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Chemicals, Viruses, irradiation, etc.

Acquired mutations

Normal Cell

Inherited mutations
DNA Damage
in
 Genes
affecting
Failure of DNA Repair DNA
Repair
Genes
affecting in Mutations in the genome of somatic cells
cell growth or
apoptosis

Activation of growth –promoting Alterations of genes that Inactivation of cancer


\ oncogenes. sis, erbB, ras, myc, gene regulate apoptosis suppressor genes
for cyclin D etc. P53, Rb1 etc.

Uncontrolled cell proliferation Decreased apoptosis


dedifferentiation alterations in telomerase

Expression of altered gene products and loss of regulatory gene products

Development of primary tumour

Production of metalloproteinase etc.

Invasion of nearby tissue by tumour cells

Angiogenesis

Metastasis

Development of secondary tumour

Fig. 6. Molecular basis of cancer [Cotran et al., 2003; Rang and Dale 2003]

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