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Lecture 22 cancer notes human body stfu
Module: The Human Body (PY4010)
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University: Kingston University
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Lecture 22
Cancer
Mark Fisher
What is cancer
• A serious disease, resulting from a malignant growth of tumour, caused by abnormal and uncontrolled
cell division
• Cancer is a disease of DNA damage
• More modern view is cancer has a problem with single transaction/ resulting in aberrant signal
transduction
What are the most common cancers in the UK?
• Breast and Prostate cancer
• Lung and Colorectal cancer
Which cancers have the highest incidence of death in the UK in 2016?
- Lung and bowel cancer
What is Carcinogenesis?
• the initiation of cancer formation/ the process by which normal cells —> cancer cells
Describe the process of Carcinogenesis?
• Cancer involves a Multi-hit mechanism: 4-8 mutations needed in cancer cell —> malignant cell
Initiation —> Promotion —> Progression
1. Initiation:
• Key oncogene mutates —> this gets fixed in cell
• if cells stimulated to divide then they may have a growth advantage
• if you promote growth cell might grow through to have growth advantage
• tumour cells have other features —> immotile
How does age affect cancer?
• Cancer predominantly a disease of old age
Which cancers are driven by hormones?
• Testosterone is a drive for prostate cancer as testosterone is needed for prostate to grow
• Oestrogen is a drive for breast cancer
How can drugs be used to target cancers driven by hormones?
• hormone therapy - uses medicines to block or lower the amount of hormones in the body to slow down
or stop the growth of cancer
• e.g. drugs can prevent the binding of testosterone to its receptor
What are the causes of cancer?
1. Chemicals: diet, job, lifestyle - smoking, alcohol
2. Radiation - UV, gamma rays, radioactivity-radon
3. Viruses: DNA - Epstein-Barr, hepatatis B, Human papilloma
4. Genetic predisposition: breast cancer
5. Immune suppression: EBV lymphomas-transplant patients, dont recognise viral antigens
6. Co factors: enable the mutated cells to grow out, hormones oestrogen and testosterone act as co-
factors. malaria-Burkitt’s lymphoma (EBV)- malaria acts as a co-factor, hormones- oestrogen (breast
CA), testosterone (prostate)
Molecular genetic aspects:
• Tumours are usually clonal - derived from a single cell that out grows other cells
• Derive from cumulative changes in expression of 3 gene classes:
What are the 3 different type of changes in a tumour cell?
• Changes in (Proto)oncogenes- 50-100 known (mutate PO genes —> oncogenes)
• Tumour suppressor genes (stopping oncogenes from causing cancer)
• Metastasis suppressor genes - stops tumour from spreading