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Understanding Cancer Tutorial
Information for Teachers
Understanding Cancer Tutorial
• This tutorial was adapted from the
Understanding Cancer: Cancer Tutorial
available at
http://www.cancer.gov/cancertopics/understandi
ngcancer/cancer
• There are two forms for this PPT:
– Teacher Presentation version (with a script)
– Student Handout version (if printing, specify
black/white on print menu)
R
Understanding Cancer Tutorial
Information for Teachers
• The National Cancer Institute has produced a
series of cancer related PowerPoint tutorials.
These are available as downloadable format at
http://www.cancer.gov/cancertopics/understandi
ngcancer.
• Each PowerPoint in this series includes a
teacher script. Once these have been
downloaded, you may modify the slide show and
print student handouts.
R
Understanding Cancer
Teacher Information
Developed by:
Lewis J. Kleinsmith, Ph.D.
Donna Kerrigan, M.S.
Jeanne Kelly
Brian Hollen
Discusses and illustrates what
cancer is, explains the link
between genes and cancer,
and discusses what is known
about the causes, detection,
and diagnosis of the disease.
These PowerPoint slides are not locked files. You can mix and match slides from
different tutorials as you prepare your own lectures. In the Notes section, you will
find explanations of the graphics.
The art in this tutorial is copyrighted and may not be reused for commercial gain.
Please do not remove the NCI logo or the copyright mark from any slide.
These tutorials may be copied only if they are distributed free of charge for
educational purposes.
R
Cancer
R
Understanding Cancer
Developed by:
Lewis J. Kleinsmith, Ph.D.
Donna Kerrigan, M.S.
Jeanne Kelly
Brian Hollen
Discusses and illustrates what
cancer is, explains the link
between genes and cancer,
and discusses what is known
about the causes, detection,
and diagnosis of the disease.
R
Lung
Breast (women)
Colon
Bladder
Prostate (men) Fat
Bone
Muscle
Lymph nodes
Bloodstream
What are some different kinds of cancer?
R
What are some different kinds of cancer?
Lung
Breast (women)
Colon
Bladder
Prostate (men)
Sarcomas:
Fat
Bone
Muscle
Lymphomas:
Lymph nodes
Leukemias:
Bloodstream
Carcinomas:
R
Prefix Meaning
adeno- gland
chondro- cartilage
erythro- red blood cell
hemangio- blood vessels
hepato- liver
lipo- fat
lympho- lymphocyte
melano- pigment cell
myelo- bone marrow
myo- muscle
osteo- bone
Cancer Prefixes Point to Location
What are some different kinds of cancer?
R
How are Normal and Cancer Cell Division Different?
Cancer
cell division
Normal
cell division
R
How are Normal and Cancer Cell Division Different?
Cancer
cell division
Fourth or
later mutation
Third
mutation
Second
mutation
First
mutation
Uncontrolled growth
Cell Suicide or Apoptosis
Cell damage—
no repair
Normal
cell division
R
How are normal and cancer growth different?
R
How are normal and cancer growth different?
Normal Growth
Cell migration
Dermis
Dividing cells
in basal layer
Dead cells
shed from
outer surface
Epidermis
R
How are normal and cancer growth different?
Underlying tissue
The Beginning
of Cancerous
Growth
R
How are normal and cancer growth different?
Underlying tissue
Tumors
(Neoplasms)
R
How are normal and cancer growth different?
Cancer cells
reinvade and grow
at new location
Invasion
Cancer cells grow into
surrounding tissues
and blood vessels
Metastasis
Cancer cells are
transported by the
circulatory system
to distant sites
R
What is the difference between a
benign tumor and a malignant tumor?
Malignant
Time
Benign
R
What is the difference between a
benign tumor and a malignant tumor?
Malignant (cancer)
cells invade
neighboring tissues,
enter blood vessels,
and metastasize to
different sites
Time
Benign (not cancer)
tumor cells grow
only locally and cannot
spread by invasion or
metastasis
R
Why are malignant tumors dangerous?
R
Why are malignant tumors dangerous?
Melanoma
cells travel
through
bloodstream
Melanoma
(initial tumor)
Brain
Liver
R
What is cancer screening?
R
Why is cancer screening important?
R
Why is cancer screening important?
Early Cancer May Not
Have Any Symptoms
R
What are some types of cancer screening?
R
What are some types of cancer screening?
Abnormal
Pap smear
Normal
Pap smear
Cervical Cancer
Screening (Pap Smear)
R
What are some types of cancer screening?
Breast Cancer
Screening
(Mammogram)
R
What are some types of cancer screening?
Prostate and
Ovarian
Cancer
Screening
(Blood Tests)
R
What are some types of cancer screening?
Colon Cancer Screening
Fecal Occult Blood Test and Colonoscopy
R
How is cancer diagnosed?
R
What is a biopsy?
How is the biopsy analyzed?
R
What is a biopsy?
How is the biopsy analyzed?
Patient’s
tissue sample or
blood sample Genomic profile
Proteomic profile
Pathology
R
What does a pathologist look for
examining biopsy tissue?
R
What does a pathologist look for
examining biopsy tissue?
R
What does a pathologist look for when he
examines biopsy tissue with a microscope?
Mild
dysplasia
Carcinoma in
situ (severe
dysplasia)
Cancer
(invasive)
Normal
Hyperplasia
R
What does a pathologist look for when he/she
examines biopsy tissue with a microscope?
Mild
dysplasia
Carcinoma in
situ (severe
dysplasia) Cancer
(invasive)
Normal Hyperplasia
R
What is the relationship between
tumor grade and patient survival?
General Relationship Between
Tumor Grade and Prognosis
Patient
Survival
Rate
Years
High grade
III or IV
Low grade
I or II
100%
1 2 3 4 5
R
What is the relationship between
tumor grade and patient prognosis?
Patient
Survival
Rate
Years
High grade
III or IV
Low grade
I or II
R
What does Stage III cancer mean?
Five-Year Survival Rates for
Patients with Melanoma (by stage)
Stage at Time of Initial Diagnosis
100%
50%
I II III
R
What does Stage III cancer mean?
Five-Year Survival Rates for
Patients with Melanoma (by stage)
Stage at Time of Initial Diagnosis
100%
50%
I II III
Stage III Cancer
R
What Causes Cancer?
R
What Causes Cancer?
Some viruses or bacteria
Heredity
Diet
Hormones
Radiation
Some chemicals
R
How could you explain the differences in the
cancer incidence in different countries?
R
Population-Based Studies
CANADA:
Leukemia
Regions of Highest Incidence
BRAZIL:
Cervical
cancer
U.S.:
Colon
cancer
AUSTRALIA:
Skin
cancer
CHINA:
Liver
cancer
U.K.:
Lung
cancer
JAPAN:
Stomach
cancer
R
Is the incidence of these cancers due to
genes, behavior, or environmental risk?
100
50
5
0
Stomach Cancer
U.S.
Japan Japanese
families
in U.S.
100
70
7
0
Colon Cancer
U.S.
Japan Japanese
families
in U.S.
R
Is the incidence of these cancers due to
genes behavior, or environmental risk?
100
50
5
0
Stomach Cancer
(Number of new cases
per 100,000 people)
U.S.
Japan Japanese
families
in U.S.
100
70
7
0
Colon Cancer
(Number of new cases
per 100,000 people)
U.S.
Japan Japanese
families
in U.S.
R
What increases peoples’ risk of cancer?
Sunshine X-ray
R
What increases peoples’ risk of cancer?
Some Carcinogenic Chemicals
in Tobacco Smoke
R
What increases peoples’ risk of cancer?
4000
3000
2000
1000
20-Year Lag Time Between
Smoking and Lung Cancer
Cigarettes
Smoked
per Person
per Year
Lung Cancer
Deaths (per
100,000 people)
Year
Lung
cancer
(men)
Cigarette
consumption
(men)
1900 1920 1940 1960 1980
150
100
50
R
What increases peoples’ risk of cancer?
Low Strength (Ultraviolet) Radiation
Annual Sunshine
(UV radiation)
Skin
Cancer
Incidence
Most
Dallas
Pittsburgh
High
Detroit
Low
Least
R
What increases peoples’ risk of cancer?
High-Strength (Atomic) Radiation
Most
High
Low
Least
Leukemia
Incidence
X-ray Dose
(atomic radiation)
R
What increases peoples’ risk of cancer?
Virus inserts
and changes
genes for
cell growth
Cancer-linked virus
Viruses
R
What increases peoples’ risk of cancer?
Some Viruses Associated with Human Cancers
R
What increases peoples’ risk of cancer?
Kaposi’s
sarcoma
Without
disease
Depressed
immune
system
HIV infection
KSHV infection
R
What increases peoples’ risk of cancer?
Bacteria and Stomach Cancer
H. pylori
Patient’s
tissue sample
R
What increases peoples’ risk of cancer?
Inherited factor(s)
All Breast Cancer Patients
Other factor(s)
R
What increases peoples’ risk of cancer?
Inherited Conditions That Increase Risk for Cancer
R
How do you know if you have genes that
make getting cancer more likely?
Genetic Testing
R
How do you know if you have genes that
make getting cancer more likely?
Genetic Testing
R
What happens to genes to cause cancer?
R
What happens to genes to cause cancer?
Chromosomes
are DNA
molecules
Heredity
Radiation
Chemicals
Viruses
R
What happens to genes to cause cancer?
DNA molecule
Chemical
bases
G
C
T
A
R
What happens to genes to cause cancer?
Additions
Deletions
Normal gene
Single base change
DNA
C
T
A G C G A A C T
A
C
A G G C G C T A
A
C A C T
A G C T A A C T
A
C
A G A A C T
A
C
DNA
Mutations
R
How do mutations in oncogenes
lead to cancer?
Receptor
DNA
Cell proliferation
Cell nucleus
Transcription
factors
Signaling enzymes
Growth factor
R
How do mutations in oncogenes
lead to cancer?
Mutated/damaged oncogene
Oncogenes
accelerate
cell growth
and division
Cancer cell
Normal cell Normal
genes
regulate
cell growth
R
How do mutations in oncogenes
lead to cancer?
Receptor
Normal Growth-Control Pathway
DNA
Cell proliferation
Cell nucleus
Transcription
factors
Signaling enzymes
Growth factor
R
How do mutations in oncogenes
lead to cancer?
Cell proliferation driven by
internal oncogene signaling
Transcription
Activated gene
regulatory protein
Inactive intracellular
signaling protein
Signaling protein from active oncogene
Inactive growth factor receptor
R
How do mutations in tumor suppressor
genes lead to cancer?
Tumor Suppressor
Gene Proteins
DNA
Signaling
enzymes Transcription
factors
Cell proliferation
R
How do mutations in tumor suppressor genes
lead to cancer?
Normal
genes
prevent
cancer
Remove or inactivate
tumor suppressor genes
Mutated/inactivated
tumor suppressor genes
Damage to
both genes
leads to
cancer
Cancer cell
Normal cell
R
How do mutations in tumor suppressor
genes lead to cancer?
Tumor Suppressor
Gene Proteins
DNA
Cell nucleus
Signaling
enzymes
Growth factor
Receptor
Transcription
factors
Cell proliferation
R
How do mutations in the p53 gene lead to
cancer?
R
How do mutations in the p53 gene lead to
cancer?
Normal cell Cell suicide
(Apoptosis)
p53 protein
Excessive DNA damage
p53 Tumor Suppressor Protein
Triggers Cell Suicide
R
How do mutations in DNA Repair Genes cause
cancer?
R
How do mutations in DNA Repair Genes cause
cancer?
Cancer
No cancer
No DNA repair
Normal DNA repair
Base pair
mismatch
T C
A
T
C
A G
T
C
G
T C
A
G
C
A G
T
C
G
A G
T
G A G
T
A
G
T C
A
T
C
T C
A
T
C
R
What other kinds of mutations can lead
to cancer?
Genes Implicated in Cancer
R
What other kinds of mutations can lead
to cancer?
Genes Implicated in Cancer
R
Why does cancer risk increase with age?
Risk
Age
Colon
Breast
R
Why does cancer risk increase with age?
400
300
200
100
Cancer Risk and Aging
Number of
Cancer Cases
(per 100,000
people)
Age of Person (in years)
Colon
Breast
0 20 40 60 80
R
Cancer Tends to Involve Multiple Mutations
Malignant cells invade
neighboring tissues, enter
blood vessels, and
metastasize to different sites
More mutations,
more genetic
instability,
metastatic
disease
Proto-oncogenes
mutate to
oncogenes
Mutations
inactivate
DNA repair
genes
Cells
proliferate
Mutation
inactivates
suppressor
gene
Benign tumor cells
grow only locally and
cannot spread by
invasion or metastasis
Time
R
Cancer Tends to
Corrupt Surrounding Environment
Growth factors = proliferation
Blood vessel
Proteases
Cytokines
Matrix
Fibroblasts,
adipocytes
Invasive
Cytokines, proteases = migration & invasion
R
What can people do to prevent cancer?
R
What can people do to prevent cancer?
Cancer viruses
or bacteria
Carcinogenic
radiation
Carcinogenic
chemicals
R
What can people do to prevent cancer?
15x
10x
5x
Non-smoker
Cigarettes Smoked per Day
Lung Cancer Risk Increases
with Cigarette Consumption
Lung
Cancer
Risk
0 15 30
R
What can people do to prevent cancer?
R
What can people do to prevent cancer?
40x
30x
20x
10x
Alcoholic Drinks
Consumed per Day
Packs of Cigarettes
Consumed per Day
Combination of Alcohol and Cigarettes
Increases Risk for Cancer of the Esophagus
Risk
Increase
AND
R
What can people do to prevent cancer?
0
Number of Cases
(per 100,000
people)
Grams (per person per day)
Correlation Between Meat Consumption and
Colon Cancer Rates in Different Countries
40
30
20
10
300
200
100
80
R
What can people do to prevent cancer?
R
What can people do to prevent cancer?
Noninfected
women
HPV Infection Increases
Risk for Cervical Cancer
Cervical
Cancer
Risk
Low
High
Women
infected
with HPV
R
What can people do to prevent cancer?
Some Carcinogens in the Home and Workplace
R
Does industrial pollution cause cancer?
R
Does industrial pollution cause cancer?
1930
Incidence of
Most Cancers
Year
1990
1970
1950
R
Is There a Cancer "Epidemic"?
R
Is There a Cancer "Epidemic"?
R
Write a paragraph to answer
each of these questions.

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Understanding_Cancer_Teacher_PPT.ppt

  • 1. R Understanding Cancer Tutorial Information for Teachers Understanding Cancer Tutorial • This tutorial was adapted from the Understanding Cancer: Cancer Tutorial available at http://www.cancer.gov/cancertopics/understandi ngcancer/cancer • There are two forms for this PPT: – Teacher Presentation version (with a script) – Student Handout version (if printing, specify black/white on print menu)
  • 2. R Understanding Cancer Tutorial Information for Teachers • The National Cancer Institute has produced a series of cancer related PowerPoint tutorials. These are available as downloadable format at http://www.cancer.gov/cancertopics/understandi ngcancer. • Each PowerPoint in this series includes a teacher script. Once these have been downloaded, you may modify the slide show and print student handouts.
  • 3. R Understanding Cancer Teacher Information Developed by: Lewis J. Kleinsmith, Ph.D. Donna Kerrigan, M.S. Jeanne Kelly Brian Hollen Discusses and illustrates what cancer is, explains the link between genes and cancer, and discusses what is known about the causes, detection, and diagnosis of the disease. These PowerPoint slides are not locked files. You can mix and match slides from different tutorials as you prepare your own lectures. In the Notes section, you will find explanations of the graphics. The art in this tutorial is copyrighted and may not be reused for commercial gain. Please do not remove the NCI logo or the copyright mark from any slide. These tutorials may be copied only if they are distributed free of charge for educational purposes.
  • 5. R Understanding Cancer Developed by: Lewis J. Kleinsmith, Ph.D. Donna Kerrigan, M.S. Jeanne Kelly Brian Hollen Discusses and illustrates what cancer is, explains the link between genes and cancer, and discusses what is known about the causes, detection, and diagnosis of the disease.
  • 6. R Lung Breast (women) Colon Bladder Prostate (men) Fat Bone Muscle Lymph nodes Bloodstream What are some different kinds of cancer?
  • 7. R What are some different kinds of cancer? Lung Breast (women) Colon Bladder Prostate (men) Sarcomas: Fat Bone Muscle Lymphomas: Lymph nodes Leukemias: Bloodstream Carcinomas:
  • 8. R Prefix Meaning adeno- gland chondro- cartilage erythro- red blood cell hemangio- blood vessels hepato- liver lipo- fat lympho- lymphocyte melano- pigment cell myelo- bone marrow myo- muscle osteo- bone Cancer Prefixes Point to Location What are some different kinds of cancer?
  • 9. R How are Normal and Cancer Cell Division Different? Cancer cell division Normal cell division
  • 10. R How are Normal and Cancer Cell Division Different? Cancer cell division Fourth or later mutation Third mutation Second mutation First mutation Uncontrolled growth Cell Suicide or Apoptosis Cell damage— no repair Normal cell division
  • 11. R How are normal and cancer growth different?
  • 12. R How are normal and cancer growth different? Normal Growth Cell migration Dermis Dividing cells in basal layer Dead cells shed from outer surface Epidermis
  • 13. R How are normal and cancer growth different? Underlying tissue The Beginning of Cancerous Growth
  • 14. R How are normal and cancer growth different? Underlying tissue Tumors (Neoplasms)
  • 15. R How are normal and cancer growth different? Cancer cells reinvade and grow at new location Invasion Cancer cells grow into surrounding tissues and blood vessels Metastasis Cancer cells are transported by the circulatory system to distant sites
  • 16. R What is the difference between a benign tumor and a malignant tumor? Malignant Time Benign
  • 17. R What is the difference between a benign tumor and a malignant tumor? Malignant (cancer) cells invade neighboring tissues, enter blood vessels, and metastasize to different sites Time Benign (not cancer) tumor cells grow only locally and cannot spread by invasion or metastasis
  • 18. R Why are malignant tumors dangerous?
  • 19. R Why are malignant tumors dangerous? Melanoma cells travel through bloodstream Melanoma (initial tumor) Brain Liver
  • 20. R What is cancer screening?
  • 21. R Why is cancer screening important?
  • 22. R Why is cancer screening important? Early Cancer May Not Have Any Symptoms
  • 23. R What are some types of cancer screening?
  • 24. R What are some types of cancer screening? Abnormal Pap smear Normal Pap smear Cervical Cancer Screening (Pap Smear)
  • 25. R What are some types of cancer screening? Breast Cancer Screening (Mammogram)
  • 26. R What are some types of cancer screening? Prostate and Ovarian Cancer Screening (Blood Tests)
  • 27. R What are some types of cancer screening? Colon Cancer Screening Fecal Occult Blood Test and Colonoscopy
  • 28. R How is cancer diagnosed?
  • 29. R What is a biopsy? How is the biopsy analyzed?
  • 30. R What is a biopsy? How is the biopsy analyzed? Patient’s tissue sample or blood sample Genomic profile Proteomic profile Pathology
  • 31. R What does a pathologist look for examining biopsy tissue?
  • 32. R What does a pathologist look for examining biopsy tissue?
  • 33. R What does a pathologist look for when he examines biopsy tissue with a microscope? Mild dysplasia Carcinoma in situ (severe dysplasia) Cancer (invasive) Normal Hyperplasia
  • 34. R What does a pathologist look for when he/she examines biopsy tissue with a microscope? Mild dysplasia Carcinoma in situ (severe dysplasia) Cancer (invasive) Normal Hyperplasia
  • 35. R What is the relationship between tumor grade and patient survival? General Relationship Between Tumor Grade and Prognosis Patient Survival Rate Years High grade III or IV Low grade I or II 100% 1 2 3 4 5
  • 36. R What is the relationship between tumor grade and patient prognosis? Patient Survival Rate Years High grade III or IV Low grade I or II
  • 37. R What does Stage III cancer mean? Five-Year Survival Rates for Patients with Melanoma (by stage) Stage at Time of Initial Diagnosis 100% 50% I II III
  • 38. R What does Stage III cancer mean? Five-Year Survival Rates for Patients with Melanoma (by stage) Stage at Time of Initial Diagnosis 100% 50% I II III Stage III Cancer
  • 40. R What Causes Cancer? Some viruses or bacteria Heredity Diet Hormones Radiation Some chemicals
  • 41. R How could you explain the differences in the cancer incidence in different countries?
  • 42. R Population-Based Studies CANADA: Leukemia Regions of Highest Incidence BRAZIL: Cervical cancer U.S.: Colon cancer AUSTRALIA: Skin cancer CHINA: Liver cancer U.K.: Lung cancer JAPAN: Stomach cancer
  • 43. R Is the incidence of these cancers due to genes, behavior, or environmental risk? 100 50 5 0 Stomach Cancer U.S. Japan Japanese families in U.S. 100 70 7 0 Colon Cancer U.S. Japan Japanese families in U.S.
  • 44. R Is the incidence of these cancers due to genes behavior, or environmental risk? 100 50 5 0 Stomach Cancer (Number of new cases per 100,000 people) U.S. Japan Japanese families in U.S. 100 70 7 0 Colon Cancer (Number of new cases per 100,000 people) U.S. Japan Japanese families in U.S.
  • 45. R What increases peoples’ risk of cancer? Sunshine X-ray
  • 46. R What increases peoples’ risk of cancer? Some Carcinogenic Chemicals in Tobacco Smoke
  • 47. R What increases peoples’ risk of cancer? 4000 3000 2000 1000 20-Year Lag Time Between Smoking and Lung Cancer Cigarettes Smoked per Person per Year Lung Cancer Deaths (per 100,000 people) Year Lung cancer (men) Cigarette consumption (men) 1900 1920 1940 1960 1980 150 100 50
  • 48. R What increases peoples’ risk of cancer? Low Strength (Ultraviolet) Radiation Annual Sunshine (UV radiation) Skin Cancer Incidence Most Dallas Pittsburgh High Detroit Low Least
  • 49. R What increases peoples’ risk of cancer? High-Strength (Atomic) Radiation Most High Low Least Leukemia Incidence X-ray Dose (atomic radiation)
  • 50. R What increases peoples’ risk of cancer? Virus inserts and changes genes for cell growth Cancer-linked virus Viruses
  • 51. R What increases peoples’ risk of cancer? Some Viruses Associated with Human Cancers
  • 52. R What increases peoples’ risk of cancer? Kaposi’s sarcoma Without disease Depressed immune system HIV infection KSHV infection
  • 53. R What increases peoples’ risk of cancer? Bacteria and Stomach Cancer H. pylori Patient’s tissue sample
  • 54. R What increases peoples’ risk of cancer? Inherited factor(s) All Breast Cancer Patients Other factor(s)
  • 55. R What increases peoples’ risk of cancer? Inherited Conditions That Increase Risk for Cancer
  • 56. R How do you know if you have genes that make getting cancer more likely? Genetic Testing
  • 57. R How do you know if you have genes that make getting cancer more likely? Genetic Testing
  • 58. R What happens to genes to cause cancer?
  • 59. R What happens to genes to cause cancer? Chromosomes are DNA molecules Heredity Radiation Chemicals Viruses
  • 60. R What happens to genes to cause cancer? DNA molecule Chemical bases G C T A
  • 61. R What happens to genes to cause cancer? Additions Deletions Normal gene Single base change DNA C T A G C G A A C T A C A G G C G C T A A C A C T A G C T A A C T A C A G A A C T A C DNA Mutations
  • 62. R How do mutations in oncogenes lead to cancer? Receptor DNA Cell proliferation Cell nucleus Transcription factors Signaling enzymes Growth factor
  • 63. R How do mutations in oncogenes lead to cancer? Mutated/damaged oncogene Oncogenes accelerate cell growth and division Cancer cell Normal cell Normal genes regulate cell growth
  • 64. R How do mutations in oncogenes lead to cancer? Receptor Normal Growth-Control Pathway DNA Cell proliferation Cell nucleus Transcription factors Signaling enzymes Growth factor
  • 65. R How do mutations in oncogenes lead to cancer? Cell proliferation driven by internal oncogene signaling Transcription Activated gene regulatory protein Inactive intracellular signaling protein Signaling protein from active oncogene Inactive growth factor receptor
  • 66. R How do mutations in tumor suppressor genes lead to cancer? Tumor Suppressor Gene Proteins DNA Signaling enzymes Transcription factors Cell proliferation
  • 67. R How do mutations in tumor suppressor genes lead to cancer? Normal genes prevent cancer Remove or inactivate tumor suppressor genes Mutated/inactivated tumor suppressor genes Damage to both genes leads to cancer Cancer cell Normal cell
  • 68. R How do mutations in tumor suppressor genes lead to cancer? Tumor Suppressor Gene Proteins DNA Cell nucleus Signaling enzymes Growth factor Receptor Transcription factors Cell proliferation
  • 69. R How do mutations in the p53 gene lead to cancer?
  • 70. R How do mutations in the p53 gene lead to cancer? Normal cell Cell suicide (Apoptosis) p53 protein Excessive DNA damage p53 Tumor Suppressor Protein Triggers Cell Suicide
  • 71. R How do mutations in DNA Repair Genes cause cancer?
  • 72. R How do mutations in DNA Repair Genes cause cancer? Cancer No cancer No DNA repair Normal DNA repair Base pair mismatch T C A T C A G T C G T C A G C A G T C G A G T G A G T A G T C A T C T C A T C
  • 73. R What other kinds of mutations can lead to cancer? Genes Implicated in Cancer
  • 74. R What other kinds of mutations can lead to cancer? Genes Implicated in Cancer
  • 75. R Why does cancer risk increase with age? Risk Age Colon Breast
  • 76. R Why does cancer risk increase with age? 400 300 200 100 Cancer Risk and Aging Number of Cancer Cases (per 100,000 people) Age of Person (in years) Colon Breast 0 20 40 60 80
  • 77. R Cancer Tends to Involve Multiple Mutations Malignant cells invade neighboring tissues, enter blood vessels, and metastasize to different sites More mutations, more genetic instability, metastatic disease Proto-oncogenes mutate to oncogenes Mutations inactivate DNA repair genes Cells proliferate Mutation inactivates suppressor gene Benign tumor cells grow only locally and cannot spread by invasion or metastasis Time
  • 78. R Cancer Tends to Corrupt Surrounding Environment Growth factors = proliferation Blood vessel Proteases Cytokines Matrix Fibroblasts, adipocytes Invasive Cytokines, proteases = migration & invasion
  • 79. R What can people do to prevent cancer?
  • 80. R What can people do to prevent cancer? Cancer viruses or bacteria Carcinogenic radiation Carcinogenic chemicals
  • 81. R What can people do to prevent cancer? 15x 10x 5x Non-smoker Cigarettes Smoked per Day Lung Cancer Risk Increases with Cigarette Consumption Lung Cancer Risk 0 15 30
  • 82. R What can people do to prevent cancer?
  • 83. R What can people do to prevent cancer? 40x 30x 20x 10x Alcoholic Drinks Consumed per Day Packs of Cigarettes Consumed per Day Combination of Alcohol and Cigarettes Increases Risk for Cancer of the Esophagus Risk Increase AND
  • 84. R What can people do to prevent cancer? 0 Number of Cases (per 100,000 people) Grams (per person per day) Correlation Between Meat Consumption and Colon Cancer Rates in Different Countries 40 30 20 10 300 200 100 80
  • 85. R What can people do to prevent cancer?
  • 86. R What can people do to prevent cancer? Noninfected women HPV Infection Increases Risk for Cervical Cancer Cervical Cancer Risk Low High Women infected with HPV
  • 87. R What can people do to prevent cancer? Some Carcinogens in the Home and Workplace
  • 89. R Does industrial pollution cause cancer? 1930 Incidence of Most Cancers Year 1990 1970 1950
  • 90. R Is There a Cancer "Epidemic"?
  • 91. R Is There a Cancer "Epidemic"?
  • 92. R Write a paragraph to answer each of these questions.

Editor's Notes

  1. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  2. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  3. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  4. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  5. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  6. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  7. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  8. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  9. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  10. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  11. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  12. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  13. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  14. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  15. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  16. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  17. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  18. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  19. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  20. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  21. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  22. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  23. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  24. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  25. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  26. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  27. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  28. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  29. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  30. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  31. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  32. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  33. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  34. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  35. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  36. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  37. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  38. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  39. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  40. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  41. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  42. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  43. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  44. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  45. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  46. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  47. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  48. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  49. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  50. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  51. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  52. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  53. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  54. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  55. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  56. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  57. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  58. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  59. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  60. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  61. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  62. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  63. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  64. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  65. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  66. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  67. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  68. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  69. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  70. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  71. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  72. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  73. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  74. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  75. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  76. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  77. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  78. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  79. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  80. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  81. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  82. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  83. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  84. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  85. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  86. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  87. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  88. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  89. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  90. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  91. NCI Web site: http://cancer.gov/cancertopics/understandingcancer
  92. NCI Web site: http://cancer.gov/cancertopics/understandingcancer