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BI13.1-5 | Miscellaneous — Glossary
Oncogenesis
The process by which normal cells transform into cancer cells through accumulation of genetic and epigenetic changes
Proto-oncogene
A normal gene that promotes cell growth and division; when mutated or overexpressed, it becomes an oncogene driving uncontrolled proliferation
Oncogene
A mutated or overexpressed proto-oncogene that acts as a permanently activated growth signal, contributing to cancer development
RAS
A GTPase proto-oncogene mutated in ~30% of all human cancers, acting as a constitutively active growth signalling switch
Tumour suppressor gene
A gene that normally inhibits cell division or promotes apoptosis; loss of function (both alleles) contributes to cancer
p53
The 'guardian of the genome' — a tumour suppressor protein that responds to DNA damage by triggering cell cycle arrest, DNA repair, or apoptosis; mutated in >50% of cancers
Apoptosis
Programmed cell death — an orderly process of cell self-destruction involving caspase activation, DNA fragmentation, and formation of apoptotic bodies
Caspases
A family of cysteine proteases that execute the apoptosis programme through a cascade of activation
Bcl-2 family
A family of proteins regulating apoptosis, including pro-survival members (Bcl-2, Bcl-xL) and pro-apoptotic members (Bax, Bak, Bad)
Tumour marker
A substance (protein, glycoprotein, enzyme, or hormone) produced by cancer cells or in response to cancer, measurable in blood for diagnosis or monitoring
PSA (Prostate-Specific Antigen)
A serine protease produced by prostate epithelium; elevated in prostate cancer, BPH, and prostatitis
AFP (Alpha-Fetoprotein)
An oncofetal protein elevated in hepatocellular carcinoma and yolk sac tumours; also physiologically elevated in pregnancy
Reverse transcriptase
The HIV enzyme that converts viral single-stranded RNA into double-stranded DNA, reversing the normal direction of the central dogma
Integrase
The HIV enzyme that inserts the viral DNA (provirus) into the host cell genome
CD4+ T-helper cells
The primary target of HIV infection; their progressive depletion leads to immunodeficiency and opportunistic infections
Alcohol dehydrogenase (ADH)
The cytosolic enzyme catalysing the main pathway of ethanol oxidation: ethanol → acetaldehyde, using NAD+ as cofactor
Aldehyde dehydrogenase (ALDH2)
The mitochondrial enzyme that oxidises acetaldehyde to acetate; genetic variants (ALDH2*2) cause Asian flush reaction
Acetaldehyde
The primary toxic metabolite of ethanol that forms protein adducts, generates free radicals, and causes liver inflammation and fibrosis
MEOS
Microsomal Ethanol-Oxidising System — the CYP2E1-dependent pathway in smooth ER that metabolises ethanol, induced by chronic alcohol use
Fatty liver (steatosis)
Accumulation of fat droplets in hepatocytes due to impaired fatty acid oxidation from high NADH/NAD+ ratio; the earliest and reversible stage of alcoholic liver disease
Cirrhosis
Irreversible replacement of normal liver tissue with fibrous scar tissue and regenerating nodules, leading to liver failure and portal hypertension
Wernicke encephalopathy
An acute neurological emergency caused by thiamine (vitamin B1) deficiency in alcoholics, presenting with ataxia, ophthalmoplegia, and confusion
Autoverification
An AI-driven laboratory process where algorithms automatically validate and release lab results that meet predefined quality criteria, reducing turnaround time