The document discusses how cancer evolves within the human body through a process of mutation, natural selection, and clonal expansion similar to biological evolution. Cancer cells accumulate mutations that allow them to grow and survive faster than normal cells over many generations, just as species accumulate adaptations over generations. This evolutionary process allows cancer to become more aggressive and develop resistance to therapies. The document uses examples like Tasmanian devils, dogs, and HeLa cells to illustrate how cancer can even transfer between individuals like a contagious disease.
2. Disclosures
I
have
no
con鍖icts
of
interest
to
disclose
Friday, June 14, 13
3. Causes of death in the United States, 2010
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6208a8.htm?s_cid=mm6208a8_w, http://who.int
Worldwide, 7.8 million deaths from cancer each year
(A San Francisco every month)
Friday, June 14, 13
4. Rick Eh/Flicker via Creative Commons http://www.鍖ickr.com/photos/rick-in-rio
Friday, June 14, 13
15. Based on Gregory, Evo Edu Outreach (2009) 2:156175
Natural Selection
Friday, June 14, 13
16. Generation 1
Based on Gregory, Evo Edu Outreach (2009) 2:156175
Natural Selection
Friday, June 14, 13
17. Generation 1
Based on Gregory, Evo Edu Outreach (2009) 2:156175
X
X
Non-random
survival
X
X
Natural Selection
Friday, June 14, 13
18. Generation 1
Reproduction and mutation
Generation 2
Based on Gregory, Evo Edu Outreach (2009) 2:156175
X
X
Non-random
survival
X
X
Natural Selection
Friday, June 14, 13
19. Generation 1
Reproduction and mutation
Generation 2
Based on Gregory, Evo Edu Outreach (2009) 2:156175
X
X
Non-random
survival
X
X
Non-random
survival XXX
X
Natural Selection
Friday, June 14, 13
20. Generation 1
Reproduction and mutation
Generation 2
Based on Gregory, Evo Edu Outreach (2009) 2:156175
X
X
Non-random
survival
X
X
Generation 3
Reproduction
and mutation
Non-random
survival XXX
X
Natural Selection
Friday, June 14, 13
21. Generation 1
Reproduction and mutation
Generation 2
Based on Gregory, Evo Edu Outreach (2009) 2:156175
Many generations of
mutation and natural
selection
Generation X
X
X
Non-random
survival
X
X
Generation 3
Reproduction
and mutation
Non-random
survival XXX
X
Natural Selection
Friday, June 14, 13
69. Thanks to Carlo Maley, Athena Aktipis,
Rebecca Skloot, Beata Ujvari, and Kathy Belov
For more information, please visit
carlzimmer.com
Friday, June 14, 13
71. Opportunity for Somatic Evolution in a Human Lifetime
Mutation rate:
Point mutations: 10-11 10-7 bp/cell generation
Chromosomal abnormalities: 10-6 per cell generation
Methylation changes: ~10-3 per CpG/cell generation
Number of mutations detected: 101 105
Generation time: 1 3 days
Time from initiation to malignancy: decades (3 60 years)
Number of generations: 102 104
Population size: 109 1012 cells
Rate of clonal expansions: unknown
More potential for evolution than the history of H. sapiens
Note: uncertainty about all these parameters
Friday, June 14, 13