Biology of Cancer & AIDS – Flashcards

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define disease
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an abnormal condition of an organism that impairs bodily functions
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broad categories of disease
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- infectious (caused by a pathogen)
- genetic (caused by abnormality in DNA)
- environmental (includes things done to self, mold, cigarettes, toxins, etc)

**cancer can be caused by all**
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scientific theory
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all cells come from pre-existing cells
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meat maggot experiment
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- performed by Redi
- thought that flies came from flies rather than spontaneous generation (flies came from the meat)
- disproved Aristotle's spontaneous generation
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modern cell theory
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- all known things are made up of cells
- cells are the structural and functional unit of all living things
- all cells come from pre-existing cells by division (hereditary info is passed)
- all cells have the same chemical composition
- all energy flow occurs within cells
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germ theory of disease
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microorganisms are the cause of many diseases
- swan neck trap experiments
- Louis Pasteur
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koch's postulates
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- suspected pathogen must always be found is diseased individuals but absent in heathy individuals
- pathogen must be isolated from the diseased individual and grown in pure culture
- pathogen from pure culture must cause disease when put in a healthy host
- same pathogen must be re-isolated from the host that was inoculated with the pure culture
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define cancer
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uncontrolled growing mass of cells that is capable of invading neighboring tissues
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tissue growth
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- hypertrophy: increase in cell size
- hyperplasia: increase in cell quantity
- dysplasia: disorganized growth (mild, moderate, severe)
- neoplasia: disorganized growth, net increase in number of divided cells **CANCER**
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how cancer develops
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cancer cells develop based on DNA damage
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malignant tumor vs benign tumor
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- benign: slower growing, self-contained, localized
- malignant: grow out of control, metastasize, tumor angiogenesis
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biopsy
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removing a sample tissue of the tumor
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tumor grade vs. tumor stage
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- stage: how large tumor has grown and how it has spread
- grade: based on microscopic appearance of cancer cells
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most common cancer
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skin cancer: most detectable form of cancer and therefore the least fatal form of cancer
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most fatal cancer
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lung cancer
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five-year rate
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after five years without cancer, chances of survival increase
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majority of cancer is...
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carcinoma (85%)
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DNA bases / nucleotides
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A, T, C, G
(A-T & C-G)
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mitosis
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regular cell division: division of nucleus in M phase
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meiosis
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gametes/sex cells replication
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during replication, DNA stays in...
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the nucleus
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DNA --> RNA
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gene transcription (copy DNA in nucleus), mRNA forms and carries message to cytoplasm, where translation (rewrite DNA) occurs and forms a protein
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1 codon = ...
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3 nucleotides
(aka 90 nucleotides = 30 codons)
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3 forms of DNA mutation
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- substitution
- deletion
- addition
of one piece in the DNA sequence
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oncogenes
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arise from proto-oncogenes, cause uncontrolled cell proliferation

(cancer cells would WANT oncogenes)
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tumor suppressor genes
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inactivation contributes to cell proliferation, losing these genes allows cells to divide continuously

(cancer cells would NOT WANT tumor suppressor genes)
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DNA repair genes
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mutations can lead to lack of "mismatch" repair and progress to cancer
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cell growth cycle
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- first growth phase: adequate size, nutrients
- synthesis phase
- second growth phase: cell size right, growth factors
- mitotic phase: M phase, cell is ready to separate, spindles slit
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cell cycle checkpoints
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regulated by proto-oncogenes, tumor suppressor genes, and DNA repair genes and occurs after each stage of cell cycle
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cancer begins with...
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DNA damage
- doesn't start with a single mutation: multistep process
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how cancer cells protect themselves
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- surround themselves with tissues to protect themselves from immune attacks - form molecules which can destroy T-cells - stimulate sustained angiogenesis
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telomeres
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- tip of chromosome
- protect the real part of the chromosome (shoe lace tip)
- defective telomeres lead to aging
- needed every time a cell replicates (each time they get shorter)
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telomerase
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enzyme, makes cancer cells immortal
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antigen vs antibody
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antigen: foreign substance

antibody: protein produced in response to foreign substance
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T-cells
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helper cells, choose how to respond to foreign antigen
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B-cells
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produce antibodies to fight foreign antigen
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metastasis
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spread of tumor cells through the bloodstream
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secondary cancer
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90% of cancer deaths occur not because of where the cancer began, but where it spread to
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hematologic cancer
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blood cancer, kills because components of blood don't fulfill their duties, red blood cells (oxygen) reduce, white blood cells increase (clog arteries)
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ecadherin and intagrin
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cell to cell adhesion proteins, without which, cancer cells can invade
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apoptosis
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cells commit suicide, part of normal cell aging or response to cell injury
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angiogenesis
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formation of new blood vessels from preexisting ones
-- tumor angiogenesis: new blood vessels form with cancer cells, creating a blood supply to grow
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vasculogenesis
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formation of new blood vessels spontaneously (no preexisting ones)
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3 ways a cancer spreads
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- local spread
- blood circulation
- lymphatic system
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neutrophil
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white blood cells which hunt and kill bacteria
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adaptive vs innate immune system
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adaptive: immune system with memory

innate: immune system you're born with
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define epidemiology
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the study of how often diseases occur in different groups of people and why

**can never prove CAUSATION**
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3 types of epidemiology
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- experimental (human equivalent to animal testing)
- descriptive (correlations)
- observational (case control: retrospective, cohort: prospective)
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absolute risk vs relative risk
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absolute risk: actual numeric chance

relative risk: gives ratio
- 1 is the baseline (2 = 100% increase in risk)
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40% of people that die from cancer die from _______
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malnutrition
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incidence vs prevalence
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incidence: rate at which new cases occur in a population over a specified period of time

prevalence: total number of old and new cases (per 100,000)
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clinical trial phases
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- phase I: test for safe dose
- phase II: preliminary testing for effectiveness
- phase III: randomized double blind trial
- FDA review --> approved treatment
- phase IV: further evaluation of side effects and other uses
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clinical trials
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- 50% of trials are for children ages 0-14 years
- idea, test tube trial, animal trial, human trial
- interventional trials: experimental to test for safety
- observational trials: experiments to address current issues
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leading cause of death in the world...
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cardiovascular diseases
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what is the major increase seen in cancer incidence rates seen today?
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increase in life expectancy, due to vaccines and better healthcare
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what is the greatest threat to life expectancy
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obesity related diseases
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which type of clinical trial would be most effective in determining if someone has cancer before symptoms appear?
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screening trial
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the ames test
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- test determines what substances create mutagens
- bacteria & growth medium and incubate of substance & liver homogenate from rats
- liver homogenate because it converts pre-mutagens into mutagens
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in which of the following cells would you expect the greatest expression of telomerase?
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developing embryo and metastatic cancer cells
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antibodies stimulate cancer cells to produce immunotoxins-- true or false?
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false
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what chemicals stimulate angiogenesis in the presence of cancer cells?
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VEGF and EGF
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what do proto-oncogenes do?
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- regulate cell division
- accelerate cell growth and division
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to metastasize, a cancer cell must...
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- migrate
- extravasate
- intravasate
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after what stage in the cell cycle are there check points to help prevent the accumulation of mutation that can lead to cancer?
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G1, G2, M
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