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Cancer Timeline and Characteristics Cancers share the following characteristics (page 70) • • • • • Hyperplasia Dedifferentiation Invasiveness Angiogenesis Metastasis Hyperplasia • Telomere region =ends of chromosomes • Telomerase = enzyme that cancer activates, when activated it lengthens telomere region Dedifferentiation • Loss of normal functioning so…DEdifferentiated Invasiveness • Breaking away from basement membrane • What type of cells are attached to a basement membrane Angiogenesis Metastasis Genetic Mutations that Cause Cancer • Oncogenes – Normally inactive unless preparing for mitosis – Cell stays in G1 as long as oncogene is inactive – A mutation causes this gene to be ACTIVE therefore… • Tumor Suppressor Gene – Normally active to keep the cell from doing mitosis – Cell stays in G1 as long as the TS Gene is active – A mutation causes the gene to be inactive therefore… Genetic Mutations • Oncogenes • Tumor Surpressor Genes 3000 BC • Earliest written description of cancer • 2500-1600 B.C. – describes surgery, pharmacology, mechanical and magical treatments 500 B.C. • Greek • Hippocrates (Greek philosopher) lifted medicine out of realms of magic • Both performed diagnosis and treatment • 4 corresponding fluids that governed health: – – – – Blood Phlegm Yellow bile Black bile 1 A.D. • Galen (Roman empire) – “physician for a millennium” • Served as physician to gladiators – learned a lot and wrote a lot 500 AD • Hospitals – an outstanding Arab contribution to medicine • Monastic hospitals built for wounded crusaders • Best hospitals of the Middle Ages: – Baghdad – Damascus – Cairo th 11 Century • Universities and Medical Schools – a legacy of the Middle Ages – Bologna, Paris, Montpellier and Oxford 1000-1400 A.D. • Fall of Rome – Constantinople becomes intellectual storehouse of civilization • Europe emphasizes faith in healing • Universities still rooted in Galen 1500 • Research and Renaissance • The Art of Anatomy • Medicine based observation and analysis • Cancer still considered incurable (black bile theory hard to die) 1600s • Experimental medicine begins • Surgeries attempted, statistics calculated, systems identified, knowledge published and shared • CANCER – not caused by black bile! • Italian physician Gaspare Aselli suggests abnormalities with lymphatic system 1655 • Microscope invented by Leeunhoek • Robert Hooke– CELLS! 1700 • Nuns, Chimney sweeps and Snuff –takers – First to observe environmental conditions and health risks • Cancer thought to be local disease • Experimental Oncology begins with French physician Jean Astruc and chemist Bernard Peyrille • John Hunter – surgical removal of cancer 1800 • Morbid anatomy allows for thorough documentation of organs infected with cancer • Cancer cells observed in microscope • Ether and use of disinfectants makes surgeries prevail with lower mortality rates Early 1900s • • • • Radiotherapy used to treat cancer – radium Genetic cause of cancer proposed Viral cause of cancer proposed Animal experimentations to find cancer wonder drug • 1930 – The National Cancer Institute is founded, educating public 1930-1950 • Chemotherapy and radiation providing hope • Early diagnosis is key • Shocking discovery – smoking may cause cancer! 1955 • Watson and Crick – need I say more? • Molecular medicine born • Radiation and chemo progressing 1960 Silent Spring – Rachel Carson • Environmental links to cancer • Viral oncology • Warning label on cigarettes 1970’s • Reverse transcriptase – alters cancer research by making genetic engineering possible • Carcinogens and DNA focus 1975 • First Oncogene discovered • DNA sequencing 1980’s • Cancer Immunology – manipulating the body’s own defense system to fight cancer, promising therapy 1985 • AIDS and cancer • Drug resistance • Need for new drugs 1990’s • Gene sequencing and human genome project • Gene therapies 2000s • Stem cells • Genetic detection, screenings • Advances in technology