HSCI 305 FINAL EXAM WITH VERIFIED
SOLUTIONS
definexadoptivexcellxtherapyx-xcorrectxanswersx-
definexcatabolismx-xcorrectxanswersx-
producesxenergyxbyxbreakingxdownxcomplexxmoleculesxtoxsimplexsubunits
definexanabolismx-xcorrectxanswersx-
consumesxenergyxbyxproducingxcomplexxmoleculesxfromxsimplerxsubunits
thexmostxbasicxformxofxcellularxenergyxisx_______________x-xcorrectxanswersx-sugar
examplexofxaxdiagnosticxmethodxusedxinxnuclearxmedxandxhowxitxworksx-
xcorrectxanswersx-positronxemittedxtomography;xdetectsx2xphotons
,bestxagentxforxmeasuringxbloodxflow?x-xcorrectxanswersx-15Ox-xwater
examplexofxmostxcommonxtracerxforxmetastasesx-xcorrectxanswersx-18-
fluorodeoxyglucosex(FDG)ximaging;xPETxtracerxthatxmimicsxglucose
examplexofxaxclinicalxindicationxofxFDGxinxoncology?x-xcorrectxanswersx-
differentiatexbenignxfromxmalignant
`8-FDGxisxax_____________________xPETxagentx-xcorrectxanswersx-glycolysis/
metabolism
DefinexthexWarburgxEffectx-xcorrectxanswersx-
inxnormalxcells,xglycolysisxisxfollowedxbyxoxidativexphosphorylation,xbutxinxcancerxcells
xitxisxfollowedxbyxlacticxacidxfermentationxevenxwithxoxygenxwhichxproducesxexcessxla
cticxacid
howxdoxweximagexlactatexaccumulation?x-xcorrectxanswersx-13C-
pyruvatexconversionxtox13C-lactate
lactatexaccumulationxincreasesx_______________x-xcorrectxanswersx-acidity
slightlyxacidicxenvironmentxdecreasesx_______________________________ x-
xcorrectxanswersx-uptakexofxweaklyxbasicxdrugsx(includingxclassicxchemotherapy)
warburgxeffectxisxdrivenxbyx__________________x-xcorrectxanswersx-anabolism
anabolismxrequiresxlargexsupplyxofxprecursorxmaterialsxtoxmakex_____________x-
xcorrectxanswersx-DNA,xprotein,xandxlipids
whatxdoesxthextumorxcellxneedxtoxbalancexthexproductionxof?x-xcorrectxanswersx-
ATP,xNADPH,xacetyl-CoA
axtumorxcellxneedsxmorex_____________xthanx____________x-xcorrectxanswersx-
NADHxandxCarbon;xATP
primaryxsourcexofxnitrogenxforxthextumor?x-xcorrectxanswersx-glutamine
whatxdoesxthexpentosexphosphatexpathwayxdo?x-xcorrectxanswersx-
generatexNADPHx&xribose,xdivertxproductsxofxglycolysis,xreturnxcarbonsxtoxglycolysisx
asxneeded
primaryxmarkerxofxproliferation?x-xcorrectxanswersx-nucleotidexPETx=x18F-
fluorothymidine
, definexautophagyx-xcorrectxanswersx-
mechanismxtoxsurvivexnutrientxdeprivedxconditionsxandxeliminatexwaste;xcanxalsoxsup
pressxcancer
caloricxrestrictivexdietxforxcancer?x-xcorrectxanswersx-20-
40%xreductionx=xlessxriskxofxcancerxbecausexlessxobesity
ketogenicxdietxforxcancer?x-xcorrectxanswersx-mimicsxfastingxbyxrisingxketonexbodies
clinicalxtrialxofxKDxasxadjuvantxtherapyxbutxcan'txstopxcancerxbyxitself
definexradiotherapyx-xcorrectxanswersx-usexofxionizingxradiationxtoxkillxaxtumor
whatxisxthexmechanismxofxradiotherapy?x-xcorrectxanswersx-
DNAxdamagexkillsxcellsxthatxtryxtoxundergoxcellxdivision
definexionizingxradiationx-xcorrectxanswersx-
localizedxreleasexofxlargexpacketsxofxenergy,xevenxifxthextotalxamountxofxenergyxabsor
bedxisxsmall
mostxcommonxformxofxcellxdeathxwithxionizingxradiation?x-xcorrectxanswersx-
mitoticxcrisis;xcellxtriesxtoxdividexbutxchromosomalxaberrationxinterferesxwithxcellxdivisio
n
HighxLETx-xcorrectxanswersx--xlessxtissuexpenetration
-xsurfacexareaxdamage
-xfasterxabsorptionxofxenergy
-xenergyxmovesxfasterxandxmorexprecise
indirectxactionxofxradiationxonxDNAx-xcorrectxanswersx--xcomesxfromxLowxLET
-xradiationxhitsxwaterxwhichxthenxdamagesxthexDNA
directxactionxofxradiationxonxDNAx-xcorrectxanswersx--xhighxLET
-xradiationxdirectlyxhitsxandxmutatesxthexDNA
OptimalxLinearxEnergyxTransferx-xcorrectxanswersx-
mostxefficientxcellxkillingxatx100xkeV/mmx(alphaxparticles)
whatxdoesxaxsurvivalxcurvexmeasure?x-xcorrectxanswersx-
reproductivexcellxdeathx(evenxifxphysicallyxalivexbutxunablextoxreeplicate)
whatxdoesxthexshoulderximplyxonxaxsurvivalxcurve?x-xcorrectxanswersx-
impliesxrepairxofxsublethalxdamage
RBExasxaxfunctionxofxLETx-xcorrectxanswersx-asxLETxincreases:x
1.xthexsurvivalxcurvexbecomesxsteeper
2.xthexshoulderxbecomesxsmaller
SOLUTIONS
definexadoptivexcellxtherapyx-xcorrectxanswersx-
definexcatabolismx-xcorrectxanswersx-
producesxenergyxbyxbreakingxdownxcomplexxmoleculesxtoxsimplexsubunits
definexanabolismx-xcorrectxanswersx-
consumesxenergyxbyxproducingxcomplexxmoleculesxfromxsimplerxsubunits
thexmostxbasicxformxofxcellularxenergyxisx_______________x-xcorrectxanswersx-sugar
examplexofxaxdiagnosticxmethodxusedxinxnuclearxmedxandxhowxitxworksx-
xcorrectxanswersx-positronxemittedxtomography;xdetectsx2xphotons
,bestxagentxforxmeasuringxbloodxflow?x-xcorrectxanswersx-15Ox-xwater
examplexofxmostxcommonxtracerxforxmetastasesx-xcorrectxanswersx-18-
fluorodeoxyglucosex(FDG)ximaging;xPETxtracerxthatxmimicsxglucose
examplexofxaxclinicalxindicationxofxFDGxinxoncology?x-xcorrectxanswersx-
differentiatexbenignxfromxmalignant
`8-FDGxisxax_____________________xPETxagentx-xcorrectxanswersx-glycolysis/
metabolism
DefinexthexWarburgxEffectx-xcorrectxanswersx-
inxnormalxcells,xglycolysisxisxfollowedxbyxoxidativexphosphorylation,xbutxinxcancerxcells
xitxisxfollowedxbyxlacticxacidxfermentationxevenxwithxoxygenxwhichxproducesxexcessxla
cticxacid
howxdoxweximagexlactatexaccumulation?x-xcorrectxanswersx-13C-
pyruvatexconversionxtox13C-lactate
lactatexaccumulationxincreasesx_______________x-xcorrectxanswersx-acidity
slightlyxacidicxenvironmentxdecreasesx_______________________________ x-
xcorrectxanswersx-uptakexofxweaklyxbasicxdrugsx(includingxclassicxchemotherapy)
warburgxeffectxisxdrivenxbyx__________________x-xcorrectxanswersx-anabolism
anabolismxrequiresxlargexsupplyxofxprecursorxmaterialsxtoxmakex_____________x-
xcorrectxanswersx-DNA,xprotein,xandxlipids
whatxdoesxthextumorxcellxneedxtoxbalancexthexproductionxof?x-xcorrectxanswersx-
ATP,xNADPH,xacetyl-CoA
axtumorxcellxneedsxmorex_____________xthanx____________x-xcorrectxanswersx-
NADHxandxCarbon;xATP
primaryxsourcexofxnitrogenxforxthextumor?x-xcorrectxanswersx-glutamine
whatxdoesxthexpentosexphosphatexpathwayxdo?x-xcorrectxanswersx-
generatexNADPHx&xribose,xdivertxproductsxofxglycolysis,xreturnxcarbonsxtoxglycolysisx
asxneeded
primaryxmarkerxofxproliferation?x-xcorrectxanswersx-nucleotidexPETx=x18F-
fluorothymidine
, definexautophagyx-xcorrectxanswersx-
mechanismxtoxsurvivexnutrientxdeprivedxconditionsxandxeliminatexwaste;xcanxalsoxsup
pressxcancer
caloricxrestrictivexdietxforxcancer?x-xcorrectxanswersx-20-
40%xreductionx=xlessxriskxofxcancerxbecausexlessxobesity
ketogenicxdietxforxcancer?x-xcorrectxanswersx-mimicsxfastingxbyxrisingxketonexbodies
clinicalxtrialxofxKDxasxadjuvantxtherapyxbutxcan'txstopxcancerxbyxitself
definexradiotherapyx-xcorrectxanswersx-usexofxionizingxradiationxtoxkillxaxtumor
whatxisxthexmechanismxofxradiotherapy?x-xcorrectxanswersx-
DNAxdamagexkillsxcellsxthatxtryxtoxundergoxcellxdivision
definexionizingxradiationx-xcorrectxanswersx-
localizedxreleasexofxlargexpacketsxofxenergy,xevenxifxthextotalxamountxofxenergyxabsor
bedxisxsmall
mostxcommonxformxofxcellxdeathxwithxionizingxradiation?x-xcorrectxanswersx-
mitoticxcrisis;xcellxtriesxtoxdividexbutxchromosomalxaberrationxinterferesxwithxcellxdivisio
n
HighxLETx-xcorrectxanswersx--xlessxtissuexpenetration
-xsurfacexareaxdamage
-xfasterxabsorptionxofxenergy
-xenergyxmovesxfasterxandxmorexprecise
indirectxactionxofxradiationxonxDNAx-xcorrectxanswersx--xcomesxfromxLowxLET
-xradiationxhitsxwaterxwhichxthenxdamagesxthexDNA
directxactionxofxradiationxonxDNAx-xcorrectxanswersx--xhighxLET
-xradiationxdirectlyxhitsxandxmutatesxthexDNA
OptimalxLinearxEnergyxTransferx-xcorrectxanswersx-
mostxefficientxcellxkillingxatx100xkeV/mmx(alphaxparticles)
whatxdoesxaxsurvivalxcurvexmeasure?x-xcorrectxanswersx-
reproductivexcellxdeathx(evenxifxphysicallyxalivexbutxunablextoxreeplicate)
whatxdoesxthexshoulderximplyxonxaxsurvivalxcurve?x-xcorrectxanswersx-
impliesxrepairxofxsublethalxdamage
RBExasxaxfunctionxofxLETx-xcorrectxanswersx-asxLETxincreases:x
1.xthexsurvivalxcurvexbecomesxsteeper
2.xthexshoulderxbecomesxsmaller