PHSI3012 03-1 Metastasis

Description

Overview: - Overview of metastasis - Define each of the general stages of metastasis - Provide some examples of genes involved in each stage - Different metastasis models - Examples of therapeutic options
Michael Jardine
Quiz by Michael Jardine, updated more than 1 year ago
Michael Jardine
Created by Michael Jardine over 7 years ago
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Resource summary

Question 1

Question
The 9 stages of metastasis are: 1 - Primary tumour formation; 2 - [blank_start]____________________[blank_end]; 3 - [blank_start]____________________[blank_end]; 4 - [blank_start]____________________[blank_end]; 5 - [blank_start]____________________[blank_end]; 6 - [blank_start]____________________[blank_end]; 7 - [blank_start]____________________[blank_end]; 8 - [blank_start]____________________[blank_end]; 9 - Clinically detectable macroscopic metastases.
Answer
  • Local invasion
  • Intravasation
  • Survival in the circulation
  • Arrest at a distant organ site
  • Extravasation
  • Micrometastasis formation
  • Metastatic colonisation

Question 2

Question
Temporal course of metastasis: The latency period of BREAST CARCINOMA is generally
Answer
  • Years to decades
  • Months

Question 3

Question
Temporal course of metastasis: The latency period of COLORECTAL CARCINOMA is generally
Answer
  • Years to decades
  • Months

Question 4

Question
Temporal course of metastasis: The latency period of LUNG ADENOCARCINOMA is generally
Answer
  • Months
  • Years to decades

Question 5

Question
Does stiffening of the ExtraCellular Matrix (ECM) promote or inhibit tumourigenesis?
Answer
  • Promote
  • Inhibit

Question 6

Question
True or false: MMPs (Matrix MetalloProteinases) play a role in Intravasation.
Answer
  • True
  • False

Question 7

Question
Angiopoietin-like 4 ("ANGPTL4") is involved in:
Answer
  • Extravasation
  • Intravasation
  • Both of the above
  • [none of the above]

Question 8

Question
The "Cell-of-Origin" model of metastasis progresses as follows:
Answer
  • Normal epithelial cell (already has activated metastasis virulence genes due to its normal cellular differentiation program) > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Viable partially metastasis-competent disseminated tumour cell > [mutations in metastasis virulence genes] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations, including stochastic mutations in metastasis virulence genes] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > [additional mutations] > Metastatic colonisation > [re-infiltration of the primary tumour by metastatic cells] > Primary tumour that has undergone self-seeding
  • Normal epithelial cell > [mutation] > Quasi-normal epithelial cell > [early dissemination to a foreign microenvironment] > Viable disseminated quasi-normal epithelial cell > [series of mutations, including mutations in metastasis virulence genes] > Metastatic colonisation

Question 9

Question
The "Partial-Competence" model of metastasis progresses as follows:
Answer
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Viable partially metastasis-competent disseminated tumour cell > [mutations in metastasis virulence genes] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations, including stochastic mutations in metastasis virulence genes] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > [additional mutations] > Metastatic colonisation > [re-infiltration of the primary tumour by metastatic cells] > Primary tumour that has undergone self-seeding
  • Normal epithelial cell > [mutation] > Quasi-normal epithelial cell > [early dissemination to a foreign microenvironment] > Viable disseminated quasi-normal epithelial cell > [series of mutations, including mutations in metastasis virulence genes] > Metastatic colonisation

Question 10

Question
The "Stochastic" model of metastasis progresses as follows:
Answer
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Viable partially metastasis-competent disseminated tumour cell > [mutations in metastasis virulence genes] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations, including stochastic mutations in metastasis virulence genes] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > [additional mutations] > Metastatic colonisation > [re-infiltration of the primary tumour by metastatic cells] > Primary tumour that has undergone self-seeding
  • Normal epithelial cell > [mutation] > Quasi-normal epithelial cell > [early dissemination to a foreign microenvironment] > Viable disseminated quasi-normal epithelial cell > [series of mutations, including mutations in metastasis virulence genes] > Metastatic colonisation

Question 11

Question
The "Tumour Self-seeding" model of metastasis progresses as follows:
Answer
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Viable partially metastasis-competent disseminated tumour cell > [mutations in metastasis virulence genes] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations, including stochastic mutations in metastasis virulence genes] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > [additional mutations] > Metastatic colonisation > [re-infiltration of the primary tumour by metastatic cells] > Primary tumour that has undergone self-seeding
  • Normal epithelial cell > [mutation] > Quasi-normal epithelial cell > [early dissemination to a foreign microenvironment] > Viable disseminated quasi-normal epithelial cell > [series of mutations, including mutations in metastasis virulence genes] > Metastatic colonisation

Question 12

Question
The "Parallel Progression" model of metastasis progresses as follows:
Answer
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > Viable partially metastasis-competent disseminated tumour cell > [mutations in metastasis virulence genes] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations, including stochastic mutations in metastasis virulence genes] > Primary tumour > [dissemination to a foreign microenvironment] > Metastatic colonisation
  • Normal epithelial cell > [series of mutations] > Primary tumour > [dissemination to a foreign microenvironment] > [additional mutations] > Metastatic colonisation > [re-infiltration of the primary tumour by metastatic cells] > Primary tumour that has undergone self-seeding
  • Normal epithelial cell > [mutation] > Quasi-normal epithelial cell > [early dissemination to a foreign microenvironment] > Viable disseminated quasi-normal epithelial cell > [series of mutations, including mutations in metastasis virulence genes] > Metastatic colonisation
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