Oncogenes and Cancer Quiz

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Questions and Answers

What is the primary function of the KRAS oncogene?

  • Regulation of transcription
  • Signal transduction (correct)
  • Cell cycle regulation
  • Growth factor activity

Which oncogene is associated with Burkitt lymphoma?

  • PDGF
  • c-MYC (correct)
  • BRAF
  • ERBB1

What kind of cancer is associated with the BRAF oncogene?

  • Mantle cell lymphoma
  • Melanoma (correct)
  • Hepatocellular carcinoma
  • Leukemia

Which oncogene acts as a growth factor receptor linked to squamous cell carcinoma of the lung?

<p>ERBB1 (A)</p> Signup and view all the answers

What role does Cyclin-D play in cellular processes?

<p>Cell cycle regulator (B)</p> Signup and view all the answers

What type of cancer is linked to the PDGF oncogene?

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

Which growth factor is mentioned in the context of hepatocellular carcinoma?

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

In the context of oncogenes, which component activates transcription?

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

What is a key factor that leads to the transformation of a normal cell into a tumor cell?

<p>Mutation in tumor suppressor gene or oncogene (C)</p> Signup and view all the answers

Which process contributes to the genetic heterogeneity of tumor cells?

<p>Acquisition of additional mutations (B)</p> Signup and view all the answers

What does clonal expansion refer to in the context of tumor cells?

<p>The proliferation of surviving cell variants (A)</p> Signup and view all the answers

Which of the following capabilities is associated with tumor cells that gain a growth advantage?

<p>Enhanced ability to evade growth inhibitory signals (C)</p> Signup and view all the answers

What is necessary for tumor cells to achieve immortality?

<p>Continuous genetic mutations (A)</p> Signup and view all the answers

What is a consequence of the progression phase in the development of cancer?

<p>Loss of control of cell division (D)</p> Signup and view all the answers

What allows tumor cells to generate their own blood supply?

<p>Ability to grow autonomously (C)</p> Signup and view all the answers

Which characteristic is NOT typically associated with invasive metastatic tumor cells?

<p>Requirement for numerous growth factors (D)</p> Signup and view all the answers

What is primarily required for a collection of cells to acquire a malignant phenotype?

<p>Multiple genetic alterations (C)</p> Signup and view all the answers

Why do most cancers occur in older individuals?

<p>Accumulation of genetic alterations over a lifetime (C)</p> Signup and view all the answers

What function does the RB gene primarily serve?

<p>Regulation of cell cycle (C)</p> Signup and view all the answers

In familial retinoblastoma, what primarily happens to the RB1 gene?

<p>Only one allele is inherited and mutated later (B)</p> Signup and view all the answers

What role does the BRCA1 gene play in cancer development?

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

Which of the following cancers requires only two genetic 'hits' for its development?

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

What is the main function of P16/INK4 in cellular processes?

<p>Inhibits cell cycle entry into the S phase (B)</p> Signup and view all the answers

What mechanism allows certain tumors to circumvent cell death?

<p>By continuously elongating chromosome ends (D)</p> Signup and view all the answers

What is the significance of the adenoma–carcinoma sequence in cancer development?

<p>It hypothesizes a specific pathway for developing most epithelial cancers. (B)</p> Signup and view all the answers

Why are cellular mutations in cancer often not readily beneficial?

<p>Some mutations can hinder essential cell processes. (B)</p> Signup and view all the answers

How long does it typically take for an adenomatous polyp to progress to invasive carcinoma?

<p>10 years or more (B)</p> Signup and view all the answers

What generally happens to most cells in malignant neoplasms?

<p>They die due to excessive genetic mutations. (C)</p> Signup and view all the answers

What can some subclones acquire that gives cancer cells a proliferation advantage?

<p>Random abilities to harness alternate energy sources. (A)</p> Signup and view all the answers

What characterizes the origin of metastatic lesions?

<p>They arise many years after the initial transformation. (C)</p> Signup and view all the answers

What aspect of cancer evolution is similar to other evolutionary processes?

<p>Evolutionary processes take a significant amount of time. (D)</p> Signup and view all the answers

What is a typical characteristic of precursor lesions in colon cancer?

<p>They are easily removed and subject to genetic analysis. (C)</p> Signup and view all the answers

What defines an adenomatous polyp compared to other types of polyps?

<p>Adenomatous polyps harbor neoplastic genetic mutations. (D)</p> Signup and view all the answers

What is the primary reason periodic screening colonoscopies are recommended starting at age 50?

<p>To identify and remove polyps before they can become malignant. (A)</p> Signup and view all the answers

What key ability must neoplastic clones acquire for malignancy to develop?

<p>The ability to invade and metastasize. (C)</p> Signup and view all the answers

What happens to adenomatous polyps if they are left untreated?

<p>They can accumulate further mutations and become malignant. (C)</p> Signup and view all the answers

Why can malignancies be viewed as 'experiments in evolution'?

<p>They possess random mutations that are subject to evolutionary selection. (A)</p> Signup and view all the answers

What function do enzymes produced by aggressive neoplastic clones serve?

<p>To digest extracellular matrix and facilitate movement. (C)</p> Signup and view all the answers

How many mutations typically characterize a malignant tumor arising from a single neoplastic clone?

<p>Multiple mutations accumulate over generations. (C)</p> Signup and view all the answers

What is a common challenge in developing effective cancer treatment?

<p>Cancers exhibit immense genetic variability and mutations. (A)</p> Signup and view all the answers

What term describes the abnormality where cells show atypical characteristics but remain localized to their tissue of origin?

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

What is the significance of dysplastic cells in relation to cancer development?

<p>They may develop into overt malignancy if not removed. (D)</p> Signup and view all the answers

Which of the following best describes a carcinoma in situ?

<p>A localized cancer that has not invaded surrounding tissues. (D)</p> Signup and view all the answers

What cellular feature is primarily associated with dysplastic cells?

<p>Enlarged nuclei of irregular shape (C)</p> Signup and view all the answers

Which statement about neoplastic clones is correct?

<p>They can be atypical but localized. (C)</p> Signup and view all the answers

What is the role of surgical excision in the context of dysplastic lesions?

<p>It may prevent the progression to overt malignancy. (D)</p> Signup and view all the answers

What is indicated by the presence of multiple, enlarged nuclei in cells?

<p>Uncontrolled growth or dysplasia (C)</p> Signup and view all the answers

Which of the following describes the typical characteristics of normal colonic glands compared to dysplastic glands?

<p>Uniform size and peripheral arrangement of nuclei (D)</p> Signup and view all the answers

Flashcards

Ras/Raf signaling pathway

A chain of proteins that transmit signals from the cell surface to the nucleus to regulate cell growth and division.

Transformation

The process where a normal cell becomes a tumor cell due to genetic changes occurring via a mutation, which could be in a tumor suppressor gene or an oncogene.

Tumor suppressor gene

Genes that normally prevent the uncontrolled growth of cells. Mutations in these genes can lead to cancer.

Oncogene

Genes that promote normal cell growth and division. Mutations in oncogenes can lead to cancer.

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Clone

A group of cells that are genetically identical and descended from a single ancestor cell.

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Progression

The gradual accumulation of more genetic changes in a tumor cell, resulting in increased malignancy.

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Genetic heterogeneity

The presence of multiple different genetic changes within a tumor, making it more difficult to treat.

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Growth advantage

Changes in tumor cells that allow them to grow and spread more effectively, giving them an advantage over normal cells.

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Growth Factor

A molecule that stimulates cell growth and division.

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Signal Transduction

The process by which a signal from outside the cell is relayed inside the cell to trigger a specific response.

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RAS

A signaling protein involved in signal transduction.

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KRAS

A specific type of RAS protein often mutated in colon cancer.

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BRAF

A signaling protein often mutated in melanoma.

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Cell Cycle Regulator

A protein that controls the progression of the cell cycle.

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Malignant Phenotype

The state of a cell that has become cancerous, capable of uncontrolled growth and spreading to other tissues.

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Genetic Alterations

Changes in the DNA sequence that can lead to altered gene function and potentially cancer development.

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Cumulative Effect

The combined impact of multiple genetic alterations over time, contributing to cancer development.

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Familial Cancers

Cancers that run in families, often due to an inherited mutated gene.

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First Hit

The initial genetic alteration inherited from a parent in familial cancers.

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RB1 Gene

A gene that regulates cell cycle progression by inhibiting transcription factors, preventing uncontrolled cell growth.

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Second Hit

The second genetic alteration that occurs in the same gene, leading to loss of function and cancer development.

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Homozygously Mutated

Both copies of a gene are mutated, leading to complete loss of function.

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Adenoma-carcinoma sequence

A hypothesized series of genetic changes that occur in epithelial cells, leading to the development of cancer, starting with a benign adenoma and progressing to invasive carcinoma.

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Metastatic lesions

Cancer cells that have spread from the original tumor site to other parts of the body.

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What causes the 'first hit' in many cancers?

The initial genetic alteration, often inherited from a parent, that can lead to the development of cancer. This mutation may affect a tumor suppressor gene or an oncogene.

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What is the cumulative effect?

The combined impact of multiple genetic alterations that occur over time in a tumor, contributing to its progression towards malignancy.

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Evolutionary processes in cancer

Cancer development involves a series of genetic changes and selection of subclones with growth advantages, similar to evolution.

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How long can cancer take to develop?

Cancer progression can take many years, from the initial genetic alteration to the formation of a metastatic tumor.

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Neoplastic polyp

An overgrowth of epithelial tissue that contains cancerous genetic mutations. It's a precancerous growth, but not malignant yet.

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Adenomatous polyp

A specific type of polyp carrying neoplastic mutations. It can develop into cancer if left untreated.

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What does a polyp need to become malignant?

Polyps need additional genetic changes to become malignant. These changes allow them to invade surrounding tissues, spread, and reach the bloodstream.

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Why are colonoscopies important?

Colonoscopies help early detection of polyps. Removing polyps before they turn malignant greatly reduces cancer risk.

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Genetic heterogeneity in cancer

Cancers contain different subclones, each with unique mutations. This diversity makes treatment challenging.

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Evolutionary selection in cancer

Cancer cells accumulate mutations over time, and the most advantageous cells survive and reproduce, leading to a more aggressive tumor.

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What makes cancer difficult to treat?

Cancer is genetically diverse. Drugs targeting specific mutations will only work against a small subset of tumors.

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What does 'magic bullet' for cancer refer to?

A universal cure for cancer. It's difficult to develop because of cancer's genetic diversity.

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Atypical cells

Cells with abnormal characteristics, such as irregular shapes, sizes, and arrangements, indicating potential genetic alterations. They are often associated with dysplasias.

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Dysplasia

An abnormal growth pattern of cells where they exhibit atypical features but are still confined to their tissue of origin. It's a precursor lesion for cancers, suggesting they may develop into malignancy but haven't yet.

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Carcinoma in situ

A type of dysplasia in epithelial tissues where the abnormal cells are confined to the original layer and haven't invaded surrounding tissues.

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Precursor lesions

Abnormal cell growths that precede and potentially lead to the development of cancer. They are often localized to their tissue of origin.

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Neoplastic clone

A group of cells derived from a single ancestor cell that has undergone genetic changes, resulting in abnormal growth and potentially leading to cancer.

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Malignant potential

The capacity of a cell or tissue to invade surrounding tissues and spread to distant locations, characteristic of cancerous cells.

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Invasive cells

Cells that have broken through their original tissue barrier and spread into surrounding tissues.

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Metastasis

The spread of cancer cells from their original site to distant locations in the body.

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Study Notes

Definitions

  • Neoplasia is a "heritably altered, relatively autonomous, new growth of cells"
  • Tumor is a general medical term for any mass or swelling, not specifically neoplastic or benign
  • Benign neoplasms are localized and do not spread
  • Malignant neoplasms (malignancies/cancers) have the potential to spread beyond their origin
  • Invasion is the direct extension of neoplastic cells into surrounding tissue
  • Metastasis is the transplantation of cells to an entirely new site

Key Growth Characteristics

  • Benign: Slow growth rate, encapsulated borders, no metastasis
  • Malignant: Rapid growth rate, irregular/infiltrative borders, metastasis

Key Terms

  • Adenoma-carcinoma sequence: A series of steps from benign adenoma to malignant carcinoma
  • Angiogenesis: Formation of new blood vessels
  • Anorexia: Loss of appetite
  • Benign: Non-cancerous
  • Cachexia: Wasting syndrome
  • Cancer: A malignant neoplasm
  • Carcinogen: A cancer-causing agent
  • Carcinoma: Malignant neoplasm of epithelial tissue
  • Carcinoma in situ: Cancer cells confined to the original tissue
  • Cellular atypia: Cell changes indicating possible malignancy
  • Chemical carcinogenesis: Cancer caused by chemicals
  • Chemotherapy: Treatment using chemicals to kill cancer cells
  • Clone: Group of cells derived from a single original cell
  • Differentiated: Closely resembling original tissue type
  • Dysplasia: Abnormal changes in cell size, shape, and arrangement
  • Extravasation: Process where cells leave the blood vessels
  • Familial cancer syndrome: Increased risk of cancer due to inherited genetic mutations
  • False negative: Test result indicates no disease, but disease is present
  • False positive: Test result indicates disease, but disease is not present
  • 5- or 10-year survival: Percentage of patients alive after 5 or 10 years
  • Grade: A measure of how abnormal cancer cells appear under a microscope
  • High-risk HPV: Human papillomavirus strains associated with an increased risk of cancer
  • Hormonal therapy: Treatment using hormones or hormone-blocking drugs to combat or prevent cancer
  • Inherited genetic mutation: Genetic defect passed from parent to offspring
  • Initiation: Early stage of cancer development, involving genetic damage
  • Intravasation: Process where cells enter the blood vessels
  • Leukemia: Cancer of blood-forming cells
  • Lymphoma: Cancer of lymphatic system cells
  • Malignancy: General term for a cancerous condition (malignant neoplasm)
  • Metastasis: Cancer spread from primary site to secondary location
  • Mutation: Change in DNA sequence
  • Neoplasia: General term for new growth
  • Occult blood: Hidden blood
  • Oncogene: Gene that promotes cell growth
  • Oncogenic virus: Virus capable of causing cancer
  • p53 tumor suppressor gene: Gene crucial for preventing tumor development
  • Palliative care: Treatment to control symptoms rather than cure disease
  • Paraneoplastic syndrome: Symptoms caused by tumor products beyond the tumor site
  • Pap smear: Screening test for cervical cancer
  • Progression: Later stage of cancer development, involving further mutations
  • Promotion: Stage of cancer development that involves growth of initiated cells
  • Prostate-specific antigen (PSA): Blood test for prostate cancer
  • Radiation: Treatment modality that uses high energy rays to kill cancer cells
  • Radiation therapy: Treatment that uses high-energy rays (X-rays) to destroy cancer cells
  • Risk factors: Factors that increase the chance of developing cancer
  • Sarcoma: Malignant neoplasm of mesenchymal tissue
  • Screening procedure: Exam to detect cancer early
  • Stage: A measure of the extent of a cancer's spread
  • Surgical removal: A treatment modality to fully or partially remove the cancer
  • Targeted therapy: Treatment focusing on specific cancer cell characteristics
  • Tissue diagnosis: Analysis of a sample of body tissue
  • TNM system: Staging system for cancer (tumor, node, metastasis)
  • Transformation: Cancer development
  • Tumor: A mass of abnormal cells
  • Tumor suppressor gene: Gene that inhibits cell growth
  • Ultraviolet light: Radiation from the sun causing skin cancer

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