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cancer
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cancer is the ____ leading cause of death in the US, due to failure of cellular mechanisms that normally control __________
second, cell division
cancer is the result of ________ often due to tumor producing chemicals, hormones, and somtimes viruses
genetic damage
genetic damage can result from a _____ in one of three types of genes: proto-oncogenes, tumor supressing genes, and caretaker genes
mutation
_________ genes mornally promote cell division but are changes into oncogenes by mutations that make the gene excessively active and lead to uncontrolled cell division
proto-oncogenes
______ genes normally restrain growth. mutations cause inactivation of these genes allowing excessive cell divison to occur
tomro supressing
_______ genes code for proteins thta fix mutations in your DNA, when they mutate they become inactive and allow mistakes to build up
caretaker
photooncognees, tumor suppressor genes and caretaker genes encode proteins that help regulate ______, _________, and _________
cell birth, cell death, and DNA damage repair
______ are anything that can mutate DNA, enviornmental substances that induce cancer causing mutations in cells
carcinogens
____ causes warts on the skin, mouth, genitals, and larynx and is spread through physical contact of infectd areas
HPV
in 10% of cases of HPV in women, HPV remains in the cells of the ___ and increases the chances of _________ cancer
cervix, cervical
increasing age, smoking, and lowered immunity all increase the risk of ______ cancer becuase they lower the body’s ability to _______________.
cervical, destroy the virus
what was one of the first HPV vaccines
guardasil
guardasil targets the types of HPV that causes ___________________.
cervical cancer and genital warts
the HPV is only effective if _________________________.
you have not been exposed to it already
HPV is a __________ transmitted ___ virus
sexually, DNA
HIV is a _________ it is a ____ virus
retrovirus, RNA
a viral protein ____ that is only 44 amino acids long, spans the plasma membrane and forms dimer or trimer
E5
___________is an on switch for certian pathways, two or more receptors combining together
dimerization
HPV makes a protein that acts as a ____ (___________________) and causes cell division
PDGF (platelet derived growth factor)
_____ usually stops cell division. ____ controls the cell cycle and was the first tumor supressor gene to be discovered
p53, Rb
E_ inhibits p53 and E_ inhibits Rb
6, 7
the current HPV vaccine is composed of a _____ protein called L1 and is designed to trigger an immune response, it does/does not contain virus
capsid, does NOT
__________ and _____ cuase liver infections that can develop into liver cancer, spread through unprotected sexual contact or exchange of blood
hep B and C
mutations occur mostly in ______ cells and usually are/are not passed to offspring
somatic (body), are NOT
mutations in _____ cells can be passed to offspring
gametes
why does cancer develop later in life?
multiple mutations are necessary for tumor formation which happens over many years
______ cancer is the 5th leading cause of cancer death in women. why?
ovarian, it normally isnt detected until it is very progressed
_______ is the process in which an ovarian follicle ruptures and discharges an ovum (egg) that bursts through the wall of an ovary
ovulation
upon ovulation, cells on the surface of the ovary must ______ to repair the hole caused by the bursting ovum each month, if these cells contain mutations in genes that encode vital proteins what will happen?
divide, cell division will become excessive and tumors may result
_________ is the most ocmmonly used oral contraceptive but is also taken to regulate periods by stabalizing the endometrium
the pill (ortho trycyclin)
the pill is a combo of _____ and _____ that prevents _________ and __________
progesterone, estrogen, follicular development and ovulation
without ovulation, no ovum is released and breaking the cell wall, eliminating the need for ________ and preventing _____________
cell division, ovarian cancer
___________ is the cancer forming process
oncogenesis
_________ is a rapidly proliferating cell type that escapes normal cell growth restraints and stimulates the growth of vasculature to obtain oxygen
tumor
tumor cells can trigger the development of ___________ to receive a ________. this is called ___________.
new blood vessels to receive a blood supply, called angiogenesis
_________ is a case in whcih cells from the primary tumor migrate to new sites to form secondary tumors. the nature of both _____ and __________ have to fit together perfectly in order for this to happen
metastasis, metasizing cells and the invaded tissue
tissues most vulnerable to metastasis are tissues that ______________ and ___________________.
secrete growth factors and readily grow new blood vessels
tumors are ______ starved and require a ___________ to grow
oxygen, blood supply
tumors are vulnerable to invasion if they produce: ________: block cell division, __________: block cancer cell prteases used to penetrate tissues, and ____________: stop tumor cells from initiating the growth of blood vessels
anti-proliferative factors, inhibitors of proteolytic enzymes, and anti-angiogenesis factors
_________ are tissues mad eof cells surrounded by a dense matrix of proteins
proteases
if a tissue produces _____ cancere cells will not be able to penetrate deep enough into the tissue to survive
protease inhibitors
when cells become cnacerous they grow __________, instead of in a thin layer, at a high density and in different shapes
on top of each other
when a cell becomes cancerous, it acquires the ability to grow ______ to the basil lamina
unattached
the _____________ is a strip of proteins that cells in your body grow along
basil lamina
cancer cells can grow ______ in the extracellular fluid
floating
cancer cells do not have _______________, this means they dont have _____________ when cells stop growing when they hit another cell
gap junctions, contact inhibition
transformed cancer cells do not need ______ to tell them to grow like normal cells do
mitogens
cancer cells secrete ____________ that breaks down the basil lamina and allows these cells to break free and metastasize
plasminogen activator
cancer cells lose ______________
actin microfilaments
_____ is a cytoskeletal protein without it cells lose their shape and act like a plastic bag filled with water, this allows then to invade the small spaces of other tissues easier
actin
cancer cells have an enlarges nucleolus because they make a lot of _______.
proteins
what happened with the experiment where scientists were trying to find the one mutation (oncogene) that was responsible for the transformation of normal cells
they realized there was more than one and changed the way they were trying to find the answer
RasD breaks down _____ to slowly which means it stays in the ON position too long and leads to excessive cell division and tumor formation
GTP
________ any gene that encodes a protein capable of transforming normal cells into cancer cells
oncogene
_________: a normal cellular gene that promotes cellular division which we need for growth and repair, upon mutation can become an oncogene
proto-oncogene
mutations in _____________ cells like nuerons and muscle cells usually arent cancerous
non-dividing
the process of angiogenesis first includes the _________ of the basement membrane that surrounds a capillary, the migration and division of __________ cells lining the capillary into the ______, and _________ of new basement membrane around the new capillary
degradtion, endothelial, tumor, formation
_________ _________ is the protein wrapper of a blood vessel that keeps the endothelial cells stuck togther to create a wall of a capillary
basement membrane
in order for _________ to breakfree and migrate elsewhere in angiogenesis, the basement membrane must be broken down
endothelial cells
angiogenesis can be stimulated by __________ released from tumor cells
growth factors
some tumor cells induce _____________ to synthesize and secrete growth factors for them
surrounding normal cells
cancer incidence increases with ____ since it takes _____ for the multiple mutations required to occur
age, decades
______ is the incidence of most human cnacers rise exponentially with age
epidemiology
_______ is the interaction of two or more agents or forces so that thier combined effect is greater than the sum of thier individual effects
synergy
______ a family of proteins that controls progression of cells through the cell cycle
cyclins
cyclins have no enzymatic activity so they depend on another group of proteins in the cell to allow cyclins to work called _____________, that phosphoryate proteins in the cell to allow the cyclins to work
cyclin-dependent kinases
after the ____ phase in the cell cycle a mistake is a permanent mutation
s
tumor supressor genes code for proteins that _____ cell division
stop
________ proteins are proteins that cause programmed cell death
pro-apoptotic
50% of all humans carry mutation in the _____ tumor supressing gene
p53
p53 is usually unstable and destroyed by the proteasome but in cells with DNA damage, p53 is _____ and _______.
stabalized and accumulates
why does p53 get destroyed normally?
p53 stops cell division normally but normal cells need to divide so it gets broken down
p53 activates genes that encode _____________, blocks them from arresting cells in the beginnging stages of the cell cycle
cyclin dependent kinases
the ____ checkpoint in the cell cycle prevents cells with damaged DNA from entering the DNA synthesis phase
G1
_____ cnacer is the 2nd most common cancer after lung cancer
breast
why is breast cnacer more common in women than men when breast tissue is the same?
the presence of growth promoting hormones like estrogen causing cells to divide
breast cancer is due to the inheritance of ________ or ____ genes which are tumor supressor genes that repair damaged DNA in your cells
BRCA 1 or 2
once BRCA 1 and 2 are damaged, other mutations come quickly because BRCA one and two arent there to fix ____________.
mistakes in the genome
_________ are used to detect high levels of estrogen and progestorone receptors capable of stimulating tumor growth
antibodies
_______ is a drug that inhibits estrogen receptors, derives cells of estrogen, binds to receptor and prevents estrogen from binding, ____ and ___ are also similar
tamoxifen, Her2 and nev
breat cancer patients are given ____ (_________________) to promote white blood cell growth (helps replenish immune system) and ________ to promote red blood cell growth (combat anemia)
G-CSF (colony stimulating factor), erythropoietin