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Cancer
   What is Cancer?
     Cancer develops when cells in a part of the body begin to
      grow out of control. Although there are many kinds of
      cancer, they all start because of out-of-control growth of
      abnormal cells.
     Normal body cells grow, divide, and die in an orderly
      fashion. During the early years of a person's life, normal
      cells divide more rapidly until the person becomes an adult.
      After that, cells in most parts of the body divide only to
      replace worn-out or dying cells and to repair injuries.
     Because cancer cells continue to grow and divide, they are
      different from normal cells. Instead of dying, they outlive
      normal cells and continue to form new abnormal cells.
     Cancer cells develop because of damage to DNA. This
      substance is in every cell and directs all its activities. Most
      of the time when DNA becomes damaged the body is able to
      repair it. In cancer cells, the damaged DNA is not repaired.
      People can inherit damaged DNA, which accounts for
      inherited cancers. Many times though, a persons DNA
      becomes damaged by exposure to something in the
      environment, like smoking.
         Source - ACS
 Male Cancer Death Rates
Rate Per 100,000

100



 80                           Cancer Death Rates, for Women
 60
                                                                                                                 Lung

                Uterus
                                                                   Breast
 40

                                                                 Colon & rectum
                         Stomach

 20
                      Ovary

                                                            Pancreas

  0
             1935




                              1945


                                     1950




                                                   1960


                                                          1965


                                                                    1970


                                                                            1975


                                                                                   1980


                                                                                          1985


                                                                                                   1990


                                                                                                          1995


                                                                                                                   2000
      1930




                      1940




                                            1955




        *Age-adjusted to the 2000 US standard population.
        Source: US Mortality Public Use Data Tapes 1960-2000, US Mortality Volumes 1930-1959,
        National Center for Health Statistics, Centers for Disease Control and Prevention, 2003.
Lifetime Probability of Developing Cancer,
Men, US, 1998-2000


                                                                        Cance
                                                                        r




         All sites                                               1 in 2
    Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 5.1 Statistical Research and
    Applications Branch, NCI, 2003. http://srab.cancer.gov/devcan
 What is the molecular basis of cancer?
   Cancer is a genetic disease.
      Mutations in genes result in altered proteins
         During cell division
         External agents
         Random event
      Most cancers result from mutations in somatic cells
      Some cancers are caused by mutations in
       germline cells
 Theories of cancer genesis
   Standard Dogma
      Proto-oncogenes (Ras  melanoma)
      Tumor suppressor genes (p53  various cancers)
   Modified Dogma
      Mutation in a DNA repair gene leads to the accumulation of
       unrepaired mutations (Loeb, 1974) (xeroderma
       pigmentosum)
   Early-Instability Theory
      Master genes required for adequate cell reproduction are
       disabled, resulting in aneuploidy (Philadelphia chromosome)
 Problem posing
   Can we understand the mechanism(s) of
    cancer by examining the expression patterns
    of genes in the cancer cell?
   Can we use gene expression patterns to
    determine the properties of a cancer?

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Cancer

  • 2. What is Cancer? Cancer develops when cells in a part of the body begin to grow out of control. Although there are many kinds of cancer, they all start because of out-of-control growth of abnormal cells. Normal body cells grow, divide, and die in an orderly fashion. During the early years of a person's life, normal cells divide more rapidly until the person becomes an adult. After that, cells in most parts of the body divide only to replace worn-out or dying cells and to repair injuries. Because cancer cells continue to grow and divide, they are different from normal cells. Instead of dying, they outlive normal cells and continue to form new abnormal cells. Cancer cells develop because of damage to DNA. This substance is in every cell and directs all its activities. Most of the time when DNA becomes damaged the body is able to repair it. In cancer cells, the damaged DNA is not repaired. People can inherit damaged DNA, which accounts for inherited cancers. Many times though, a persons DNA becomes damaged by exposure to something in the environment, like smoking. Source - ACS
  • 3. Male Cancer Death Rates
  • 4. Rate Per 100,000 100 80 Cancer Death Rates, for Women 60 Lung Uterus Breast 40 Colon & rectum Stomach 20 Ovary Pancreas 0 1935 1945 1950 1960 1965 1970 1975 1980 1985 1990 1995 2000 1930 1940 1955 *Age-adjusted to the 2000 US standard population. Source: US Mortality Public Use Data Tapes 1960-2000, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2003.
  • 5. Lifetime Probability of Developing Cancer, Men, US, 1998-2000 Cance r All sites 1 in 2 Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 5.1 Statistical Research and Applications Branch, NCI, 2003. http://srab.cancer.gov/devcan
  • 6. What is the molecular basis of cancer? Cancer is a genetic disease. Mutations in genes result in altered proteins During cell division External agents Random event Most cancers result from mutations in somatic cells Some cancers are caused by mutations in germline cells
  • 7. Theories of cancer genesis Standard Dogma Proto-oncogenes (Ras melanoma) Tumor suppressor genes (p53 various cancers) Modified Dogma Mutation in a DNA repair gene leads to the accumulation of unrepaired mutations (Loeb, 1974) (xeroderma pigmentosum) Early-Instability Theory Master genes required for adequate cell reproduction are disabled, resulting in aneuploidy (Philadelphia chromosome)
  • 8. Problem posing Can we understand the mechanism(s) of cancer by examining the expression patterns of genes in the cancer cell? Can we use gene expression patterns to determine the properties of a cancer?

Editor's Notes

  • #5: Currently, the lung cancer death rate in women is about two-and-a-half times what it was 25 years ago, and lung cancer is the most common cause of cancer death. In comparison, breast cancer death rates were virtually unchanged between 1930 and 1990, and have since decreased. The death rates for stomach and uterine cancers have decreased steadily since 1930; colorectal cancer death rates have been decreasing for over 50 years.
  • #6: The next four slides look at the lifetime probability of developing cancer and relative survival rates of cancer. 油 Presently, the risk of an American man developing cancer over his lifetime is one in two. The leading cancer sites are prostate, lung, and colon & rectum.