Lecture 31

1.
Which cancers don't metastasise?
Basal cell carcinomas, glial cell tumours
2.
When might cancers metastasis when they normally wouldn't?
Immunosuppression
3.
What cancers metastasise to bone?
Breast, prostate
4.
Which organ do sarcomas metastasise to?
Lungs
5.
What evidence shows metastasis can occur outside of malignant tumours?
Monoclonality (genes of tumour found elsewhere), cancers of unknown primary
6.
7.
When is cancer therapy discontinued?
When recurrence of CTCs (circulating tumour cells) occur
8.
What facilitates CTCs?
Emboli with platelets
9.
What do platelets do?
Secretes TGF-beta that induces mesenchymal behaviour, protects from NK cells with fibrin
10.
How do neutrophils facilitate extravasation?
Bind to epithelium (sialyl-lewis x binds P selectins) (LFA-1 binds I-CAM -1)
11.
What inhibits metastasis?
Endothelial barriers, lack of survival signals/supportive stroma (anoikis), neutrophil killing
12.
What are the types of dormancy?
Single cell dormancy: bone morphogenic proteins supress self renewal, micro metastatic dormancy (lack of angiogenesis): therapy, selective survival
13.
What causes reactivation of dormant tumours?
Changes in environment