Most environmental causes of cancer are mutagens:
mutagenic compounds, X-rays, uv
Enzymatic conversion
ve epoxide
Spontaneous
reaction with
N7 of guanosine
i
H
3
C
O
O
O
O
O
O
to react
H
3
C
O
O
Aflatoxin B
O
O
O
HO O
O
N
+
HN
G
H
2
N N
3,4-benzpyrene
N
DNA
Cancer tends to arise in actively dividing cells
? Epithelial cells (lining of intestine, lungs etc.) = carcinoma
? Blood and lymphatic cells = lukemia, meyloma, lymphoma
? Connective tissue (bones, tendons muscle) = sarcoma
Cancer is a genetic disease of somatic cells
The underlying cause is mutations
that release cells from the normal constraints
that exist in well organized tissues
allowing uncontrolled growth
Which are the key genes that are mutated ?
Incidence of stomach cancer as a function of age
0
100
200
300
400
500
600
700
800
0
5
10 3020
2515 35 5545
5040 60 80
85
70
7565
Age
(1992)
Stomach Cancer
Rate per
100,000
Females
Females (1975)
Males (1992)
Males (1975)
Incidence of stomach cancer as a function of age.
Figure by MIT OCW.
Major complications in understanding the genetic basis of cancer
? Multiple mutations are necessary to produce a tumor cell
? Different types of tumor have different genes mutated
? Early initiating events occur rarely in complex tissues
and are therefore extremely difficult to detect
? The key initiating event often leads to an increase in mutation rate
thus tumor cells often bear many fortuitous mutations
Important aspects of the disease we won't discuss
relate to the spread of cancer cells
and the formation of large tumors
(metastasis and angiogenesis)
3T3 cells in culture
Transformed 3T3 cells
Images removed due to copyright reasons.
Isolation of the Ras
oncogene from human tumor
cells
Figure by MIT OCW.
Synergistic effect of oncogenic forms of myc and ras
100
80
60
40
20
0
i
D
D
Tumor-free m
ce (%)
myc
ras
myc + ras
0 50 100 150 200
Age (days)