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Cancer and the Cell Cycle Cell Death and Cell Suicide Sometimes cells leave the cell cycle to die [apoptosis] because they are damaged beyond repair or they are simply not needed. Other times cells will undergo cell suicide when their survival would be a threat to the organism For example, cells infected by a bacterium or virus, or if there is a problem with its DNA. Cell Cycle Checkpoints How Cancer Develops When the cell cycle fails (ignores the checkpoints) and abnormal cell division begins (this is caused by mutations) Mutations can occur due to chance (mistakes) or carcinogens Carcinogens include toxic chemicals, radiation and viral infections Instead of dying (as instructed by checkpoints) these cells start dividing excessively and form a tumor After a tumor forms, cancer may then develop when further changes to the cells occur and they start to divide uncontrollably Healthy vs. Cancer Cells Healthy Cells Cancer Cells Usually don’t reproduce when Don’t mature or carry out a isolated from their other tissue function. cells. This is because they Cancer cells will reproduce in communicate cell to cell. isolation (1 cell every 24 hours They adhere to each other = 1 billion/month). well and communicate to Cancer cells do not adhere work together. They keep a well with other cells, forming a balance between cell tumor and increasing the risk destruction and cell growth. of metastasis [spread to other areas in the body]. Cancer invades healthy tissue, which then cannot do its job properly. Normal vs Cancer cells Shape of cell and nucleus changes Large nucleus, small amount of cytoplasm Lung Cancer development over years Normal Skin and Squamous Cell Carcinoma Detection of Cancer Screening: When a person does not have any signs or symptoms of cancer Includes prostate exam, mammogram, breast self-exam, testicular self-exam, pap smear, blood tests, colonoscopy Typically done as a regular medical checkup once you reach a certain age, but can be requested or done by YOU at any time When signs and symptoms are present: Usually confirmed through blood tests, biopsies, MRIs and/or ultrasound Treatment of Cancer Before treatment begins, your doctor must determine: The type and progression of the cancer Scientific evidence that the treatment works for that type of cancer Patient’s age and general health Any other medical problems that may exist Treatment Options Typically there are three treatments available to patients: Surgery to remove part or all of the tumor Chemotherapy: the use of drugs to treat cancer. These drugs slow or even stop the growth of the cancer cells. Radiation therapy: the use of high energy radiation to damage or destroy cancer cells. High doses of radiation induce apoptosis [cell death]. Homework: READ Chapter 2