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What Is Carcinogenesis?

Karina J

A process to form cancer cell


Multifactorial
Multistage
Cause of Carcinogenesis?

Endogen Exogen
Genetic Carcinogen
Mutation Chemicals
Sex Hormone Virus
Physics
*there might be a chance that age, diet, inherit, continous
stimulation, and trauma trigger carcinogenesis
Cause of Carcinogenesis?

Endogen Exogen
Genetic Carcinogen
Mutation Chemicals
Sex Hormone Virus
Physics
*there might be a chance that age, diet, inherit, continous
stimulation, and trauma trigger carcinogenesis
Course of Cancer

Primary Secondary
Tumor Tumor
Host
Immune
Defense
Carcinogenesis

Genetic Changes ??

Activate MUTATION Inactivate


Tumor Supressor
Proto-oncogen Changes of DNA Gen
Bases
Oncogen-linked gen
1. Proliferation and growth gen. Ex: HER2
2. Tumor Supressor gen (antioncogen). Ex: p53
3. Antiapoptosis gen. Ex: Bcl-2
4. Antimetastasis gen. Ex: Nm H1
5. Multidrug Resistence gen. Ex: Mdr1
HER2
Human Epidermal Growth-factor Receptor 2

Coding epidermal growth factor receptor


(descendant of tyrosin kinase)
DIFFERENTIATION
OF THE
ADHESI
MOTILITY CANCER CELL

BreastOvary Prostate Colorectal Pancreas Gaster


p53
Antioncogen
Short lengan chromosome 17th

Induce DNA repair-enzymes

Lead to the apoptosis (wild type)

Regulator of cell cyclic (checkpoint)


Theory of Carcinogenesis
Phases

Initiation Promotion Progression


Rapid

Neoplasma
 Invasi

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