What are the two defining properties of cancer cells?
(1) Proliferate in defiance of normal signals, and (2) invade/colonize other tissues.
What is the difference between benign and malignant tumors?
Benign = stay in one place; malignant = invade tissues + spread (metastasize).
What is metastasis?
Cancer cells break away from the original tumor, enter blood/lymph, and form secondary tumors.
What is epidemiology?
The study of environmental/lifestyle factors that correlate with disease (e.g., smoking, HPV).
HPV infection increases risk of which cancer?
Cervical cancer.
What are passenger mutations?
Mutations in cancer genes that do not contribute to cancer development.
What are driver mutations?
Mutations that directly promote cancer development (usually at least 3 needed).
Why does cancer risk increase with age?
Mutations accumulate over a lifetime due to replication errors and environmental mutagens.
What is genetic instability?
A condition where cells accumulate mutations rapidly due to defective repair/checkpoints.
What are examples of genetic instability?
Chromosomal deletions, duplications, inversions, translocations, aneuploidy.
Why do cancer cells have a competitive advantage?
Mutations allow them to proliferate, survive stress, and avoid apoptosis
What does loss of p53 cause?
Cells fail to stop division after DNA damage → no apoptosis → survival of damaged cells.
Why do cancer cells proliferate indefinitely?
They reactivate telomerase, maintaining telomere length and avoiding senescence.
Why are cancer cells abnormally invasive?
They lose adhesion molecules that normally keep cells in place
Why do cancer cells consume more glucose?
They need high ATP to support rapid proliferation (Warburg-like effect).
: What is an oncogene?
A gain-of-function mutant gene that is always active and pushes the cell to divide.
What is a tumor suppressor gene?
A gene that normally prevents cell proliferation; cancer arises after loss-of-function.
What is the APC gene and its role in colorectal cancer?
APC is a tumor suppressor that inhibits Wnt signaling. Loss → polyps → colon cancer.
Why is cancer treatment difficult to develop
Cancer cells mutate rapidly → high genetic diversity → fast resistance → late detection.
How does imatinib (Gleevec) treat cancer?
Blocks a hyperactive oncogenic tyrosine kinase (e.g., in chronic myeloid leukemia).