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Cell Biology and Cancer

under a contract from the

National Institutes of Health

in collaboration with the

National Cancer Institute

Center for Curriculum Development

5415 Mark Dabling Boulevard

Colorado Springs, CO 80918

BSCS Development Team

Design and Layout

Joseph D. McInerney, Co-Principal Investigator

Angela Barnes, Finer Points Productions

Lynda B. Micikas, Co-Project Director

BSCS Administrative Staff

April L. Gardner, Visiting Scholar

Timothy H. Goldsmith, Chairman, Board of Directors

Diane Gionfriddo, Research Assistant

Joseph D. McInerney, Director

Joy L. Hainley, Research Assistant

Michael J. Dougherty, Associate Director

Judy L. Rasmussen, Senior Executive Assistant

Janie Mefford Shaklee, Evaluator

Videodiscovery, Inc. Administrative Staff

Lydia E. Walsh, Research Assistant

D. Joseph Clark, President

Videodiscovery, Inc. Development Team

Shaun Taylor, Vice President for Product Development

D. Joseph Clark, Co-Principal Investigator

National Institutes of Health

Shaun Taylor, Co-Project Director

Bruce Fuchs, Office of Science Education

Michael Bade, Multimedia Producer

John Finerty, National Cancer Institute

Dave Christiansen, Animator

Susan Garges, National Cancer Institute

Greg Humes, Assistant Multimedia Producer

William Mowczko, Office of Science Education

Lucy Flynn Zucotti, Photo Researcher

Cherie Nichols, National Cancer Institute

Advisory Committee

Gloria Seelman, Office of Science Education

Ken Andrews, Colorado College,

Field-Test Teachers

Colorado Springs, Colorado

Christina Booth, Woodbine High School,

Kenneth Bingman, Shawnee Mission West High School,

Woodbine, Iowa

Shawnee Mission, Kansas

Richard Borinsky, Broomfield High School,

Julian Davies, University of British Columbia,

Broomfield, Colorado

Vancouver, BC, Canada

Patrick Ehrman, A.G. Davis Senior High School,

Lynn B. Jorde, Eccles Institute of Human Genetics,

Yakima, Washington

Salt Lake City, Utah

Elizabeth Hellman, Wheaton High School,

Elmer Kellmann, Parkway Central High School,

Wheaton, Maryland

Chesterfield, Missouri

Jeffrey Sellers, Eastern High School, Washington, DC

Mark A. Rothstein, University of Houston Law Center,

Houston, Texas

Photo Credits

Carl W. Pierce, Consultant, Hermann, Missouri

Figures 1, 7, and 8: Corel Corporation

Kelly A. Weiler, Garfield Heights High School,

Garfield Heights, Ohio

This material is based on work supported by the National

Raymond L. White, Huntsman Cancer Institute,

Institutes of Health under Contract No. 263-97-C-0073.

Salt Lake City, Utah

Any opinions, findings, conclusions, or recommendations

Aimee L. Wonderlick, Northwestern University

expressed in this publication are those of the authors and

Medical School, Chicago, Illinois

do not necessarily reflect the views of the funding agency.

Writing Team

Copyright ©1999 by the BSCS and Videodiscovery, Inc.

Mary Ann Cutter, University of Colorado—

All rights reserved. You have the permission of BSCS and

Colorado Springs

Videodiscovery, Inc. to reproduce items in this module

Jenny Sigstedt, Consultant, Steamboat Springs, Colorado

(including the software) for your classroom use. The

Vickie Venne, Huntsman Cancer Institute,

copyright on this module, however, does not cover

Salt Lake City, Utah

reproduction of these items for any other use. For

permissions and other rights under this copyright,

Artists

please contact the BSCS, 5415 Mark Dabling Blvd.,

Dan Anderson

Colorado Springs, CO 80918-3842.

Kevin Andrews

Revised September 2012

Cover Design

NIH Publication No. 10-4646

Karen Cook, NIH Medical Arts and Photography Branch

Cover Illustration

Salvador Bru, Illustrator

Please contact NIH with questions

about this supplement at

Editing

supplements@science.education.nih.gov.

Barbara C. Resch

Contents

Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

About the National Institutes of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

About the National Cancer Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii

About Biological Sciences Curriculum Study. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . viii

Introduction to Cell Biology and Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

What Are the Objectives of the Module? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Why Teach the Module? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

What’s in It for the Teacher? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Implementing the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

What Are the Goals of the Module? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

What Are the Science Concepts and How Are They Organized?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

How Does the Module Correlate with the National Science Education Standards? . . . . . . . . . . . . . . . . . . . 6

How Does the BSCS 5E Instructional Model Promote Active, Collaborative, Inquiry-Based Learning? . .6

The BSCS 5E Instructional Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Engage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Explore/Explain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Elaborate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Evaluate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

What’s the Evidence for the Effectiveness of the BSCS 5E Model? . . . . . . . . . . . . . . . . . . . . . . . . . . .12

How Does the Module Support Ongoing Assessment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

How Can Controversial Topics Be Handled in the Classroom? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Using the Student Lessons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Format of the Lessons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Timeline for Teaching the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Using the Web Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Hardware and Software Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Getting the Most Out of the Web Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Collaborative Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

State Standards Alignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Web Materials for People with Disabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Understanding Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Unraveling the Mystery of Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Cancer as a Multistep Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

The Human Face of Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

New Hope for Treating Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Cancer and Society . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

iii

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Additional Resources for Teachers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Student Lessons

Lesson 1—The Faces of Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Lesson 2—Cancer and the Cell Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63

Lesson 3—Cancer as a Multistep Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

Lesson 4—Evaluating Claims about Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Lesson 5—Acting on Information about Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99

Masters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

iv

Foreword

This curriculum supplement, from the National

Model (page 9), cutting-edge science content,

Institutes of Health (NIH) Curriculum

and built-in assessment tools. Activities promote

Supplement Series, brings cutting-edge medical

active and collaborative learning and are inquiry-

science and basic research discoveries from

based to help students develop problem-solving

the laboratories of the NIH into classrooms. As

strategies and critical-thinking skills.

the largest medical research institution in the

United States, NIH plays a vital role in the health

Each of our curriculum supplements comes with

of all Americans and seeks to foster interest in

a complete set of materials for teachers, including

research, science, and medicine-related careers

extensive background and resource information,

for future generations. NIH’s Office of Science

detailed lesson plans, masters for student worksheets,

Education (OSE) is dedicated to promoting

and a Web site with videos, interactive activities,

science education and scientific literacy.

updates, and corrections (as needed). The

supplements are distributed at no cost to educators

We designed this curriculum supplement to

across the United States upon request. They may

complement existing life science curricula at

be copied for classroom use but may not be sold.

both the state and local levels and to be consistent

with the National Science Education Standards

We welcome your feedback. For a complete

(released by the National Academy of Sciences in

list of curriculum supplements and ordering

1996). It was developed and tested by a team of

information, or to submit feedback, please visit

teachers, scientists, medical experts, and other

http://science.education.nih.gov.

professionals with relevant subject-area expertise

from institutes and medical schools across the

We appreciate the valuable contributions of the

country, representatives from the National

talented staff at Biological Sciences Curriculum

Cancer Institute, and curriculum design

Study (BSCS) and Videodiscovery, Inc. We are

experts from Biological Sciences Curriculum

also grateful to the NIH scientists, advisors, and

Study (BSCS) and Videodiscovery. The authors

all other participating professionals for their work

incorporated real scientific data and actual case

and dedication. Finally, we thank the teachers

studies into classroom activities. A three-year

and students who participated in focus groups

development process included geographically

and field tests to ensure that these materials are

dispersed field tests by teachers and students. For

both engaging and effective.

the 2012 edition, key sections of the supplement

were updated, but the Student Lessons remain

I hope you find our series a valuable addition

basically the same.

to your classroom and wish you a productive

school year.

The structure of this module enables teachers to

facilitate learning and stimulate student interest by

Bruce A. Fuchs, Ph.D.

applying scientific concepts to real-life scenarios.

National Institutes of Health

Design elements include a conceptual flow of

lessons based on the BSCS 5E Instructional

v

About the National Institutes of Health

Founded in 1887, NIH is the federal focal point

research and clinical investigators, as well as the

for health research in the United States. Today,

myriad professionals in the many allied disciplines

NIH is one of the agencies within the Department

who support the research enterprise. These efforts

of Health and Human Services. Its mission is

also help educate people about scientific results so

science in pursuit of fundamental knowledge

that they can make informed decisions about their

about the nature and behavior of living systems

own—and the public’s—health.

and the application of that knowledge to extend

healthy life and reduce the burdens of illness and

This curriculum supplement is one such education

disability. NIH works toward meeting the mission

effort. It is a collaboration among the National

by providing leadership, direction, and grant

Cancer Institute, the NIH Office of Science

support to programs designed to improve the

Education, Biological Sciences Curriculum Study,

health of the nation through research.

and Videodiscovery, Inc.

NIH’s education programs contribute to ensuring

For more about NIH, visit http://www.nih.gov.

the continued supply of well-trained basic

vi

About the National Cancer Institute

The National Cancer Institute (NCI), a component

• conducting research in its own laboratories

of the NIH, is the federal government’s principal

and clinics;

agency for cancer research and training. The NCI

• supporting education and training in all

coordinates the National Cancer Program, which

areas of cancer research through training

conducts and supports research, training, health

grants, fellowships, and “career awards”

information dissemination, and other programs

for long-time researchers;

with respect to the cause, diagnosis, prevention

• supporting a national network of Cancer

and treatment of cancer, rehabilitation from

Centers, which are hubs of cutting-edge

cancer, and the continuing care of cancer patients

research, high quality cancer care, and

and the families of cancer patients.

outreach and education for both healthcare

professionals and the general public;

The NCI was established under the National

• collaborating with voluntary organizations and

Cancer Act of 1937. The National Cancer Act of

other national and foreign institutions engaged

1971 broadened the scope and responsibilities

in cancer research and training activities;

of the NCI and created the National Cancer

• collaborating with partners in industry in a

Program. Over the years, the NCI’s mandate has

number of areas, including the development

come to include dissemination of current cancer

of technologies that are revolutionizing

information and assessment of the incorporation

cancer research; and

of state-of-the-art cancer treatments into clinical

• collecting and disseminating information

practice. Today, the NCI’s activities include

about cancer.

• supporting and coordinating research projects

conducted by universities, hospitals, research

For more information about the National Cancer

foundations, and businesses throughout this

Institute, visit its Web site at http://www.cancer.gov.

country and abroad through research grants

and cooperative agreements;

vii

About Biological Sciences

Curriculum Study

Headquartered in Colorado Springs, Colorado,

The BSCS mission is to transform science teaching

BSCS was founded in 1958 as a curriculum study

and learning through research and development

committed to an evidence- and inquiry-based

that strengthens learning environments and

approach to science education. BSCS instructional

inspires a global community of scientifically

materials and professional development services

literate citizens. BSCS is a 501(c)3 nonprofit

are based on current research about teaching and

organization. For more information, please visit

learning for all science classrooms, kindergarten

http://www.bscs.org.

through college.

BSCS’s materials are extensively field-tested

in diverse settings across the country and

evaluated for proven effectiveness. The BSCS 5E

Instructional Model and inquiry are hallmarks

of its materials, placing students at the center of

their learning.

viii

Introduction to

Cell Biology and Cancer

“Tumors destroy man in a unique and appalling

type of tumor (bone, cartilage, blood vessel) when

way, as flesh of his own flesh which has somehow

injected into healthy animals.

been rendered proliferative, rampant, predatory,

and ungovernable. . . . Yet, despite more than

Unfortunately, the full significance of these data

70 years of experimental study, they remain the

was not to be realized for many decades. One

least understood. . . . What can be the why for

reason was the difficulty of reproducing these

these happenings?”

results in mammals. But another reason was that

scientists could not place Rous’ discovery in a

—Peyton Rous, in his acceptance lecture for the

proper context. So many different things seemed

Nobel Prize in Physiology or Medicine (1966)

to be associated with cancer that no one was able

to make sense of it all. For example,

Late in 1910, a young scientist at Rockefeller

• In 1700, the Italian physician Bernardino

University was preparing to conduct a most

Ramazzini wrote about the high rate of breast

improbable experiment. He wanted to know whether

cancer among nuns and speculated that it was

one chicken could “catch” cancer from another.

related to their celibacy and childlessness. This

At that time, the concept that every cell in the

was the first indication that how one lived

body is derived from another cell was new, and

might affect the development of cancer.

the idea that cancer might involve a disruption

• In 1775, Percivall Pott, a London physician,

of normal cell growth was just taking hold.

suggested that the very high rate of scrotal

and nasal cancers among chimney sweeps was

Thirty years had passed since Louis Pasteur’s

a result of their exposure to soot. This was

influential paper on germ theory dislodged the

the first indication that exposure to certain

humoral theory of disease that had prevailed

chemicals in the environment could be an

for more than 2,000 years, and the prevailing

important factor in cancer.

scientific view of cancer emphasized the role of

• In 1886, Hilario de Gouvea, a professor at

chemical and physical agents, not infectious ones,

the Medical School in Rio de Janeiro, Brazil,

as potential causes.

reported the case of a family with an increased

susceptibility to retinoblastoma, a form of

Nevertheless, the 30-year-old Peyton Rous was able

cancer that normally occurs in only 1 out of

to show that cell-free extracts from one chicken

about 20,000 children. This suggested that

were able to cause the formation of the same type

certain cancers have a hereditary basis.

of tumor when injected into a second chicken.

• The discovery of X-rays in 1895 led to their

R