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Carcinogenesis requires that a single cell or one of its descendents undergo a s

ID: 214491 • Letter: C

Question

Carcinogenesis requires that a single cell or one of its descendents undergo a series of rare genetic and epigenetic changes that permanently alter the expression of at least five to eight genes. Thus, it is not surprising that many cancer cells assayed in cell culture dishes were found to have a very high rate of mutagenesis.

A. What are three systems that are often defective in cancer cells whose role is to ensure the integrity of the genome?

B. The increased mutation rate speeds cancer progression by increasing the likelihood that a cell will acquire additional properties that contributes to carcinogenesis. Name four of the eight typical properties of cancer cells.

C. UV and ionizing radiation are known to cause cancer because they are mutagens that damage DNA. How, then, are the many anticancer therapies that act by damaging DNA, including ionizing radiation and many drugs, so effective at shrinking tumors?

Explanation / Answer

A.

i. DNA repair system

ii. Cell cycle checkpoints

iii. Tumor suppressors and oncogenes

B. Hallmarks of cancer cells

i. Self-sufficiency of growth signals

ii. Insensitivity to anti-growth signals

iii. Evasion of apoptosis

iv. Limitless replicative potential

v. Sustained angiogenesis

vi. Tissue invasion

vii. Genome instability

viii. Abnormal metabolism

C. Anti-cancer drugs and radiotherapy are specifically targetted to the cancer cells so that they mutate further leading to their death. However many of these drugs have several side effects as they sometimes affect the normal cells as well.