KINESIOL 3Y03 Lecture Notes - Lecture 11: Apoptosis, Kidney Disease, Carcinogen

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2 Jun 2016

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What is cancer: disorder of cell growth and regulation, production of cells that serve little/no purpose. Incidence (total number of new cases) : cancer deaths = Canada, 2013 (estimates: 96,200 men will be diagnosed, 91,400 women will be diagnosed, most common cancers: lung, breast, colorectal, prostate (canada, 52% of all new cancer cases, prostate cancer , breast cancer . 5 year survival rate: prostate cancer, breast cancer: Carcinogenesis formation of cancer cells from normal cells. Carcinogens agents related to carcinogenesis: physical agents, chemical, radiation, infectious micro-organisms. All cancers have a genetic component: abnormal/mutated genes. Normal cell growth: cells that continue to grow after birth, liver, bone marrow, skin, gi cells, dna copied, split into 2 daughter cells (mitosis, speed of replication depends on tissue. 3 types of cells: cycling cells divide continuously, non-dividing cells divide before differentiation, resting cells remain dormant until stimulated to divide.

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This includes showing all calculations and explaining why you selected a specific answer for each multiple choice question (i.e. donât just circle the correct answer). I am looking to see how you got the answer, not just that you have the correct answer.

Below is data from the United States Cancer Statistics about the number of news cases of lung cancer in males in the U.S. for 2011 for ages 30 and older.

Table 1: U.S. Population Size and Incidence Cases of Lung Cancer in Males for 2011

Age (Years)	U.S. Male Population	White Population	White Incidence Cases	Black Population	Black Incidence Cases
30-34	10,181,564	7,950,924	88	1,383,650	22
35-39	9,666,162	7,557,263	212	1,271,897	23
40-44	10,363,126	8,259,215	643	1,324,847	132
45-49	10,856,131	8,766,225	2,032	1,373,346	444
50-54	10,976,172	9,004,383	5,128	1,329,551	1,148
55-59	9,733,849	8,101,629	8,607	1,091,030	1,687
60-64	8,466,308	7,183,960	12,340	845,362	2,067
65-69	6,014,777	5,178,255	15,792	539,796	2,077
70-74	4,360,942	3,769,569	16,011	376,129	1,864
75-79	3,204,196	2,807,216	14,319	255,221	1,426
80-84	2,319,839	2,078,071	11,284	154,155	883
85+	1,873,942	1,688,433	7,616	117,267	545
Total	88,017,008	72,345,143	94,072	10,062,251	12,318

3. What is the age-specific incidence rate for lung cancer in white men age 75-79 for 2011?(1 pt)

0.005 per 1000

1.3 per 1000

1.2 per 1000

5.1 per 1000

5.6 per 1000

F. Cannot be calculated from the given information

4. What is the age-specific incidence rate for lung cancer in black men age 75-79 for 2011? (1 pt)

0.005 per 1000

1.3 per 1000

1.2 per 1000

5.1 per 1000

5.6 per 1000

F. Cannot be calculated from the given information

Questions 5 through 7 are based on the information below:

Using the information in Table 1, researchers calculated the crude incidence rates and age-adjusted incidence rates (via the direct method) for both groups.

Table 2: Crude incidence rates and age-adjusted incidence rates for white and black males

White Males		Black Males
Crude Incidence Rate	Age-adjusted Incidence Rate	Crude Incidence Rate	Age-adjusted Incidence Rate
1.3 per 1000	1.2 per 1000	1.2 per 1000	1.5 per 1000

5. True or False, there is likely a difference in the age composition between the white and black males. Explain your answer

6. Based on the information in Table 2, it was reported that there was an increased risk of lung cancer in black males in 2011. (1 pt)

The conclusion is:

Correct, the age-adjusted rate is higher in black males compared to white males

Correct, because both the crude and age-adjusted rates are higher in black males compared to white males

Incorrect, because the incidence rate for white males is actually higher than the incidence rate for black males

7. What type of age-adjusted rate was calculated in table 2? How does it differ from the age-adjusted rate in question 5 in the in-class exercise for age-adjustments? Hint: See slide title: Adjustments for Other Measures of Disease Frequency in the lecture title Adjusted Rates (1 pt)

Question 8 is based on the information given below:

Cause-specific mortality rates for men in 2010 in the U.S. from various types of cancers are shown in the table below:

Cause-Specific Mortality Rates

(per 100,000 Men)

Location of the Cancer

in the Body White Asian

Pancreas 13.2 5.7

Prostate 19.1 2.5

Lung 62.3 18.5

Skin 4.9 0.3

8. The inference that White men in the U.S. are at higher risk of death due to cancer of the pancreas, prostate, lung, and skin compared to Asian men in the U.S. is

A. correct

B. incorrect because of failure to determine cause-specific mortality rates

incorrect because proportionate mortality alone does not give an estimate of risk

D. incorrect because of failure to adjust for differences in the age composition of the two populations

E. incorrect because counts were used when cause-specific mortality rates were needed

9. In January 1996, a team of epidemiologists identified a sample of 4,500 men, 65-74 years of age, for a study of prostate cancer. Tests indicated that 315 of the men already had prostate cancer and, therefore, were not at risk. The rest of the men were followed prospectively for five years to determine the incidence rate of prostate cancer in the sample. By the end of the five years of follow-up 156 of the men had developed prostate cancer. What is the incidence rate of prostate cancer in this group?

10. An epidemiologic investigation that started on January 1, 2011, identified a population of 1,000 individuals. At the start of the study 4 were found to have the disease. During the year of study, 6 new cases were found; thus a total of 10 cases were identified. Among those 10 cases, 6 deaths occurred during the year. What was the prevalence of the disease during the 1-year study?

pinkhornet564

61) How areantiangiogenic drugs used in the treatment of

cancer?

A) These drugsstop the replication of DNA so cancer cells

cannot reproduce.

B) These drugsstop the growth of blood vessels into the

tumor, so the cells "starve" to death.

C) These drugsstop metastasis.

D) These drugsstimulate the immune system.

E) These drugsstimulate the production of free radicals,

which kill cancer cells.

62) Which of the

following is true regarding photodynamic therapy?

A) It involves the use

of light sensitive drugs to target a cancer.

B) It uses magnets to

attract beads coated with a chemotherapeutic drug to acancer.

C) It is presently used

for the treatment of cancers of the breast and ovary.

D) It inhibits

angiogenesis.

E) It involves the use

of antibodies to deliver treatments to a cancer.

63) Which ofthe following types of cancer kills the highest

percentage of people diagnosed with the condition?

A)lung

B)breast

C)prostate

D)skin

E)colon

64) A mutationin which of the following genes can lead to

breast cancer?

A) BT05

B) HeLa

C) BRCA1

D)BCG

E)BCG2

65) If angiogenesis

were not to occur, a tumor would reach the size of a ________and stop growing.

A) period on a

typewritten page (.)

B) baseball

C) grapefruit

D) pea

E) basketball

66) Not onlydoes smoking cause lung cancer, it also doubles

the risk of which of the following types of cancer?

A)stomach

B)prostate

C)bladder

67) For women with a

mutated BRCA gene, the risk of breast cancer is about 60%.However, detection

of the mutated gene can occur before cancer ever develops by

A) testing of a blood

sample.

B) screening

mammography.

C) taking a biopsy of

breast tissue.

D) a PET scan.

E) urinalysis.

68) In some cases, why

doesn%u2019t the immune system recognize and destroy acancer?

A) Cancer cells that

produce abnormal antigens sometimes shed them.

B) Cancer cells have

less surface receptors needed for proper activation of Tcells.

C) Cancer cells have

enough %u201Cself%u201D surface markers as to be identified asnormal cells.

D) Cancer cells develop

from normal cells that cannot regulate cell division.

E) all of the above are

correct.

69) Theultimate goal of the male reproductive system is to

A) ensure thatsperm is produced at the correct time,

coinciding with ovulation.

B) releasesperm into the female's reproductive system.

C) join spermwith an egg, in an environment that favors

fertilization.

D) producelarge numbers of sperm.

E) maintain thehomeostatic condition of the male's body.

70) Synthesisof new sperm cells occurs in the

A) ductusdeferens.

B)urethra.

C) prostategland.

D) epididymis.

E) seminiferous tubules.

71) Externalgenitalia

of the male reproductive system include(s)

A) theejaculatory duct.

B) the urethraand scrotum.

C) the penisand scrotum.

D) thepenis.

E) the penis,urethra, and ejaculatory duct.

72) The releaseof LH in human males signals that

A) inhibin hasinhibited FHS secretion.

B) thehypothalamus has been stimulated to release inhibin.

C) spermproduction must be reduced.

D) the positivefeedback loop that regulates sperm production

is active.

E) blood levels of

testosterone are low

emeraldjellyfish291

QUESTION 1

How is a bone marrow transplant able to treat someone with leukemia?

		The donor blood contains antibodies that destroy cancer cells
		Donor blood contains stem cells that regenerate cells in the immune system
		Bone marrow contains induced pluripotent stem cells that turn into red blood cells
		Bone marrow contains tumor supressor genes that slow down leukemia growth
		Bone marrow contains pluripotent human embryonic stem cells

1.2 points

QUESTION 2

What would happen if siRNAs designed to target mRNA from an oncogene were introduced into cancer cells?

		Increased genomic instability would result from adding foreign nucleic acids
		New mutations would arise in the oncogene
		The oncogene would be converted back into a proto-oncogene
		The siRNAs would compete with the oncogene's active site
		Production of the oncogene protein would decrease

1.2 points

QUESTION 3

What is the purpose of chromatin-remodeling enzymes in human cells?

		The enzymes control the rate of translation of an mRNA transcript
		The enzymes add phosphate or methyl groups to histone tails
		The enzymes slide nucleosomes farther apart or closer to each other
		The enzymes send damaged proteins to the proteasome for degradation
		The enzymes cause DNA looping to occur

1.2 points

QUESTION 4

If you wanted to resurrect the mammoth, how would you do it?

		Use somatic cell nuclear transfer to insert the mammoth genome into the egg of an elephant
		Use transcription factors to re-program adult cells from elephants into mammoth cells
		Change the gene expression patterns of elephants to increase production of mammoth genes
		Use siRNAs to decrease expression of elephant-specific genes in an elephant embryo

1.2 points

QUESTION 5

How is eukaryotic transcription initiated?

		RNA polymerase is recruited to the start codon by transcription factors
		RNA polymerase begins transcription at the enhancer sequence
		RNA polymerase is activated by binding to GTP
		An initiator tRNA binds to the ribosome
		A complex of proteins forms at the promoter of a gene

KINESIOL 3Y03 Lecture Notes - Lecture 11: Apoptosis, Kidney Disease, Carcinogen

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