Toxicities that donotaffect the organs but rather the cells, genes, and the developing fetus
Types of non-organ directed toxicity
Chemicalcarcinogenesis
Genetictoxicology
Developmentaltoxicology
Carcinogenesis
Formation of cancer
Cancer
A disease of cellular mutation, proliferation, and aberrantcell growth resulting in malignant neoplasm
Cancer should have all three characteristics: cellular mutation, proliferation, and aberrant cell growth
Cancer ranks as one of the leading causes of death in the world
70-90% of human cancers are linked to environmental, dietary, and behavioral factors
Neoplasia
New growth or autonomous growth of tissues
Neoplasm
Resulting in neoplastic lesion
Types of neoplasm
Benign
Malignant
Benign neoplasm
Expansive growth, frequently exhibiting slow rates of proliferation that do not invade surrounding tissue or other organs, localized growth
Malignant neoplasm
Invasive growth characteristics, capable of spreading through the organ of origin, and through metastasis to other tissues and organs
Neoplasm nomenclature
Reflects both the tissue and cell of origin and the characteristics of the type of tissues involved
General rule for benign neoplasm
Tissue of origin is frequently followed by the suffix "oma"
General rule for malignant neoplasm
Tissue of origin is frequently followed by the suffix "carcinoma" or "sarcoma"
Carcinoma
Derived from epithelial origin
Sarcoma
Derived from mesenchymal origin
Metastases
Secondary growths derived from the cells of the primary malignant neoplasm
Tumor
Describes a lesion that may or may not be neoplastic and is characterized by swelling or an increase in size
Scientifically, a tumor does not automatically equal cancer. Tumor must be neoplastic and malignant to be considered cancerous
Carcinogen
Physical or chemical agents that causes or induces neoplasia (formation of cancer)
Types of carcinogens
Genotoxic
Non-genotoxic
Genotoxic carcinogens
Interact physically with DNA resulting in mutation (change or damage the structure)
Non-genotoxic carcinogens
Modify gene expression but do not damage DNA, do not directly interact with DNA but may create a scenario that will make the DNA more susceptible to damage from other sources
Features of genotoxic and non-genotoxic carcinogens
Genotoxic: Mutagenic, Tumorigenicity is dose responsive, No theoretical threshold
Non-genotoxic: Nonmutagenic, Threshold is reversible, Tumorigenicity is dose responsive, May function at tumor promotion stage, No direct DNA damage, Species, strain, tissue specificity
Multistage carcinogenesis
Process on how cancer is formed in the body, involves a series of definable and reproducible stages
Stages of multistage carcinogenesis
Initiation
Promotion
Progression
Initiation
Defined as a stable, heritable change that is a rapid and irreversible process that results in carcinogen-induced mutation
Initiators (Initiating agents)
Chemical/physical agents that function at the initiation stage, lead to genetic changes including mutation and deletions by covalently binding to DNA and forming adducts
Initiators (Initiating agents)
Polycyclic hydrocarbons
Nitrosamines
Biological agents (Virus)
Physical agents (X-ray, UV light)
Genotoxic compounds can be divided into direct-acting and indirect-acting genotoxic compounds
Direct-acting genotoxic compounds don't need to be metabolized to cause DNA damage
Fixation of the initiation stage
Occurs when DNA is not correctly repaired or incompletely repaired prior to DNA synthesis, can lead to inappropriate base pairing and/or formation of mutation
Initiation requires one or more rounds of cell division for the "fixation" of the DNA damage
Initiation by itself is insufficient to cause cancer
Non-organ directed toxicity
Toxicities that do not affect the organs but rather the cells, genes, and the developing fetus
Types of non-organ directed toxicity
Chemicalcarcinogenesis
Genetictoxicology
Developmentaltoxicology
Carcinogenesis
Formation of cancer
Cancer
A disease of cellular mutation, proliferation, and aberrantcellgrowth resulting in malignant neoplasm
Cancer should have all three characteristics: cellular mutation, proliferation, and aberrant cell growth