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Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henriet ta Cancer: Detection and Treatment

Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

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Page 1: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658

Henrietta Lacks

Cancer: Detection and Treatment

Page 2: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658

Henrietta Lacks: the source of HeLa cells

Page 3: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658

Henrietta Lacks: the source of HeLa cells“During the 1970s and 1980s, as many as one in three cell lines deposited in cell culture repositories were imposters, one cell line overtaking or masquerading as another. The most notorious culprit was a cervical carcinoma line, HeLa, established by George Gey at the Johns Hopkins Medical School in 1951”

Page 4: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658

Henrietta Lacks: the source of HeLa cells

An estimated $10 million of research was discredited.

Page 5: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cancer:

• is the loss of control over cell division.

• Tumors are normal cells that are dividing inappropriately.

– They stop performing their “normal” function, and are dividing repeatedly.

Page 6: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

A cell becomes cancerous when there are incorrect positive AND negative

signals.

Page 7: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Multiple mutations are required for cancer to occur

Fig22.17

Page 8: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Fig. 3 TRENDS in Ecology and Evolution Vol 21 pg 47

Balance between Longevity and Health

Page 9: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Causes of mutations:

• Replication errors– Exacerbated by poor DNA repair– Limited by telomere length

• Other biological agents– Viruses– Transposons

• Environmental factors– Ultraviolet light– Mutagenic chemicals

• smoking, industrial waste, natural toxins

Page 10: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Environment plays a large role in the chance of contracting cancer…

The multiethnic cohort study: exploring genes, lifestyle and cancer risk. L Kolonel, D Altshuler, B Henderson (July 2004) Nature Reviews Cancer 4, 519-527 Fig 1

Page 11: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Chernobyl fireApril 26, 1986

http://video.google.com/videoplay?docid=1108163171078608385

Page 12: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

The Chernobyl accident was by far the largest unintentional release of radioactive material into the environment and caused widespread contamination in Europe.

Page 13: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

After the accident on April 26, 1986, ~116,000 people were evacuated, most from a zone of 30-km radius. That included about 45,000 people from the town of Pripyat.

Page 14: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

The most heavily exposed emergency workers received doses that were sufficiently high to kill them in the weeks and months after the accident.

Page 15: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Chernobyl April 26, 1986

Cancer consequences of the Chernobyl accident: 20 years on J. Radiological Protection26 (2006) 127–140Elisabeth Cardis et al.

Page 16: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment
Page 17: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

The rapidity of increased childhood thyroid cancer in the heavily contaminated areas of Belarus, Ukraine and Russia was surprising.

4 years

Page 18: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

The issue of the effects on health of the Chernobyl accident has become part of the political debate over the future role of nuclear energy, which has inevitably led to dispute over the level of effects either observed or anticipated.

Page 19: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

After the accident on April 26, 1986, ~116,000 people were evacuated, most from a zone of 30-km radius. That included about 45,000 people from the town of Pripyat.

Page 20: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment
Page 21: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

For more pictures: http://www.nikongear.com/Chernobyl/Chernobyl_1.htm

Page 22: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Source: US Mortality Public Use Data Tape 2000, National Center for Health Statistics, Centers for Disease Control and Prevention, 2002.

1. Heart Diseases 710,760 29.6

2. Cancer 553,091 23.0

3. Cerebrovascular diseases 167,661 7.0

4. Chronic lower respiratory diseases 122,009 5.1

5. Accidents (Unintentional injuries) 97,900 4.1

6. Diabetes mellitus 69,301 2.9

7. Influenza and Pneumonia 65,313 2.7

8. Alzheimer’s disease 49,558 2.1

1. Nephritis 37,251 1.5

10. Septicemia 31,224 1.3

Rank Cause of Death # of deaths

% of all deaths

US Mortality, 2000

Page 23: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Change in the US Death Rates* by Cause, 1950 & 2000

* Age-adjusted to the 2000 US standard population.Source: US Mortality Volume 1950, National Vital Statistics Report, 2002, Vol. 50, No. 15.

586.8

180.5

48.160.923.7

200.9193.7

258.2

0

100

200

300

400

500

600

HeartDiseases

CerebrovascularDiseases

Pneumonia/Influenza

Cancer

1950

2000

Rate Per 100,000

Page 24: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

2003 Estimated US Cancer Cases*

*Excludes basal and squamous cell skin cancers and in situ carcinomas except urinary bladder.Source: American Cancer Society, 2003.

Men675,300

Women658,800

32% Breast

12% Lung & bronchus

11% Colon & rectum

6% Uterine corpus

4% Ovary

4% Non-Hodgkin lymphoma

3% Melanomaof skin

3% Thyroid

2% Pancreas

2% Urinary bladder

20% All Other Sites

Prostate 33%

Lung & bronchus 14%

Colon & rectum 11%

Urinary bladder 6%

Melanoma of skin 4%

Non-Hodgkin lymphoma 4%

Kidney 3%

Oral Cavity 3%

Leukemia 3%

Pancreas 2%

All Other Sites 17%

Page 25: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

2003 Estimated US Cancer Deaths*

ONS=Other nervous system.*Excludes basal and squamous cell skin cancers and in situ carcinomas except urinary bladder.Source: American Cancer Society, 2003.

Men285,900

Women270,600

25% Lung & bronchus

15% Breast

11% Colon & rectum

6% Pancreas

5% Ovary

4% Non-Hodgkin lymphoma

4% Leukemia

3% Uterine corpus

2% Brain/ONS

2% Multiple myeloma

23% All other sites

Lung & bronchus 31%

Prostate 10%

Colon & rectum 10%

Pancreas 5%

Non-Hodgkin 4%lymphoma

Leukemia 4%

Esophagus 4%

Liver/intrahepatic 3%bile duct

Urinary bladder 3%

Kidney 3%

All other sites 22%

Page 26: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cancer Death Rates*, for Men, US, 1930-1999

*Age-adjusted to the 2000 US standard population.Source: US Mortality Public Use Data Tapes 1960-1999, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2002.

0

20

40

60

80

100

1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995

Lung

Colon and rectum

Prostate

Pancreas

Stomach

Liver

Rate Per 100,000

Leukemia

Page 27: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cancer Death Rates*, for Women, US, 1930-1999

*Age-adjusted to the 2000 US standard population.Source: US Mortality Public Use Data Tapes 1960-1999, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2002.

0

20

40

60

80

100

1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995

Lung

Colon and rectum

Uterus

Stomach

Breast

Ovary

Pancreas

Rate Per 100,000

Page 28: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Tobacco Use in the US, 1900-1999

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

190019051910191519201925193019351940194519501955196019651970197519801985199019952000Year

Per Capita Cigarette Consumption

0

10

20

30

40

50

60

70

80

90

100

Age-Adjusted Lung Cancer Death

Rates*

*Age-adjusted to 2000 US standard population.

Source: Death rates: US Mortality Public Use Tapes, 1960-1999, US Mortality Volumes, 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2001. Cigarette consumption: Us Department of Agriculture, 1900-1999.

Per capita cigarette consumption

Male lung cancer death rate

Female lung cancer death rate

Page 29: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment
Page 30: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Tobacco Use in the US, 1900-1999

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

190019051910191519201925193019351940194519501955196019651970197519801985199019952000Year

Per Capita Cigarette Consumption

0

10

20

30

40

50

60

70

80

90

100

Age-Adjusted Lung Cancer Death

Rates*

*Age-adjusted to 2000 US standard population.

Source: Death rates: US Mortality Public Use Tapes, 1960-1999, US Mortality Volumes, 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2001. Cigarette consumption: Us Department of Agriculture, 1900-1999.

Per capita cigarette consumption

Male lung cancer death rate

Female lung cancer death rate

Page 31: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment
Page 32: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment
Page 33: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Treating cancer:• Avoid it

– Avoid mutagens– DNA repair gets less efficient as we age

Page 34: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

T-cells recognize and eliminate abnormal cells; such as cells with many mutations

Our immune system protects us from cancer

Page 35: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

P53 is activated by DNA damage

Fig 22.15

Page 36: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

p53 can induce apoptosis via two pathways: Nuclear and/or Mitochondrial

Page 37: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Treating cancer:• Avoid it

– Avoid mutagens– DNA repair gets less efficient as we age

• Surgery– Must remove all cancer cells– Non-invasive

Page 38: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Treating cancer:• Avoid it

– Avoid mutagens– DNA repair gets less efficient as we age

• Surgery– Must remove all cancer cells– Non-invasive

• Radiation– Directed at tumor; causes DNA damage

-> cellular self-destruction– Mutagenic, side effects

Page 39: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Treating cancer:• Avoid it

– Avoid mutagens– DNA repair gets less efficient as we age

• Surgery– Must remove all cancer cells– Non-invasive

• Radiation– Directed at tumor – Mutagenic, side effects

• Chemotherapy– Toxins directed at rapidly dividing cells– Mutagenic, many side effects

Page 40: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Chemotherapy

a rapidly dividing cell

Toxin

X X

Page 41: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Normal Multi-Drug Resistance protein

MDR

MD

RMDR

MD

Rtoxin/hormone/etc

toxin/hormone/etc

toxin/h

ormon

e/etctoxi

n/h

orm

one/

etc

Page 42: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Some cancers over-express MDR

Toxin

MDR

MD

R

MDRMDRMDR

MD

RMDRMDRMDRMDR

MD

RM

DR

toxin toxin

toxin toxin toxin toxin

toxintoxinto

xin

toxi

n

toxin toxin

I’m a cancer cell with over-expressing MDR. I laugh at your toxins.

Page 43: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

The Epigenetic Progenitor Origin of Human Cancer (2007) A P Feinberg, R Ohlsson, S Henikoff Nature Reviews Genetics 7: 21-31

Mutations continue after cancer develops

Page 44: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

OO

OOOO

OOO

OOCancer cell with mutation causing MDR over-production

Evolution: changes in DNA as information transmitted

Page 45: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

OO

OOOO

OOO

OO

OO

OOOO

OOO

OO

Applychemo-therapy

XXX

XX X XX

XX

Kills most cells.Except if some have mutation that allow them to be resistant.

Evolution: changes in DNA as information transmitted

Cancer cell with mutation causing MDR over-production

Page 46: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

OO

OOOO

OOO

OO

OO

OOOO

OOO

OO

O

XXX

XX X XX

XX

Kills most cells.Except if some have mutation that allow them to be resistant.

Continues to replicate

Evolution: changes in DNA as information transmitted

Applychemo-therapy

Cancer cell with mutation causing MDR over-production

Page 47: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

OO

OOOO

OOO

OO

OO

OOOO

OOO

OO

OO

OOOO

OOO

OO

O

XXX

XX X XX

XX

Kills most cells.Except if some have mutation that allow them to be resistant.

Continues to replicate

Tumor with cells expressing MDR

Evolution: changes in DNA as information transmitted

Applychemo-therapy

Cancer cell with mutation causing MDR over-production

Page 48: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Some cancers over-express MDR

Toxin

MDR

MD

R

MDRMDRMDR

MD

RMDRMDRMDRMDR

MD

RM

DR

toxin toxin

toxin toxin toxin toxin

toxintoxinto

xin

toxi

n

toxin toxin

I’m a cancer cell with over-expressing MDR. I laugh at your toxins.

Page 49: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Detecting Cancer or Types of Cancer

Page 50: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cancer Cells

Normal Cells

Page 51: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

A Microarray is a chip with DNA sequences (genes) bound to the surface at known locations.

It can be used to track or monitor expression of many genes.

Page 52: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Tracking changes in gene expression using a Microarray

Page 53: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Making cDNA from RNA

Page 54: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Tracking changes in gene expression using a Microarray

Page 55: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Tracking changes in gene expression using a Microarray

Page 56: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Use of microarray to estimate genes likely present in malignant cancers

Page 57: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Patients cancer free for 5+ years

Patients cancer spread in 5 years

Use of microarray to estimate genes likely present in malignant cancers

similar to Fig 22.19

different genes

Page 58: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Fig 22.19 Microarrays can be used to get information about types of cancers

Page 59: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Young (>55) Breast cancer patients

More accurate profiling of tumors results in more accurate choices of treatments. Patients with benign tumors can avoid chemotherapy (adjuvant).

Page 60: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Effect of active smoking on the human bronchial epithelium transcriptome (2007)R Chari, K M Lonergan, R T Ng, C MacAulay, W L Lam, and S LamBMC Genomics, 8:297

Page 61: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Effect of active smoking on the human bronchial epithelium transcriptome (2007) R Chari et el. BMC Genomics, 8:297CS=current smoker, FS=former smoker, NS=never smoked

Table 1: Subject Demographics

Page 62: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Overlapping and unique genes expression

Fig 1B

Effect of active smoking on the human bronchial epithelium transcriptome (2007) R Chari et el. BMC Genomics, 8:297

Page 63: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Effect of active smoking on the human bronchial epithelium transcriptome (2007) R Chari et el. BMC Genomics, 8:297

Table 3: Reversible gene expression upon smoking cessation related to mucus secretion (genes in bold have not been previously associated with smoking)

Page 64: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

CABYR ENTPD8 TFF3

Fig 4AEffect of active smoking on the human bronchial epithelium transcriptome (2007) R Chari et el. BMC Genomics, 8:297

Some changes in gene expression induced by smoking are reversible

Page 65: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

MUC5AC GSK3B

Fig 4BEffect of active smoking on the human bronchial epithelium transcriptome (2007) R Chari et el. BMC Genomics, 8:297

Smoking can induce irreversible changes in gene expression

Page 66: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Treating cancer:• Avoid it

– Avoid mutagens– DNA repair gets less efficient as we age

• Surgery– Must remove all cancer cells– Non-invasive

• Radiation– Directed at tumor – Mutagenic, side effects

• Chemotherapy– Toxins directed at rapidly dividing cells– Mutagenic, many side effects

Page 67: Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658 Henrietta Lacks Cancer: Detection and Treatment

Cell Culture Forensics. S. O’brien PNAS July 3, 2001 vol. 98 no. 14 7656-7658

Henrietta Lacks

Cancer: Detection and Treatment