Spread of cancer

Genes and mutation

Body is made up of billions of cells that can only be seen under a microscope. These cells are grouped together to make up the tissues and organs of our bodies. They are a bit like building blocks. 

There are many different types of cells in the body which do different jobs, but they are basically similar. They all have a centre called a nucleus. Inside the nucleus are the genes. Genes are really bits of code. The information they carry can be switched on or off. The genes control the cell. They decide when it will reproduce, what it does and even when it will die. Normally the genes make sure that cells grow and reproduce in an orderly and controlled way. If the system goes wrong for any reason, the usual result is that the cell dies. Rarely, the system goes wrong in a way that allows a cell to keep on dividing until a lump called a ‘tumour’ is formed. 

In fact, genes are coded messages inside a cell that tell it how to behave. Different genes tell the cell how to make different proteins. One gene codes for one protein. Each cell has many genes and can therefore make many different proteins. Proteins are the building blocks that make up a cell. Some proteins act as on and off switches that help to control how a cell behaves. For example, a hormone signal acts on a protein in or on the cell. The protein then sends a series of signals which tell the cell to reproduce by dividing into two. 

Mutation means that a gene has been damaged or lost. A mutation may mean that too much protein is made. Or that a protein is not made at all. For example, a signaling protein may be permanently switched on. Or other proteins, whose job is to control and limit cell division, may be permanently switched off. 

Something that damages a cell and makes it more likely to be cancerous is called a carcinogen. For example, there are carcinogens in cigarette smoke. 

Genes that are abnormal in cancer.

 There are three different types of genes that are important in making a cell cancerous 

• Genes that encourage the cell to multiply (oncogenes) 
• Genes that stop the cell multiplying (tumour suppressor genes) 
• Genes that repair other damaged genes (DNA repair genes) 

Oncogenes 

Some genes encourage cells to multiply or double. Normally, in adults, this would not happen very often. Cells would only multiply to repair damage, for example after a wound or operation. But if these genes become abnormal, they tell the cell to multiply all the time. Scientists call these genes oncogenes. This really means cancer genes. 

Suppressor Genes 

Some genes are in the cell specifically to stop the cell multiplying or doubling. If one of these ‘tumour suppressor genes’ becomes damaged and stops working, then the cell may carry on and on multiplying. In other words it becomes immortal, which is one of the properties of a cancer cell. The best known tumour suppressor gene is called p53. This gene normally stops cells with other damaged genes from reproducing and encourages them to destroy themselves (apoptosis). p53 is damaged or missing in most human cancers. 

Genes that repair other damaged genes 

These genes normally repair any damage to the DNA that makes up the cell’s genes. If these DNA repair genes are damaged, then other mutations are not repaired and the cell can copy the mutations when it divides and multiplies. These genes have been found to be damaged in some human cancers, including bowel cancer.