中国医科大学病理学英文课件8.pptVIP

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中国医科大学病理学英文课件8

Section 8. Etiology and pathogenesis of tumor 8.1 Molecular basis of oncogenesis 8.1.1 Oncogene 1. Protooncogene , oncogene and products (1) Protooncogene: cellular genes that promote normal cell growth and differentiation, exist in normal cells, in the form of inactivity. (2) Oncogene: derived from protooncogene promote abnormal growth . (3) Mode of protooncogenes activation Point mutation Chromosomal rearrangement Gene amplification promoter insertion (4) Products and functions of protooncogenes Growth factors: PDGF,FGF, EGF Growth factor receptors Signal- transducing proteins: ras Nuclear regulatory proteins: myc Cell cycle regulatory proteins: cyclins 8.1.2 Tumor suppressor gene 1.Concept: cellular genes that exist in normal cells inhibit normal growth and cause cells to malignant transform when they become inactive. 2. Examples: Rb , p53 , P16,TGF-β, BRCA-1 , BRCA-2 3. mechanism: allele mutation, deletion, methylation 8.1.3 Genes that regulate apoptosis and DNA repair 8.1.4 Telomeres, telomerase and cancer 1.Telomeres shorting is believed to be a clock that counts cell division, is a tumor-suppressive mechanism. 2.Telomerase: Sustain the function of telomeres Absent from most somatic cell Increased activity of it tumor 8.1.5 Molecular basis of multistep carcinogenesis 8.2 Environmental factors and their mechanism 2. Direct-acting agents (1) Alkylatingand acylating agents: anticancer drugs – cyclophosphamide (2) Others arsenic—skin carcinoma chromium—lung carcinoma cadmium—prostate carcinoma nickel—lung carcinoma 8.2.2 Physical carcinogenic factors 1. Ionizing radiation: X-ray, γ-ray related to leukemia , carcinoma of skin, lung, breast,colon. 2. UV: skin carcinoma 3. Others:

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