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Cancer
A disease where cells accumulate mutations that cause uncontrolled division, loss of identity, inability to die, and ability to spread
Tumor
A mass of cancerous cells that takes up space, wastes resources, contributes nothing, and can travel to other locations
Metastasis
When cancer cells lose their anchors, break away from the original tumor, and start new tumors elsewhere in the body
Dedifferentiation
When cancer cells lose their specialized identity and stop performing their original job
Apoptosis
Programmed cell death; the normal process by which damaged or worn out cells tidy up and destroy themselves
Sporadic cancer
Cancer caused by random mutations that accumulate over a lifetime, NOT inherited; accounts for 90
Inherited cancer risk
When someone is born with one already
Tumor heterogeneity
The fact that even within the same tumor, different cells have different mutations, making cancer hard to treat
Cell Cycle
Mitosis is separate but G1, synthesis, and G2 are a part of interphase
G1 phase
The first gap phase where the cell grows and performs its daily functions
S phase
Synthesis phase where the cell makes a complete copy of its DNA
G2 phase
The second gap phase where the cell grows more and prepares for division
M phase
Mitosis; the phase where the cell actually divides into two daughter cells
G0 phase
A resting state where most normal cells spend their time, not dividing
Mitosis
Cell division that produces two genetically identical daughter cells; cancer cells do this uncontrollably
Cell cycle checkpoint
A quality control gate that prevents the cell from advancing unless strict conditions are met
G1 checkpoint
Checks whether there is DNA damage before the cell starts copying its DNA
G2 checkpoint
Checks whether the new DNA copy is correct and whether the cell is large enough to divide
Metaphase checkpoint
Checks whether all chromosomes are properly lined up and attached to spindle fibers before the cell splits
Tumor suppressor protein
A protein at each checkpoint that stops the cell cycle when something is wrong; if broken, cells divide even with damage
Loss of contact inhibition
Normal cells only divide when connected to neighbors; cancer cells lose this requirement and divide regardless
Unregulated cell division
Cancer cells bypass checkpoints and divide continuously without proper signals
Disabled apoptosis
Cancer cells have broken death mechanisms so the body cannot get rid of them normally
Checkpoint failure consequence
When checkpoints are broken, damaged DNA gets copied and passed to daughter cells, accelerating mutation accumulation
Nondisjunction
When chromosomes are missorted during division because the metaphase checkpoint failed, resulting in cells with wrong chromosome numbers
Mutagen
Anything that damages DNA and increases cancer risk
Natural mutagen
Sources of DNA damage that are unavoidable, including oxygen free radicals, UV radiation, and X
Avoidable mutagen
Sources of DNA damage that can be reduced, including tobacco smoke, alcohol, and industrial chemicals
Free radicals / ROS
Unstable oxygen molecules that damage DNA bases, causing point mutations anywhere in the genome
Pyrimidine dimer
Abnormal bond between two T or C bases on the same DNA strand caused by UV light exposure
DNA crosslink
Abnormal bond between two DNA strands caused by chemicals like tobacco smoke; can break the backbone when strands are separated
Double stranded break
The hardest type of DNA damage to repair because there is no intact template strand to copy from
Point mutation
A single base change in the DNA sequence caused by damage during replication
DNA repair enzymes
Proteins that constantly scan DNA and fix mismatches and damage by cutting out the bad section and rebuilding it using the other strand as a template
p53
A major tumor suppressor gene; inheriting one broken copy dramatically increases cancer risk, often appearing around age 30
BRCA1 / BRCA2
Tumor suppressor genes involved in DNA repair; inheriting one broken copy increases cancer risk, often appearing in the 50s
Rb
A tumor suppressor gene controlling cell division; inheriting one broken copy causes retinoblastoma, typically in children ages 1
Two hit model
The idea that you need both copies of a tumor suppressor gene broken for cancer to develop; inheriting one broken copy means only one more hit is needed
Chemotherapy
Cancer treatment that kills all actively dividing cells by disrupting mitosis; also kills healthy dividing cells causing side effects like hair loss
Paclitaxel / Taxol
A chemotherapy drug that disrupts spindle formation, causing anaphase to go wrong and cells to die from chromosome missortation
Side effects of chemotherapy
Caused by the drug killing healthy fast
CAR T cell therapy
A newer treatment where a patient's own T cells are genetically modified to recognize and kill cancer cells specifically
Why no single drug cures all cancers
Because every cancer has unique mutations, so a drug targeting one mutation will not work on a different cancer's mutations
Gene expression microarray
A tool that measures which genes are turned on or off in cancer cells compared to normal cells; used to diagnose cancer type and guide treatment