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CANCER MODULE
Thank you, Revati Masilamani!
CANCER MODULE OVERVIEW
• Entire workbook pdf is posted on my web page
 You are welcome to download units covered in the module or the entire
workbook but it is not required.
• You will need to take notes from your classroom table discussions
• Each table will work together to learn/discuss the material assigned for each
quiz.
• The table quiz will be given at the beginning of the period on the indicated day.
 Please Note: If you are absent, you are required to make up the missed
assessment individually
• On Blockday, 3/1 or 3/2, you will complete an individual summative
assessment covering the entire module plus information over the Genomics
lectures.
CANCER MODULE SCOPE & SEQUENCE
DAY
UNITS
TOPICS
FORMATIVE
ASSIGNMENTS
Block - Fri
1.1 - 1.3
Intro
Table Worksheet
Tue, 2/21
2.2 – 2.5
Cell Review
XXX
Block, 2/22
or 2/23
Block, 2/22 –
Mon, 2/27
Table Quiz
3.1 – 3.4,
4.2, 5.5
Cancer
Metastasis & Treatment
Tue
Tue
XXX
Table Quiz
All
All
Loop Review Table Quiz
Individual Summative Assessment → Block, 3/1 or 3/2
**Questions from Cancer Module + Genomics Information**
WHAT IS CANCER?
WHAT IS CANCER, cont
WHAT IS CANCER, cont
• Tumor versus Cancer
o Benign tumor
o Malignant tumor
 Metastasis
CANCER MODULE
Units 1.3, 2.2, 2.3, 2.4, 2.5
REGULATION OF THE CELL CYCLE
Divide!!
• Drivers
• Checkpoints
Don’t divide!!
Cell Cycle Checkpoints
G2 Checkpoint
• Is my DNA correctly
replicated?
Mitosis
Checkpoint
• Are chromosomes ready for
separation?
G1 Checkpoint/
Restriction Point
• Is environment ok?
• Is my DNA intact?
Cyclin/Driver Function
G1 Driver
Cyclin D
S Driver 1 S Driver 2
Cyclin E Cyclin A
G2/M Driver
Cyclin B
Cell Signaling
PDGF
Outside
PDGF Receptor
Cytoplasm
TP
Transcription Factor
Rb
G1 driver gene
Nucleus
Cancer cells behave like stem cells …
Specialization is normally a one way trip!
Cancer cells
Cancer cells lose their specialized functions …
 Genetic Changes - Mutated genes are expressed when
they shouldn’t be.
 Epigenetic Changes – Genes expressed at the wrong
time.
Less Specialized
Divides more
More specialized
Divides less
Normal cells
Cancer and Genetic/Epigenetic Mutations
Oncogenes
•
Examples
 HER-2/neu (erbB-2): a growth factor receptor.
 ras: a signal transduction molecule
 myc: a transcription factor
 src: a protein tyrosine kinase.
 hTERT: an enzyme that functions in DNA replication.
 Bcl-2: a membrane associated protein that functions to prevent apoptosis.
Tumor Suppressor Genes
• Examples
 INK proteins
 p53
 Rb
 BRCA1
 BRCA2
 APC
p53
External signals:
• Lack of Oxygen
• Stress
• Tissue Damage
Internal signals:
• DNA damage
p53
Cell Cycle Arrest
Apoptosis
Mitochondria
release ‘death’
proteins
Apoptosis
proteins open
pore in
mitochondria
Apoptosis!
‘Die’ signals
from p53
Once pore is open,
it cannot be closed!
Mitochondria
Apoptosis, cont
nucleus
nucleus
nucleus
blebs
• The cell blebs
• Nucleus condenses
blebs
• Nucleus fragments
• The blebs float away &
are phagocytosed
CANCER MODULE
Units 3.1, 3.2, 3.3, 3.4, 4.2, 5.5
Human Genome
Genes
Exons
Introns
Intergenic DNA
Regulatory
sequences
Transposons
Other
Transposons
Cut ‘n’ paste
Copy ‘n’ paste
Cancer and Transposons
• Transposons can interrupt a gene by
jumping into it
• Transposons have their own
promoters.
• So a transposon landing in front of a
gene can turn ON the gene when it
should be OFF!
Transposon
Gene
Promoter
Gene
Transposon
Cancer & Mutations
Src
Proto-oncogene/Tumor
Suppressor
Proto Oncogene
c-Jun
Proto Oncogene
Deletion, Translocation
PTEN
Tumor Suppressor
SNPs, Deletion
p16
Tumor Suppressor
SNPs, Deletion
Ras
Proto-Oncogene
SNPs
p27
Tumor Suppressor
SNPs, Deletions
Protein
Most common mutation
SNPs, Duplications
Viruses & Cancer
Inflammation & Cancer
Wound
Inflammatory signals
Signals from the wound recruit
immune cells
Signals from immune cells
start inflammation
Immune cells secrete growth factors
Signals stop when tissue repaired
Chronic Inflammation & Cancer
Damaged tissue
Inflammation
ROS
Growth
factors
Rapid proliferation of
mutating cells
Chronic Inflammation, cont
Fatty liver
Acid reflux
Stomach infection
Cancer Metastasis
• Cancer metastasis is like wound healing




Stromal tissue is loosened
Immune cells are recruited
New blood vessels are made
Immune cells and stromal cells signal epithelial cells to replicate.
Cancer Treatments