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Cancer
– unregulated cell growth
https://www.youtube.com/watch?v=46Xh7OFkkCE
Detecting & Treating https://www.youtube.com/watch?v=
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Cancer – uncontrolled cell division
Normal Cell
• Anchorage dependence
• Contact inhibition
• Checkpoints observed
• Tumor suppressor & proto-oncogenes
functioning properly
• Set life span (# of divisions) - apoptosis
Cancer Cell
• Can metastasize
• Invades surrounding tissue
• Angiogenesis
• Ignores checkpoints
• Mutations in tumor suppressor & proto-oncogenes (become oncogenes)
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11.15 Cancer results from mutations in genes
that control cell division
• Cancer is a set of diseases in which the control
mechanisms that normally limit cellular growth have malfunctioned.
• Scientists have learned that such malfunction is
© 2015 Pearson Education, Inc.
11.15 Cancer results from mutations in genes
that control cell division
• The genes that a cancer-causing virus inserts into
a host cell can make the cell cancerous.
• Such a gene is called an oncogene (from the Greek onco, tumor).
https://www.youtube.com/watch?v=2wIVwZksIt4
• Over the last century, researchers have identified a number of viruses that harbor cancer-causing
genes.
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11.15 Cancer results from mutations in genes that control cell division
• Mutations in two types of genes can cause cancer.
1. Oncogenes
• Proto-oncogenes are normal genes that promote cell division.
• Mutations to proto-oncogenes create cancer-causing oncogenes that often stimulate cell division.
2. Tumor-suppressor genes
• Tumor-suppressor genes normally inhibit cell division or function in the repair of DNA damage.
http://goo.gl/XoOzBQ
• Mutations inactivate the genes and allow uncontrolled division to occur.
© 2015 Pearson Education, Inc. Figure 11.15a
Proto-oncogene
(for a protein that stimulates cell division) DNA
A mutation within the gene
Oncogene
Hyperactive growth-stimulating protein in a normal amount
Multiple copies of the gene
Normal growth-stimulating protein
in excess
The gene is moved to a new DNA locus,
under new controls
New promoter
© 2015 Pearson Education, Inc. Figure 11.15b
Tumor-suppressor gene
Mutated tumor-suppressor gene
Normal growth-inhibiting protein
Defective,
nonfunctioning protein
Cell division under control
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8.9 CONNECTION: Growing out of control,
cancer cells produce malignant tumors
• Cancer currently claims the lives of 20% of the
people in the United States.
• Cancer cells escape controls on the cell cycle.
• Cancer cells divide excessively and invade other
tissues of the body.
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8.9 CONNECTION: Growing out of control,
cancer cells produce malignant tumors
• A tumor is a mass of abnormally growing cells within otherwise normal tissue.
• Benign tumors remain at the original site but may disrupt certain organs if they grow in size.
• Malignant tumors can spread to other locations in a process called metastasis.
• An individual with a malignant tumor is said to have
cancer.
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Figure 8.9
Tumor
Glandular tissue
Tumor growth Invasion Metastasis
Lymph vessels Blood vessel
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8.9 CONNECTION: Growing out of control,
cancer cells produce malignant tumors
• Cancers are named according to the organ or
tissue in which they originate.
• Carcinomas originate in external or internal body coverings.
• Leukemia originates from immature white blood cells within the blood or bone marrow.
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8.9 CONNECTION: Growing out of control,
cancer cells produce malignant tumors
• Localized tumors can be
• removed surgically and/or
• treated with concentrated beams of high-energy radiation.
https://goo.gl/siIvVx
• Metastatic tumors are treated with chemotherapy.
http://goo.gl/dyg9YQ
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Introduction to Immunotherapy
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8.10 SCIENTIFIC THINKING: Tailoring
treatment to each patient may improve
cancer therapy
• It is increasingly possible to personalize cancer
treatment by
• sequencing the genome of tumor cells and
• tailoring treatment based upon the tumor’s specific
genetic profile.
© 2015 Pearson Education, Inc.
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11.16 Multiple genetic changes underlie the
development of cancer
• More than 100,000 Americans will be stricken by
cancer of the colon this year.
• Colon cancer is one of the best-understood types
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11.16 Multiple genetic changes underlie the
development of cancer
• Colon cancer illustrates the gradual progression
from somatic mutation to cancer.
1. An oncogene arises or is activated, resulting in increased cell division in apparently normal cells in the colon lining.
2. Additional DNA mutations cause the growth of a small benign tumor (polyp) in the colon wall.
© 2015 Pearson Education, Inc. Figure 11.16a-3 Colon wall 2 1 3 DNA changes: An oncogene is activated Cellular changes: Increased cell division A tumor-suppressor gene is inactivated
Growth of a polyp (benign tumor)
A second tumor-suppressor gene
© 2015 Pearson Education, Inc. Figure 11.16b
Normal cell
© 2015 Pearson Education, Inc.
11.17 Faulty proteins can interfere with
normal signal transduction pathways
• Proto-oncogenes and tumor-suppressor genes
often code for proteins involved in signal
transduction pathways leading to gene expression.
• Two main types of signal transduction pathways
lead to the synthesis of proteins that influence cell division.
1. One pathway produces a product that stimulates
cell division.
2. A second pathway produces a product that
© 2015 Pearson Education, Inc. Figure 11.17a-0 Normal Mutant Growth factor Target cell Normal product of
ras gene
Relay proteins Transcription factor (activated) CYTOPLASM DNA Transcription Translation Protein that stimulates cell division Normal cell division No growth factor Normal product of
ras gene
DNA Transcription Increased cell division NUCLEUS NUCLEUS Hyperactive relay protein (product of
ras oncogene) even in absence of growth factor
© 2015 Pearson Education, Inc. Figure 11.17b-0 Normal Growth-inhibiting factor Transcription factor (activated) Mutant Receptor Relay proteins Normal product of
p53 gene
Transcription Translation Protein that inhibits cell division No cell division Transcription and translation
do not occur
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11.18 CONNECTION: Lifestyle choices can
reduce the risk of cancer
• After heart disease, cancer is the second-leading
cause of death in most industrialized nations.
• Cancer can run in families if an individual inherits
an oncogene or a mutant allele of a
tumor-suppressor gene that makes cancer one step closer.
• But most cancers cannot be associated with an
© 2015 Pearson Education, Inc.
11.18 CONNECTION: Lifestyle choices can
reduce the risk of cancer
• Carcinogens are cancer-causing agents that alter DNA.
• Most mutagens (substances that promote
mutations) are carcinogens.
• Two of the most potent carcinogens (mutagens)
are
• X-rays and
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11.18 CONNECTION: Lifestyle choices can
reduce the risk of cancer
• The one substance known to cause more cases
and types of cancer than any other single agent is tobacco.
• More people die of lung cancer than any other form of cancer.
• Although most tobacco-related cancers come from smoking, passive inhalation of second-hand smoke is also a risk.
• Tobacco use, sometimes in combination with
© 2015 Pearson Education, Inc.
11.18 CONNECTION: Lifestyle choices can
reduce the risk of cancer
• Healthy lifestyles that reduce the risks of cancer
include
• avoiding carcinogens, including the sun and tobacco products,
• exercising adequately,
• regular medical checks for common types of cancer, and
• a healthy high-fiber, low-fat diet including plenty of
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Emperor of All Maladies
PBS Series
Conversation with Katie Couric, Ken Burns,
Siddhartha Mukherjee, and Sharon Rockefeller