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what is radiation
Hi energy waves/particles that damage/destroy cancer cells
why is radiation effective
absorption of radiation causes ionization of molecules or formation of free radicals
damaged cells cannot undergo division
3 types of radiation
beam, brachytherapy, systemic (pills)
what does chemotherapy interact with
DNA
direct DNA-interacting agents of chemo
antitumor antibiotics, topoisomerase inhibitors, alkylating agents
targets DNA synth/replication
indirect DNA-interacting agents of chemo
antimetabolites, mitotic spindle inhibitors
target other aspects of the cell cycle
what is biotherapy
a combination of immunotherapy and your own biologic response - changing your own immune response to cancer
how does biotherapy work
changing host’s response
tumor cell biology
what is targeted therapy
drugs that selectively target malignant cells without damaging healthy fast dividing cells
how does targeted therapy work
altered molecule/signal pathways that allow uncontrolled growth/spread
small molecules blocking specific enzymes/GF in cancer growth
what is immunotherapy
uses an adapted branch of the immune system (primarily T-cells)
using the MHC to display inner contents on outer surface
drugs used for immunotherapy
epidermal growth factor receptor
HER2/neu
checkpoint therapies
PD-1 and CTLA-4
what does P53 sense
if DNA is intact
number of mutations/insults
how many are being repaired
how do oncogenes stimulate growth
activate a number of signaling molecules linked to the receptor (RAS/RAF)
increase ECF GF
activate GF receptor W/O GF