NOTES! NOTES! NOTES!
MOLECULAR PATHOGENESIS OF CANCER
1. SELF-SUFFICIENCY IN GROWTH SIGNALS
● Tumors has the capability to proliferate without external
stimuli
● Proto-oncogenes are normal genes altered by oncogenes
2. INSENSITIVITY TO GROWTH-INHIBITORY SIGNALS
● Inactivation of tumor suppressor genes
3. EVASION OF APOPTOSIS
● Proliferation of cancer cells also by mutations in genes that
regulate programmed cell death
4. DEFECTS IN DNA REPAIR
● Environmental agents damage normal dividing cells
● Malignant transformation can occur here
5. LIMITLESS REPLICATION POTENTIAL
● Telomeres are structures at the end of the chromosome
that shorten with cell division. Once shortened, proliferation
ceases or apoptosis occurs.
● Maintenance of telomere length and telomerase activity is
essential for cancer cells
6. SUSTAINED ANGIOGENESIS
● Tumors stimulate the formation of a vascular supply called
angiogenesis essential for growth and metastasis
7. ABILITY TO INVADE AND METASTASIZE
● Metastasis is the spread of cancer cells from a primary
tumor to distant sites of the body