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blake
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What is the role of hyaluronic acid (hyaluronan) in tumor cell metastasis?
Hyaluronic acid binds to CD44 on tumor cells, promoting invasion.
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What are the factors that can stimulate EMT?
EGF, FGF, HGF, collagen, MMPs, TGFβ
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What cellular factors are lost, altered, or gained in EMT?
- Lost or altered in EMT:
- 1.E- cadherin
- 2.a-catenin, b-catenin frequently translocates to nucleus (Wnt)
- 3.Apico-basal polarity
- 4.Circumferential F-actin fibers
- 5.Epithelial cytokeratins
- Gained in EMT?
- 1.N-cadherin
- 2.avb6 integrin
- 3.Intermediate filament protein - Vimentin
- 4.Matrix metalloproteinases secreted, produced
- 5.Fibronectin secretion
- 6.a-smooth muscle actin (myofibroblasts)
- 7.Motility, Invasiveness
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List the sequence of events leading from normal cells to establishing a successful metastatic focus.
- 1: Detachment from the primary mass (epithelial – mesenchymal transition (EMT))
- 2: Invasion through the basement membrane and migration through the extracellular matrix
- 3: Penetration (intravasion) of blood and/or lymphatic vessels
- 4: Survival within the circulation
- 5: Arrest in the distant organ’s microcirculation (capillaries, sinuses or venules)
- 6: Penetration of vessels at the distant site
- 7: Invasion through the distant site’s parenchyma
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What are the two patterns and the possible configuration of tumor cells migrating through the ECM?
- Individual cell migration or collective cell migration.
- Can occur through Intravasation (through veins, accompanied by platelets) and extravasation (involves selectin cell adhesion molecules on the tumor and EC, regulated by the microenvironment).
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What are Cell Cycle Specific (CCS) Agents?
Drugs that have activity in specific phases of cell cycle. Examples: vinca alkaloids work in M-phase, antimetabolites work in S-phase
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What are Cell Cycle Nonspecific (CCNS) Agents?
Drugs that exert a cytotoxic effect throughout the cell cycle Examples: alkylating agents, anthracyclines
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What are Alkylating agents?
- weak carcinogens that don’t require metabolism
- chemotherapy drugs that form DNA adducts are alkyl groups(e.g. CH3-, C2H5-) to DNA’s guanine residues.
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What are Polycyclic hydrocarbons?
- potent carcinogens
- P450-dependent mixed function oxidases
- Includes cigarette smoke, broiled animal fat,smoked meats, and chemical (e.g. vinyl chloride)
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What is alfatoxin?
- Produced by Aspergillus flavus, P450
- system yields epoxides, TP53gene mutation
- Found on improperly stored grains and peanuts.
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