MAC2 Cancer

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    A cancer is an uncontrolled proliferation of cells

    Failure in the mechanisms by which the cell cycle isregulated can lead to uncontrolled cell growth and thedevelopment of cancer

    In some the rate is fast; in others, slow; but in allcancers the cells never stop dividing.

    Cancer cells are usually less differentiated than thenormal cells of the tissue where they arose.

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    Cell Cycle

    The repeating sequence of growth anddivision through which cells pass eachgeneration

    The purpose of the cell cycle is to allowcells to reproduce without alteration ofgenetic material

    The stages are well preserved betweenspecies

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    Why do cells devide?

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    Events of cell cycle

    G1 =Growth andpreparation of thechromosomes forreplication

    S = Synthesis of DNA

    G2 = Preparation formitosis

    M = Mitosis

    Periode between M and S iscalled G1;

    between S and M is G2

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    Higly regulated process controlled by a large numberof factors include:

    Growth stimulating factors

    Growth inhibiting factors

    Enzymes that alter functional state of other proteinsby adding (kinases) or removing (phosphatases)phosphate groups

    Failure in the mechanisms by which the cell cycle is

    regulated can lead to uncontrolled cell growth and thedevelopment of cancer

    Cell cycle progression

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    There are several factors that regulate thecell cycle and assure a cell divides correctly

    There are several factors that regulate thecell cycle and assure a cell divides correctly

    Control of Cell Cycle

    There are several factors that regulate the cellcycle and assure a cell divides correctly

    1. Before a cell divides, theDNA is checked to makesure it has replicated

    correctly. (If DNA doesnot copy itself correctly, agene mutation occurs.

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    There are several factors that regulate thecell cycle and assure a cell divides correctly

    There are several factors that regulate thecell cycle and assure a cell divides correctly

    Control of Cell Cycle

    There are several factors that regulate thecell cycle and assure a cell divides correctly

    2. Chemical Signals tell acell when to start and

    stop dividing

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    Control of Cell Cycle

    There are important checkpoints during the cell cycle: At the G1 S transition

    At the S G2 transition

    At the G2 M transition

    Regulation of the cell cycle occurs as a consequenceof cyclin Cdk interaction

    Other proteins such as P53, Rb and oncogene play a

    role in regulating the cell cycle

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    Cyclins and Cyclin Dependent Kinases(Cdk)

    Cyclin Cdk Process regulated

    Cyclin DCyclin ECyclin ACyclin ACyclin B

    Cdk 4,6Cdk 2Cdk 2Cdk 1(Cdc2)Cdk 1

    G1 phase progressionG1 to S phaseS phase progressionS through G2M phase

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    Waves of Cyclin-Cdk Activity ControlThe Cell Cycle

    G1 S G1G2 M

    Cyclin D-Cdk 4/6

    Cyclin E-Cdk 2CyclinA-Cdk1

    Cyclin B-Cdk1

    GF

    Kin

    aseActivit

    y

    Time

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    The cell cycle control system hascheckpoints during G1, G2, S and M

    Checkpoint signals report cells status:

    Is the cell big enough?

    Is environment favorable?

    Is DNA replicated?

    Are chromosomes attached to oppositepoles?

    Checkpoints

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    G1 G2S prophase metaphase anaphase Cytokinesis

    Mitosis

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    Labile Epithelial, Lymphoid,Haemopoietic

    Stable Liver, Pancreas, Salivary

    gland,Endocrine organs

    Permanent Neurons, Skeletal muscle,

    Cardiac muscle

    Regenerative Capacity

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    It was originally assumed that cancerarose from a population of cells thatproliferated more rapidly than normal cells

    It is now known that many malignant cellshave longer cell cycle times than theirnormal counterparts

    Cell proliferation and cancer

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    Malignancies probably arise when there isan imbalance between cell production andcell loss

    Cell loss occurred through necrosis,apoptosis and surface shedding

    Abnormalities of the cell cycle do not

    explain all of the growth of malignanttumors and they are clearly not importantin invasion and metastasis

    What happens in malignancy?

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    Cell Cycle Is Regulated byOpposing Effects of Positive and NegativeFactors

    S

    G2 G1

    M

    Cyclin

    Cdk

    +

    P53

    Rb

    -

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    Cell Cycle Is Regulated ByOpposing Effects of Positive and Negative

    Factors

    Tumor Suppressor(P53, Rb)

    Oncogene(BCl2,BRCA1)

    Tumor Suppressor

    (P53, Rb)

    Oncogene

    (BCl2,BRCA1)

    Cell proliferation

    Cell proliferation

    Cell death

    Cell death

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    APOPTOSIS

    For every cell, there is time to live and atime to die

    There are two ways in which cells die: They are killed by injuries agents

    They are induced to commit suicide (apoptosisor Programmed cell death;PCD)

    Two forms of cell death Necrosis

    Apoptosis

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    Death by Injury

    Cells that are damaged by injury, such asby:

    Mechanical damage Exposure to toxic chemicals

    Undergo a characteristic series of changes:

    They are swell

    The cell contents leak out, leading to;

    Inflammation of surrounding tissues

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    Death by Suicide (Apoptosis)

    Cells that are induced to commit suicide:

    Shrink

    Have their mitochondrial break down

    Develop bubble-like blebs on their surface

    Have the chromatin in their nucleusdegraded and show chromatin

    condensation

    Break into small, membrane-wrapped,fragment

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    Apoptosis Versus Necrosis

    Apoptosis

    Central part of normal

    development Genetically mediated

    Involve inorganogenesis, tissuehomeostasis

    Necrosis

    Results from cell

    metabolic collapse Response to injury or

    toxic damage

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    Apoptosis Versus Necrosis

    Apoptosis Shrinkage of cell

    Little or no swellingof mitochondria

    Intact membrane

    Degradation of DNAinto multiple of 180bp

    Little or noinflammatoryresponse

    Necrosis Swelling of cell

    Swelling ofmitochondria

    Loss of membraneintegrity

    Random degradationof DNA

    Intense inflammatoryresponse

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    Why Should a Cell CommitSuicide?

    There are two different reasons

    Apoptosis is needed for proper development The formation of the fingers and the toes of the

    fetus requires the removal, by apoptosis of thetissue between them

    Apoptosis is needed to destroy cells thatrepresent a thread to integrity of the organism

    Cells infected with viruses Cells of the immune system

    Cells with DNA damage

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    What Makes Cell Decide toCommit Suicide?

    The balance between:

    The withdrawal of positive signals; that

    is, signal needed for continued survival(GF, cytokines, oncogenes)

    The receipt of negative signals

    (increased levels of oxidant damage ofDNA, tumor suppressor)

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