Lecture 30

1.
What is the defining feature of cancer?
Invasion
2.
What is the feature of epithelial cells that allows invasion?
Epithelial cells become loose/leaky
3.
What helps cancer invade ECM and basement membranes?
Proteases
4.
What is a property of cancer cells that allows migration?
They become motile
5.
Why do cancer cells live in abnormal substrates?
Acquired resistance
6.
What holds epithelial cells together
"Adherins (E-cadherin, beta-catenin, alpha-catenin)"
7.
How can epithelial structure be irreversibly changed in a cancerous way?
Mutation silencing of cadherins
8.
How is epithelial structure reversibly changed?
Cytokines/GFs repress cadherins
9.
What are the steps to epithelial - mesenchymal transition?
"Polarity, adhesion, invasion, survival, stem cell"
10.
What does SNAIL do?
Allows loose connection
11.
What does a urokinase plasminogen activated receptor do?
Binds uPA which activates plasmin (fibrinolytic) pathway
12.
What does membrane type-1 MMP do?
Cleaves ECM/activates proteases
13.
What induces aggressive phenotypes during hypoxia?
HIF (hypoxia induced factor) which activates hepatocyte growth factor receptor (HGFR) which responds to HGF > EMT
14.
What clones are selected for under hypoxic conditions?
p53 deficient cells decrease apoptosis due to hypoxia
15.
How does hypoxia help tumours during therapy?
Therapy less effective (requires O2)
16.
What induces metabolic stress?
"Hypoxia, low pH, low glucose"
17.
What induces angiogenesis?
"Metabolic stress, inflammation, oncogenes, inactive p53 > VGEF"
18.
What does VGEF do?
"Proliferation, survival, migration, differentiation, leaky"
19.
What is sprouting?
Blood vessel epithelial migrate towards source of VGEF
20.
What are the stages of epithelial => carcinoma?
"Hyperplasia, dysplasia/angiogenic > cancer"
21.
What is intussusception?
Where tumour compresses blood vessel and blood vessel divides
22.
What is co option?
Tumour grows along existing blood vessels > hypoxia > cell death of tumour > sprouting
23.
What is mimicry?
Tumour cells mimic ECs and line blood vessels
24.
What is vasculogenesis?
Production of blood vessels from cancer stem cells
25.
How is angiogenesis/vascular genesis of tumours treated?
"Avastin, Sora fenib"