Le malattie neoplastiche: definizioni e terminologia, classificazione e
derivazione istogenetica. Epidemiologia. Eziologia multifattoriale. Fattori
di rischio di natura chimica, fisica e biologica. Cancerogeni chimici.
Radiazioni e tumori. Virus oncogeni. Storia naturale delle neoplasie. La
cancerogenesi come processo multifasico. Ormoni nella cancerogenesi.
Stile di vita (alimentazioni, obesità, abitudini voluttuarie) e cancro. Eventi
genetici ed epigenetici nella cancerogenesi. STROMA E CANCRO. Ruolo
del processo infiammatorio. Ipossia. Angiogenesi nelle neoplasie.
Accrescimento infiltrativo/invasivo dei tumori maligni (adesione-motilità).
Le metastasi (proteasi). Transizione epitelio-mesenchima. CANCRO E
OSPITE La progressione neoplastica. Effetti sistemici del tumore
sull’ospite: la cachessia neoplastica. Immunità e Cancro. ONCOLOGIA
CELLULARE E MOLECOLARE Le Telomerasi e Cancro, MicroRNAs e Cancro,
La Riparazione del DNA e Cancro. Determinanti molecolari della
trasformazione neoplastica: oncogeni e geni oncosoppressori.
METABOLISMO DELLA CELLULA NEOPLASTICA Alterazioni del metabolismo
glicidico nelle cellule neoplastiche (l’effetto Warburg e la proliferazione
cellulare). Alterazioni del turnover proteico: Ubiquitina, autofagia e
cancro. CICLO CELLULARE – PROLIFERAZIONE – MORTE CELLULARE
apoptosi, senescenza cellulare e ‘dormancy’ . La cellula staminale
tumorale. Meccanismi di chemio resistenza Le terapie
antineoplastiche:convenzionali, molecolari
Lesson 1 (2h) Introduction to Cancer. Definition, Epidemiology. Features
overview of benign and malignant tumors. Solid tumors: parenchyma and
stroma. Examples of tumors.
Lesson 2 (2h) Introduction to Cancer. Natural history of cancer:
multistage carcinogenesis, genetic and epigenetic modifications; clonal
expansion;
mutations, risk factors.
Lesson 3 (2 h) Nomenclature, Histopathology. Classification, Staging,
Grading.
Lesson 4 (2h) Genetic and chromosome instability. DNA repair.
Lesson 5 (2h) Familial and Genetic syndromes predisposing to cancer.
Recap
Lesson 6 (2h) Molecular Oncology 1: Oncogenes (classification). Main
Oncogenes: c-MYC, RAS, BCL-2, BRAF, and others. Oncogene addiction.
Signaling pathways
Lesson 7 (2h)
Molecular Oncology 2: Tumour Suppressors. Main Tumour Suppressor
genes: TP53, PTEN, BECLIN1, BRCA1, TSC, and others. Signaling
pathways
Lesson 8 (2h)
Epigenetics and Cancer. DNMT, HDAC, microRNAs. Recap
Lesson 9 (2h) Cancer cell biology1: Control of cell proliferation, cell cycle;
Telomerase
Lesson 10 (2h) Cancer cell biology 2: Control of cell homeostasis; control
of macromolecular turnover; Autophagy; Cancer cell biology 3: Control of
Cell death (Apoptosis, Necrosis, Autophagic cell death).
Lesson 11 (2h) Tumor Dormancy, cancer cell dormancy, cell senescence,
Cancer Stem Cells.Lesson 12 (2h) Cancer cell metabolism: Glucose (Warburg effect), Amino
Acids, Lipids.
Lesson 13 (2h) Oncogenes and oncosuppressors and cancer cell
metabolism.
Recap of previous chapters
Lesson 14 (2h) Tumour stroma. Cancer associated fibroblasts. Cancer
inflammation. Immune response.
Lesson 15 (2h) Cell adhesion. Invasion and Metastasis. Angiogenesis.
Lesson 16 (2h) Aetiology; Gene – environment interaction; Lifestyle and
Cancer (smoke, diet, alcohol).
Recap
Lesson 17 (2h) Aetiology of Cancer 2: Genotoxic and NON-genotoxic
carcinogenesis (examples). Chemical Carcinogenesis. Indirect and Direct
chemical carcinogens. DMS activation/excretion of chemical carcinogens.
Nitrous Bases adducts.
Lesson 18 (2h) Multistage carcinogenesis (initiation, promotion,
progression. Cancer progression and Concept of clonal evolution
Lesson 19 (2h) Infections and cancer; parasite infestation and cancer.
Virus and carcinogenesis. Physical causes of cancer. Mineral fibers
(Asbestos and mesothelioma pathogenesis). Radiation and cancer: direct
and indirect effects. Ionizing radiation. UV radiation.
Lesson 20 (2h) Chemotherapy and Mechanisms of chemoresistance.
Recap
Lesson 21 (2h) Cachexia and Anorexia in cancer patients. Cori’s cycle;
adipose tissue metabolism.
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