Disruptions in GI Cancers
Pancreatic Cancer
CDKN2A/p16 inactivation
growth inhibition
Hedgehog
growth
paracrine signaling
Colorectal Cancer
HNPCC
(post-replication) & other DNA repair (post-replication) & other
PI3 Kinase
protein kinase C
Wnt
Adenomatous Polyposis Coli (APC)
½ life = 2 hrs ½ life = 20’ growth
apoptosis wnt
Bottom of Crypt Top of Crypt
Non-sense mutation Polyp
Chromosomal instability Aneuploidy
Stomach Cancer
(e.g., H. pylori infection, bacteria/toxins from improperly-prepared food)
Interstitial cells of Cajal (SMCs)
Liver Cancer