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what are the 2 types of tumour
benign and malignant
4 treatments for cancer ?
chemotherapy, radiotherapy, monoclonal antibodies, surgery
how does chemotherapy work?
chemicals added to blood. prevents cell division, destroys fast dividing cells
risk of chemotherapy
affects all healthy rapidly dividing cells e.g. hairm, epithelial cells in intestine
how does radiotherapy work
kills cancer cells, localised
risk of radiotherapy
harms/destroys all cells in tissue surrounding tumour
when does a benign tumour pose risk?
when puts pressure on surrounding tissue e.g. organs
what are the 4 different types of tumour/cancer
precancerous- cells w potential to become cancerous. early tumour- small mass of cancerous cells. large tumour- tumour with blood and lymphatic supply. metastasis- secondary tumours
what do proto-oncogenes do?
promote cell division in controlled manner when growth factor present
how do proto-oncogenes become oncogenes?
if mutate, become permanently switched on, cause cell division in uncontrolled manner
what happens if a proto-oncogene mutates, becoming an oncogene? 2 things
receptor permanently activated, despite lack of growth factors, which normally start the signalling cascade. or, oncogene code for growth factor, leading to excessive production. both lead to tumour
how do mutations in proto-oncogenes occur? 3 ways
randomly, high energy damage to dna, inherited mutation of proto-oncogene
what does increased acetylation of oncogene do?
gene switched on, lots of transcription factors binding to receptors, uncontrolled cell division, tumour
what does decreased methylation of oncogene do?
gene switched on, lots of transcription factors binding to receptors, uncontrolled cell division, tumour
what does decreased acetylation on oncogene do?
gene switched off, normal cell divison
what does increased methylation of oncogene do?
gene switched off, normal cell divison
tumour suppressor genes are important for what? 3
slow cell division, repair cellular/dna mistakes, initiate apoptosis
what is apoptosis
programmed cell death
when tumour suppressor genes are inactivated, what is the result?
functionally and structurally different cells produced, most die- (immune system recognises as non-self and destroys by antibodies/cytotoxic T cells), cells that survive produce clones, leads to tumour
give 3 examples of tumour suppressor genes
T53, BRCA1 and BRCA2
T53 (tumour suppressor gene) produces what protein? what does it do?
P53 protein, regulated cell cycle + apoptosis. cells destroy themselves- needed when dna damaged beyond repair
what is the result of a failure of the T53 tumour suppressor gene?
no apoptosis, damaged cells can’t destroy themselves, mutant cells produced, uncontrollable cell division, cancer
what do the BRCA1 and BRCA2 tumour suppressor genes do?
code for protein involved in dna repair
what would result in a failure of the BRCA1 and BRCA2 tumour suppressor genes?
dna can’t be repaired, mutant cells produced, uncontrollable cell division, cancer
what does hypermethylation of tumour suppressor gene do?
switch off tsg, not expressed, increased cell division, tumour. no apoptosis/more mutation
what does hypomethylation of tumour suppressor gene do?
switch on tsg, expressed, normal cell division. no cancer/tumour