Cancer Biology and Pathophysiology Quiz
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Questions and Answers

What can mutated proto-oncogenes produce?

  • Only normal proteins
  • Too little protein
  • Proteins that cannot be synthesized
  • Too much of the protein (correct)

The loss of the p53 gene function increases the risk of tumor metastasis.

True (A)

What is the role of the immune system in relation to cancer?

To resist development and progression of cancer

The _____ gene is often referred to as the guardian of the genome.

<p>p53</p> Signup and view all the answers

Which of the following manifestations is NOT associated with cancer?

<p>Increased organ function (A)</p> Signup and view all the answers

Benign tumors can cause decreased production of normal organ secretions.

<p>False (B)</p> Signup and view all the answers

Match the following terms with their descriptions:

<p>Oncogenes = Promote autonomous cell growth in cancer cells Tumor-suppressor genes = Inhibit cell proliferation Immune system = Resists cancer development Hormonal factors = Involved in cancers of the reproductive system</p> Signup and view all the answers

Which of the following is NOT a function that can be lost with mutated oncogenes?

<p>Inhibition of cell growth (D)</p> Signup and view all the answers

What is the primary pathophysiological cause of cancer anorexia-cachexia syndrome?

<p>Weakness</p> Signup and view all the answers

Ectopic hormones secreted by tumor cells can lead to __________ disorders.

<p>paraneoplastic</p> Signup and view all the answers

Heredity is a factor in only a few types of cancer.

<p>False (B)</p> Signup and view all the answers

Match the following paraneoplastic syndromes with their associated symptoms:

<p>ADH production = Inappropriate ADH syndrome (SIADH) ACTH production = Cushing syndrome PTH-related protein = Hypercalcemia Neurologic disorders = Peripheral nerve effects</p> Signup and view all the answers

What role do hormones play in cancer of the reproductive system?

<p>They may promote reproduction of malignant cells</p> Signup and view all the answers

When tumor-suppressor genes are not activated, it leads to unregulated _____ growth.

<p>cell</p> Signup and view all the answers

What is a potential consequence of impaired immune function in relation to cancer?

<p>Increased risk of development and progression of cancer (D)</p> Signup and view all the answers

What role do growth factors play in cell division?

<p>They signal cells to enter the cell cycle and divide. (D)</p> Signup and view all the answers

Tumor suppressor proteins help prevent the division of mutated cells.

<p>True (A)</p> Signup and view all the answers

What is apoptosis?

<p>Apoptosis is the process of programmed cell death.</p> Signup and view all the answers

During the cell cycle, if DNA damage is irreparable, the cell undergoes ______.

<p>apoptosis</p> Signup and view all the answers

Match the following cell types with their descriptions:

<p>Permanent cells = Cells that do not divide once mature Stable cells = Cells that can divide when stimulated Labile cells = Cells that continuously divide and regenerate Cancer cells = Cells that divide uncontrollably</p> Signup and view all the answers

What typically happens to the number of cells in the body?

<p>The number of cells produced equals the number of cells that die. (C)</p> Signup and view all the answers

The telomere is fully duplicated at the end of cell division.

<p>False (B)</p> Signup and view all the answers

What are tumor antigens?

<p>Proteins recognized by immune T-cells or antibodies on tumor cells (A)</p> Signup and view all the answers

Chemical carcinogens can only have a direct effect on metabolism.

<p>False (B)</p> Signup and view all the answers

Name two types of radiation linked to cancer development.

<p>Ionizing radiation and Ultraviolet radiation</p> Signup and view all the answers

Examples of _____ can induce cancer by inserting their DNA into host cells.

<p>oncogenic viruses</p> Signup and view all the answers

Match the following environmental factors with their effects:

<p>Ionizing Radiation = Cancer development linked to exposure Ultraviolet Radiation = Cumulative effect from sun exposure Chemical Carcinogen = Causes mutation in DNA Oncogenic Virus = Inserts DNA into host cells</p> Signup and view all the answers

Which of the following describes procarcinogens?

<p>Substances that require metabolic conversion to become carcinogenic (C)</p> Signup and view all the answers

The onset of cancer is determined only by the dose of radiation exposure.

<p>False (B)</p> Signup and view all the answers

What is one method of preventing cancer linked to oncogenic viruses?

<p>Developing vaccines</p> Signup and view all the answers

Exposure to _____ radiation typically has a cumulative effect.

<p>Ultraviolet</p> Signup and view all the answers

Which of the following statements is true about promoters?

<p>Promoters can make non-carcinogenic substances carcinogenic. (C)</p> Signup and view all the answers

Which of the following characteristics are associated with tumor cells? (Select all that apply)

<p>Differentiation (B), Altered proliferation (C), Contact inhibition (D)</p> Signup and view all the answers

Tumor suppressor genes promote cell growth and division.

<p>False (B)</p> Signup and view all the answers

What are the genes called that regulate the repair of damaged DNA?

<p>DNA repair genes</p> Signup and view all the answers

___ genes control programmed cell death in organisms.

<p>Apoptosis</p> Signup and view all the answers

Match the following types of genes with their functions:

<p>Proto-oncogenes = Promote normal cell growth Tumor suppressor genes = Inhibit cell growth Apoptosis genes = Control programmed cell death DNA repair genes = Regulate repair of damaged DNA</p> Signup and view all the answers

Which type of genes can become oncogenes when mutated?

<p>Proto-oncogenes (C)</p> Signup and view all the answers

Oncogenes are underactive genes associated with cancer.

<p>False (B)</p> Signup and view all the answers

Name one type of environmental factor that can contribute to cancer.

<p>Chemical carcinogens</p> Signup and view all the answers

Altered proliferation is a growth property characterized by ___ growth.

<p>uncontrolled</p> Signup and view all the answers

Which of the following is NOT a type of gene involved in cancer development?

<p>Normal genes (D)</p> Signup and view all the answers

Flashcards

Cell proliferation

The process of cell division, where a parent cell divides into two daughter cells with the same genetic material.

Cell differentiation

The process where cells become specialized for a specific function, forming tissues and organs.

Apoptosis

Programmed cell death, a controlled process of cell suicide, eliminating damaged or unwanted cells.

Tumor suppressor protein

A protein that regulates the checkpoints in the cell cycle, preventing abnormal cell growth. Mutations in tumor suppressor genes can lead to uncontrolled cell division.

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Telomere

A sequence of DNA at the end of a chromosome, that shortens with each cell division, acting like a 'clock' for the cell's lifespan. When telomeres become too short, cells stop dividing.

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Growth factor

A factor that stimulates cell division, triggering the cell cycle.

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Checkpoints in the cell cycle

Points within the cell cycle where key events are checked for proper completion. If there are errors, cell division can be halted or the cell may undergo apoptosis.

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Paraneoplastic Syndromes

Cancer cells produce hormones or hormone-like proteins, causing disruptions in bodily functions.

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Changes in Organ Function Due to Cancer

Cancer cells can increase or decrease the production of normal organ secretions, disrupting organ function.

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Compression of Blood Vessels Due to Tumor Growth

A common consequence of tumor growth, where pressure on blood vessels restricts blood flow, causing swelling and other complications.

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Cancer Anorexia-Cachexia Syndrome

Weight loss, muscle wasting, weakness, loss of appetite, and anemia are common symptoms of this syndrome.

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Diagnostic Techniques for Cancer

Various diagnostic techniques like urine/stool tests, cytology, histology, and blood tests are used to identify specific types of cancer.

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What is anaplasia?

Anaplasia is a hallmark of cancer cells, characterized by a loss of normal cell differentiation and the acquisition of a more primitive, undifferentiated state. This means that the cancer cells lose their specialized features and functions, resembling immature or embryonic cells.

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What are proto-oncogenes?

Proto-oncogenes are normal genes involved in regulating cell growth and division. When they mutate, these genes are called oncogenes. Oncogenes can promote uncontrolled cell growth and contribute to the development of cancer.

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What are tumor suppressor genes?

Tumor suppressor genes are normal genes that act as brakes on cell division. They help prevent uncontrolled cell growth by stopping or repairing damaged cells. Loss of function in tumor suppressor genes can contribute to cancer development.

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What is apoptosis?

Apoptosis is a programmed cell death process that eliminates damaged or unwanted cells in a controlled manner. It is essential in maintaining a healthy cell population and preventing cancer development.

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Why is genetic instability in cancer cells a problem?

Genetic instability refers to an increased rate of mutations and chromosomal abnormalities in cancer cells. This instability leads to rapid evolution of the cancer and makes treatment more challenging.

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Why are DNA repair genes important?

DNA repair genes are responsible for repairing damaged DNA. Mutations in these genes can lead to an accumulation of DNA errors, increasing the risk of cancer development.

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How does contact inhibition relate to cancer cells?

Contact inhibition is a normal cell property that prevents cells from dividing when they come into contact with other cells. Cancer cells often lose contact inhibition and continue to divide, forming tumors.

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What does it mean for a cancer cell to be immortal?

Immortalization is a process where cells become capable of unlimited division. Cancer cells achieve immortality by circumventing the normal mechanisms that limit cell lifespan.

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What are growth factors and how do they relate to cancer?

Growth factors are proteins that bind to receptors on the cell surface and stimulate cell division. Cancer cells often produce their own growth factors, leading to uncontrolled growth.

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Oncogenes

Genes that promote cell division and growth. They are normal genes but become mutated versions of themselves when they develop errors in the gene's structure.

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How are oncogenes formed?

Oncogenes are formed from mutated proto-oncogenes and can cause a variety of changes that promote cancer development.

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Tumor Suppressor Genes

These are genes that normally suppress or inhibit cell division and growth. They act as 'brakes' in the cell cycle, preventing uncontrolled growth.

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What is the function of Tumor Suppressor Genes?

These genes often act as 'gatekeepers' that stop the cell cycle at specific checkpoints, preventing the replication of damaged cells. Mutations in these genes can lead to the development of cancer.

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Why is a loss of tumor suppressor gene function dangerous?

When a tumor suppressor gene is mutated, it can lose its ability to control cell division, allowing cancerous cells to grow and spread unchecked. This is why a loss of the p53 gene, known as the 'guardian genome', greatly increases the risk of metastasis.

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Host and environmental factors in cancer

They are factors that can influence the development of cancer. Heredity, hormone levels, and immune system function are examples of host factors. Environmental factors include exposure to carcinogens, radiation, and certain lifestyle choices.

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How does heredity influence cancer development?

Inherited mutations in genes can significantly increase the risk of cancer. Examples include BRCA1 and BRCA2 mutations linked to breast and ovarian cancers, and mutations in the p53 gene increasing the risk of various cancers.

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How do hormonal factors influence cancer development?

Hormones, particularly those linked to the reproductive system, can play a role in cancer development, although the exact mechanisms are not fully understood. Studies suggest that hormones may promote the proliferation of malignant cells.

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What role does the immune system play in cancer development?

A key function of the immune system is to identify and eliminate abnormal cells, including cancerous cells. However, in certain situations, the immune system may be weakened, making individuals more susceptible to cancer development.

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Who is at risk of cancer due to weakened immune function?

Immune-suppressed individuals, those with weakened immune systems due to factors like HIV/AIDS, organ transplantation, or certain medications, are at a higher risk of developing cancers. The weakened immune system struggles to effectively fight off cancerous cells.

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What are tumor antigens?

Proteins found on the surface of tumor cells that are recognized by the immune system.

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What is a chemical carcinogen?

A chemical agent that can cause cancer by directly or indirectly affecting the body's metabolism.

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What are promoters in the context of carcinogens?

Carcinogens that can cause normally harmless substances to become carcinogenic.

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How is radiation linked to cancer?

Exposure to radiation, especially ionizing radiation, has been linked to cancer development.

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What is the link between ultraviolet radiation and cancer?

Exposure to sunlight or other sources of UV radiation can cause cancer.

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What are oncogenic viruses?

Viruses that can induce cancer by inserting their own DNA into host cells.

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What is immune surveillance?

The ability of the immune system to recognize and destroy tumor cells that have developed antigens.

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What is immune evasion?

Any process that reduces or eliminates the ability of the immune system to identify and destroy cancer cells, such as immunosuppressive drugs or HIV.

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What is etiology?

The study of the causes of disease, including cancer, focusing on factors like diet, environment and genetics.

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What is a malignant tumor?

An abnormal growth of cells that can invade surrounding tissues and potentially spread to other parts of the body.

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Study Notes

Neoplasia Overview

  • Neoplasia is the study of new growth, specifically tumors
  • The outline covers cell cycle review, oncogenesis, differentiation, benign vs malignant tumors, metastasis, cancer manifestations, diagnosis, and treatment.
  • Defining terms like proliferation, differentiation, and apoptosis is important for understanding the topic.

Cell Cycle

  • The cell cycle is crucial to understanding neoplasia
  • Cells divide when told to by growth factors
  • Stable cells enter the cell cycle and divide when signaled
  • The number of cells produced equals the number of cells that die. The overall number of cells in the body remains constant.
  • Cells have checkpoints regulating cell division and DNA repair or apoptosis if necessary
  • Tumor suppressor proteins regulate these checkpoints.
  • Telomeres are DNA sequences at the ends of chromosomes. The enzymes that copy the DNA attach to the telomeres. The end of the telomere does not get copied.

Oncogenesis & Cell Mutation

  • Oncogenesis is the development of cancer.
  • Initiation: initial mutation occurs
  • Promotion: mutated cells are stimulated to divide
  • Progression: tumor cells compete and develop more mutations, becoming more aggressive

Differentiation

  • Differentiation is a key concept. "Grown-up" cells are called differentiated because they look different.
  • Differentiated cells are derived from stem cells via progenitor cells
  • This differentiation can be influenced by mutations
  • Malignant tumors are undifferentiated and rapidly dividing. Benign tumors are differentiated and not rapidly dividing.

Tumor Types

  • Benign tumors: tissue name + "-oma" (e.g., osteoma)
  • Malignant tumors (cancers):
    • Epithelial tissue: tissue name + "carcinoma"
    • Mesenchymal tissue: tissue name + "sarcoma"
  • Benign tumors are typically encapsulated local growths. They maintain some semblance of normal tissue function
  • Malignant tumors are typically not encapsulated, rapidly divide, have clear boundaries and send legs out into the tissues (metastasis) They often don't perform normal tissue functions.

Metastasis

  • Metastasis is the spread of cancer cells from the primary tumor to other parts of the body.
  • Cancer cells that metastasize have the ability to escape the original tumor and invade other areas of the body.
  • This spread can cause complications.

Manifestations of Cancer

  • Manifestations of cancer can result from organ failure, localized tumor effects (compression, bleeding), hormone production (paraneoplastic), and tissue breakdown (e.g. cachexia).
  • Specific manifestations depend on the location of metastasis
  • Paraneoplastic syndromes are associated with cancer (typically malignant) that produce hormones or hormone-like substances.
  • Examples include SIADH, Cushing syndrome, hypercalcemia

Diagnostics

  • Diagnosis involves collecting specimens (e.g., urine/stool, tissue biopsies) and using various methods (e.g., cytology, histology, blood tests, radiology such as x-rays CT & MRI).
  • Tumor markers are proteins or antigens found on the surface of cancer cells.
  • Some are typically produced throughout life and can be indicative of neoplasm.
  • Biopsy is a method to further characterize a tumor

Staging and Grading of Tumors

  • Grading: based on microscopic analysis of histological characteristics of the tumor, including cell differentiation and mitosis count (as I, II, III, IV)
  • Staging: determining the extent and spread of cancer within the body (using TMN and AJC classification systems.)

Treatments

  • Treatments for cancer include surgery, radiation therapy, chemotherapy, and others.
  • Surgery aims to remove the tumor, used for diagnosis as well as treatment.
  • Radiation therapy uses high-energy radiation to damage cancer cells.
  • Chemotherapy uses drugs to kill cancer cells, and this type of treatment is effective at certain phases of cell growth.
  • Other treatments like hormonal therapy, stem cell transplants, and gene therapy are also used in the treatment of cancers.

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Description

Test your knowledge on cancer biology, including the roles of proto-oncogenes, tumor-suppressor genes, and the immune system in cancer development. This quiz covers various manifestations, syndromes, and the impact of hormonal factors in the context of cancer. Perfect for students and professionals looking to reinforce their understanding of cancer-related concepts.

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