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Cell Biology and Cancer What is cancer? • Cancer is a group of more than 100 diseases that develop across time and involve the uncontrolled division of the body’s cells and that are able to invade other tissues • Cancer begins when a cell breaks free from the normal restraints on cell division and begins to follow its own agenda for proliferation (multiply). What is a tumor? • A tumor is a mass of cells. • In situ cancer- means the abnormal cells remain within the tissue in which it originated. • Invasive cancer- when the abnormal cells begin to invade nearby tissues. Types of Cancer • Benign – Non-cancerous tumor • Malignant - tumors capable of spreading by invasion and metastasis. By definition, the term “cancer” applies only to malignant tumors • Metastatic - ability of cancer cells to penetrate into lymphatic and blood vessels, circulate through the bloodstream and then invade normal tissues elsewhere in the body • Type depends on cause and location • Each has its own growth rate and prognosis and treatability • Incidence increases with age • Tumors threaten an individual's life when the growth disrupts the tissues and organs needed for survival • Inherited predisposition – can inherit a cancersusceptible mutation (breast, ovarian) Research • Over the last 3-4 decades, research has revolutionized our understanding of cancer • Success largely due to the application of the techniques of molecular biology • Today we know cancer is a disease of molecules and genes • Our increasing understanding of these genes makes it possible for development of new strategies for preventing, forestalling and even correcting the changes that lead to cancer Clues from epidemiology • In 1775, a high incidence of scrotal cancer was described among men who worked as chimney sweepers • In the mid-1800’s, lung cancer was observed at alarmingly high rates among miners in German. • At the end of the 19th century, using snuff and cigars was thought to be closely associated with cancers of the mouth and throat • These observations and others suggested that the origin or causes of cancer may lie outside the body, and more importantly, they could be linked to identifiable and even preventable causes • These ideas led to a widespread search for agents that might cause cancer • An early notion, prompted by the discovery that bacteria caused a variety of human diseases, suggested cancer was an infectious disease • Another idea was that cancer arises from chronic irritation of tissues • This view received strong support with the discovery of X-rays in 1895 and the observation that exposure to this form of radiation could induce localized tissue damage, which could lead in turn to the development of cancer • Carcinogens – cancer-causing agent • Another view is that it is hereditary • In 1910, a submicroscopic agent was isolated from a chicken tumor and found that it could induce new tumors in healthy chickens • This theory led scientists to find out that an agent known as the Rous Sarcoma virus is one of several viruses that can act as a causative factor in the development of cancer Clues from cell biology • Field of study that has contributed to growing understanding of cancer • Cancer cells are indigenous cells—abnormal cells that arise from the body’s normal tissues. • All malignant tumors are monoclonal in origin (cells are derived from a single ancestral cell that somehow underwent conversion from a normal to a cancerous state) Development of cancer • The development of cancer occurs as a result of a series of clonal (monoclonal) expansions from a single ancestral cell • Although a tumor is monoclonal, it may contain a large number of cells with diverse characteristics • Another possibility is that cancer develops when many individual cells become cancerous or polyclonal Normal cells vs. cancerous cells • Key difference in cells – cancer cells have lost the restraints on growth that characterize normal cells • Cancerous cells look and act differently • In normal cells, the nucleus is only 1/5th the size of the cell. • In cancerous cells, the nucleus may occupy most of the cells volume