Cell Cancer
Overview of Cancer
Cancer Definition: A genetic disease characterized by uncontrolled cell division and growth.
Cell Ecosystem: Cancer cells arise from the collaboration of cells that organize into tissues and exhibit self-sacrificing behavior for the collective survival of multicellular organisms.
Characteristics of Cancer Cells
Reproductive Independence:
Cancer cells reproduce without normal constraints on growth and division.
They have the ability to invade and colonize new areas of the body.
Inheritance of Cancer:
Cancer can be heritable, passed from parent to offspring.
Familial cancers may correlate with genetic predisposition.
Formation of Tumors
Tumor Types:
Benign Tumors: Non-invasive growths that do not spread to surrounding tissues.
Malignant Tumors: Invasive and can metastasize, forming secondary tumors in different body regions.
Neoplasia:
Cancer development begins with normal cells transforming into abnormal cells that produce a new growth or primary tumor.
Mutations in Cancer Development
Accumulation of Mutations:
Cancer cells undergo a series of mutations that contribute to their increasingly abnormal behavior.
Mutagens, or carcinogens, can create DNA damage leading to cancer.
Clonal Origin of Tumors:
Tumors originate from a single cell that has acquired mutations enabling its cancerous state.
Microevolution of Cancer Cells
Process of Tumor Evolution:
Cancer evolves through the survival of cells with beneficial mutations, leading to heterogeneity within the tumor.
Unique mutations confer advantages that allow these cells to proliferate uncontrollably.
Characteristics Contributing to Cancer Progression
Loss of Contact Inhibition:
Cancer cells can grow beyond normal limits and escape regulatory mechanisms that usually prevent excessive proliferation.
Telomere Dynamics:
Cancer often involves the escape from replicative senescence, allowing cells to maintain telomere length through mechanisms like telomerase activity.
Metabolic Changes in Cancer
Altered Metabolism:
Cancer cells exhibit abnormal metabolic processes to support rapid growth and proliferation, enhancing raw material production.
Cellular Responses to Stress
Cell Cycle Control:
Cancer cells often evade normal apoptotic pathways, allowing for survival despite damage or stress, facilitating continued growth.
Invasiveness and Metastasis
Mechanisms of Metastasis:
Cancer cells can disrupt normal cellular adhesion, allowing them to invade surrounding tissues and enter circulation.
Not all cells survive the metastatic journey; fewer than 1 in 1000 cells typically succeed in forming secondary tumors.
Genetic Drivers of Cancer
Oncogenes and Tumor Suppressor Genes:
Oncogenes: Mutated proto-oncogenes that promote uncontrolled cell proliferation.
Tumor Suppressor Genes: Genes that normally inhibit cell division; mutations can lead to their inactivity, promoting cancer progression.
Mechanisms of Tumorigenesis
Mutations Leading to Cancer:
Can involve either gain-of-function (dominant) or loss-of-function (recessive) mutations affecting cell proliferation.
Important Oncogenic Proteins
MAPK Pathway & Receptors:
Overview of signaling pathways crucial in cancer.
Ras, p53, Rb: Key proteins involved in cell cycle regulation and apoptosis, often mutated or dysfunctional in cancer.