____ drug treatments are more effective than sequential treatments
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Oncogene addiction: cancer cells can depend on a certain ____ more so than normal cells
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____ addiction: cancer cells can depend on a certain oncogene more so than normal cells
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Blocking activity of the ____ could kill the tumor while not harming other cells.
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Blocking activity of the oncogene could kill the __ while not harming other cells.
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cancer cells rely on ___ to facilitate signaling pathways for cell growth.
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cancer cells rely on Hsp90 to facilitate ___ pathways for cell growth.
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__ inhibitors can specifically eliminate the tumor cells.
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Hsp90(heat shock protein 90-one of the most abundant expressed in cells) ____ can specifically eliminate the tumor cells.
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A number of drugs including ___ block formation of new blood vessels required to feed tumor.
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A number of drugs including Endostatin block formation of __ ___ __ required to feed tumor.
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Blocking action of specific oncogenes ____ blocks the activity of an oncogenic protein and halts ___ ___ __(CML) and other specific cancers.
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Blocking action of specific oncogenes Gleevac ___ the activity of an ____protein and halts chronic myeloid leukemia (CML) and other specific cancers.
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CML caused by (a specific hyper-active tyrosine kinase) Abl(oncogene kinase) - > Results in signaling that makes too many ___ cells - > results in ___. This oncogene can be blocked with ____ . ____ binds to the ATP binding pocket of __ and prevents activity of the kinase
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CML caused by (a specific hyper-active tyrosine kinase called) ___ (oncogene kinase) - > Results in signaling that makes too many white blood cells - >resulting in Leukemia This oncogene can be ___ with Gleevac. Gleevac ___ to the ATP binding pocket of Abl and prevents activity of the ____
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___(drug) : breast cancer treatment
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Herceptin - treats ___ cancer
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25% of breast cancers have increased ___ (an RTK) on the cell ___.
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___ % of ___ cancers have increased Her2 (an RTK) on the cell surface.
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Antibodies against Her2 can be made that bind to and _____the receptor
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Antibodies against Her2 can be made that bind to and inactivate the ___
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__ ___ profiling can classify tumors into clinically meaningful subgroups. Allows tumor classification for better treatment.
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Gene expression profiling can classify ____ into clinically meaningful subgroups. Allows tumor classification for better treatment.