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The War On Cancer

The War On Cancer

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<strong>The</strong> <strong>War</strong> <strong>On</strong> <strong>Cancer</strong>Where we are in the battle and whywe haven’t wonAdrianna San RomanLeah LiuClare Malone


$200 billion oncancer researchin U.S.A.<strong>The</strong> <strong>War</strong> on <strong>Cancer</strong>1971 State of the UnionAddress


<strong>Cancer</strong> Progress569,470 people projected to die fromcancer in 2010


“Advances Elusive in theDrive to Cure <strong>Cancer</strong>” –New York Times, April 23,2009Why haven’t we cured canceryet?“Off Target in the <strong>War</strong>on <strong>Cancer</strong>” –Washington Post,November 4, 2007


Tonight’s TalksPrinciples of cancer<strong>Cancer</strong> therapeuticsObstacles in developing cancer therapies


Know the enemy!Define: Normal cells vs. <strong>Cancer</strong> cellsExplain: DNA mutations, cell signaling pathwaysRecognize: <strong>Cancer</strong> is not one disease


<strong>The</strong> Human Body is Made Upof Organs With SpecificFunctionsLiverMuscleStomachLungs& heartIntestineKidneys


Organs Are Made of CellsCellsPiece ofintestineIntestine


Cells Are Organized in aParticular WayJanghee WooIntestinalCellCross-sectionof theIntestine


Normal Cells Listen toSignalsRequire growth signals todivideRequire antigrowthsignals tostop dividingXNormalCellNormalCell


<strong>Cancer</strong> Cells IgnoreSignalsSelf-sufficient ingrowth signalsInsensitive to antigrowthsignals<strong>Cancer</strong>Cell


Cell Division is Uncontrolled in<strong>Cancer</strong>NormalCell<strong>Cancer</strong>CellTumor


<strong>Cancer</strong> Cells Avoid CellDeathCellDeathSignalsNormalCell<strong>Cancer</strong>Cell


What does uncontrolledgrowth look like?Janghee WooNormalIntestineAdenoma(precursor to colon


<strong>Cancer</strong> Cells Can Leave <strong>The</strong>irHome Tissue and SpreadThroughout the BodyLiverMuscleStomachLungs& heartIntestine“MetastasiKidneys


General Properties of <strong>Cancer</strong>1.Ignore signalsCells2.Uncontrolled cell division3.Avoid cell death4.Able to move throughout thebody (metastasize)


What causes abnormalproperties of cancer cells?


Cell Signaling Pathways• Like a phone tree!SignalReceptorPathwayComponePathwayComponeOutput


Cell Signaling PathwaysExamples: Cell division, cell death, etc.Stephen McKay


Cell Growth Example – RasPathwayNormal CellGrowthsignalRasB-rafMekCellgrowthanddivisionSignalReceptorPathwayComponentPathwayComponentPathwayComponentOutput


Cell Growth Example – RasPathway<strong>Cancer</strong> CellGrowthsignalRasB-rafMekAbnor Cellmal growth cellgrowth anddivision anddivisionSignalReceptorPathwayComponentPathwayComponentPathwayComponentOutput


<strong>The</strong>re are many diversetypes of cancerSignalingPathway ASignalingPathway BSignalingPathway C


What Causes Alterations inCell Signaling Pathways?It starts with DNA…Michale Strock


Genes and ProteinsDNA = instruction manualGenes = chaptersProteins = machines


MutatedDNAMistakes or Damage to DNACauses MutationsInheritedUVExposureSmokingClick to edit Master text stylesSecond level●Third level●Fourth level●Fifth levelAbnormalprotein


<strong>On</strong>cogenes<strong>On</strong>cogenes are genes that can cause cancer.<strong>On</strong>cogenic proteins are usually stuck in the “ON” state in cancer.


Cell Growth Example – RasPathway<strong>Cancer</strong> CellRasB-rafMekAbnormal cellgrowthanddivisionSignalReceptorPathwayComponentPathwayComponentPathwayComponentOutput


Tumor SuppressorsTumor suppressors are genes that work against cancerTumor suppressor proteins are usually turned OFF in cancerNormalCell<strong>On</strong>cogenicProteinTumor Suppressor Protein<strong>Cancer</strong>Cell


<strong>The</strong>re are many diversetypes of cancerMutation ASignalingPathway AMutation BSignalingPathway BMutation CSignalingPathway C


RecapProperties of cancer cellsAbnormal growth and migration through the bodyMutations in DNA and signaling pathways can cause cancerExample: mutation in the Ras pathway<strong>Cancer</strong> is not one disease!

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