cellular mechanisms - Cancer Science

What Causes Normal Cells to Turn into Cancer Cells?

Cancer arises due to the accumulation of genetic mutations in oncogenes and tumor suppressor genes. Oncogenes, when mutated, can promote uncontrolled cell division. Tumor suppressor genes, on the other hand, normally function to inhibit cell growth or promote apoptosis. When these genes are inactivated or lost, cells can proliferate uncontrollably.

How Do Cancer Cells Evade Growth Suppressors?

One of the hallmark capabilities of cancer cells is their ability to evade growth suppressors. This is often achieved through mutations in tumor suppressor genes like p53 and RB1. The loss of function in these genes removes critical checkpoints that normally prevent the cell cycle from proceeding when damage or mutations are detected.

What Role Does Apoptosis Play in Cancer?

Apoptosis is the process of programmed cell death that acts as a natural barrier to cancer. Cancer cells often acquire mutations that allow them to evade this process. For example, overexpression of Bcl-2 proteins can inhibit apoptosis, allowing damaged cells to survive and proliferate.

How Do Cancer Cells Achieve Immortality?

Normal cells have a limited number of divisions due to the shortening of telomeres. Cancer cells often activate telomerase, an enzyme that extends telomeres, thereby granting them the ability to divide indefinitely. This is a critical step for the limitless replicative potential of cancer cells.

Why Is Angiogenesis Important for Tumor Growth?

To sustain rapid growth, tumors need a constant supply of nutrients and oxygen, which is achieved through angiogenesis, the formation of new blood vessels. Cancer cells can secrete factors like VEGF (Vascular Endothelial Growth Factor) to stimulate this process, ensuring their survival and expansion.

How Do Cancer Cells Metastasize?

Metastasis is the spread of cancer cells from the primary site to distant organs. This involves several steps: local invasion, intravasation into blood or lymphatic vessels, survival in the bloodstream, extravasation into new tissues, and eventual colonization. Each step requires specific adaptations, such as changes in cell adhesion molecules and the ability to degrade extracellular matrix components.

What Is the Role of the Immune System in Cancer?

Under normal circumstances, the immune system can recognize and eliminate cancer cells through mechanisms like immune surveillance. However, cancer cells often develop ways to evade the immune response. They can upregulate immune checkpoints like PD-1 and CTLA-4, which inhibit T-cell activity. Understanding these interactions has led to the development of immunotherapy treatments that aim to re-engage the immune system to fight cancer.

How Do Genetic and Epigenetic Changes Contribute to Cancer?

Besides genetic mutations, epigenetic changes such as DNA methylation and histone modification also play a crucial role in cancer development. These changes can alter gene expression without changing the DNA sequence, leading to the activation of oncogenes or the silencing of tumor suppressor genes.

What Are Cancer Stem Cells?

Cancer stem cells (CSCs) are a subpopulation of cells within a tumor that possess the ability to self-renew and differentiate into various cell types. CSCs are thought to be responsible for tumor initiation, progression, and recurrence, making them a critical target for cancer therapies.

How Do Cancer Cells Alter Metabolism?

Cancer cells often exhibit altered metabolism to support their rapid growth and survival, a phenomenon known as the Warburg effect. They preferentially use glycolysis for energy production, even in the presence of oxygen, which is less efficient but allows for the generation of additional biosynthetic precursors needed for cell proliferation.



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