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Genes and Cancer. What is cancer?. Uncontrolled cell growth Ability to spread to other parts of the body Generally a disease of aging Tumors are named according to the tissue from which they form Benign (do not spread) Malignant (can metastasize). Is cancer genetic?.
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What is cancer? • Uncontrolled cell growth • Ability to spread to other parts of the body • Generally a disease of aging • Tumors are named according to the tissue from which they form • Benign (do not spread) • Malignant (can metastasize)
Is cancer genetic? • “Predisposition” can be inherited • Most mutagens are carcinogens • Cancer genes can be spread by viruses • Some cancers are know to be cause by chromosome abnormalities • Most cancers are sporadic (not inherited) • Cancers are caused by damage to DNA (mutation)
Metastasis Trialx.com Nature.com
First mutation Second mutation
The cell cycle and regulation • Cell division usually closely regulated • Checkpoints control transition through stages • Tumor suppressor genes • Proto-oncogenes • Triggered by signal transduction • Loss of control leads to tumor formation
Model of cell activation Bio.miami.com
Mutations in regulatory genes implicated in cancer • RB1- tumor suppressor , controls progression from G1 to S • Ras proto-oncogenes: mutants are always switched on
Nature.com Ras proteins mutated at Aa 12 or 61 Wormbook.org
Genomic stability and hereditary cancer • BRCA 1 and BRCA 2 (breast, ovary prostate) • more information • p53: whether cell is repaired or undergoes apoptosis • Abl- proto-oncogene, white blood cells • Some genes are widely distribute; some restricted to specific tissues
Multistep model for colon cancer APC K-ras DCC p53 p53 implicated in about half of all cancers
Chromosomal translocations- hereditary cancer Found in several leukemias And lymphomas Burkitt’s lymphoma www.nobelprize.org
What causes cancer? • Minority of cancers are inherited • Environmental factors • Carcinogens • Viruses • Diet • Etc.
How do we study causes of cancer? • Population studies • Case-control studies • Prospective studies
Treatment strategiesExample: breast cancer strategy example Surgery, radiation, chemotherapy Target estrogen receptor if present Depends on presence of cancer-specific gene Microarrays make rapid diagnosis possible • Removal • Match phenotype to treatment • Use genotype to select drug
Summary • Cancer is caused by genetic mutation, but is usually not inherited • Tumor cells divide uncontrollably • Tumors can arise in a variety of cells • Proto-oncogenes, tumor suppressor genes, and DNA repair genes are implicated in cancer • Cancers can arise from two or more mutations
Population studies in conjunction with biochemical and genetic studies can help explain causes of cancer • Molecular and genomic studies are used to develop treatments that are specific to the type of tumor.