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Questions

Question 1

What are the two defining heritable properties of cancer cells?

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Question 2

Cancers that arise from epithelial cells are known as carcinomas. Approximately what percentage of human cancers do these account for?

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Question 3

The Philadelphia chromosome, a specific chromosomal abnormality that provides evidence for the clonal origin of cancer, is characteristically found in chronic myelogenous leukemia (CML). This abnormality is created by a translocation between which two chromosomes?

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Question 4

According to tumor genome sequencing data, approximately how many proteins with an altered amino acid sequence does a typical cancer cell contain, with the majority being passenger mutations?

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Question 5

The p53 gene is a critical tumor suppressor that is frequently altered in cancer. In what approximate percentage of all human cancers is the p53 gene found to be mutated?

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Question 6

What is the Warburg effect, a metabolic characteristic of many tumor cells?

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Question 7

How do oncogenes and tumor suppressor genes differ in their genetic effect on a cell?

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Question 8

The first human oncogene was identified by transfecting DNA from human tumor cells into cultured mouse cells. This led to the discovery of a mutated version of which gene?

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Question 9

In Burkitt's lymphoma, the Myc proto-oncogene is often converted into an oncogene. What is the most common mechanism for its overproduction in this cancer?

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Question 10

The discovery of the first tumor suppressor gene, Rb, came from studying which rare type of human cancer?

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Question 11

Based on current estimates from large-scale genomic sequencing projects, what is the approximate total number of human genes that are strongly suspected to be cancer-critical for at least one type of tumor?

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Question 12

Infections with viruses, bacteria, or parasites are related to a significant minority of human cancers. What percentage of cancers worldwide are accounted for by such infections?

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Question 13

Certain strains of human papillomavirus (HPV) can cause cancer of the uterine cervix. The viral oncogenes E6 and E7 are primarily responsible. What are the two key host-cell tumor suppressor proteins that the E6 and E7 proteins target and inactivate?

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Question 14

The cancer therapy strategy known as synthetic lethality exploits a cancer cell's existing genetic weaknesses. PARP inhibitors are effective in killing cancer cells that have defects in which two specific DNA repair genes?

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Question 15

The drug imatinib (Gleevec) was a landmark in targeted cancer therapy. It was designed to specifically inhibit which oncogenic protein, characteristic of chronic myelogenous leukemia (CML)?

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Question 16

What is the primary reason that cancer incidence generally rises steeply with age?

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Question 17

What is the biological process that allows invasive cancer cells to break loose, enter blood or lymphatic vessels, and form secondary tumors at other sites in the body?

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Question 18

Most cancers are thought to derive from a single abnormal cell. What is the phenomenon called whereby an initial mild disorder of cell behavior evolves gradually into a full-blown cancer through successive rounds of mutation and selection?

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Question 19

In addition to genetic mutations, what other type of persistent, heritable change in gene expression, resulting from modifications of chromatin structure, is a fundamental feature of cancer development?

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Question 20

Many human cancer cells avoid replicative cell senescence, a built-in limit to cell proliferation, by reactivating which enzyme that maintains the ends of chromosomes?

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Question 21

What is the primary function of the tumor suppressor protein Rb?

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Question 22

According to the text, what is the most common mechanism for eliminating the second, good copy of a tumor suppressor gene like Rb in a cell that has already lost the first copy?

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Question 23

In the analysis of glioblastoma genomes, mutations were found to cluster into three key functional pathways. Which of the following is NOT one of those three core pathways?

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Question 24

The tumor suppressor PTEN is a phosphatase that is commonly mutated in cancer. What is the primary function of PTEN?

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Question 25

Which condition is NOT listed as a form of cellular stress that can activate the p53 pathway?

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Question 26

In the progression of most colorectal cancers, what is typically the first or earliest genetic alteration observed, detected at high frequency even in small benign polyps?

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Question 27

The APC protein is a tumor suppressor central to colorectal cancer development. Its loss leads to the excessive activity of which signaling pathway?

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Question 28

Hereditary nonpolyposis colorectal cancer (HNPCC), or Lynch syndrome, predisposes individuals to colorectal cancer. Mutations in which class of genes are responsible for this syndrome?

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Question 29

What is the estimated percentage of cancer deaths that can be attributed to modifiable risk factors like smoking, diet, and physical inactivity, suggesting they are potentially avoidable?

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Question 30

The chemical carcinogen aflatoxin B1 is produced by fungi that contaminate foods like peanuts and is a major cause of liver cancer in some regions. How does it become damaging to DNA?

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Question 31

Trastuzumab (Herceptin) is an antibody-based therapy used to treat about 25% of breast cancers. What is the specific target of this antibody?

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Question 32

The immune checkpoint inhibitor therapy targeting PD-1 or its ligand PD-L1 works by overcoming an immunosuppressive mechanism used by tumors. What is the primary function of the PD-1/PD-L1 interaction?

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Question 33

Some cancers evolve resistance to multiple cytotoxic drugs simultaneously, a phenomenon known as multidrug resistance. This often correlates with the amplification of a gene that encodes what type of protein?

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Question 34

What is the term for the supporting connective tissue, immune cells, and vascular cells associated with a carcinoma?

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Question 35

What is the typical diameter of a human tumor when it first becomes palpable, containing roughly 1 billion cells?

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Question 36

What is a benign tumor, such as an adenoma, distinguished from a malignant tumor, like an adenocarcinoma?

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Question 37

The phenomenon of chromothripsis, which can promote rapid steps in cancer evolution, refers to what type of genomic event?

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Question 38

Cancer stem cells are thought to be responsible for the growth of some tumors. What is the key difference between a cancer stem cell and a transit amplifying cell within a tumor?

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Question 39

What is the term for the dependence of most normal cells on attachment to a substratum for growth, proliferation, and survival, a control that is often lost in cancer cells?

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Question 40

What is the fate of most circulating tumor cells (CTCs) that enter the bloodstream or lymphatics?

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Question 41

How can a gain-of-function mutation in the gene for isocitrate dehydrogenase (IDH) contribute to tumorigenesis?

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Question 42

What is the key difference between a 'driver' mutation and a 'passenger' mutation in a cancer cell?

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Question 43

Which bacterium is cited as a major cause of stomach cancer due to its ability to cause chronic inflammation?

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Question 44

Cancers with defects in DNA mismatch repair, such as HNPCC, exhibit a specific type of genetic instability. What is the most notable characteristic of this instability?

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Question 45

The Ras proto-oncogene is mutated in about 30% of all human cancers. What is the biochemical consequence of these mutations?

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Question 46

What is a key reason that a single oncogene is generally not enough to turn a normal cell into a cancer cell, as shown by experiments in transgenic mice expressing Myc or Ras?

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Question 47

In the process of tumor metastasis, what is generally considered the most difficult and rate-limiting step for a cancer cell?

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Question 48

Which class of cancer-critical genes is typically identified by experiments that add DNA to tester cells to see if it causes cancerous transformation?

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Question 49

What is the typical cell-death mechanism that occurs on a massive scale in the interior of large solid tumors due to difficult living conditions like a lack of oxygen and nutrients?

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Question 50

The development of a tumor relies on a two-way communication between cancer cells and the supporting tumor stroma. What is the process by which tumors stimulate the formation of new blood vessels to support their growth?

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