What is cancer? @derka Я QuickT i me™ and a T IFF (LZW) decom pressor are needed to see this picture. Otto Warburg QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. Oxygen deficiency QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. Normal oxygenation QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. Oxygen deficiency Survival by adaptation to the new environment QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. Under the stressful conditions that restrict growth and survival the cells have to disobey part of the “nature rules” in order to maintain nature’s drive for 1. Growth 2. Survival QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. Disobey restrictions on growth Oxygen deficiency Survival by adaptation to the new environment QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. QuickTime™ and a TIFF (LZW) decompressor are needed to see this picture. Disobey apoptotic mechanisms This is evolution by adaptation to the new conditions ! This is struggle for life of the cells ! They acquire genetic changes, which help them survive the unfavorable environment! Heterocyclic amines N-acetyl transferase Heterocyclic amines HIF-1 G-CSF PDGF VEGF VEGF VEGF EGF-R IGF-R GH-R Erythropoietin-R NGF-R G-CSF-R HGF-R C-kit-R Testosterone-R Estrogen-R Progesterone-R Her 2 Human EGF Receptor 2 EGF-R 1 2 3 4 HER1/EGFR Dimerization HER1 homodimer HER1-HER1 Three HER1-containing heterodimers HER1-HER2 HER1-HER3 HER1-HER4 Erythropoietin NGF Estrogen Progesterone G-CSF EGF-R IGF HGF P P P P Akt ras MAPK ras MAPK Akt P P ras MAPK Akt In order to survive: Use any growth factor available Inhibit apoptotic mechanisms VEGF