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505 Ch 12 S Dillon
Sarah Dillon's Ch 12 Cards
48
Nursing
Graduate
10/22/2011

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Term
Question
Definition
Answer
Term
What is epidemiology?
Definition
Epidemiology is the study of health-event, health-characteristic, or health-determinant patterns in a population.
Term
What are causes of cancer (broad based)?
Definition
Epigenetic changes coupled with genetic changes and environmental-lifestyle factors cause the development of cancer
Term
Changes are ___ and ___ heritable
Definition
mitotically and meiotically (referring to cell division)
Term
Epigenetics involves:
Definition
Changes in the phenotype or gene expression caused by mechanisms other than changes in the underlying DNA sequence
Term
Some things that are modifiable by lifestyle:
Definition
Diet and Pharmacological interventions
Term
What is methylation?
Definition
Addition of methyl group (CH3) to cytosine ring, abberrant methylation can lead to silencing of tumor suppressing genes
Term
What is methylation? Part II
Definition
Not all genes are active at all times.
DNA methylation is one of several epigenetic mechanisms that cells use to control gene expression.
Term
What is methylation? Part III
Definition
DNA methylation is a crucial part of normal organismal development and cellular differentiation in higher organisms. DNA methylation stably alters the gene expression pattern in cells such that cells can "remember where they have been" or decrease gene expression; for example, cells programmed to be pancreatic islets during embryonic development remain pancreatic islets throughout the life of the organism without continuing signals telling them that they need to remain islets.
Term
What does aberrant mean?
Definition
Deviating from the proper or expected course
Term
Histone modifications
Definition
Histone acetylation, alterations in chromatin
Term
What is a histone modification?
Definition
Histone modifications are proposed to affect chromosome function through at least two distinct mechanisms. The first mechanism suggests modifications may alter the electrostatic charge of the histone resulting in a structural change in histones or their binding to DNA. The second mechanism proposes that these modifications are binding sites for protein recognition modules, such as the bromodomains or chromodomains, that recognize acetylated lysines or methylated lysine, respectively.
Term
What are MicroRNAs (miRNAs)?
Definition
Small RNA molecules
Target gene expression posttranscripionally,
act as oncogenes or tumor suppressing genes
Term
List some gene-environment risk factors for cancer:
Definition
Tobacco
Ionizing Radiation
Ultraviolet Radiation
Diet
Obesity
Endogenous Hormones
Alcohol Consumption
Sexual and Reproductive Behavior
Physical Activity
Occupational Hazard
Air Pollution
Term
What's so bad about tabacco?
Definition
It is a multi-potent carcinogenic mixture
Term
Tabacco is liked to cancers of the:
Definition
Lung
Lower urinary tract
Digestive tract
Liver, kidney, pancreas,
Cervix, uterine
Myeloid leukemia
Term
What are xenobiotics?
Definition
Toxic, mutagenic, and carcinogenic chemicals in food
Activated by phase I activation enzymes
Defense mechanisms
Phase II detoxification enzymes
Term
What are examples of xenobiotics?
Definition
Compounds produced in cooking fat, meat, or proteins
What are examples? Teflon pans, sat and unsat fats (margarine), gortex, these compounds change structure when heated
Alkaloids or mold byproducts
Term
How is obesity defined?
Definition
Body Mass Index of 30+
Term
Adipose tissue is an actice __ and __ tissue
Definition
endocrine and metabolic tissue
Term
Adipose tissue releases:
Definition
releases free fatty acids and changes tissue in terms of insulin and glucose, it causes too much insulin and the body reacts to too much insulin in adverse ways
Term
Insulin resistance can cause chronic ____
Definition
hyperinsulinemia
Term
Obesity is associated with the following cancers:
Definition
Colon, breast, pancreatic, and endometrial cancers
Term
Too much alcohol is associated with the following cancers:
Definition
Oral cavity
Pharynx
Larynx
Esophagus
Liver
Term
The combination of cigarette smoking and overuse of alcohol ___ risk of cancer
Definition
increases
Term
What is ionizing radiation?
Definition
Emission from x-rays, radioisotopes, and other radioactive sources
Exposure causes cell death, gene mutations, and chromosome aberrations
Also have bystander effects
Changes in gap junction intercellular communication
Term
What is electromagnetic radiation?
Definition
Exposure to electric and magnetic fields.
Microwaves- wait til it stops
Radar- don't get pulled over( j/k)
High voltage power lines
Fluorescent lights
Computers
Cell phones- get a "party line"
*May contribute to cancer --- studies findings are not conclusive.
Term
List some additional controllable examples of environmental risk factors for cancer: ___, ___ and ____:
Definition
unsafe sexual habits and lack of physical activity and UV exposure
Term
Unsafe sex is linked to risk for: ___ (among other things)
Definition
Relationship between these behaviors and carcinogenic types of human papilloma virus
High-risk HPV
Term
What is HPV?
Definition
Human papillomavirus (HPV) is a member of the papillomavirus family of viruses that is capable of infecting humans. Like all papillomaviruses, HPVs establish productive infections only in keratinocytes of the skin or mucous membranes. While the majority of the nearly 200 known types of HPV cause no symptoms in most people, some types can cause warts (verrucae), while others can – in a minority of cases – lead to cancers of the cervix, vulva, vagina, and anus in women or cancers of the anus and penis in men. It can also cause cancers of the head and neck (tongue, tonsils and throat).
Term
How does physical activity reduce cancer risk?
Definition
by decreasing or favorably altering:
Insulin and insulin-like growth factors
Obesity
Inflammatory mediators
Free radicals
And by increases gut motility- get things moving (out)
Term
What occupational hazards can cause cancer?
Definition
Asbestos
Dyes, rubber, paint, explosives, rubber cement, heavy metals, air pollution, etc.
Radon
Pesticides
Toxic wastes
Term
What may be in the air that can cause cancer?
Definition
Industrial emissions, arsenicals, benzene, chloroform, formaldehyde, sulfuric acid, mustard gas, vinyl chloride.
Cigarette smoke, radon
Term
What are cancer risks for an unborn baby?
Definition
Lack of proper nutrition
Exposure to toxins
Stressors
Adverse lifestyle choices by mother
Term
How is an infant possibly at risk for cancer?
Definition
Exposure to toxins in breast milk
Gene-environment interactions
Term
Ultraviolet radiation can cause:
Definition
Causes basal cell carcinoma
Squamous cell carcinoma
Melanoma
Principal source is sunlight
Ultraviolet A (UVA) and ultraviolet B (UVB)
Term
UV radiations is dangerous because:
Definition
Promotes skin inflammation and release of free radicals
Term
How are free radicals formed?
Definition
When weak bonds split, free radicals are formed. Free radicals are very unstable and react quickly with other compounds, trying to capture the needed electron to gain stability. Generally, free radicals attack the nearest stable molecule, "stealing" its electron. When the "attacked" molecule loses its electron, it becomes a free radical itself, beginning a chain reaction. Once the process is started, it can cascade, finally resulting in the disruption of a living cell.
Term
How do free radicals affect the body?
Definition
Normally, the body can handle free radicals, but if antioxidants are unavailable, or if the free-radical production becomes excessive, damage can occur. Of particular importance is that free radical damage accumulates with age.
Term
How do free radicals and anti-oxidants interact?
Definition
The vitamins C and E, are thought to protect the body against the destructive effects of free radicals. Antioxidants neutralize free radicals by donating one of their own electrons, ending the electron-"stealing" reaction. The antioxidant nutrients themselves don't become free radicals by donating an electron because they are stable in either form. They act as scavengers, helping to prevent cell and tissue damage that could lead to cellular damage and disease.
Term
What is so great about antioxidants?
Definition
The antioxidants are believed to help protect the body from free-radical damage.
Term
What's so great about Vitamin E?
Definition
The most abundant fat-soluble antioxidant in the body. One of the most efficient chain-breaking antioxidants available. Primary defender against oxidation. Primary defender against lipid peroxidation (creation of unstable molecules containing more oxygen than is usual).
Term
What's so great about Vitamin C?
Definition
The most abundant water-soluble antioxidant in the body. Acts primarily in cellular fluid. Of particular note in combating free-radical formation caused by pollution and cigarette smoke. Also helps return vitamin E to its active form.
Term
What vitamin can help reduce the risk of cancer?
Definition
Many studies have correlated high vitamin C intakes with low rates of cancer, particularly cancers of the mouth, larynx and esophagus.
Term
TQ: Tabacco use is assocaited with cancer of the:
Definition
Esophagus (aerodigestive track in general)
Term
TQ: In women, obesity is assocaiated with cancer of the:
Definition
Ovaries
Term
TQ: Ultraviolet light causes this cancer:
Definition
Basal cell carcinoma. This is known as photocarcinogenesis
Term
What is photocarcinogenesis?
Definition
Basal cell Carcinoma
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