Development of Cancer
Cancer is a disease characterized by uncontrolled cell growth and the ability of these cells to
invade other tissues. It arises from a series of genetic and epigenetic changes that alter
normal cell functions. Understanding the changes at the cellular level is key to
comprehending how cancer develops and progresses.
1. What is Cancer?
Cancer is a group of diseases involving abnormal cell growth with the potential to invade or
spread to other parts of the body. These malignant cells bypass the normal regulatory
mechanisms that control cell division and death.
2. Key Cell Changes in Cancer Development
• Genetic Mutations: Mutations in oncogenes, tumor suppressor genes (like p53), and
DNA repair genes lead to uncontrolled cell growth.
• Loss of Apoptosis: Cancer cells avoid programmed cell death, allowing damaged cells
to survive and proliferate.
• Uncontrolled Proliferation: Cells divide without control due to loss of normal cell cycle
regulation.
• Angiogenesis: Tumors stimulate the formation of new blood vessels to supply
nutrients and oxygen.
• Invasion and Metastasis: Cancer cells acquire the ability to invade neighboring tissues
and spread to distant sites.
• Immune Evasion: Cancer cells develop mechanisms to avoid detection and destruction
by the immune system.
• Altered Metabolism: Cancer cells reprogram their energy production to support rapid
growth (e.g., Warburg effect).
3. Stages of Cancer Development (Carcinogenesis)
• Initiation: Genetic damage (mutation) occurs in a cell.
• Promotion: Mutated cells are stimulated to divide and expand.
• Progression: Cells acquire further mutations, leading to invasive and metastatic
behavior.
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