Introduction to Cancer Biology
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Questions and Answers

What is the main distinction between invasiveness and metastasis in cancer?

  • Invasiveness involves tumor growth past normal tissue boundaries. (correct)
  • Invasiveness refers to cancer cells spreading to distant sites.
  • Metastasis is the growth of cancer cells within their original site.
  • Metastasis is characterized by localized excessive cell growth.
  • Which type of cancer is typically classified as benign due to its naming convention?

  • Lymphomas
  • Sarcoplasmas
  • Carcinomas
  • Omas (correct)
  • What characterizes dysplasia in tissue architecture?

  • Abnormal cytological changes and disorganization. (correct)
  • Excessive normal cell growth without changes.
  • Replacement of one type of cell layer with another normal type.
  • Complete normalcy of cell structure and function.
  • Stage 3 cancer is associated with what level of survival prognosis?

    <p>15-25% (A)</p> Signup and view all the answers

    Among the following, which cancer type does NOT typically metastasize?

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

    What does neoplasia refer to in the context of cancer?

    <p>Abnormal and disorganized cell growth forming distinct masses. (D)</p> Signup and view all the answers

    What is the primary cause of death due to cancer?

    <p>Impaired immune response and resultant infections. (C)</p> Signup and view all the answers

    Which statement accurately defines hyperplasia?

    <p>Increased cell numbers while maintaining normal morphology. (D)</p> Signup and view all the answers

    What is a defining feature of oncogenes that differentiates them from tumor suppressors?

    <p>They are typically mutated to be 'always on' contributing to tumorigenesis. (A)</p> Signup and view all the answers

    Which pathway is primarily modulated by Ras and is involved in cancer signaling?

    <p>Raf-MAPK pathway (D)</p> Signup and view all the answers

    How does Myc contribute to the progression of cancer?

    <p>By promoting cell cycle progression and blocking differentiation. (A)</p> Signup and view all the answers

    Which of the following factors is NOT considered a potential cause of cancer?

    <p>Metabolic activation systems (A)</p> Signup and view all the answers

    The Ames Test is known for its ability to detect what type of mutations?

    <p>Point mutations in prokaryotic cells (D)</p> Signup and view all the answers

    What is a major limitation of the Ames Test?

    <p>It may yield false positives for certain mutagens. (B)</p> Signup and view all the answers

    The concept of monoclonal tumors indicates that these tumors arise from:

    <p>A single mutated precursor cell (A)</p> Signup and view all the answers

    Which cancer type has been associated with the mutation of the N-Ras oncogene?

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

    What is the primary mechanism through which oncogenic Myc is activated in cancer?

    <p>Gene amplification or chromosomal translocation (D)</p> Signup and view all the answers

    What does the Two-Hit Hypothesis propose regarding tumor suppression?

    <p>Both copies of a tumor suppressor gene must be inactivated for tumorigenesis. (C)</p> Signup and view all the answers

    What is the role of BH3-only proteins in the apoptotic process?

    <p>They promote apoptosis by binding to pro-survival Bcl-2 proteins. (C)</p> Signup and view all the answers

    How does Akt influence cellular processes in relation to apoptosis?

    <p>It stimulates glucose metabolism and inhibits apoptosis. (A)</p> Signup and view all the answers

    What is a primary consequence of overexpression of pro-survival Bcl proteins?

    <p>Blockade of apoptosis and cell survival promotion. (D)</p> Signup and view all the answers

    Which model describes how p53 differentiates between activating cell cycle arrest and apoptosis?

    <p>p53 interacts more effectively with arrest genes than apoptotic genes. (A)</p> Signup and view all the answers

    What role does Smac/Diablo play in the apoptotic signaling pathway?

    <p>It augments the cytochrome c signal by inhibiting IAP function. (B)</p> Signup and view all the answers

    What is the main consequence of Rb loss-of-function mutations in relation to tumor suppressor activity?

    <p>Accelerated cell cycle progression (B)</p> Signup and view all the answers

    How does the Two-Hit Hypothesis explain the development of hereditary retinoblastoma?

    <p>Both hits must occur in the same retinal cell (B)</p> Signup and view all the answers

    What role does p53 play in cellular response to DNA damage?

    <p>Triggers apoptosis and cell cycle arrest (B)</p> Signup and view all the answers

    What can result from a missense mutation in the p53 gene?

    <p>Formation of a dominant negative protein that can disrupt function (B)</p> Signup and view all the answers

    What is a primary function of the retinoblastoma protein (Rb) in the cell cycle?

    <p>Preventing the transition from G1 to S phase (B)</p> Signup and view all the answers

    What mechanism primarily regulates p53 activity in response to stress conditions?

    <p>Inhibition of MDM2-mediated degradation (C)</p> Signup and view all the answers

    What is the consequence of the inactivation of the Rb protein in cells?

    <p>Immortalization of cells (D)</p> Signup and view all the answers

    Which of the following is NOT a target gene regulated by p53?

    <p>Thymidylate synthase (C)</p> Signup and view all the answers

    How does cyclin-CDK activity affect Rb?

    <p>It phosphorylates Rb, leading to E2F release (C)</p> Signup and view all the answers

    What cellular event occurs when p53 accumulates in response to DNA damage?

    <p>Activation of DNA repair pathways (C)</p> Signup and view all the answers

    Which kinase is NOT involved in the phosphorylation of p53 that impairs its binding to MDM2?

    <p>PI3K (A)</p> Signup and view all the answers

    What role does p19ARF play in relation to p53 and MDM2?

    <p>It inhibits MDM2. (C)</p> Signup and view all the answers

    Which is a characteristic feature that distinguishes embryonic stem cells from adult stem cells?

    <p>Embryonic stem cells are totipotent. (A)</p> Signup and view all the answers

    Which of the following statements about death receptors is true?

    <p>Death receptors can induce apoptosis in specific target cells. (A)</p> Signup and view all the answers

    What differentiates cancer stem cells from normal stem cells?

    <p>Cancer stem cells may resist traditional treatments more effectively. (D)</p> Signup and view all the answers

    Which of the following best describes the function of FLIP in death receptor signaling?

    <p>Inhibits caspase activation by interfering with FADD. (A)</p> Signup and view all the answers

    Which of the following factors is involved in maintaining the 'stemness' of stem cells?

    <p>Environmental signals from stromal cells. (B)</p> Signup and view all the answers

    What may lead to the transformation of normal stem cells into cancer stem cells?

    <p>Accumulation of mutations. (B)</p> Signup and view all the answers

    Which pathway is characterized by the ligand FasL binding to its receptor to induce apoptosis?

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

    Flashcards

    Cancer

    A group of diseases affecting multicellular species, characterized by unregulated tissue growth forming tumors.

    Metastasis

    Spread of cancer cells to and growth in foreign sites, a key feature in many cancers.

    Invasiveness

    Cancer cells growing beyond normal tissue boundaries in their original location.

    Hyperplasia

    Excessive cell growth where cells look normal and form normal tissue.

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    Metaplasia

    Replacement of one cell type with another not normally present.

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    Dysplasia

    Cytologically abnormal cells, showing changes in size, shape, greater division, and lack of normal cell characteristics.

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    Neoplasia

    Abnormal, disorganized tissue growth forming masses, can be benign or malignant.

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    Staging of cancer

    Classifying cancer based on its size and extent in the body to estimate prognosis (survival probability).

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    Cancer development

    Cancer development requires multiple genetic mutations, not just inherited ones.

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    Monoclonal cancer

    Cancer arising from a single ancestral cell.

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    Leiomyomas

    Benign tumors of uterine wall showing X-chromosome inactivation pattern.

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    Myelomas

    Cancers involving B cell precursors.

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    Ames Test

    A test measuring back mutations in Salmonella to detect mutagens.

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    Oncogene

    A gene that, when mutated, promotes cancer development.

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    Tumor Suppressor

    A gene that, when mutated, loses its ability to prevent cancer.

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    Ras protein

    A small G-protein involved in cell signaling; mutations lock it in active state.

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    Myc protein

    Transcription factor that regulates cell growth; over-expression is a common cancer driver.

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    MAP kinase pathway

    A crucial intracellular signaling cascade often disrupted in cancer, many proteins involved.

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    Intrinsic (mitochondrial) pathway

    Apoptosis pathway initiated within the mitochondria, involving release of cytochrome c and other proteins.

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    Bcl-2 family

    A group of proteins that regulate apoptosis. Pro-survival Bcl-2 proteins prevent cell death, while BH3-only proteins promote apoptosis.

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    Warburg effect

    The observation that cancer cells have higher rates of glycolysis and lactate production than normal cells, despite the presence of oxygen.

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    Akt

    A protein kinase that promotes cell growth, glucose metabolism, and inhibits apoptosis.

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    Apoptosome

    A complex formed by Apaf-1, cytochrome c, and pro-caspase-9, leading to caspase activation and apoptosis.

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    p53 and MDM2 interaction

    p53 is a tumor suppressor protein that is regulated by MDM2, an oncoprotein. MDM2 binds to p53 and promotes its degradation, decreasing p53 levels in the cell. This interaction is disrupted by phosphorylation of p53 on its N-terminal residues (S15, S20) by kinases like ATM, ATR, Chk1, and Chk2, which are activated by DNA damage.

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    p19ARF's role

    p19ARF is a tumor suppressor protein that inhibits MDM2, leading to increased levels of p53. It acts as a 'protector' of p53, preventing MDM2 from degrading it.

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    Myc and Ras's role

    Myc and Ras are oncogenes that promote cell proliferation. When overexpressed, Myc and Ras can lead to increased levels of p19ARF, which in turn upregulates p53. However, oncogenic forms of Myc and Ras create strong pressure for loss of p53 function.

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    What defines a stem cell?

    Stem cells have two defining characteristics: 1) They can divide indefinitely, potentially throughout the life of the organism. 2) They are capable of self-renewal, meaning each daughter cell can either remain a stem cell or become a progenitor cell that can further differentiate.

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    Stem cell progeny

    When a stem cell divides, the daughter cells can either retain their stem cell identity or become committed progenitor cells. Progenitor cells are restricted in their proliferation and differentiation potential compared to stem cells.

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    Pluripotent vs. Multipotent

    Pluripotency refers to the ability of a stem cell to differentiate into many different cell types. Multipotency describes the ability of a stem cell to differentiate into a limited number of cell types. Embryonic stem cells are pluripotent, while adult stem cells are usually multipotent.

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    Mutations in c-kit

    Mutations affecting the c-kit receptor tyrosine kinase or its ligand, SCF (stem cell factor), can disrupt stem cell function. These mutations lead to defects in various cell lineages, including melanocytes, hematopoietic cells, and neural structures, highlighting the importance of c-kit signaling for stem cell maintenance.

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    How do stem cells divide?

    Stem cells exhibit two mechanisms of division: 1) Environmental asymmetry: stem cell fate is influenced by signals from surrounding cells. 2) Divisional asymmetry: asymmetric distribution of molecules (like Numb) during cell division determines the fate of each daughter cell.

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    Hematopoietic stem cell model

    Hematopoietic stem cells (HSCs) found in bone marrow provide an excellent model to study stem cell biology. HSCs can form all blood cell types, and their differentiation can be studied using techniques like FACS sorting and adoptive transfer.

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    Origin of cancer stem cells

    Cancer stem cells (CSCs) are thought to arise from either: 1) Alterations in normal stem cells due to mutations, acquiring a partially transformed character. 2) 'Dedifferentiation' of committed progenitor cells, where they gain self-renewal capacity and contribute to the formation of tumors.

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    Two-Hit Hypothesis

    A model explaining how mutations in tumor suppressor genes, like Rb, lead to cancer. It proposes that two hits (mutations) are needed to inactivate both copies of a tumor suppressor gene, allowing uncontrolled cell growth.

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    Loss of Heterozygosity (LOH)

    The loss of one copy of a gene, often due to mutations or deletions, leaving only one functional copy. This is a key event in the two-hit hypothesis, especially for tumor suppressor genes.

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    Rb: What makes it a tumor suppressor?

    Rb is a key cell cycle regulator that binds to E2F transcription factors, preventing their activation of genes needed for cell growth. This acts as a break on cell proliferation. Loss of Rb's function removes this break, leading to uncontrolled cell division.

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    E2F: What are they?

    E2Fs are transcription factors that control the expression of genes required for cell cycle progression. They are bound and inactivated by Rb but activated upon Rb phosphorylation, driving cell cycle entry and growth.

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    How does Cyclin/Cdk complex affect Rb?

    Cyclin/Cdk complexes phosphorylate Rb, causing a conformational change that releases E2Fs. This allows E2Fs to activate genes necessary for cell cycle progression, ultimately driving cell growth.

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    What happens when Rb is inactivated?

    When Rb is inactivated, E2Fs are constitutively active, leading to uncontrolled cell cycle progression and increased cell proliferation. This can contribute to the development of cancer.

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    p53: What is its function?

    p53, a tumor suppressor, acts as a 'watchdog', monitoring cellular stress. It can trigger cell cycle arrest or apoptosis in response to DNA damage or other cellular imbalances, preventing uncontrolled proliferation.

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    How does p53 work?

    p53 functions as a tetramer, and mutations in one allele can drastically disrupt its activity. It regulates the expression of various target genes involved in cell cycle control, apoptosis, and DNA repair.

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    What are the effects of p53 inactivation?

    Inactivation of p53 allows cells to bypass checkpoints and continue dividing despite damage. This can contribute to cancer formation by allowing damaged cells to proliferate unchecked.

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    How is p53 regulated?

    p53's activity is tightly regulated to prevent its unchecked activation, which can be lethal. Regulation involves protein stability, nuclear localization, and post-translational modifications that modulate its transcriptional activity.

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    Study Notes

    Introduction to Cancer

    • Cancer is a group of diseases affecting multicellular species.
    • Cancer causes death through organ destruction, infections (due to immune system impairment), cachexia, and hemorrhage.
    • Cancer cells grow through tissue, forming tumors.

    Invasiveness vs. Metastasis

    • Invasiveness: Cancer cells grow beyond normal tissue boundaries, often within connective tissue capsules.
    • Metastasis: Cancer cells spread and grow in new locations. A hallmark of malignancy, although some cancers are highly invasive but don't metastasize (e.g., gliomas, basal cell carcinomas).

    Cancer Types and Terminology

    • Hyperplasia: Excessive cell growth; cells are typically normal.
    • Metaplasia: Replacement of one cell type with another.
    • Dysplasia: Abnormal cells characterized by altered size/shape (nucleus), increased mitosis, and cytoplasmic changes; a transitional state between benign and premalignant.
    • Neoplasia: Abnormal/disorganized growth forming a mass (both malignant and nonmalignant).
    • Anaplasia: Dedifferentiated tumor cells; tissue origin is indistinguishable.
    • "-oma" suffix usually associated with benign tumors.

    Cancer Staging and Prognosis

    • Cancer staging reflects prognosis.
      • Stage 1: High survival (75-90%)
      • Stage 2: Moderate survival (45-55%)
      • Stage 3: Low survival (15-25%)
      • Stage 4: Very low survival (<5%)

    Major Cancer Classifications

    • Carcinoma: Most common; epithelial origin.
    • Sarcoma: Connective/mesenchymal tissue origin.
    • Leukemias/Lymphomas: Blood (hematopoietic) cell origin.
    • Neuroectodermal: Glioblastomas, neuroblastomas, Schwannomas.

    Cancer as a Genetic Disease and Aging

    • Cancer development requires multiple genetic changes.
    • Inherited mutations influence risk, but additional factors are necessary for cancer development.
    • Cancer incidence is strongly correlated with age (e.g., colon cancer).

    Cancer as a Monoclonal Disease

    • Cancer arises from a single mutated cell.
    • Examples: Leiomyomas (uterine wall) and myelomas (B cell precursors).

    Cancer Epidemiology/Causative Factors

    • Viral infections
    • Carcinogens (physical and chemical)
    • Lifestyle factors influence cancer prevalence globally.

    Ames Test

    • The Ames test measures the frequency of back mutations in Salmonella strains requiring histidine.
    • Strengths include simplicity, sensitivity to mutagens, and use of metabolic activation.
    • Limitations include prokaryotic system, inherent false positives/negatives, and limited scope, missing non-mutagenic carcinogens.

    Hallmarks of Cancer

    • Cancer cells exhibit characteristic features, like uncontrolled growth, resistance to cell death, and ability to metastasize.
    • Tumor biology is influenced by surrounding stromal tissues. Understanding stromal influences is important for treatment.

    Oncogenes (Lecture 2)

    • Oncogenes cause uncontrolled growth through gain-of-function mutations.
    • Tumor suppressor genes are inactivated by loss-of-function mutations.

    Proto-oncogene Transformation Mechanisms

    • Quantitative: Gene amplification (e.g., MYC, HER2).
    • Qualitative: Point mutations (e.g., RAS).

    RAS Protein

    • RAS is a small GTP-binding protein involved in many signaling pathways, like the MAP kinase pathway.
    • Mutations in RAS, lock it in an "on" state, leading to cancer.
      • It is found in several cancer types, including pancreatic, lung, and colon cancers.

    MYC Protein

    • MYC is a transcription factor regulating cell growth and proliferation.
    • Aberrant expression (amplification or translocation) can drive oncogenesis.
    • Myc is implicated in a multitude of cancers.

    MAP Kinase Pathway Components and Cancer

    • Mutated components of the MAP kinase pathway can contribute to cancer, including ERBB2/HER2, RAF, and NF-1.

    Targeted Therapies for Oncogenes

    • Therapy targeting the activity of RAS and MYC is a primary focus. Often involves small molecule inhibitors to limit activity.

    Tumor Suppressors (Lecture 3)

    • LOH (Loss of Heterozygosity): Loss of one copy of a tumor suppressor gene.
    • Two-Hit Hypothesis: Usually requires the inactivation of both alleles of a tumor suppressor gene to develop a tumor. This highlights the importance of both genes.

    RB Protein and its Function

    • RB plays a crucial role in regulating the cell cycle by controlling the restriction point, and is often inactivated in cancer.
    • RB normally prevents cells from passing to the next phase and becoming cancerous, blocking E2F gene transcription.

    P53 Protein and its Function

    • P53 is a key tumor suppressor, acting as a "guardian angel" by inducing cell cycle arrest or apoptosis in response to stress, like DNA damage.
    • It's frequently inactivated or mutated in cancer, allowing unchecked cell growth.

    P53 Activation and Regulation

    • P53 levels are normally kept low through quick degradation.
    • Stress leads to accumulation of p53 for proper cellular response.
    • MDM2 is an oncoprotein that interacts with and regulates p53 levels.

    Cancer Stem Cells (Lecture 4)

    • Stem cells are characterized by self-renewal and the ability to differentiate into various cell types.
    • Cancer stem cells are a subset of abnormal cells within a tumor that can proliferate and maintain the cancer.

    Distinguishing Cancer Stem Cells

    • Cancer stem cells often possess distinct surface markers (e.g., CD44, CD24) compared to typical cancer cells using FACS to distinguish.
    • Cancer stem cells are more resistant to traditional cancer therapies and often drive tumor recurrence.

    Apoptosis and Cancer (Lecture 5)

    • Apoptosis: Programmed cell death.
    • Necrosis: Uncontrolled cell death.

    Pathways of Apoptosis

    • Intrinsic (Mitochondrial) Pathway: Activated by cellular stress, involving Bcl-2 family proteins (Bax, Bak, Bcl-2) that regulate mitochondrial membrane integrity.
    • Extrinsic (Death Receptor) Pathway: Activated by external signals (ligands binding specific receptors). The receptor pathway relays information to activate the caspase proteins involved in apoptosis.

    Warburg Effect

    • Cancer cells have increased glucose uptake and metabolic activity, driving glycolysis instead of oxidative phosphorylation in situations of abundant glucose.

    p53's Role in Apoptosis vs. Arrest

    • p53 can induce apoptosis when stress is severe, or cell cycle arrest in those situations of milder stress. Which pathway p53 activates depends on the level of stress faced by the cell.

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    Description

    This quiz covers the fundamentals of cancer biology, including its definitions, types, and key terms related to cancer progression. Understand the differences between invasiveness and metastasis, as well as various terminologies such as hyperplasia and dysplasia. Test your knowledge on how cancer affects multicellular organisms.

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