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Cancer Biology
Dr. Julfikar Saif
Phase A, Oncology
BSMMU
Growth disorder
• Hypertrophy
• Hyperplasia
• Metaplasia
• Neoplasia
Neoplasm
• A lesion resulting from autonomous
or relatively autonomous growth of
cells which persist in the same
manner even after the initiating
stimuli have been removed
Cancer
• Cancer is a genetic disorder caused
by DNA mutations.
Continue….
• Cancer cells are final transformation
product of normal cells by a long
process called tumorogenesis or
carcinogenesis
• They have distinct attributes
– Gains ‘’darwininian’’ advantage over normal
– Ultimately enables growth
Carcinogenesis
Cell cycle
Genetic basis of cancer
• Two groups of genes working in balance
– Oncogene
– Tumor suppressor gene
Genetic basis of cancer…Oncogene…
Genetic basis of cancer…Oncogene…
• Eg
– Proviral insertion- no human cancer
– Point mutation- N-ras (melanoma)
K-ras (pancreatic)
H-ras (colon)
neu (neuroblastoma)
Genetic basis of cancer…Oncogene…
• Eg
– Gene Amplification- N-myc (neuroblastoma)
L-myc (Lung)
neu (breast)
EGFR (NSCLC)
– Translocation – bcr-abl (leukemia)
bcl2 (DLBCL)
c-myc (burkitt lymphoma)
Genetic basis of cancer…Cont…
• Tumor supressor gene
– Act in recessive fashion
– Somatic homozygosity
• One chromosome of a pair is lost
• deletion in remaining chromosome
Genetic basis of cancer…Cont…
• Tumor supressor genes are 3 type
– Caretaker genes
– Gatekeeper genes
– Landscaper genes
Genetic basis of cancer…Cont…
• Caretaker gene
– DNA repair and stability gene
• ATM (Leukemia, Lymphoma)
• XP (Skin)
• BRCA1,2 (Breast, Ovary )
• hMSH2,6 hMLH1 hPMS1,2 (Colon)
Genetic basis of cancer…Cont…
• Gate keeper gene
– rate limiting for tumor growth
– Eg- APC, p53
• Landscaper gene
– do not directly affect cellular growth
– Produce dysfunctional stromal environments
conducive to neoplastic growth
– Eg PTEN, JPS, UC etc
Epigenetics
• C.H. Waddington coined the term epigenetics
• mean above or in addition to genetics to explain
differentiation
• How do different adult stem cells know their
fate?
– Myoblasts can only form muscle cells
– Keratinocytes only form skin cells
– Hematopoetic cells only become blood cells
– But all have identical DNA sequences
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Epigenetics
Hallmark of cancer…Cont…
• Sustaining proliferative signal
• Maybe hypersensitive to growth factor
• Autocrinely acting growth factor
• Stimulates surrounding tissue to
secrete growth factor
• May become independent of growth
factor
Hallmark of cancer…Cont…
• Evade growth suppressor
– Mutation or dysfunction
• RB, p53, APC, WT1, BRCA
• LKB1, NF2- contact inhibition
• TGF-B
Hallmark of cancer…Cont…
• Resisting cell death
– Apoptosis- increasing bcl-2 family and
decreasing Bax and Bak or TP53
– Autophagy- disrupting PI3K, mTOR
– Necrosis- use released cytokines to
induce proneoplastic inflammatory
environment, angiogenesis and own
growth
Hallmark of cancer…Cont…
• Enabling replicative immortality
– Normal cells undergo only limited
number of divisions before undergoing
senescence or crisis/apoptosis due to
telomere shortening
– Cancer cells express telomerase
(90%<)
Hallmark of cancer…Cont…
• Inducing angiogenesis
– Charecterestic malignant vessels
– enables further growth and
metastases
– VEGF promotes Thromspondin inhibit
Hallmark of cancer…Cont…
• Activating invasion and metastasis
– Decreased adhesion molecules eg E-
cadherin
– Collective/amoeboid invasion
– epithelial–mesenchymal transition
Hallmark of cancer…Cont…
• Reprogramming energy metabolism
– Anaerobic glycolysis
• Evading immune destruction
– Evade survailance
– Disable components of immune system
Miscellaneous
• BRCA1, BRCA2
– Functionally, BRCA1 acts as a sensor of DNA
damage and replication stress and mediates
homologous recombination through BRCA2
– rely on error-prone nonhomologous end-joining
(NHEJ)
Cont…
• Ceramide pathway
Cont…
• T-cell checkpoint concept
Cancer Biology

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Cancer Biology

  • 1. Cancer Biology Dr. Julfikar Saif Phase A, Oncology BSMMU
  • 2. Growth disorder • Hypertrophy • Hyperplasia • Metaplasia • Neoplasia
  • 3. Neoplasm • A lesion resulting from autonomous or relatively autonomous growth of cells which persist in the same manner even after the initiating stimuli have been removed
  • 4. Cancer • Cancer is a genetic disorder caused by DNA mutations.
  • 5. Continue…. • Cancer cells are final transformation product of normal cells by a long process called tumorogenesis or carcinogenesis • They have distinct attributes – Gains ‘’darwininian’’ advantage over normal – Ultimately enables growth
  • 8. Genetic basis of cancer • Two groups of genes working in balance – Oncogene – Tumor suppressor gene
  • 9. Genetic basis of cancer…Oncogene…
  • 10. Genetic basis of cancer…Oncogene… • Eg – Proviral insertion- no human cancer – Point mutation- N-ras (melanoma) K-ras (pancreatic) H-ras (colon) neu (neuroblastoma)
  • 11. Genetic basis of cancer…Oncogene… • Eg – Gene Amplification- N-myc (neuroblastoma) L-myc (Lung) neu (breast) EGFR (NSCLC) – Translocation – bcr-abl (leukemia) bcl2 (DLBCL) c-myc (burkitt lymphoma)
  • 12. Genetic basis of cancer…Cont… • Tumor supressor gene – Act in recessive fashion – Somatic homozygosity • One chromosome of a pair is lost • deletion in remaining chromosome
  • 13. Genetic basis of cancer…Cont… • Tumor supressor genes are 3 type – Caretaker genes – Gatekeeper genes – Landscaper genes
  • 14. Genetic basis of cancer…Cont… • Caretaker gene – DNA repair and stability gene • ATM (Leukemia, Lymphoma) • XP (Skin) • BRCA1,2 (Breast, Ovary ) • hMSH2,6 hMLH1 hPMS1,2 (Colon)
  • 15. Genetic basis of cancer…Cont… • Gate keeper gene – rate limiting for tumor growth – Eg- APC, p53 • Landscaper gene – do not directly affect cellular growth – Produce dysfunctional stromal environments conducive to neoplastic growth – Eg PTEN, JPS, UC etc
  • 16.
  • 17.
  • 18. Epigenetics • C.H. Waddington coined the term epigenetics • mean above or in addition to genetics to explain differentiation • How do different adult stem cells know their fate? – Myoblasts can only form muscle cells – Keratinocytes only form skin cells – Hematopoetic cells only become blood cells – But all have identical DNA sequences
  • 30. Hallmark of cancer…Cont… • Sustaining proliferative signal • Maybe hypersensitive to growth factor • Autocrinely acting growth factor • Stimulates surrounding tissue to secrete growth factor • May become independent of growth factor
  • 31. Hallmark of cancer…Cont… • Evade growth suppressor – Mutation or dysfunction • RB, p53, APC, WT1, BRCA • LKB1, NF2- contact inhibition • TGF-B
  • 32. Hallmark of cancer…Cont… • Resisting cell death – Apoptosis- increasing bcl-2 family and decreasing Bax and Bak or TP53 – Autophagy- disrupting PI3K, mTOR – Necrosis- use released cytokines to induce proneoplastic inflammatory environment, angiogenesis and own growth
  • 33. Hallmark of cancer…Cont… • Enabling replicative immortality – Normal cells undergo only limited number of divisions before undergoing senescence or crisis/apoptosis due to telomere shortening – Cancer cells express telomerase (90%<)
  • 34. Hallmark of cancer…Cont… • Inducing angiogenesis – Charecterestic malignant vessels – enables further growth and metastases – VEGF promotes Thromspondin inhibit
  • 35. Hallmark of cancer…Cont… • Activating invasion and metastasis – Decreased adhesion molecules eg E- cadherin – Collective/amoeboid invasion – epithelial–mesenchymal transition
  • 36. Hallmark of cancer…Cont… • Reprogramming energy metabolism – Anaerobic glycolysis • Evading immune destruction – Evade survailance – Disable components of immune system
  • 37. Miscellaneous • BRCA1, BRCA2 – Functionally, BRCA1 acts as a sensor of DNA damage and replication stress and mediates homologous recombination through BRCA2 – rely on error-prone nonhomologous end-joining (NHEJ)