Molecular Biology of Cancer BC.504

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Questions and Answers

What is a key characteristic that distinguishes malignant tumors from benign tumors?

  • Benign tumors often require surgical removal.
  • Malignant tumors have the ability to metastasize. (correct)
  • Benign tumors can invade surrounding tissues.
  • Malignant tumors grow more slowly than benign tumors.

Which of the following processes is a typical mechanism involved in the progression of cancer cells from normal cells?

  • Temporal stability of cell DNA
  • Acquisition of genetic mutations (correct)
  • Increased oxygen consumption
  • Increased sensitivity to antigrowth signals

Which type of carcinoma is characterized by a mutation in the APC tumor suppressor gene as an initiation event?

  • Hepatocellular carcinoma
  • Breast carcinoma
  • Non-small cell lung carcinoma
  • Colorectal adenocarcinoma (correct)

What hallmark of cancer involves tumors developing the capability to promote their own blood supply?

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

Which of the following best describes the term 'epigenetic alterations' in the context of cancer development?

<p>DNA modifications that do not change the sequence but affect gene expression (B)</p> Signup and view all the answers

Which of the following factors can trigger the progression from normal liver to hepatocellular carcinoma (HCC)?

<p>Hepatitis C or B, ethanol, or NASH (B)</p> Signup and view all the answers

How many hallmark capabilities are commonly recognized as essential for malignant growth in all human tumors?

<p>6 (C)</p> Signup and view all the answers

What is the significance of somatic mutations in the evolution of cancer cells?

<p>They can occur in non-germline tissues, contributing to tumorigenesis. (B)</p> Signup and view all the answers

What characteristics are typical of malignant tumors?

<p>Can spread to other parts of the body. (C)</p> Signup and view all the answers

Which of the following is a type of cancer originating from epithelial cells?

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

Which statement about benign tumors is accurate?

<p>They have distinct borders and do not spread. (B)</p> Signup and view all the answers

What type of cancer is classified as originating from connective and supportive tissues?

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

Which type of cancer is characterized by the presence of two or more cancer components?

<p>Mixed type (C)</p> Signup and view all the answers

What is a characteristic of malignant tumors compared to benign tumors?

<p>Malignant tumors invade surrounding tissues. (A)</p> Signup and view all the answers

Which type of carcinoma is characterized by glandular tissue?

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

Which type of sarcoma originates from fat cells?

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

How do external factors contribute to the development of cancer?

<p>They lead to abnormal cell behavior and excessive proliferation. (D)</p> Signup and view all the answers

Which mechanism is NOT typically involved in the carcinogenesis process?

<p>Single-step genetic mutation (B)</p> Signup and view all the answers

What distinguishes sarcomas from carcinomas?

<p>Sarcomas arise from connective tissues. (A)</p> Signup and view all the answers

Which of the following cancers is classified under leukaemias?

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

What does the term 'metastasis' refer to in cancer biology?

<p>The spread of cancer cells to distant sites (C)</p> Signup and view all the answers

Which of the following types of sarcoma is derived from cartilage?

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

What role do inherited mutations play in cancer development?

<p>They can increase susceptibility to cancer. (C)</p> Signup and view all the answers

Which of the following describes sarcomas?

<p>Cancers that arise from bones and soft tissues. (A)</p> Signup and view all the answers

Which of the following is a benign tumor derived from epithelial tissue?

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

What is a key characteristic of adenocarcinoma?

<p>Exhibits glandular-related tissue cytology. (D)</p> Signup and view all the answers

Which tumor is classified as a malignant counterpart of leiomyoma?

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

What does the term 'anaplastic carcinoma' refer to?

<p>Carcinomas lacking distinct histological or cytological evidence. (A)</p> Signup and view all the answers

Which type of tumor arises from glial tissue?

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

Small cell carcinoma is characterized by which of the following features?

<p>Round cells less than three times the size of lymphocytes. (D)</p> Signup and view all the answers

Which of the following is true about lymphomas?

<p>They arise from the immune system. (A)</p> Signup and view all the answers

Which tumor type is a benign counterpart of osteosarcoma?

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

Adenosquamous carcinoma is defined by the presence of which cell types?

<p>Both adenocarcinoma and squamous cell carcinoma in significant proportions. (B)</p> Signup and view all the answers

Which of the following is NOT one of the original six hallmarks of cancer?

<p>Avoiding immune destruction (D)</p> Signup and view all the answers

Which intrinsic risk factor is primarily attributed to random DNA errors?

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

What distinguishes benign tumors from malignant tumors?

<p>Benign tumors do not metastasize. (A)</p> Signup and view all the answers

Which type of carcinoma arises from epithelial tissue?

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

Which of the following is considered an exogenous non-intrinsic risk factor?

<p>Exposure to radiation (C)</p> Signup and view all the answers

What mechanism can lead to carcinogenesis through cellular metabolism?

<p>Nutrient imbalance causing metabolic dysregulation (D)</p> Signup and view all the answers

Which hallmark of cancer involves the ability of cancer cells to form new blood vessels?

<p>Inducing or accessing vasculature (D)</p> Signup and view all the answers

Which of the following sarcomas arises from bone tissue?

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

Which emerging hallmark of cancer relates to the ability of tumor cells to withstand immune system attacks?

<p>Avoiding immune destruction (A)</p> Signup and view all the answers

Which of the following best describes nonmutational epigenetic reprogramming in cancer?

<p>Alterations in gene expression without changing the DNA sequence (D)</p> Signup and view all the answers

Flashcards

Cancer development timeline

Cancer development takes months or years for DNA mutations to accumulate, leading to detectable cancer.

Malignant transformation steps

Multiple genetic and epigenetic changes occur in a normal cell's progression to a metastatic cancer cell.

HCC progression stages

Liver cell cancer (HCC) develops in four stages: Normal Liver, Chronic Hepatitis, Cirrhosis, and Hepatocellular Carcinoma (with cirrhosis).

HCC progression triggers

Hepatitis C, B, alcohol, and nonalcoholic steatohepatitis (NASH) can initiate HCC progression.

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Colorectal Cancer initiation

A mutation in the APC tumor suppressor gene is often the first step in colorectal cancer.

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Cancer cell hallmarks

Six characteristics common to all cancer types: growth signals, anti-growth resistance, apoptosis avoidance, limitless replication, sustained angiogenesis, invasion/metastasis.

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Cancer evolution factors

Cancer development involves genetic mutations and epigenetic changes that are passed down through cell division.

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Multistep cancer development

Multiple genetic and epigenetic changes are involved in the development of cancer, not a single event.

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Cancer Classification

Categorizing cancers based on the tissue of origin, for example, carcinomas originate from epithelial tissues

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Carcinoma

Cancer arising from epithelial cells (skin, lining of organs)

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Sarcoma

Cancer originating from connective tissues (bone, muscle)

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Leukaemia

Cancer affecting blood cells, usually in the bone marrow

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Malignancy

A cancerous growth; potentially invasive and metastasizing type of cancer

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Metastasis

Spread of cancer to distant parts of the body

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Clonal origin

Cancer arises from a single abnormal cell

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Carcinogenesis

Development of cancer

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Multi-step disease

Cancer development requires multiple genetic changes in a cell

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Tumor

Mass of abnormal cells

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Hallmarks of Cancer

Ten characteristics that define cancer cells, including sustaining proliferation, evading growth suppressors, resisting cell death, enabling immortality, inducing blood vessel growth, activating invasion, deregulating metabolism, avoiding immune destruction, unlocking plasticity, and epigenetic reprogramming.

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Sustaining Proliferation Signaling

Cancer cells continuously signal themselves to grow and divide, ignoring normal growth controls.

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Evading Growth Suppressors

Cancer cells bypass natural brakes that normally stop uncontrolled cell growth.

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Resisting Cell Death

Cancer cells avoid programmed cell death (apoptosis), which is a normal process to eliminate damaged cells.

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Enabling Replicative Immortality

Cancer cells circumvent normal limits on cell division, allowing them to replicate indefinitely.

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Inducing or Accessing Vasculature

Cancer cells stimulate the formation of new blood vessels to supply themselves with nutrients and oxygen.

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Activating Invasion & Metastasis

Cancer cells break free from their original location and invade nearby tissues, then spread to distant organs.

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Deregulating Cellular Metabolism

Cancer cells alter their energy production and use nutrients differently, fueling their rapid growth.

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Avoiding Immune Destruction

Cancer cells evade the immune system, preventing detection and destruction by immune cells.

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Intrinsic Risk Factors

Factors within the body that increase cancer risk, including DNA replication errors, aging, and genetic predispositions.

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Epithelial Tissue Cancer

Cancers arising from epithelial cells that line body cavities and organs, like skin, stomach lining, and glands.

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Connective Tissue Cancer

Cancers originating from connective tissues that support and connect other tissues, including bones, cartilage, and tendons.

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What is a Carcinoma?

A type of cancer originating from epithelial cells.

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What is a Sarcoma?

A type of cancer originating from connective tissue, like bone or muscle.

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What is an Adenocarcinoma?

A cancer that forms in glandular tissue, like the lining of the stomach, intestines, or breast.

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What is a Squamous Cell Carcinoma?

A cancer that forms in the squamous cells of the skin or lining of the mouth, throat, or lungs.

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What is a Glioma?

A cancer that forms in the glial cells of the brain.

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What is a Lymphoma?

A type of cancer that originates from the cells of the lymphatic system, like the lymph nodes and spleen.

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What is a Leukemia?

A type of cancer that starts in the blood-forming cells of the bone marrow, leading to an overproduction of abnormal white blood cells.

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What is a Myeloma?

A type of cancer that affects the plasma cells in the bone marrow, which produce antibodies.

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Benign Tumor

A tumor that grows slowly, has distinct borders, and doesn't invade surrounding tissue or spread to other parts of the body.

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Malignant Tumor (Cancer)

A tumor that can grow quickly, has irregular borders, invades surrounding tissue, and can spread to other parts of the body through metastasis.

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Study Notes

Molecular Biology of Cancer BC.504

  • Cancer incidence and mortality are rapidly increasing globally
  • Cancer, a group of diseases, features unregulated cell growth, invasion, and spread from the primary site to other body sites (metastasis)
  • Over 100 different cancer types exist
  • Benign tumors grow slowly, have distinct borders and do not invade surrounding tissue or other parts of the body. They often appear normal.
  • Malignant tumors grow rapidly, have irregular borders, invade surrounding tissue and potentially spread to other sites (metastasis). They can be cancerous.

Cancer Epidemiology

  • Cancer incidence and mortality rates are rapidly increasing worldwide.
  • The 10 Most Common Cancers (2018 & 2020): data regarding incidence and mortality are presented in pie charts for both sexes, also with male and female specific breakdown. Data sources are from GLOBOCAN 2018 & 2021 for the given years
  • Cancer incidence and mortality are broken down by specific cancer types (e.g., Lung, Breast, Colon, etc.)
  • Data present incidence and mortality rates in various countries.

Insights into Cancer

  • Cancer development involves both external Environmental factors and Internal cellular factors
  • These factors include a variety of exposures such as tobacco, chemicals, radiation and Infectious organisms.
  • Inherited and acquired genetic mutations or cellular epigenetic changes are also key contributing factors.

Molecular Basis of Cancer

  • The transition from a normal cell to a metastatic cancer cell is a multi-step process.
  • At least three mechanisms allow these changes from inherited mutations, to somatic mutations, to methylation of DNA within the progeny of a malignant cell.

Malignant Transformation of HCC

  • Chronic hepatitis, cirrhosis and hepatocellular carcinoma (HCC) are risk factors for liver cancer. Hepatitis B and C infections, along with ethanol abuse, and NAFLD (non-alcoholic fatty liver disease) are strongly linked.
  • Epigenetic and genetic alterations, including dysplastic nodules, are important stages in the progression of HCC.

Multistep Genetic Model

  • A mutation in the APC tumor suppressor gene is usually an initiating event, leading to sequential accumulation of epigenetic and genetic changes
  • These changes result in progression from a normal cell to a metastatic tumor

Hallmarks of Cancer Cells

  • Hallmarks of cancer cells - Several key characteristics like resisting cell death, sustaining proliferative signaling, evading growth suppressors, enabling replicative immortality, inducing angiogenesis, activating invasion and metastasis, and reprogramming cellular metabolism, and avoiding immune destruction.
  • There are additional "emerging" hallmarks which are actively being researched.

Risk Factors

  • Intrinsic risk factors (uncontrollable) include random errors in DNA replication and endogenous risk factors like genetic susceptibility, DNA repair machinery, hormones, growth factors, and inflammation.
  • Non-intrinsic risk factors (modifiable) include exogenous risk factors like radiation, chemicals, tumor-causing viruses, lifestyle factors such as smoking, lack of exercise, and poor nutrition.

Cancer Classification

  • Cancer Classifications are based on the type of tissue where the cancer has originated. Carcinomas originate in epithelial cells; Sarcomas in mesoderm cells (bone, muscle); Adenocarcinomas in glandular tissue; and others. There are several other classifications based on tissue type. Specific examples are included for Adenocarcinoma, Squamous cell carcinoma, Adenosquamous carcinoma, Anaplastic carcinoma, Large cell carcinoma, and Small cell carcinoma. Specific sarcoma cancers, and cancers of specific body parts are mentioned in other sections of the data.

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