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Cancer 9.3

                                   Prelude to Cancer
Learning Outcomes:
3. Explain how mutations contribute to errors in cell cycle regulation and cancer.

Reminder: Midterm 2 is on Monday Nov. 9th, be on time (FYI: Wed Nov 11 is a
holiday)

Readings for next week: Chapter 8: 97-205, 206-208
                               Reading Quiz due Fri Nov. 13th

Mutations in genes which regulate the cell cycle could lead to cancer.
Proto-oncogenes: genes which stimulate cells to divide under certain circumstances in normal
cells eg. genes which allow cells to pass through the G1 checkpoint

                                  Mutations in these genes could cause cells to divide all the
                                  time…if this happens then the mutant genes are called
                                  oncogenes (from Greek ogkos = tumour, mass) See Fig.
                                  5.12 (left )




                                tumour*-supressor genes: genes which inhibit cells from
                                dividing and/or cause cells to die
                                eg1. gene which could normally keep cells in G0
                                eg2. gene which causes cells with badly damaged DNA to die,
                                such as p53
                                Mutations in tumour-suppressor genes could also cause cells
                                to divide all the time.
                                *Note: In Canada we spell tumour with a u. Our textbook was written in USA.




Cancer (unregulated cell division) often requires mutations in more than one gene (as shown in
the example on the next page.)
Cancer 9.3
Mutations that occur to cell-cycle control genes like the receptor on the outside of the cell (proto-
oncogene) and repair protein in the nucleus (tumour suppressor gene) can lead to cancer as shown in
the example below.




The DNA damage must have resulted in a mutated gene which allows unanchored cells to divide (Normal
cells must be anchored onto other cells or some solid surface in order to divide)

Remember that at any abnormal cells, even those with irregular cell division patterns can be recognized
by your immune system and destroyed. QUESTION: 1.What cells do this?


From mutation to cancer
1) One mutation may cause an accelerated rate of cell division. The cells are small and irregular in
shape and lack features for specialized functions. These cells are also more susceptible to coding errors
during rapid replication.

2) The tight cluster of cells forms a polyp or small benign tumor. These tumors are lumps of
nonfunctional cells.

3) Secondary mutations must occur to the same cells further removing any limitations on cell division
and inhibitions such as anchorage dependency. (Normal cells must be anchored onto other cells or some
solid surface in order to divide) Many conditions require four to six distinct mutations to develop into
cancerous growth.
Cancer 9.3




                      Development of polyps in the colon as a prelude to cancer.

4) Tumour cells that slough off and enter the blood or lymph system migrate and invade other organs or
tissues. Tumours that develop at secondary sites are referred to as malignant. The tumours begin to
crowd other functional tissues, exerting pressure and diverting resources (nutrients). Often blood
vessels are stimulated to grow around the tumour, increasingly diverting nourishment from functional
tissues. Blood vessels may rupture causing internal bleeding. Starved and compressed organs may begin
to fail, causing severe pain and eventually death.

 Most forms of cancer are caused by exposure to mutagens and require multiple mutations in the
 same cells (somatic mutations). Only rare forms of cancer are passed on through inherited cells
 (eggs and sperm – the germline).


Incidence of cancer
There are more than 200 types of cancer. US figures demonstrate that while some cancers are declining
other forms are increasing at an alarming rate.
Cancer 9.3
QUESTION: 2.Why did lung cancer increase rapidly since the 1950’s for men and only started
increasing in the mid 1960’s for women?

Responding to cancer
  Treatments
1) Surgical removal of tumours – most effective for benign tumors

2) Radiation therapy – targeted at specific cancerous cells but destroys DNA in all cells

3) Chemotherapy – drugs that disrupt the cell cycle and stop the cells from dividing. Although the drugs
may be specific to one step of the cell cycle all cells including normal cells are affected.




QUESTIONS: 3.Why do people often feel nauseous after chemotherapy?


4. Skin cancer is often caused by excessive exposure to solar radiation. What treatment would be
advisable for an abnormal patch of skin that may form into cancer?




Risk factors are those conditions we encounter or behaviours that have been shown to cause
mutations.

  Avoidance of mutagen risk factors – BIG QUESTION: 5.What can you do?




Further Questions for you to consider:

6. Why is having a healthy immune system one of the best ways of avoiding cancer?


7. Smoking introduces carcinogens into the lungs on a regular basis. What advice would you give a
friend that is a smoker? And what would you tell them if they were also a regular consumer of alcoholic
beverages?

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9.3 Prelude To Cancer

  • 1. Cancer 9.3 Prelude to Cancer Learning Outcomes: 3. Explain how mutations contribute to errors in cell cycle regulation and cancer. Reminder: Midterm 2 is on Monday Nov. 9th, be on time (FYI: Wed Nov 11 is a holiday) Readings for next week: Chapter 8: 97-205, 206-208 Reading Quiz due Fri Nov. 13th Mutations in genes which regulate the cell cycle could lead to cancer. Proto-oncogenes: genes which stimulate cells to divide under certain circumstances in normal cells eg. genes which allow cells to pass through the G1 checkpoint Mutations in these genes could cause cells to divide all the time…if this happens then the mutant genes are called oncogenes (from Greek ogkos = tumour, mass) See Fig. 5.12 (left ) tumour*-supressor genes: genes which inhibit cells from dividing and/or cause cells to die eg1. gene which could normally keep cells in G0 eg2. gene which causes cells with badly damaged DNA to die, such as p53 Mutations in tumour-suppressor genes could also cause cells to divide all the time. *Note: In Canada we spell tumour with a u. Our textbook was written in USA. Cancer (unregulated cell division) often requires mutations in more than one gene (as shown in the example on the next page.)
  • 2. Cancer 9.3 Mutations that occur to cell-cycle control genes like the receptor on the outside of the cell (proto- oncogene) and repair protein in the nucleus (tumour suppressor gene) can lead to cancer as shown in the example below. The DNA damage must have resulted in a mutated gene which allows unanchored cells to divide (Normal cells must be anchored onto other cells or some solid surface in order to divide) Remember that at any abnormal cells, even those with irregular cell division patterns can be recognized by your immune system and destroyed. QUESTION: 1.What cells do this? From mutation to cancer 1) One mutation may cause an accelerated rate of cell division. The cells are small and irregular in shape and lack features for specialized functions. These cells are also more susceptible to coding errors during rapid replication. 2) The tight cluster of cells forms a polyp or small benign tumor. These tumors are lumps of nonfunctional cells. 3) Secondary mutations must occur to the same cells further removing any limitations on cell division and inhibitions such as anchorage dependency. (Normal cells must be anchored onto other cells or some solid surface in order to divide) Many conditions require four to six distinct mutations to develop into cancerous growth.
  • 3. Cancer 9.3 Development of polyps in the colon as a prelude to cancer. 4) Tumour cells that slough off and enter the blood or lymph system migrate and invade other organs or tissues. Tumours that develop at secondary sites are referred to as malignant. The tumours begin to crowd other functional tissues, exerting pressure and diverting resources (nutrients). Often blood vessels are stimulated to grow around the tumour, increasingly diverting nourishment from functional tissues. Blood vessels may rupture causing internal bleeding. Starved and compressed organs may begin to fail, causing severe pain and eventually death. Most forms of cancer are caused by exposure to mutagens and require multiple mutations in the same cells (somatic mutations). Only rare forms of cancer are passed on through inherited cells (eggs and sperm – the germline). Incidence of cancer There are more than 200 types of cancer. US figures demonstrate that while some cancers are declining other forms are increasing at an alarming rate.
  • 4. Cancer 9.3 QUESTION: 2.Why did lung cancer increase rapidly since the 1950’s for men and only started increasing in the mid 1960’s for women? Responding to cancer Treatments 1) Surgical removal of tumours – most effective for benign tumors 2) Radiation therapy – targeted at specific cancerous cells but destroys DNA in all cells 3) Chemotherapy – drugs that disrupt the cell cycle and stop the cells from dividing. Although the drugs may be specific to one step of the cell cycle all cells including normal cells are affected. QUESTIONS: 3.Why do people often feel nauseous after chemotherapy? 4. Skin cancer is often caused by excessive exposure to solar radiation. What treatment would be advisable for an abnormal patch of skin that may form into cancer? Risk factors are those conditions we encounter or behaviours that have been shown to cause mutations. Avoidance of mutagen risk factors – BIG QUESTION: 5.What can you do? Further Questions for you to consider: 6. Why is having a healthy immune system one of the best ways of avoiding cancer? 7. Smoking introduces carcinogens into the lungs on a regular basis. What advice would you give a friend that is a smoker? And what would you tell them if they were also a regular consumer of alcoholic beverages?