Podcast
Questions and Answers
What is the role of telomerase in cancer cells?
What is the role of telomerase in cancer cells?
- It leads to genomic instability.
- It prevents telomere shortening. (correct)
- It reactivates growth arrest mechanisms.
- It promotes cellular senescence.
Which protein is typically downregulated in metastatic cancers?
Which protein is typically downregulated in metastatic cancers?
- VEGF
- N-cadherin
- E-cadherin (correct)
- MYC
What is the main challenge in targeting telomerase for cancer therapy?
What is the main challenge in targeting telomerase for cancer therapy?
- High expression in normal cells.
- Availability of telomerase inhibitors.
- Immediate effects post-inhibition.
- Slow manifestation of effects. (correct)
Which genes are critical in the process of angiogenesis?
Which genes are critical in the process of angiogenesis?
How do cancer cells evade immune surveillance?
How do cancer cells evade immune surveillance?
What characteristic allows cancer cells to achieve replicative immortality?
What characteristic allows cancer cells to achieve replicative immortality?
Which hallmark of cancer involves reprogramming cellular metabolism?
Which hallmark of cancer involves reprogramming cellular metabolism?
What aspect of cancer progression does promoting inflammation contribute to?
What aspect of cancer progression does promoting inflammation contribute to?
What is the primary function of tumor suppressor genes (TSGs) in normal cells?
What is the primary function of tumor suppressor genes (TSGs) in normal cells?
Which example illustrates the concept of sustained proliferative signaling?
Which example illustrates the concept of sustained proliferative signaling?
What is a key characteristic of cancer cells in relation to apoptosis?
What is a key characteristic of cancer cells in relation to apoptosis?
How do cancer cells typically evade anti-proliferative signaling?
How do cancer cells typically evade anti-proliferative signaling?
Which of the following is an example of a regulator of apoptosis that is often involved in cancer?
Which of the following is an example of a regulator of apoptosis that is often involved in cancer?
What needs to occur for patients to benefit from Herceptin treatment?
What needs to occur for patients to benefit from Herceptin treatment?
Which cancer is directly associated with the inactivation of the RB gene?
Which cancer is directly associated with the inactivation of the RB gene?
What is angiogenesis in the context of cancer hallmarks?
What is angiogenesis in the context of cancer hallmarks?
Which gene is commonly associated with a high percentage of pancreatic cancers?
Which gene is commonly associated with a high percentage of pancreatic cancers?
What is the ability of cancer cells to spread to other tissues called?
What is the ability of cancer cells to spread to other tissues called?
What characterizes cells that have acquired the ability to invade and metastasize?
What characterizes cells that have acquired the ability to invade and metastasize?
Which cadherin is typically upregulated in high grade carcinomas?
Which cadherin is typically upregulated in high grade carcinomas?
In the context of cancer, what is a key process that allows malignant cells to escape from the bloodstream into distant tissues?
In the context of cancer, what is a key process that allows malignant cells to escape from the bloodstream into distant tissues?
What hallmark of cancer involves the continuous growth and proliferation of malignant cells?
What hallmark of cancer involves the continuous growth and proliferation of malignant cells?
Which of the following is a potential therapeutic target for cancer that avoids immune destruction?
Which of the following is a potential therapeutic target for cancer that avoids immune destruction?
What percentage of breast cancers is associated with activating mutations in RAS?
What percentage of breast cancers is associated with activating mutations in RAS?
What HER2 classification indicates that a patient should be prescribed Herceptin?
What HER2 classification indicates that a patient should be prescribed Herceptin?
Which patients are not eligible for Herceptin treatment?
Which patients are not eligible for Herceptin treatment?
What is the purpose of cytogenomic analysis in borderline cases?
What is the purpose of cytogenomic analysis in borderline cases?
What ratio of red to green signals indicates a patient should be considered for Herceptin treatment?
What ratio of red to green signals indicates a patient should be considered for Herceptin treatment?
Which of the following best explains the function of Herceptin?
Which of the following best explains the function of Herceptin?
Which of the following is a characteristic of normal cells regarding HER2 and chromosome 17 signals?
Which of the following is a characteristic of normal cells regarding HER2 and chromosome 17 signals?
What is commonly altered or suppressed in cancer that leads to loss of function of tumor suppressor genes?
What is commonly altered or suppressed in cancer that leads to loss of function of tumor suppressor genes?
What evidence suggests that a borderline patient is negative for HER2 amplification?
What evidence suggests that a borderline patient is negative for HER2 amplification?
What is the primary function of the RB protein in normal cells?
What is the primary function of the RB protein in normal cells?
Which of the following proteins is known to have anti-apoptotic activity?
Which of the following proteins is known to have anti-apoptotic activity?
Loss of TP53 is associated with which outcome in cancer?
Loss of TP53 is associated with which outcome in cancer?
What role does TP53 play in cancer biology?
What role does TP53 play in cancer biology?
What process is primarily avoided by the loss of RB in cancer cells?
What process is primarily avoided by the loss of RB in cancer cells?
Which gene mutation is found in approximately 50% of all cancers?
Which gene mutation is found in approximately 50% of all cancers?
What happens as a result of the fusion of the BCL2 gene to IGH?
What happens as a result of the fusion of the BCL2 gene to IGH?
How do intrinsic and extrinsic pathways differ in apoptosis regulation?
How do intrinsic and extrinsic pathways differ in apoptosis regulation?
What is the main consequence of clonal expansion in a tumor?
What is the main consequence of clonal expansion in a tumor?
Which statement accurately describes the role of BRCA1 and BRCA2 genes in cancer?
Which statement accurately describes the role of BRCA1 and BRCA2 genes in cancer?
What happens when a tumor exhibits genomic instability?
What happens when a tumor exhibits genomic instability?
What characterizes the tumor cell population in highly heterogeneous tumors?
What characterizes the tumor cell population in highly heterogeneous tumors?
Which aspect increases mutation rates in many cancer cell lines?
Which aspect increases mutation rates in many cancer cell lines?
How does the inheritance of inactivated BRCA1 or BRCA2 genes affect cancer risk?
How does the inheritance of inactivated BRCA1 or BRCA2 genes affect cancer risk?
What is a consequence of disadvantageous mutations among tumor cells?
What is a consequence of disadvantageous mutations among tumor cells?
Which repair pathway is particularly crucial for addressing DNA double-strand breaks during DNA replication in cancer?
Which repair pathway is particularly crucial for addressing DNA double-strand breaks during DNA replication in cancer?
Flashcards
TP53 mutation
TP53 mutation
Mutation of TP53, a gene, is found in about 50% of cancers.
Replicative immortality
Replicative immortality
Cancer cells bypass normal growth limits to keep dividing indefinitely.
Telomerase activation
Telomerase activation
Reactivation of telomerase in cancer cells prevents telomere shortening.
Telomere shortening
Telomere shortening
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Invasion and metastasis
Invasion and metastasis
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E-cadherin and N-cadherin
E-cadherin and N-cadherin
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Angiogenesis
Angiogenesis
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Deregulating cellular energetics
Deregulating cellular energetics
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Hallmarks of Cancer
Hallmarks of Cancer
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Sustained Proliferative Signaling
Sustained Proliferative Signaling
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HER2 Amplification
HER2 Amplification
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Evasion of Anti-Proliferative Signaling
Evasion of Anti-Proliferative Signaling
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Resisting Cell Death
Resisting Cell Death
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Bcl2 Protein
Bcl2 Protein
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Tumor Suppressor Genes (TSGs)
Tumor Suppressor Genes (TSGs)
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Retinoblastoma
Retinoblastoma
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RB gene function
RB gene function
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Loss of RB in cancer
Loss of RB in cancer
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Apoptosis evasion
Apoptosis evasion
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Intrinsic vs. extrinsic apoptosis pathways
Intrinsic vs. extrinsic apoptosis pathways
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Regulators of apoptosis
Regulators of apoptosis
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Bcl2 family proteins
Bcl2 family proteins
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TP53 gene function
TP53 gene function
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BCL2 translocation
BCL2 translocation
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RAS mutations
RAS mutations
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Invasion
Invasion
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Metastasis
Metastasis
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E-Cadherin
E-Cadherin
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N-Cadherin
N-Cadherin
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Cellular Energetics
Cellular Energetics
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Immune Evasion
Immune Evasion
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Genome Stability Loss
Genome Stability Loss
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HER2 gene
HER2 gene
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Herceptin
Herceptin
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Amplification classification
Amplification classification
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Cytogenomic analysis
Cytogenomic analysis
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FISH results
FISH results
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Red to green ratio
Red to green ratio
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Tumor suppressor genes
Tumor suppressor genes
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Dimerization prevention
Dimerization prevention
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Clonal expansion
Clonal expansion
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Clonal evolution
Clonal evolution
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Genomic instability
Genomic instability
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BRCA1 and BRCA2
BRCA1 and BRCA2
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Homologous Recombination (HR)
Homologous Recombination (HR)
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DNA Damage Repair Pathways
DNA Damage Repair Pathways
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Genotoxic agents
Genotoxic agents
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High-grade metastatic disease
High-grade metastatic disease
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Study Notes
Hallmarks of Cancer
- Cancer is driven by key features, identified in 2000
- Sustained Proliferative Signaling:
- Normal cells have tightly controlled division by mitogens and receptors
- Cancer cells produce their own growth signals, are more sensitive to normal signals, or mutate receptors to be independent of external growth factors
- Example: HER2 amplification in breast cancer (Herceptin treatment targets this)
- Evasion of Anti-Proliferative Signaling:
- Tumor suppressor genes (TSGs) normally regulate cell cycle
- Cancer cells mutate or silence TSGs, for example TP53 (chromosome 17) and RB (chromosome 13)
- Example of TSG mutation: Retinoblastoma (RB inactivation)
- Resisting Cell Death (Evasion of Apoptosis):
- Apoptosis removes damaged/unneeded cells
- Cancer cells resist apoptosis by altering apoptotic pathways
- Example: BCL2 overexpression in B-cell lymphoma inhibits apoptosis
- Enabling Replicative Immortality:
- Cancer cells bypass cellular senescence (growth arrest due to short telomeres)
- Telomerase reactivation in cancer cells prevents telomere shortening, extending their lifespan
- Activation of Invasion and Metastasis:
- Cancer cells invade surrounding tissues/spread
- Involves changes in cell adhesion and motility
- Angiogenesis:
- Tumors require blood vessels for nutrient/oxygen supply
- Cancer cells induce angiogenesis (new blood vessel formation)
- Example: RAS mutations in many cancers (interact with Her2)
Emerging Hallmarks of Cancer
- Capabilities identified as playing significant roles in cancer
- Deregulating Cellular Energetics: Cancer cells reprogram metabolism to support rapid growth
- Avoiding Immune Destruction: Cancer cells evade immune surveillance (a key area of active research)
- Promoting Inflammation & Loss of Genome Stability: Contributes to cancer progression
Clonality
- Cancer involves the accumulation of genetic mutations that provide a competitive advantage
- These lead to clonal expansion (most competitive cells dominate)
- Clonal evolution is a hallmark of aggressive cancers
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