10- Cancer Genetics/ Epigenetics Flashcards
What are the 2 types of tumor suppressor genes/ examples of each?
Gatekeeper gene ex) RB/ APC/ NF1
Caretaker gene ex) TP53
What is a gatekeeper gene?
- TS gene that operates to hinder cell proliferation or further cell differentiation/ cell death
> prevents generation of neoplastic cells
What is a caretaker gene?
- TS gene that encodes a protein responsible for maintaining the integrity of the genome
> prevents generation of neoplastic cells
What is the main difference between oncogene activation/ TS inactivation?
Oncogene activation = dominant
TS inactivation = recessive (need both alleles mutated)
What is a tumor suppressor gene?
- gene whose partial/ complete inactivation leads to ↑ likelihood cancer
- gene responsible for constraining cell proliferation
What is an oncogene?
- gene that can transform cells
- gene whose activation leads to cancer
Where/ how can TS inactivation occur?
Familial/ Inherited > occurs in germ line
Sporadic > in somatic cells
What was the first tumor suppressor discovered?
RB > Retinoblastoma
What was Knudson’s hypothesis?
RB: Knudson’s “two-hit” hypothesis
- both alleles of gene need to be inactivated for RB tumors to arise (recessive)
What was interesting about retinoblastoma?
- bilateral cases develop faster/ earlier (suggestive of single mutation)
> familial (born with 1 mutant allele/ only need 1 mutation) - unilateral cases develop later in life (suggestive of 2 mutation events)
If the odds of having 2-independent mutations in the same cell are small (10^-12), how were patients getting Rb?
- loss of heterozygosity (LOH)
- development in a cell of only 1 version of an allele instead of normal 2
What are the mechanisms of LOH? (loss of heterozygosity)
- besides mutation, how can wt Rb alleles be eliminated from genome?
- Mitotic recombination
- Gene conversion (copying mutant allele)
- Chromosomal non-disjunction (trisomy > could have 2 wt/ 2 mutant)
- Gene silencing (transcriptional inactivation
- Deletion > development of hemizygosity > only 1 copy of gene
What is FAP/ APC?
- in normal colon, polyps develop with age/ rarely become cancerous
- in FAP colon, thousands/ 100% chance of becoming cancerous
- FAP arises due to mutation in APC gene (accounts for 1% of CRC)
FAP = Familial Adenomatous Polyposis
APC = Adenomatous Polyposis Coli = gatekeeper gene
How does APC mutation lead to FAP?
- APC = inhibitor of Wnt signalling
- with APC loss > accumulation of B-catenin in cytosol > ↑ Wnt/ B-catenin signalling> ↑ survival/ proliferation
What syndrome is associated with loss of TP53?
Li-Fraumeni