The Molecular Basis of Cancer
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Questions and Answers

What type of genes are characterized by the ability to promote cell growth in the absence of normal mitogenic signals?

  • Apoptosis-regulating genes
  • DNA repair genes
  • Oncogenes (correct)
  • Tumor suppressor genes
  • Which genes normally prevent uncontrolled cell growth and when mutated, lead to uncontrolled proliferation?

  • Tumor suppressor genes (correct)
  • Oncogenes
  • DNA repair genes
  • Apoptosis-regulating genes
  • What is a common characteristic of genes that regulate apoptosis in cancer cells?

  • They are overexpressed in cancer cells (correct)
  • They stimulate proliferation
  • They prevent apoptosis
  • They repair damaged DNA
  • What is a consequence of a disability in DNA repair genes in relation to cancer development?

    <p>Predisposition to neoplastic transformation</p> Signup and view all the answers

    What phenomenon is referred to as the accumulation of multiple mutations leading to tumor progression?

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

    Which hallmark of cancer refers to the capacity of tumors to proliferate without external stimuli?

    <p>Self-sufficiency in growth signals</p> Signup and view all the answers

    What is at the heart of carcinogenesis according to the text?

    <p>Clonal expansion of a single progenitor cell with genetic damage</p> Signup and view all the answers

    What are proto-oncogenes?

    <p>Regulators of cell proliferation and differentiation</p> Signup and view all the answers

    What are oncogenes?

    <p>Mutant alleles of proto-oncogenes</p> Signup and view all the answers

    Which type of genetic damage can lead to carcinogenesis based on the text?

    <p>Mutation in growth-promoting genes</p> Signup and view all the answers

    How do tumors differ from normal cells according to the text?

    <p>Tumors possess genetic alterations for growth and survival advantages</p> Signup and view all the answers

    Which principle states that tumors result from the clonal expansion of a single progenitor cell with genetic damage?

    <p>&quot;Nonlethal genetic damage&quot; principle</p> Signup and view all the answers

    Study Notes

    Fundamental Principles of Cancer

    • Cancer is a multi-step process that involves multiple genetic events (mutations) in tumors.
    • Nonlethal genetic damage (mutation) is a crucial step in carcinogenesis, which can be acquired through environmental agents or inherited in the germ line.
    • The genetic hypothesis of cancer states that a tumor mass results from the clonal expansion of a single progenitor cell that has sustained genetic damage.

    Targets of Genetic Damage

    • Growth-promoting proto-oncogenes can be targets of genetic damage.
    • Growth-inhibiting tumor suppressor genes can be targets of genetic damage.
    • Apoptosis-regulating genes can be targets of genetic damage.
    • DNA repair genes can be targets of genetic damage.

    Proto-oncogenes and Oncogenes

    • Proto-oncogenes are normal cellular counterparts of oncogenes, regulating cell proliferation and differentiation.
    • Oncogenes are mutant alleles of proto-oncogenes, promoting autonomous cell growth in cancer.
    • Oncogenes are dominant because a single allele mutation can lead to neoplastic transformation.
    • Oncoproteins are products of oncogenes, lacking important regulatory elements.

    Tumor Suppressor Genes

    • Tumor suppressor genes normally prevent uncontrolled growth and mutation leads to transformation.
    • Both normal alleles must be damaged for transformation to occur (recessive oncogenes).
    • Examples of tumor suppressor genes include P53 and Retinoblastoma genes (RB).

    Genes that Regulate Apoptosis

    • Genes that regulate apoptosis can be dominant or recessive.
    • These genes enhance cell survival, rather than stimulating proliferation.
    • Genes that protect against apoptosis are often overexpressed in cancer cells, while those that promote apoptosis are underexpressed or functionally inactivated.

    DNA Repair Genes

    • DNA repair genes affect cell proliferation or survival indirectly by influencing the ability to repair nonlethal damage in other genes.
    • A disability in DNA repair genes can predispose to mutations in the genome and hence to neoplastic transformation.

    Tumor Progression

    • Carcinogenesis is a multistep process resulting from the accumulation of multiple mutations.
    • Increasing malignancy is often acquired step by step.
    • Tumor progression results from multiple mutations that accumulate independently in different cells, generating subclones with different characteristics.

    Hallmarks of Cancer

    • Self-sufficiency in growth signals: Tumors have the capacity to proliferate without external stimuli.
    • Insensitivity to growth-inhibitory signals: Tumors are resistant to growth-inhibitory signals.
    • Evasion of apoptosis: Tumors may be resistant to programmed cell death.
    • Altered cellular metabolism: Tumors have altered cellular metabolism.
    • Limitless replicative potential: Tumor cells have unrestricted proliferative capacity.
    • Sustained angiogenesis: Tumors have the ability to sustain angiogenesis.

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    Explore the multi-step process of cancer development and the role of genetic mutations in tumors. Learn about fundamental principles such as nonlethal genetic damage and its connection to carcinogenesis.

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