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ONCC Chemotherapy Immunotherapy Certificate Study Guide Latest 2025

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ONCC Chemotherapy Immunotherapy Certificate Study Guide Latest 2025

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ONCC Chemotherapy Immunotherapy Certificate
Study Guide Latest 2025

Lesson 1: Foundations to Set the Stage - ANS-

Focusing on Cellular Structure and Function - ANS-

The Normal Cell Cycle - ANS--The cell cycle refers to the ordered seres of processes of
DNA replication and mitosis, or cell division

-Cell nucleus regulates these processes by gathering and processing complexes
molecular information

Interphase and Mitotic Phase - ANS-Cell division produces two identical cells through
these two major phases

During interphase: - ANS-Cell grows and DNA is replicated through the following three
steps:

1: First growth phase (G1 or first gap)

2: Synthesis phase (S phase)

3:Mitotic Phse (M phase)

First Growth Phase (G1 or first gap) - ANS--cells increase in size

-reproduce RNA

-"quality assurance" test that the cell will be ready to synthesis DNA

-Length of time is variable, can be from hours to days

Synthesis Phase (S phase) - ANS--DNA replicates

-Results in the formation of identical pairs of DNA (chromatids)

-which are attached a t the centromere

-lasts 2-10 hours

Mitotic Phase (M phase) - ANS--Replicated chromosomes are aligned, separated, and
move into 2 new, identical daughter cells

,-takes about 30-60 minutes

Major points of cell regulation are entry and exit from - ANS--G1 checkpoint

-S Phase

-G2 checkpoint

-M phase

Restriction Point - ANS--The transition from the resting phase into an actively dividing
phase (G0-G1) is a point where cellular transformation can occur

-During this time, cells pass through a transition phase known as a restriction point

-Extracellular growth factors trigger reentry into G1, and GF are required to send the
cells past the restriction point, or the point of no return

G0 Phase (resting phase) - ANS--After mitosis, cells may enter back into the G1 phase
or go into a resting phase, known as G0

-Most cells in the human body reside in G0

-Exceptions to this are those that are (Resting in G0 phase) - ANS--Exceptions to this
are those that are metabollically active, such as

-granulocytes

-and the epithelium of the GI tract

Cell Cycling Time - ANS-Amount of time from mitosis to mitosis

Cell cycle video and image - ANS-
http://highered.mheducation.com/sites/0072495855/student_view0/chapter2/animation_
_how_the_cell_cycle_works.html

Check points in the Cell Cycle: Keeping it All Under Control - ANS--The cell cycle is
carefully controlled through a series of checkpoints

-Variation in duplication or distribution of chromosomes during cell division can alter the
genetic information passed on to daughter cells, leading to cellular dysfunction and
disease, such as cancer

-These checkpoints monitor for DNA integrity and control progression through mitosis

, Progression through the cell cycle is controlled through two proteins: - ANS-1. cyclines
(D, E, A, B)

2. Cyclin-dependent kinases (CDKs)

-Cyclin-CDK complex allows the cell to progress through each phase of the cell cycle

Locations of proteins Cyclins (D, E, A, B) and CDKs - ANS--(G0-G1) : Cyclin D and
CDK 4/6

-Early S: Cyclin E and CDK 1/2

-Late S: Cyclin A and CDK 1/2

-G2: CDK 1/2 and cyclin A

-Before M: CDK 1 and Cyclin B

Inhibitory proteins - ANS--prevent progression of the cycle when DNA damage is
detected

-An example of an inhibitory protein is p53 (AKA TP53)

DNA Damage Checkpoints - ANS--If DNA damage is present, cells are programmed to
stop dividing or undergo apoptosis (programmed cell death)

-The retinoblastoma protein (Rb), p53, and p21 are some of the most well-understood
inhibitory proteins (IP)

Inhibitory proteins p53 - ANS--Levels of this IP regulate several important target genes

-Will increase when DNA damage is present

-Protects against inappropriate signal proliferation

-sometimes called the "suicide gene"

M Phase Checkpoints - ANS-When the cells prepare to divide, the chromosomes line
up in the mitotic spindle.

If the chromosomes are not properly aligned, division is not allowed to continue

Immunity - ANS-

Cells of the Immune System - ANS-

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