2.7 and 2.9

2.7 Cell Division Going Wrong: Cancer

  • Cancer is defined as a broad group of diseases characterized by uncontrolled cell division.

  • The underlying cause of cancer often relates to alterations in the DNA that governs the cell cycle.

Role of DNA in Cell Cycle Regulation

  • Changes in DNA disrupt the normal duration cells spend in specific phases of the cell cycle.

  • With a failure of one or more checkpoints, cells and their daughter cells bypass regulatory mechanisms and continue to proliferate uncontrollably.

  • This uncontrolled growth and division leads to the formation of a lump or mass of cells, commonly referred to as a tumour.

Tumour Classification

  • Tumours can be classified into two categories:
      - Benign tumours:
        - Cells within benign tumours typically do not spread to surrounding tissues and exhibit non-cancerous behavior.
      - Malignant tumours:
        - Malignant tumours disrupt the function of neighboring cells and tissues, affecting processes like enzyme or hormone production, and are considered cancerous.

Metastasis

  • Metastasis refers to the process wherein cancer cells detach from the primary tumour and establish secondary sites in the body, continuing to grow and divide uncontrollably.

Formation of a Tumour

Causes of Cancer
  • During cell division, DNA is typically replicated accurately, ensuring the daughter cells possess identical genetic information.

  • Random mutations, which are spontaneous changes in the DNA sequence, can occur.

  • Some mutations can lead to the death of the cell, while others may allow persistence and unchecked proliferation.

  • Occasionally, mutations affect genes responsible for regulating the cell cycle, leading to cancerous behaviors characterized by rampant cell proliferation.

Carcinogens

  • Certain mutations induced by carcinogens (substances known to promote cancer) are recognized as risk factors for cancer development.

  • Notable carcinogens include:
      - Tobacco smoke
      - Radiation (e.g., X-rays, UV rays from sunlight or tanning beds)
      - Certain viruses (e.g., human papillomavirus (HPV), hepatitis B)
      - Specific chemicals found in plastics
      - Numerous organic solvents

Genetic Link

  • Some cancers have a hereditary component where DNA passed through generations may carry mutations leading to increased cancer risk.

  • Examples include certain breast and colon cancers.

  • A genetic link increases the likelihood of developing specific cancers, but it does not guarantee occurrence.

Smoking and Cancer

  • Lung cancer is particularly prevalent among Canadians over the age of 40 and is significantly linked to smoking; Health Canada reports that smoking contributes to 90% of lung cancer cases.

  • Carcinogens within tobacco impact more than just the lungs; they heighten susceptibility to various other cancer types.

Cancer Screening

  • Cancer screening involves testing for cancer in individuals who may not exhibit symptoms.

  • Different cancer types have varied screening methods that can occur at home, during routine checkups, or special appointments.

  • Individuals with familial cancer histories may opt for genetic testing to identify inherited DNA linked to cancer.

  • Furthermore, screening is recommended for individuals exposed to occupational hazards or risky lifestyles.

  • While screening does not prevent cancer, it significantly aids in early detection, which is crucial for effective treatment, thereby reducing cancer risk.

Reducing Your Cancer Risk

  • Although familial background and certain environmental factors are immutable, lifestyle modifications can drastically reduce cancer risk.

Lifestyle Choices

  • Adopting a balanced diet rich in fruits and vegetables while limiting fatty meats may lower cancer risk.

  • Specific foods dubbed "superfoods" are purported to help the body fend off cancers; these include but are not limited to:
      - Tomatoes
      - Avocados
      - Carrots
      - Grapefruit
      - Red grapes
      - Broccoli
      - Garlic
      - Raspberries
      - Nuts
      - Cabbage
      - Figs

  • Obesity correlates with increased cancer risk, thus weight management through a healthy diet can be beneficial.

Diagnosing Cancer

  • In some instances, tumours cause noticeable swelling or other symptoms.

  • Patients may experience unexplained weight loss or lethargy.

  • Early diagnosis is essential for effective treatment; healthcare providers order various tests such as imaging studies or biopsies for further evaluation.

Imaging Technologies
  • Imaging techniques utilized may include:
      - X-rays
      - CT scans
      - MRIs
      - Ultrasounds
      - PET scans

Examining Cells
  • Confirmation of cancer diagnosis necessitates the microscopic examination of cell samples.

  • These samples can be obtained from blood or surgically removed tissue (a process known as biopsy).

  • If determined to be non-malignant, the sample is diagnosed as benign.

  • Benign tumours tend to have distinct characteristics, frequently resembling surrounding healthy tissue.

Treatments of Cancer

  • Post-diagnosis, determining the primary site of cancer origin, its size, growth rate, and spread status is crucial for treatment planning.

  • There are generally three primary methods of treating cancer, which include:
      1. Surgery: Involves the physical removal of cancerous tissue, often the preferred choice when accessible.
      2. Chemotherapy: Utilizes drugs to impede cancer cell division and proliferation.
      3. Radiation: Involves damaging the DNA of cancer cells with radiation to halt further division.

  • An emerging technique involves using light beams for early detection and treatment of cancer, offering higher precision and fewer side effects compared to traditional radiation methods.

Specialized Cells

  • Complex organisms, such as humans and plants, begin as single fertilized cells and develop into multicellular entities with diverse specialized cells that execute specific functions.

  • Specialized cells have distinct physical and chemical characteristics that enable them to perform their roles efficiently.

  • Examples include goblet cells in the respiratory tract that secrete mucus and cilia that transport it to eliminate inhaled particles.

Animal Cells

  • Animals exhibit a wide range of specialized cells, differing in structure and function.

Plant Cells

  • Plant cells also showcase specialization based on their location within the organism, such as leaf versus trunk cells.

Summary

  • All multicellular organisms are predominantly composed of specialized cells.

  • Specialized cells are designed to perform distinct tasks, leading to enhanced efficiency within the organism.

  • A specialized cell focuses on specific functions instead of undertaking all survival requirements of the organism.