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Cancer: Cell division gone wrong Checkpoints in cell cycle Is the DNA fully replicated? Is the DNA damaged? Are there enough nutrients to support cell growth? Monitored by specialized proteins which send messages to nucleus to cell what to do http://youtu.be/VhkQP5g4EHo A Basic Definition Cancer is defined as: Disease caused by uncontrolled growth and division of defective cells. daughter cells continue this destructive cell reproduction cycle Cell Growth Rates and Cancer Cancer occurs when: – Despite messages to STOP, a defective cell continues to grow and divide -a tumour is a lump of defective cells that develops The Two Types of Tumours 1. Benign Tumours 2. Malignant Tumours 1. Benign Tumours Noncancerous lumps Only harmful if the lumps physically crowd nearby tissues 2. Malignant Tumours Cancerous Interfere with the regular functioning of surrounding cells and tissues May lead to metastasis metastasis: occurs when malignant tumour cells break off and form a secondary tumour elsewhere in the body eg. Renal (kidney) cancer Why is metastasis dangerous? Metastatic tumours may spread to vital areas (blood, lungs etc..) and resulting in more severe health problems Multiple locations of cancer are more difficult to treat. Cancer cannot spread without a network of blood vessel to support Image from: http://www.cancer.gov/cancertopics/understandingcancer/angiogenesis/AllPages What causes of Cancer? There are three general causes of cancer Mutations Caused by: 1. Random Error Mutation during DNA replication 2. Carcinogens 3. Genes (Oncogenes) Random Error Mutations as a cause for Cancer Errors in DNA duplication may occur during cell division When does DNA duplication occur? S phase of cell cycle right before cell division Usually, harmful mutations cause the cell to self-destruct or refrain from dividing. Carcinogens Environmental factors that cause mutations in DNA For example: 1. Tobacco smoke Carcinogens Environmental factors that cause mutations in DNA For example: 2. Radiation Such as UV rays (sun/tanning beds) Carcinogens Environmental factors that cause mutations in DNA For example: 3. Chemicals like BPA (bisphenol A) Carcinogens Environmental factors that cause mutations in DNA For example: 4. Viruses (HPV-human papillomavirus can stay in the body and lead to cervical cancer) Cause of Cancer (Cont.): Oncogenes Defective genes (due to mutations) are passed down from one generation to another Oncogenes Family history can indicate presence of oncogenes (Oncology the study of cancer) is • Examples of cancer that tend to run in famillies: breast cancer & colon cancer Different Kinds of Cancer Some common carcinomas: Lung Leukemias: Bloodstream Lymphomas: Lymph nodes Breast (women) Colon Bladder Prostate (men) Some common sarcomas: Fat Bone Muscle Examples of cancer types Breast cancer Colon cancer http://www.colorectalcancer.ca/en/just-thefacts/symptoms/ Which is the healthy lung? Which cancerous? Healthy Cancerous Smoking as a cause for Cancer 9 out of 10 cases of lung cancer in Canada are a result of smoking Lung cancer is the most common type of cancer in Canadians over 40 Can you explain why cigarettes are so expensive and why many Canadian bars/clubs are smokefree? Population-Based Studies U.K.: Lung cancer Regions of Highest Incidence CANADA: Leukemia JAPAN: Stomach cancer CHINA: Liver cancer AUSTRALIA: Skin cancer U.S.: Colon cancer BRAZIL: Cervical cancer Detecting Cancer Early detection of cancer is important to prevent metastasis 3 basic screening methods include: 1. Genetic testing (for breast or colon cancer) 2. Self-exams (breast or prostate) 3. Medical diagnostics Medical Diagnostic Tools Endoscopy – – Fibre optic cable is inserted into the body cavity to look for suspicious growths Commonly used to detect colon cancers Observe a colonoscopy https://www.youtube.com/watch?v=ewCIqA AJGPg Pill camera: https://www.youtube.com/watch?v=AlQN3c0 4mu0 Medical Diagnostics X-Rays – – Images used to detect cancer in bones and lung tissue Mammogram is a specialized x-ray to examine breast tissue Medical Diagnostics Ultrasound – Sound waves are used to examine soft tissue – Detects cancers in heart or liver tissue Using ultrasound technology helps avoid the use of harmful Xrays (as in CAT scan) Medical Diagnostics CT/CAT Scan (computerized axial tomography) – – X-ray images taken from various angles to access hard to see tissues Often used to detect brain cancer Medical Diagnostics MRI (magnetic resonance imaging) – Radio waves and magnetic fields generate 3D images with greater detail than CT scans Medical Diagnostics Examining Cells and Biopsy – – Cells are taken via blood samples or surgery and then examined under a microscope Based on irregular shape and smaller size, cancerous cells can be identified Conventional Cancer Treatments 1. 2. 3. Cancer is generally treated in three ways: Surgery Chemotherapy Radiation Surgery as Cancer Treatment Cancerous tissue is excised (cut) from the body Benefits: Ensures that most of the cancerous cells are physically removed Disadvantage: Surgery can be risky, especially in the elderly and infirm Chemotherapy Drugs delivered to slow or stop cancer cell division. (May kill cancer cells sometimes) Benefits: Shrinks tumours for later surgical removal or radiation treatment- even small, hard-to- reach tumors Disadvantage: Suffering from side effects (hair loss, nausea, fatigue) May affect healthy cells but they can repair themselves Radiation A focused beam of gamma radiation kills or damages cancer cells Benefits: Can precisely target even small tumours Disadvantage: May cause radiation sickness. Also radiation exposure can potentially cause other cancers. Recent advancement https://www.youtube.com/watch?v=M1WdL61y_S8&feature=youtu.be The End