Cancer Biology
Purpose of Course showclose
Course Information showclose
Welcome to BIO404! Below, please find some general information about the course and its requirements.
Course Designer: Amy L. Thompson, PhD, MLS (ASCP)
Primary Resources: This course is comprised of a range of different free, online materials. However, the course makes primary use of the following materials:
- American Cancer Society’s “The History of Cancer”
- National Cancer Institute’s “Understanding Cancer Series”
- Cold Spring Harbor Laboratory’s Inside Cancer
- Emory University’s Cancer Quest
Requirements for Completion: In order to complete this course, you will need to work through each unit and all of its assigned materials. Pay special attention to Units 1 and 2 as these lay the groundwork for understanding the more, exploratory material presented in latter units. You will also need to complete:
- Unit 1.2.1 Assessment
- Unit 2.2.1 Assignment
- Unit 2.2.6 Assignment
- Unit 3.2.4 Assessment
- Unit 3.3.2.2 Assignment
- Unit 4.3.1 Assessment
- Unit 5.2.5 Assessment
- Unit 7.1 Assignment
- Unit 8.2.7 Assessment
- The Final Exam
Note that you will only receive an official grade on your final exam. However, in order to adequately prepare for this exam, you will need to work through the assessments and assignments listed above.
In order to pass this course, you will need to earn a 70% or higher on the Final Exam. Your score will be tabulated as soon as you complete it. If you do not pass the exam, you may take it again.
Time Commitment: This course should take you a total of 95 hours to complete. Each unit contains a “time advisory” that lists the amount of time that you are expected to spend on each subunit. These should help you plan your time accordingly. It may be useful to take a look at these time advisories and to determine how much time you have over the next few weeks to complete each unit, and then set goals for yourself. Use the time advisories to help you plot out your schedule of when you do each unit/subunit and on which days of the week. For example, Unit 1 should take you 10.5 hours to complete. Perhaps you can sit down with your calendar and decide to complete subunits 1.1 (a total of 1.5 hours) on Monday night; subunit 1.2.1 and 1.2.2 (a total of 2.25 hours) on Tuesday night; etc.
Tips/Suggestions: The material in this course builds on the earlier material. You must have a good understanding of the cell cycle, DNA replication, transcription, and translation in order to understand how cancer develops. If you have difficulty grasping these early concepts, the later units will be very difficult. It is important that you take notes for all readings, lectures, and learning tasks. When available, you may choose to print out articles and take notes directly on them. You may want to use the course units and their subunits to create an outline for your notes.
Learning Outcomes showclose
- Explain how the perception of cancer and theories of its causes have changed throughout history because of important discoveries made by scientists, researchers, and physicians.
- Summarize the importance of understanding cell biology in the study of cancer, its causes, it progression, and its treatment.
- Outline the transcription and translation processes used to convert DNA into proteins and what changes occur that convert proto-oncogenes into oncogenes and lead to unchecked cell growth and cancer.
- Compare and contrast the mechanisms by which activation of oncogenes, loss of tumor suppressors, loss of cell cycle checkpoints, and development of faulty DNA repair lead to cancer.
- Describe the various cancer prevention mechanisms including risk assessment, screening, and lifestyle and environmental modification.
- List the past, current, and future cancer treatments and the mechanism by which these target cancer causing cells.
Course Requirements showclose
√ Have access to a computer.
√ Have continuous broadband internet access.
√ Have the ability/permission to install plug-ins or software (e.g. Adobe Reader or Flash).
√ Have the ability to download and save files and documents to a computer.
√ Have the ability to open Microsoft files and documents (.doc, .ppt, .xls, etc.).
√ Be competent in the English language.
√ Have read the Saylor Student Handbook.
√ Have completed BIO101 and BIO102 from “The Core Program” in the Biology discipline.Unit Outline show close
Expand All Resources Collapse All Resources
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Unit 1: Origins and Overview
This unit will introduce you to the history of cancer. Many notable scientists have made important discoveries about the causes of cancer, its progression, and potential therapies. You will learn about how our understanding of cancer has evolved throughout history from early beliefs that cancer was contagious leading to isolation to the more modern approach of targeting the genes that cause cancer. In subunit 1.2, you will get an overview of what happens to cells leading to cancer, causative agents, and basic information about the spread of this disease. Following units will go into more detail about this information.
Unit 1 Time Advisory show close
Unit 1 Learning Outcomes show close
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1.1 History of Cancer
- Reading: American Cancer Society’s “The History of Cancer”
Link: American Cancer Society’s “The History of Cancer” (HTML or PDF)
Instructions: The American Cancer Society presents this eighteen page reading, which describes the history of cancer and many significant scientific discoveries made by numerous notable scientists. We will read the first seven pages. Click Next Topic above the gray bar to continue to the next page. Continue through The History of Cancer module until you reach the Cancer Screening and Early Detection page. Once you have read this page, stop. We will cover past, present, and future cancer therapies later in this course. If you would like to have a copy of this material, a PDF is available for downloading and printing by selecting the PDF button below the title on the linked page.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Reading: American Cancer Society’s “The History of Cancer”
- 1.2 Introduction: What is Cancer?
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1.2.1 Test Your Knowledge
- Assessment: WebMD’s “Cancer Quiz”
Link: WebMD’s “Cancer Quiz” (HTML)
Instructions: Take this five question quiz assessing your current knowledge of cancer. Don’t worry if you don’t do well. You will learn all these answers and more in this course.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Assessment: WebMD’s “Cancer Quiz”
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1.2.2 Definition
- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF or PPT)
Instructions: The National Cancer Institute presents this slide show that introduces cancer. Click on the hyperlink titled “1. What Is Cancer?” to get started. Press the arrow (advance) button at the top of the page once you have finished with each slide. Stop once you have viewed slides 1 through 4. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Reading: The Annenberg Foundation’s Rediscovering Biology Online Textbook: “Unit Cell Biology and Cancer”
Link: The Annenberg Foundation’s Rediscovering Biology Online Textbook: “Unit 8: Cell Biology and Cancer” (HTML)
Instructions: This short article clearly defines cancer in basic terms. You only need to read the section “What Is Cancer?” on this webpage.
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- Lecture: Washington University School of Medicine’s Siteman Cancer Center: Dr. Piwnica-Worm’s “Podcast: Understanding the Basic Biology of Cancer”
Link: Washington University School of Medicine’s Siteman Cancer Center: Dr. Piwnica-Worm’s “Podcast: Understanding the Basic Biology of Cancer” (Adobe Flash)
Instructions: Press play to listen to Dr. Piwnica-Worm’s Podcast (8:19 minutes) about how it is important to understand what is happening with cells to study cancer. The play button is located in the gray bar just below the heading “Understanding the Basic Biology of Cancer.”
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
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1.2.3 The Six Hallmarks of Cancer
- Web Media: Cold Spring Harbor Laboratory’s Inside Cancer: “Hallmarks of Cancer”
Link: Cold Spring Harbor Laboratory’s Inside Cancer: “Hallmarks of Cancer” (Adobe Flash)
Instructions: Cold Spring Harbor Laboratory offers this four module series called Inside Cancer. We will focus on the module called “Hallmarks of Cancer” to understand how cancer cells evade suicide signals to become immortalized. Click on “Hallmarks of Cancer” to open the module. There are eight sections in this module. Start with the Overview and work your way through the remaining sections: Growing Uncontrollably, Evading Death, Processing Nutrients, Becoming Immortal, Invading Tissues, Avoiding Detection, and Promoting Mutations. For each section, you will need to click the arrow to move to the next step in the animation.
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- Web Media: Cold Spring Harbor Laboratory’s Inside Cancer: “Hallmarks of Cancer”
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1.2.4 Causes
- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF or PPT)
Instructions: The National Cancer Institute presents this slide show and reading that introduces cancer. This website presents various topics that we will discuss in more detail in later units. Please review slides 24 through 36. Press the arrow (advance) button at the top of the page once you have finished with each slide. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
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1.2.5 Initiation and Progression
- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF or PPT)
Instructions: The National Cancer Institute presents this slide show and reading that introduces cancer. This website presents various topics that we will discuss in more detail in later units. Review slides 6 through 9. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
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Unit 2: Gene Expression and Regulation
To understand how cancer is disruptive, you must first understand the systems it disrupts. This unit will cover the primary means through which DNA and gene expression are regulated within the cell, focusing on the pathways and genes which, when mutated, can lead to unchecked cell growth. This unit will be concerned with the genes that are normally involved in cell growth and division (called proto-oncogenes). When these genes are “activated” in one of several ways, they no longer cause cells to divide normally but instead trigger unchecked cell division and proliferation; when this occurs, these genes are referred to as “oncogenes.”
Unit 2 Time Advisory show close
Unit 2 Learning Outcomes show close
- 2.1 DNA Structure and Stability
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2.1.1 Structure
- Web Media: The University of Utah: Genetic Science and Learning Center’s “Tour of the Basics”
Link: The University of Utah: Genetic Science and Learning Center’s “Tour of the Basics” (Adobe Flash)
Instructions: The University of Utah presents this excellent tour of DNA. Click on “What Is DNA?” to start the presentation. Click next to continue through the animation. Also, view the following presentations: “What Is a Gene?” “What Is a Chromosome?” “What Is a Protein?” “What Is Heredity?” and “What Is a Trait?” These will provide you with great information about DNA, its structure, how it provides the recipe for proteins, and its importance for traits and disease risk.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF, or PPT)
Instructions: You may be wondering how DNA relates to the development of cancer. The National Cancer Institute does a good job of explaining this relationship. Review slides 39, 40, and 41. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Web Media: The University of Utah: Genetic Science and Learning Center’s “Tour of the Basics”
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2.1.2 Maintenance and Repair
- Reading: Eastern Michigan University: Dr. Bob Winning’s “Mutation, DNA Repair, and Recombination”
Link: Eastern Michigan University: Dr. Bob Winning’s “Mutation, DNA Repair, and Recombination” (HTML)
Instructions: Read the first five pages of material by clicking the next button at the bottom of each page. We will only study mutation and DNA repair. Stop when you get to the recombination section at the bottom of page five. We will not cover recombination. You do not need to click on the hyperlinks.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF or PPT)
Instructions: View slide 48. This will allow you to make the connection between DNA repair and cancer. This slide mentions that this is the third gene type. We will talk about the other two types, oncogenes and tumor suppressor genes, a bit later. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Reading: Eastern Michigan University: Dr. Bob Winning’s “Mutation, DNA Repair, and Recombination”
- 2.2 Gene Expression and Regulation
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2.2.1 Transcription and Translation
- Web Media: University of Nebraska: Patty Hain and Nathan Wambaugh’s “Transcription/Translation Overview”
Link: University of Nebraska: Patty Hain and Nathan Wambaugh’s “Transcription/Translation Overview” (Adobe Flash)
Instructions: This animation will introduce you to transcription and translation. Click the arrows at the bottom right to move the animation forward.
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- Reading: Indiana University-Purdue University, Indianapolis: Department of Biology’s “The Central Dogma: From DNA to Proteins”
Link: Indiana University-Purdue University, Indianapolis: Department of Biology’s “The Central Dogma: From DNA to Proteins” (HTML)
Instructions: This reading will give you a good background on the transcription and translation processes.
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- Activity: University of Utah: Genetic Science and Learning Center’s “Transcribe and Translate a Gene”
Link: University of Utah: Genetic Science and Learning Center’s “Transcribe and Translate a Gene” (Adobe Flash)
Instructions: Now that you have viewed the Indiana University-Purdue University animation and completed the reading on transcription and translation, try your hand at these processes. Select the “Click Here to Begin!” blue button, and then follow the directions to work your way through the transcription and translation process.
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- Web Media: University of Nebraska: Patty Hain and Nathan Wambaugh’s “Transcription/Translation Overview”
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2.2.2 Signal Transduction Pathways
- Web Media: John Wiley & Sons, Inc.: Charlotte Pratt and Kathleen Cornely’s Essential Biochemistry: “Signal Transduction”
Link: John Wiley & Sons, Inc.: Charlotte Pratt and Kathleen Cornely’s Essential Biochemistry: “Signal Transduction” (Adobe Flash)
Instructions: Work your way through the seven modules in this signal transduction unit. Your knowledge will be tested as you move forward in these modules. Notice how the first messenger (ligand) binds activating the second messenger (cAMP for example) activating other factors (such as kinases) amplifying the signal of the single ligand.
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- Web Media: John Wiley & Sons, Inc.: Charlotte Pratt and Kathleen Cornely’s Essential Biochemistry: “Signal Transduction”
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2.2.3 Transcription Factors
- Web Media: Emory University’s CancerQuest: “Gene Function”
Link: Emory University’s CancerQuest: “Gene Formation” (Adobe Flash)
Instructions: Transcription factors are involved in numerous parts of the transcription process converting DNA into pre-mRNA and following splicing mRNA. Review the steps of transcription, including the animation, taking special note of the role of transcription factors. Click the next arrow to go to the transcription factors page that lists common transcription factors involved in cancer. Review the estrogen receptor animation.
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- Web Media: Emory University’s CancerQuest: “Gene Function”
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2.2.4 Growth Factors
- Reading: The Medical Biochemistry Page: Indiana University School of Medicine: Dr. Michael W. King’s “Growth Factors”
Link: The Medical Biochemistry Page: Indiana University School of Medicine: Dr. Michael W. King’s “Growth Factors” (HTML)
Instructions: This reading discusses growth factors, giving numerous examples. By understanding the role of growth factors now, you will better understand their involvement in cancer and cancer processes later in this course. Focus on the big picture in this reading. The main purpose of most growth factors is to stimulate growth of cells—typically resulting in cell division.
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- Reading: The Medical Biochemistry Page: Indiana University School of Medicine: Dr. Michael W. King’s “Growth Factors”
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2.2.5 Proto-oncogenes
- Web Media: Emory University’s CancerQuest: “Introduction to Cancer Genes Oncogenes”
Link: Emory University’s CancerQuest: “Introduction to Cancer Genes Oncogenes” (HTML)
Instructions: Read the Cancer Genes Overview, and then click on the Oncogenes tab to the left. There are eleven pages to the module, including some interactive videos. Be sure to view these. Click next to move on to subsequent pages.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML)
Instructions: View slide 42, 43, and 44. This will introduce oncogenes and make the connection between proto-oncogenes and oncogenes. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Web Media: Emory University’s CancerQuest: “Introduction to Cancer Genes Oncogenes”
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2.2.6 Oncogene Activation
- Reading: Emory University’s CancerQuest: “Mutation”
Link: Emory University’s CancerQuest: “Mutation” (HTML and Adobe Flash)
Instructions: This is a great series that explains how mutations damage DNA, leading to cancer. Start with Introduction to Mutation and work your way through each section, finishing with the mutation summary.
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- Activity: Emory University’s CancerQuest: “Mutation”
Link: Emory University’s Cancer Quest: “Mutation- Know the Flow and Crossword” (HTML and Adobe Flash)
Instructions: Test your knowledge of this material by completing the Know the Flow and Crossword exercises.
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- Reading: University of South Carolina’s School of Medicine: Dr. Richard C. Hunt’s “Oncogenic Viruses”
Link: University of South Carolina’s School of Medicine: Dr. Richard C. Hunt’s “Oncogenic Viruses” (HTML)
Instructions: Although this chapter is quite long, the impact that viruses have on the development of cancer cannot be emphasized enough. This reading does a great job of thoroughly covering all of the major viruses that are known to cause cancer.
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- Reading: Emory University’s CancerQuest: “Mutation”
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Unit 3: Growth Inhibitors
In normal cells, there are factors that check cell growth, prevent or slow cell division, and trigger apoptosis (programmed cell death) of specific cells. If these genes are defective, their inability to control these processes of the normal cell cycle can also lead to cancer. This unit will cover the processes of the typical cell cycle and its checkpoints and will examine the genes and proteins whose loss of function can lead to cell division without restraints.
Unit 3 Time Advisory show close
Unit 3 Learning Outcomes show close
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3.1 The Cell Cycle
- Web Media: Emory University’s CancerQuest: “Cell Division”
Link: Emory University’s CancerQuest: “Cell Division” (HTML)
Instructions: This module does a great job reviewing all of the steps of the cell cycle and relating it to cancer and cancer treatment. Start with the introduction and work your way through the summary. Click on next to move to subsequent pages, and click on the tab to the left to go to the next section. Make sure to view the animations that are found throughout this module. Focus on the different phases of the cell cycle and the ways that deviation from these normal phases might lead to cancer.
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- Web Media: Emory University’s CancerQuest: “Cell Division”
- 3.2 Checkpoints of the Cell Cycle
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3.2.1 G1 and S Phases
- Reading: Sigma-Aldrich’s “G1 & S Phases”
Link: Sigma-Aldrich’s “G1 & S Phases” (HTML)
Instructions: Read the description of the G1 (gap 1) and S (synthesis) phases of the cell cycle. Focus on the different factors that regulate progression through these phases.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.The Saylor Foundation does not yet have materials for this portion of the course. If you are interested in contributing your content to fill this gap or aware of a resource that could be used here, please submit it here.
- Reading: Sigma-Aldrich’s “G1 & S Phases”
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3.2.2 G2 Phase and Mitosis
- Reading: Sigma-Aldrich’s “G2 & M Phases”
Link: Sigma-Aldrich’s “G2 & M Phases” (HTML)
Instructions: Read the description of the G2 (gap 2) and M (mitosis) phases of the cell cycle. Focus on the different factors that regulate progression through these phases.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.The Saylor Foundation does not yet have materials for this portion of the course. If you are interested in contributing your content to fill this gap or aware of a resource that could be used here, please submit it here.
- Reading: Sigma-Aldrich’s “G2 & M Phases”
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3.2.3 Cyclin-Dependent Kinases
- Web Media: YouTube: University of California at San Francisco: Dr. David O. Morgan’s “Part 1: Controlling the Cell Cycle: Introduction”
Link: YouTube: University of California at San Francisco: Dr. David O. Morgan’s “Part 1: Controlling the Cell Cycle: Introduction” (YouTube)
Instructions: Please watch this video in its entirety (28:31 minutes). This video does a great job of reviewing the cell cycle and presents a lot of good information about cyclin-dependent kinases from Dr. Morgan, a cdk expert. Pay special attention to the information about cdks.
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- Web Media: YouTube: University of California at San Francisco: Dr. David O. Morgan’s “Part 1: Controlling the Cell Cycle: Introduction”
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3.2.4 Assessment
- Assessment: Emory University’s CancerQuest “Test Your Knowledge on Cell Division”
Link: Emory University’s CancerQuest “Test Your Knowledge on Cell Division” (HTML)
Instructions: Click on the question mark on the left side bar to open the 10 question quiz over cell division.
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- Assessment: Emory University’s CancerQuest “Test Your Knowledge on Cell Division”
- 3.3 Tumor-Suppressor Genes
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3.3.1 Functions and Pathways
- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF or PPT)
Instructions: View slide 45, 46, and 47. This will introduce tumor suppressor genes. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Web Media: Emory University’s CancerQuest: “Introduction to Cancer Genes Tumor Suppressors”
Link: Emory University’s CancerQuest: “Introduction to Cancer Genes Tumor Suppressors” (HTML)
Instructions: You have already read the Cancer Genes Overview. Click on the Tumor Suppressors tab to the left. There are eleven pages to the module, including some interactive videos. Be sure to view all of the videos. Click next to move to subsequent pages.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
- 3.3.2 Examples
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3.3.2.1 p53
- Web Media: Cold Stream Harbor Laboratory’s DNA Learning Center: “Causes, Smoking: p53”
Link: Cold Stream Harbor Laboratory’s DNA Learning Center: “Causes, Smoking: p53” (Adobe Flash)
Instructions: You might recall that the protein p53 is a transcription factor. As mentioned, p53 works in a manner that classifies it as a tumor suppressor. Cold Stream Harbor Laboratory presents this animation of how transcription factor and tumor suppressor p53 regulates the cell cycle allowing for DNA repair. Use the forward arrow to work your way through the phases of the animation.
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- Reading: Sigma-Aldrich’s “The p53 Signaling Pathway”
Link: Sigma-Aldrich’s “The p53 Signaling Pathway” (HTML)
Instructions: You have just learned the location of p53’s checkpoints in the cell cycle. This short description will give you a bit more information about p53’s signaling pathway and the factors that it activates and inactivates.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.The Saylor Foundation does not yet have materials for this portion of the course. If you are interested in contributing your content to fill this gap or aware of a resource that could be used here, please submit it here.
- Web Media: Cold Stream Harbor Laboratory’s DNA Learning Center: “Causes, Smoking: p53”
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3.3.2.2 Rb (retinoblastoma)
- Web Media: The McGraw Hill Companies’ “How Tumor Suppressor Genes Block Cell Division”
Link: The McGraw Hill Companies’ “How Tumor Suppressor Genes Block Cell Division” (Adobe Flash)
Instructions: You might recall that like p53, retinoblastoma is a transcription factor that also acts as a tumor suppressor. This animation shows how retinoblastoma and p53 work together to control the progression of the cell cycle. Press play to start.
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- Assessment: The McGraw Hill Companies’ “How Tumor Suppressor Genes Block Cell Division”
Link: The McGraw Hill Companies’ “How Tumor Suppressor Genes Block Cell Division” (HTML)
Instructions: Scroll all the way down to take the five question quiz to test your knowledge of how tumor suppressor genes prevent the division of cells.
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- Web Media: The McGraw Hill Companies’ “How Tumor Suppressor Genes Block Cell Division”
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3.3.2.3 BRCA1 and BRCA2
- Reading: National Cancer Institute’s “BRCA1 and BRCA2: Cancer Risk and Genetic Testing”
Link: National Cancer Institute’s “BRCA1 and BRCA2: Cancer Risk and Genetic Testing” (HTML or PDF)
Instructions: Read through the eighteen questions and their answers to learn more about breast cancer risk assessment using BRCA1 and BRCA2. You do not need to click on the hyperlinks. This Fact Sheet is available for downloading as a PDF using the options on the left of the screen.
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- Reading: National Cancer Institute’s “BRCA1 and BRCA2: Cancer Risk and Genetic Testing”
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3.4 Cell Biology and Cancer
- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF or PPT)
Instructions: View slides 49, 50, and 51 to put it all together—oncogenes, loss of tumor suppressors, and DNA repair issues plus other factors—to determine what leads to the development of cancer. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
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Unit 4: Death and Life: Apoptosis and Immortality
The process through which cells that are defective, old, or no longer necessary are programmed to die is a tremendously important one. Apoptosis (programmed cell death) occurs in embryos going through complex cell movements and rearrangements and in adults going through the normal cycle of cell metabolism. This process of dying is altered in cancer cells, as are the processes that limit the number of times a cell can proliferate, leading to what can be described as an “immortal” cell. Such a cell is no longer responsive to “suicide” cues and no longer capable of undergoing replicative senescence (the cessation of division). The result of this unstoppable cell’s proliferation is the development of a tumor.
Unit 4 Time Advisory show close
Unit 4 Learning Outcomes show close
- 4.1 Apoptosis
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4.1.1 The Apoptosis Pathway
- Reading: Saylor Foundation’s “Apoptosis”
Link: Saylor Foundation’s “Apoptosis” (PDF)
Instructions: Read this short overview of apoptosis, also known as programmed cell death. This is a very complex process, with multiple steps.See a broken link? Please let us know!
- Reading: Saylor Foundation’s “Apoptosis”
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4.1.2 "Death Receptors"
- Reading: Maria Eugenia Guicciardi and Gregory J. Gores’ “Life and death by death receptors”
Link: Maria Eugenia Guicciardi and Gregory J. Gores’ “Life and death by death receptors” (PDF)
Instructions: Click on Full Text or Full Text (PDF) to the right to access the article. This is an excellent review article about death receptors.
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- Reading: Maria Eugenia Guicciardi and Gregory J. Gores’ “Life and death by death receptors”
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4.1.3 Mutations to the Pathway
- Reading: Biotech Articles: Robby Kumar’s “Apoptosis and Cancer: A Review”
Link: Biotech Articles: Robby Kumar’s “Apoptosis and Cancer: A Review” (HTML)
Instructions: Scroll down to read this short article about the role that apoptosis plays in cancer.
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- Reading: Biotech Articles: Robby Kumar’s “Apoptosis and Cancer: A Review”
- 4.2 Immortality
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4.2.1 Normal Limits on Proliferation
- Reading: Times Higher Education’s “Life Span of Human Cells Defined: Most Cells Are Younger than the Individual”
Link: Times Higher Education’s “Life Span of Human Cells Defined: Most Cells Are Younger than the Individual” (HTML)
Instructions: About half way down this article, normal human cell life spans are given. Keep in mind that the live span described here is a normal cell and not one that suffers from disease.
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- Reading: Times Higher Education’s “Life Span of Human Cells Defined: Most Cells Are Younger than the Individual”
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4.2.2 Telomeres and Telomerase
- Reading: Virginia Commonwealth University’s Department of Medicinal Chemistry: Dr. Brad E. Windle’s “Telomerase: Target of Immortality”
Link: Virginia Commonwealth University’s Department of Medicinal Chemistry: Dr. Brad E. Windle’s “Telomerase: Target of Immortality” (HTML)
Instructions: Please read the entire webpage. This site does a great job describing the role of telomerase in immortality.
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- Web Media: C-Span’s “The Immortal Life of Henrietta Lacks”
Link: C-Span’s “The Immortal Life of Henrietta Lacks” (Adobe Flash)
Instructions: View this video interview (34:27 minutes) about the first immortalized cell line, known as HeLa cells, taken from African-American Henrietta Lacks. Author Rebecca Skloot, who wrote the book The Immortal Life of Henrietta Lacks, thoroughly discusses Henrietta and her immortal cervical cells in this interview. Johns Hopkins took these cells from Henrietta Lacks without her knowledge or consent. HeLa cells have been one of the greatest tools in research leading to numerous medical and scientific discoveries.
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- Reading: Virginia Commonwealth University’s Department of Medicinal Chemistry: Dr. Brad E. Windle’s “Telomerase: Target of Immortality”
- 4.3 Tumorigenesis
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4.3.1 Hyperplasia and Dysplasia
- Web Media: Emory University’s CancerQuest: “Cancer Formation”
Link: Emory University’s CancerQuest: “Cancer Formation” (HTML)
Instructions: Read the section titled Cancer Initiation, Promotion, and Progression, and then click next to view the second page titled Stages of Tumor Development.
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- Assessment: Emory University’s CancerQuest: “Test Your Knowledge on Cancer Formation”
Link: Emory University’s CancerQuest: “Test Your Knowledge on Cancer Formation” (HTML)
Instructions: Click on the question mark to the left to open the ten-question quiz about cancer formation. Keep taking the quiz until you get them all correct.
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- Web Media: Mercer University’s School of Medicine: WebPath’s “Neoplasia”
Link: Mercer University’s School of Medicine: WebPath’s “Neoplasia” (HTML)
Instructions: WebPath covers numerous pathological processes, including the development of cancer or neoplasia. This module covers important features of tumor formation including hyperplasia (the overproduction of normal cells, which can be normal or abnormal) and the conversion to metaplasia, and dysplasia. Please view slides 1–30, paying particular attention to the images.
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- Web Media: Emory University’s CancerQuest: “Cancer Formation”
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4.3.2 Anaplasia
- Reading: University of South Carolina’s “Anaplasia”
Link: University of South Carolina’s “Anaplasia” (HTML)
Instructions: Read this one page summary of anaplasia. Notice how the cell actually de-differentiates in this process.
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- Web Media: Mercer University’s School of Medicine: WebPath’s “Neoplasia”
Link: Mercer University’s School of Medicine: WebPath’s “Neoplasia” (HTML)
Instructions: WebPath covers numerous pathological processes, including the development of cancer or neoplasia. This module covers important features of tumor formation including anaplasia. View image 52, and notice the lack of development of the cells.
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- Reading: University of South Carolina’s “Anaplasia”
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Unit 5: Intercellular Interactions and Invasions
In order for cancer cells to spread throughout the body, they must not only proliferate but also interact with each other and other cell types. Once cancer cells begin to proliferate, a cluster of cells forms and eventually reaches a size at which the cells can no longer acquire the oxygen and nutrients they need through diffusion. Like normal tissues, they need a blood supply and are therefore able to secrete factors that trigger normal cells to form new blood vessels. This process is called angiogenesis and is thought to be first condition necessary for metastasis (cancer spread and invasion).
Unit 5 Time Advisory show close
Once tumors are able to proliferate, some portion of them must be able to detach from the original tumor, spread through the body, and “invade” other tissues. Changes in the level of cell adhesion (the loosening of cells from their connections to one another) are often associated with an increased ability of cancer cells to spread. Proteolysis, the selective degradation of portions of other cell membranes, is also a necessary precondition for the invasion of tissue by cancer cells.
Unit 5 Learning Outcomes show close
- 5.1 Angiogenesis
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5.1.1 Initiation
- Web Media: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis”
Link: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis” (HTML, PDF, or PPT)
Instructions: This slide presentation thoroughly covers angiogenesis. Click on slide 1, and read the notes that accompany the slide. Once you have finished with this slide, click the forward arrow to view the next slide. Continue until you have viewed slides 1 through 10. This slide presentation is available for downloading as a PDF or a PowerPoint with notes, using the options on the left of the screen.
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- Web Media: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis”
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5.1.2 Inducers
- Web Media: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis”
Link: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis” (HTML, PDF or PPT)
Instructions: Click on slide 11 to start. Press the forward arrow to move to the next slide. View slides 11 through 14. This slide presentation is available for downloading as a PDF, or a PowerPoint with notes, using the options on the left of the screen.
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- Web Media: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis”
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5.1.3 Inhibitors
- Web Media: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis”
Link: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis” (HTML, PDF, or PPT)
Instructions: Click on slide 15 to start. Press the forward arrow to move to the next slide. View slides 15 through 26. This slide presentation is available for downloading as a PDF, or a PowerPoint with notes, using the options on the left of the screen.
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- Web Media: National Cancer Institute’s “Understanding Cancer Series: Angiogenesis”
- 5.2 Metastasis
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5.2.1 Adhesion
- Web Media: Emory University’s CancerQuest: “Hallmark of Cancer: Metastasis”
Link: Emory University’s CancerQuest “Hallmark of Cancer: Metastasis” (HTML)
Instructions: Read this single webpage about one of the hallmarks of cancer, metastasis. Pay special attention to the focus on adhesion molecules and their role in this process.
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- Web Media: Emory University’s CancerQuest: “Hallmark of Cancer: Metastasis”
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5.2.2 Proteolysis
- Reading: International Federation of Clinical Chemistry and Laboratory Medicine: Professor Tanja Cufer’s “Biology of Metastasis with Focus on Proteases”
Link: International Federation of Clinical Chemistry and Laboratory Medicine: Professor Tanja Cufer’s “Biology of Metastasis with Focus on Proteases” (HTML or PDF)
Instructions: Read this short article about the most common proteases shown to be involved in cancer metastasis. Please note that you may also download the PDF version of this text on the website.
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- Reading: International Federation of Clinical Chemistry and Laboratory Medicine: Professor Tanja Cufer’s “Biology of Metastasis with Focus on Proteases”
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5.2.3 Routes
- Web Media: Emory University’s CancerQuest: “Metastasis”
Link: Emory University’s CancerQuest: “Metastasis” (HTML and PDF)
Instructions: This first slide shows the common routes of metastasis—through the blood, lymphatic system, and body cavity wall. Once you have viewed the first slide, click next to view the second (lymphatic system) and then third (model). This material can be viewed in PDF by clicking “Download as PDF” under the title.
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- Reading: National Cancer Institute’s “Metastatic Cancer”
Link: National Cancer Institute’s “Metastatic Cancer” (HTML or PDF)
Instructions: Scroll down to question 4, titled “How does cancer spread,” and read this section. This gives a bit more insight into how can spreads from the site of origin elsewhere in the body. This is available for downloading as a PDF using the options on the left of the screen.
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- Web Media: Emory University’s CancerQuest: “Metastasis”
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5.2.4 Sites of Origin
- Reading: National Cancer Institute’s “Metastatic Cancer”
Link: National Cancer Institute’s “Metastatic Cancer” (HTML or PDF)
Instructions: Read through question numbers 1 through 3. This reading discusses the spread of cancer from its origin to a new location in the body. The chart shows common sites of cancer spread. This is available for downloading as a PDF using the options on the left of the screen.
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- Reading: National Cancer Institute’s “Metastatic Cancer”
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5.2.5 Assessment
- Assessment: Emory University’s CancerQuest: “Test Your Knowledge on What is Cancer”
Link: Emory University’s CancerQuest “Test Your Knowledge on What is Cancer?” (HTML)
Instructions: Click on the question mark to the left to answer five questions about metastasis. Keep taking the quiz until you get all of the questions correct.
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- Assessment: Emory University’s CancerQuest: “Test Your Knowledge on What is Cancer”
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Unit 6: Carcinogens
While mutations and genetic predispositions can lead to cancer, environmental factors have been shown to do so as well. These factors have various means of triggering cancer-cell development and proliferation. The likelihood of developing cancer from exposure to carcinogens depends on a number of conditions, including the potency of the carcinogen, the intensity of exposure, the duration of exposure, and predisposition or genetic sensitivity to the carcinogen.
Unit 6 Time Advisory show close
Unit 6 Learning Outcomes show close
- 6.1 Types of Carcinogens
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6.1.1 Overview
- Reading: Mesothelioma’s “Physical Carcinogens—What Are They and How Do They Act?”
Link: Mesothelioma’s “Physical Carcinogens—What Are They and How Do They Act?” (HTML)
Instructions: This reading does a good job of explaining three types of carcinogens—physical, chemical, and radiation. A fourth type is parasitic involving bacteria or viruses.
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- Reading: Mesothelioma’s “Physical Carcinogens—What Are They and How Do They Act?”
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6.1.2 Environmental Carcinogens
- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer and the Environment”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer and the Environment” (HTML, PDF, or PPT)
Instructions: View all 46 slides in this series. The National Cancer Institute does a great job covering the major environmental causative agents of cancer. This slide presentation is available for downloading as a PDF, or a PowerPoint with notes, using the options on the left of the screen.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer and the Environment”
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6.1.3 Additional Carcinogens
- Web Media: Cold Spring Harbor Laboratory’s Inside Cancer “Causes and Prevention”
Link: Cold Spring Harbor Laboratory’s Inside Cancer “Causes and Prevention” (Adobe Flash)
Instructions: Cold Spring Harbor Laboratory offers this four module series called Inside Cancer. This module covers some of the same carcinogens covered by the National Cancer Institute but also covers some new carcinogens. This source offers a more in depth look at many of these. We will focus on the module called “Causes and Prevention” to further examine what is understood about different cancer causing agents or carcinogens. Click on Causes and Prevention. There are seven sections in this module. Start with the Overview and work your way through the other six sections: Smoking, Inheritance, Diet, Mold, Viruses, and Sunlight. For each section, you will need to click the arrow to move to the next step in the animation. You will also want to click on the arrows next to the words on each slide to view more information about the factors listed.
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- Web Media: Cold Spring Harbor Laboratory’s Inside Cancer “Causes and Prevention”
- 6.2 Carcinogenesis (Oncogenesis)
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6.2.1 Stages
- Web Media: University of Pittsburgh’s Supercourse: Tee L. Guidotti’s “Carcinogenesis”
Link: University of Pittsburgh’s Supercourse: Tee L. Guidotti’s “Carcinogenesis” (HTML)
Instructions: Click start to begin. View this slide set about carcinogenesis and the stages involved. There are 21 slides total; you do not need to click on or fill out the information in the “Review” section.
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- Web Media: Mercer University’s School of Medicine: WebPath’s “Neoplasia”
Link: Mercer University’s School of Medicine: WebPath’s “Neoplasia” (HTML)
Instructions: WebPath covers numerous pathological processes, including the development of cancer. Look at slides 71 through 79 to understand the process of oncogenesis and view tissue slides.
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- Web Media: University of Pittsburgh’s Supercourse: Tee L. Guidotti’s “Carcinogenesis”
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6.2.2 Gene-Environment Interactions
- Web Media: University of Pittsburgh’s Supercourse: Paolo Vineis’s “Gene-Environment Interactions in Cancer”
Link: University of Pittsburgh’s Supercourse: Paolo Vineis’s “Gene-Environment Interactions in Cancer” (HTML)
Instructions: Click on start to begin. Work your way through this slide set, which thoroughly covers the gene-environment interaction observed in caner. There are 21 slides total; you do not need to click on or fill out the information in the “Review” section.
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- Web Media: University of Pittsburgh’s Supercourse: Paolo Vineis’s “Gene-Environment Interactions in Cancer”
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6.2.3 Carcinogen Metabolism
- Reading: Oxford Journals’ Carcinogenesis: F. Peter Guengerich’s “Metabolism of Chemical Carcinogens”
Link: Oxford Journals’ Carcinogenesis: F. Peter Guengerich’s “Metabolism of Chemical Carcinogens” (HTML and PDF)
Instructions: Read this article reviewing mechanisms of carcinogen metabolism. This material can be downloaded in PDF form from the right side of the page.
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- Reading: Oxford Journals’ Carcinogenesis: F. Peter Guengerich’s “Metabolism of Chemical Carcinogens”
- 6.3 Identifying Carcinogens and Cancer Risk
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6.3.1 Carcinogen Screening
- Web Media: University of Pittsburgh’s Supercourse: Gary D. Friedman’s “Screening Carcinogens for Possible Carcinogenesis: Three Decades of Experience”
Link: University of Pittsburgh’s Supercourse: Gary D. Friedman’s “Screening Carcinogens for Possible Carcinogenesis: Three Decades of Experience” (HTML)
Instructions: Click on start to begin. Work your way through this slide set, which thoroughly covers how potential carcinogens are screened. There are 30 slides total; you do not need to click on or fill out the information in the “Review” section.
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- Web Media: University of Pittsburgh’s Supercourse: Gary D. Friedman’s “Screening Carcinogens for Possible Carcinogenesis: Three Decades of Experience”
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6.3.2 Known Carcinogens
- Reading: American Cancer Society’s “Cancer Facts and Figures”
Link: American Cancer Society’s “Cancer Facts and Figures” (PDF)
Instructions: To access this text, please click on the “Download” hyperlink to open the PDF file. Please review this information starting with page 25 and ending on page 44. Each year the American Cancer Society, along with researchers and other agencies, put together this up to date report of cancer research findings. In this 2011 report, there is a special section about “Cancer Disparities and Premature Deaths,” as well as information about the impact of “Tobacco Use,” “Nutrition and Physical Activity,” and “Environmental Cancer Risks.”
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- Reading: American Cancer Society’s “Known and Probable Human Carcinogens”
Link: American Cancer Society’s “Known and Probable Human Carcinogens” (HTML)
Instructions: Please read the entire webpage for an explanation of how carcinogens are identified and classified. It also lists many known carcinogens.
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- Reading: American Cancer Society’s “Cancer Facts and Figures”
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6.3.3 Specialized Testing for Carcinogens
- Reading: Environmental Health Perspectives: Charles W. Schmidt’s “TOX 21: New Dimensions of Toxicity Testing”
Link: Environmental Health Perspectives: Charles W. Schmidt’s “TOX 21: New Dimensions of Toxicity Testing” (HTML and PDF)
Instructions: Read this entire article about a collaborative effort between several government and private agencies to do high throughput screening of potential cancer causing agents. You can download this material in PDF format from the top right corner of the page.
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- Reading: Environmental Health Perspectives: Charles W. Schmidt’s “TOX 21: New Dimensions of Toxicity Testing”
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Unit 7: Cancer Therapy: Past, Present, and Future
Numerous factors lead to the development of cancer in cells throughout the body. By understanding their risk, patients can take proactive steps to help prevent the development of cancer. A large number of cancer screening methods are used to detect cancer including blood antigens, fecal occult blood, and colonoscopy, among others. With risk assessment and screening, can potentially be detected early and prognosis is improved.
Unit 7 Time Advisory show close
Unit 7 Learning Outcomes show close
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7.1 Cancer Risk Assessment
- Assessment: Washington University’s School of Medicine: Siteman Cancer Center’s “Your Disease Risk Cancer”
Link: Washington University’s School of Medicine: Siteman Cancer Center’s “Your Disease Risk Cancer” (HTML)
Instructions: This site provides a tool to evaluate your risk of developing certain types of cancer. It considers numerous factors including your family history, diet, exercise, and medical history. Choose six of the twelve types of cancer listed and use the screening tool to evaluate your risk of developing those cancer types.
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- Lecture: The University of Texas’s MD Anderson Cancer Center: Karen Lu and Banu Arun’s “Can Cancer Be Inherited and What Can Be Done?”
Link: The University of Texas’s MD Anderson Cancer Center: Karen Lu and Banu Arun’s “Can Cancer Be Inherited and What Can Be Done?” (HTML and Adobe Flash)
Instructions: Locate the Similar Articles and Multimedia box to the right. Click on the video “Can Cancer Be Inherited and What Can Be Done?” Click play to watch this video in its entirety (run time 18:34 minutes).
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- Assessment: Washington University’s School of Medicine: Siteman Cancer Center’s “Your Disease Risk Cancer”
- 7.2 Screening and Early Detection
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7.2.1 Screening Guidelines
- Reading: American Cancer Society’s “American Cancer Society Guidelines for the Early Detection of Cancer”
Link: American Cancer Society’s “American Cancer Society Guidelines for the Early Detection of Cancer” (HTML)
Instructions: Review these guidelines.
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- Reading: American Cancer Society’s “American Cancer Society Guidelines for the Early Detection of Cancer”
- 7.2.2 Cancer Screening and Detection
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7.2.2.1 Breast Cancer Screening
- Web Media: Susan G. Komen for the Cure’s “Breast Cancer 101”
Link: Susan G. Komen for the Cure’s “Breast Cancer 101” (Adobe Flash)
Instructions: Scroll all the way to the bottom of this webpage. You will see a link under the pink heading “Breast Cancer 101 (Interactive Tool).” Click on the view program in English link. The program will load. Work your way through this interactive tool to learn about breast cancer screening, development, and treatment.
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- Web Media: Susan G. Komen for the Cure’s “Breast Cancer 101”
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7.2.2.2 Colorectal Cancer Screening
- Reading: Johns Hopkins Medicine’s “Colorectal Cancer”
Link: Johns Hopkins Medicine’s “Colorectal Cancer” (HTML)
Instructions: Work your way through the “About Colorectal Cancer” tab to the left. Click on the items across the top bar including Overview, Anatomy, Polyp to Cancer, Diagnosis, Staging, Symptoms, and Risk Factors. Once you have read this material, click on the tab Screening and Prevention to learn about the different tools used to screen for colorectal cancer including the Intro, Colonoscopy, Flexible Sigmoidoscopy, and others.
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- Reading: Johns Hopkins Medicine’s “Colorectal Cancer”
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7.2.2.3 Prostate Cancer Screening
- Lecture: Washington University School of Medicine’s Siteman Cancer Center: Dr. Adam Kibel’s “Podcast: New Guidelines for Cancer Screenings”
Link: Washington University School of Medicine’s Siteman Cancer Center: Dr. Adam Kibel’s “Podcast: New Guidelines for Prostate Cancer Screenings” (Adobe Flash)
Instructions: Press play to listen to Dr. Kibel’s Podcast about screening for prostate cancer. The play button is located on the gray bar just below the heading “New Guidelines for Prostate Cancer Screenings.”
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- Lecture: Washington University School of Medicine’s Siteman Cancer Center: Dr. Adam Kibel’s “Podcast: New Guidelines for Cancer Screenings”
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7.2.2.4 Thyroid Cancer Screening
- Lecture: Washington University School of Medicine’s Siteman Cancer Center: Dr. Haughey’s “Podcast: Detecting Thyroid Cancer Early”
Link: Washington University School of Medicine’s Siteman Cancer Center: Dr. Haughey’s “Podcast: Detecting Thyroid Cancer Early” (Adobe Flash)
Instructions: Although there is not a specific test to screen for thyroid cancer, there are sign and symptoms that prompt follow up testing potentially leading to an early diagnosis and treatment. Press play to listen to Dr. Haughey’s Podcast about thyroid cancer detection and treatment. The play button is located on the gray bar just below the heading “Detecting Thyroid Cancer Early.”
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- Lecture: Washington University School of Medicine’s Siteman Cancer Center: Dr. Haughey’s “Podcast: Detecting Thyroid Cancer Early”
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7.2.2.5 Cervical Cancer Screening
- Lecture: Centers for Disease Control and Prevention American Society for Obstetricians and Gynecologists: Dr. Alan Waxman’s “ACOG Recommendations and Guidelines for Cervical Cancer Screening and Management”
Link: Centers for Disease Control and Prevention American Society for Obstetricians and Gynecologists: Dr. Alan Waxman’s “ACOG Recommendations and Guidelines for Cervical Cancer Screening and Management” (Adobe Flash)
Instructions: Click on the play button to listen to this Podcast about cervical cancer screening in its entirety (10:45 minutes).
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- Lecture: Centers for Disease Control and Prevention American Society for Obstetricians and Gynecologists: Dr. Alan Waxman’s “ACOG Recommendations and Guidelines for Cervical Cancer Screening and Management”
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7.3 Prevention
- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
Link: National Cancer Institute’s “Understanding Cancer Series: Cancer” (HTML, PDF, or PPT)
Instructions: View slides 52-61 to learn what you can do to reduce your risk of developing cancer. This slide presentation is available for downloading as a PDF, or a PowerPoint with notes, using the options on the left of the screen.
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- Reading: National Cancer Institute’s “Understanding Cancer Series: Cancer”
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Unit 8: Cancer Therapy: Past, Present, and Future
Curing cancer and helping those who have it have been medical concerns for thousands of years. However, cancer remains difficult to cure; it is hard to eradicate completely; it proliferates rapidly and can cause resurgences after it appears to be gone; its cells develop resistances to drugs; and many of the treatments for it are toxic to healthy cells as well. This unit will describe some of the means through which cancer has been treated in the past (some of which will seem surprisingly familiar) and will also address current techniques and their effectiveness. Finally, the unit will introduce you to some plans for the future of cancer treatments based on areas of current research in cancer biology and oncology.
Unit 8 Time Advisory show close
Unit 8 Learning Outcomes show close
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8.1 Past Treatments
- Reading: American Cancer Society’s “The History of Cancer”
Link: American Cancer Society’s “The History of Cancer” (HTML)
Instructions: We covered the first part of this reading, presented by the American Cancer Society, in Unit 1. We will now read about how cancer treatments have evolved, and conclude with the present and the future. This is a great overall of how our approach to cancer has changed through the years—from no treatment to targeted specific therapies for individual patients. Click Next Topic above the gray bar to continue to the next page. When you reach the references, you have finished this module.
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- Reading: American Cancer Society’s “The History of Cancer”
- 8.2 Current Treatments
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8.2.1 Surgery
- Web Media: Emory University’s CancerQuest: “Surgery for Cancer”
Link: Emory University’s CancerQuest: “Surgery for Cancer” (HTML)
Instructions: Read this page about surgery for cancer and view the two animations. Once you reach the bottom of the page, view the three short videos covering the breast and lymph node biopsy and pathology.
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- Web Media: Emory University’s CancerQuest: “Surgery for Cancer”
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8.2.2 Hormone Therapy
- Web Media: Emory University’s CancerQuest: “Introduction to Hormonal Cancer Treatment”
Link: Emory University’s CancerQuest: “Introduction to Hormonal Cancer Treatment” (HTML)
Instructions: View the six pages in this module by clicking next. Be sure to view the animations about different mechanisms of drug action.
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- Web Media: Emory University’s CancerQuest: “Introduction to Hormonal Cancer Treatment”
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8.2.3 Radiation
- Web Media: Emory University’s CancerQuest: “Introduction to Radiation Therapy”
Link: Emory University’s CancerQuest: “Introduction to Radiation Therapy” (Adobe Flash)
Instructions: View the eleven pages in this module. Be sure to watch the documentary about radiation therapy on the first page. Click on the five different topics at the bottom of the documentary as well as the different patient interviews to the right. On some of the pages, expert video commentary is given.
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- Web Media: Emory University’s CancerQuest: “Introduction to Radiation Therapy”
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8.2.4 Chemotherapy
- Web Media: Emory University’s CancerQuest: “Introduction to Chemotherapy”
Link: Emory University’s CancerQuest: “Introduction to Chemotherapy” (Adobe Flash)
Instructions: View the nine pages in this module. This module thoroughly covers many of the chemotherapeutic agents.
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- Web Media: Emory University’s CancerQuest: “Introduction to Chemotherapy”
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8.2.5 Immunotherapy
- Web Media: Emory University’s CancerQuest: “Introduction to Antibodies”
Link: Emory University’s CancerQuest: “Introduction to Antibodies” (HTML)
Instructions: This is a fairly short module with only three pages. View all three of these, which focus on antibody treatments. Immunology is the study of antigen-antibody interactions and immunotherapy is treatment, which uses antibodies.
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- Web Media: Emory University’s CancerQuest: “Introduction to Antibodies”
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8.2.6 Targeted Therapy
- Reading: Cold Spring Harbor Laboratory’s Inside Cancer: “Diagnosis and Treatment”
Link: Cold Spring Harbor Laboratory’s Inside Cancer: “Diagnosis and Treatment” (HTML)
Instructions: Cold Spring Harbor Laboratory offers this four module series called Inside Cancer. We will focus on the module called “Diagnosis and Treatment” to look at how certain types of cancer are treated using targeted therapy. Click on Diagnosis and Treatment. There are four sections in this module. Start with Pathology and work your way through Pharmacogenetics, Targeted Activators, and Blocking Receptors. For each section, you will need to click the arrow to move to the next step in the animation.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Reading: Cold Spring Harbor Laboratory’s Inside Cancer: “Diagnosis and Treatment”
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8.2.7 Assessment
- Reading: Emory University’s CancerQuest’s “Test Your Knowledge on Treatments”
Link: Emory University’s CancerQuest’s “Test Your Knowledge on Treatments” (HTML)
Instructions: Click on the question mark on the left column to test your knowledge of cancer treatments in a ten question quiz.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Reading: Emory University’s CancerQuest’s “Test Your Knowledge on Treatments”
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8.3.1 Stem Cells: Problems and Solutions
- Web Media: University of Texas: MD Anderson Cancer Center’s “Stem Cells, Explained”
Link: University of Texas: MD Anderson Cancer Center’s “Stem Cells, Explained” (mp3)
Instructions: Listen to this entire Podcast of Dr. Frank Marini explaining about stem cells and their use in treatments including cancer. This Podcast lasts about 1 hour. Please note that you may also download the transcript on this webpage.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Web Media: University of Texas: MD Anderson Cancer Center’s “Stem Cells, Explained”
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8.3.2 Novel Targets
- Reading: Science Daily’s version of the American Association for Cancer Research’s “Cancer Targets on the Horizon: Emerging Therapies and Novel Targets”
Link: Science Daily’s version of the American Association for Cancer Research’s “Cancer Targets on the Horizon: Emerging Therapies and Novel Targets” (HTML)
Instructions: Read this article about novel cancer targets.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Reading: Science Daily’s version of the American Association for Cancer Research’s “Cancer Targets on the Horizon: Emerging Therapies and Novel Targets”
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8.3.3 Modified Adenoviruses
- Reading: National Institutes of Health’s Daniel T. Rein et al’s “Current Developments in Adenovirus-based Cancer Gene Therapy”
Link: National Institutes of Health’s Daniel T. Rein et al’s “Current Developments in Adenovirus-based Cancer Gene Therapy” (HTML or PDF)
Instructions: Read this review article to learn more about how adenoviruses are being used in targeted cancer treatment. You can access the PDF version from the top right corner of the page.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Reading: National Institutes of Health’s Daniel T. Rein et al’s “Current Developments in Adenovirus-based Cancer Gene Therapy”
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8.3.4 Gleevec
- Web Media: NPR’s Talk of the Nation: “Beyond the ‘War’, The Future of Cancer Treatment”
Link: NPR’s Talk of the Nation: “Beyond the ‘War’, The Future of Cancer Treatment” (Adobe Flash)
Instructions: Listen to this NPR radio interview (17:02 minutes) with Dr. Mukherjee of Columbia University, who discusses the future of cancer treatment including stem cells and Gleevec.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Web Media: NPR’s Talk of the Nation: “Beyond the ‘War’, The Future of Cancer Treatment”
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8.3.5 Tailored Treatments
- Reading: Science Daily’s version of University of California, San Diego’s “Future of Personalized Cancer Treatment: New System Delivers RNA into Cells”
Link: Science Daily’s version of University of California, San Diego’s “Future of Personalized Cancer Treatment: New System Delivers RNA into Cells” (HTML)
Instructions: Read this article about a new potential tailored cancer treatment.
Terms of Use: Please respect the copyright and terms of use displayed on the webpage above.See a broken link? Please let us know!
- Reading: Science Daily’s version of University of California, San Diego’s “Future of Personalized Cancer Treatment: New System Delivers RNA into Cells”
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Final Exam
- Final Exam: The Saylor Foundations BIO404 Final Exam
Link: The Saylor Foundation's BIO404 Final Exam
Instructions: You must be logged into your Saylor Foundation School account in order to access this exam. If you do not yet have an account, you will be able to create one, free of charge, after clicking the link.See a broken link? Please let us know!
- Final Exam: The Saylor Foundations BIO404 Final Exam
Questions? Consult the FAQ's!

