10: Oncogenes and TS-genes Flashcards

1
Q

What are the hallmarks of cancer?

A
  • resisting cell death
  • sustaining proliferative signalling
  • evading growth suppressors
  • activating invasion and metastasis
  • enabling replicative immortality
  • inducing angiogenesis
    AND:
  • deregulating cellular energetics
  • avoiding immune destruction
  • tumour-promoting inflammation
  • genome instability and mutation
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2
Q

Cell cycle - summary of controls

A
  • Cycle checkpoints (growth arrest ensures genetic fidelity).
  • Specific proteins accumulate/ are destroyed during the cycle -> Cyclins, cycle dependent kinases, cycle dependent kinase inhibitors
  • Permanent activation of a cyclin can drive a cell through a checkpoint.
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3
Q

Cycle checkpoints

A
  • M: check for chromosome attachment to the mitotic spindle
  • G1: restriction pointL check for cell size and favourable environmental conditions
  • G2: check for damaged or unduplicated DNA; check for unduplicated centrosomes.
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4
Q

What are proto-oncogenes? How are they different to oncogenes?

A
  • Proto-oncogenes code for essential proteins involved in maintenance of cell growth, division and differentiation.
  • Mutation converts a proto-oncogene to an oncogene, whose protein product no longer responds to control influences.
  • Oncogenes can be aberrantly expressed, over-expressed or aberrantly active (e.g. MYC, RAS, ERB, SIS)
  • Proto-oncogenes can be converted to an oncogene by a SINGLE mutation.
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5
Q

Oncogene activation

A
  • normal proto-oncogene
  • mutation on the coding sequence (point mutation or deletion, etc.) -> aberrantly active protein
  • Gene amplification -> multiple gene copies = overproduction of normal protein (e.b. in breast cancer Her2)
  • Chromosomal translation (chimeric genes) -> string enhancer increases normal protein levels e.g. Burkitt;s lymphoma
    OR
    insertional mutagenesis (e.g. viral infection) -> fusion to actively transcribed gene overproduces protein or fusion protein is hyperactive e.g. bcr-abl Philadelphia chromosome.
  • you can have a promoter put in front of a gene that is not usually expressed.
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6
Q

Philadelphia chromosome

A
  • 9;22
  • BCR-ABL
  • ABL: proto-oncogene
  • BCR: ?
  • seen in CML
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7
Q

Slide 12 genes

A
  • met; neu (her1,2,3 are part of the neu group) part of phosphorylation tag
  • src; ret; [art of phosphorylation tag
  • ras; pim-1;
  • Myc; fos; jun;
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8
Q

Mutant RAS aberrant activity

A
  • Upon binding GTP, RAS becomes active.
  • Dephosphorylation of the GTP to GDP switches RAS off.
  • Mutant RAS fails to dephosphorylate GTP and remains active.
  • this leads to increased Raf and activation of downstream pathways such as ERK and therefore proliferation and survival.
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9
Q

What are some common oncogenes in human tumours?

A
  • SRC
  • MYC
  • JUN
  • Ha-RAS
  • Ki-RAS

=> see slide 15 for more info

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10
Q

What are tumour suppressor genes?

A
  • Typically proteins whose function is to regulate cellular proliferation, maintain cell integrity (e.g. RB -> one of the important parts of the G1-S checkpoint)
  • Each cell has two copies of each tumour suppressor gene.
  • Mutation or deletion of one gene copy is usually insufficient to promote cancer.
  • Mutation or loss of both copies means loss of control.
  • keep in mind haploinsufficiency: sometimes one mutation os enough to have the phenotype)
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11
Q

Knudson’s two hit hypothesis

A
  • For hereditary cancers people already have an inherited mutation and then acquire a mutation later on -> you have to be unlucky once.
  • In sporadic cancer, you have to be unlucky twice.
  • Haploinsufficiency: in some diseases one mutation is enough to drive the phenotype.
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12
Q

Inherited cancer susceptibility

A
  • discovery of TS-genes

Features:

  • Family history of related cancers (e.g. to get tested for BRCA you have to have a fair history of breast cancer in the family)
  • Unusually early age of onset.
  • Bilateral tumours in paired organs.
  • Synchronous or successive tumours.
  • Tumours in different organ systems in same individual.
  • Mutation inherited through the germline.
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13
Q

Retinoblastoma

A
  • Malignant cancer of developing retinal cells.
    Sporadic disease usually involves one eye.
  • Hereditary cases can be unilateral or bilateral and multifocal.
  • Due to mutation of the RB1 tumour suppressor gene on chromosome 13q14.
  • RB1 encodes a nuclear protein that is involved in the regulation of the cell cycle.

=> lots of families with multiple cases; linked to Cdks.

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14
Q

Functional classes of TS-genes

A
  • Regulate cell proliferation
  • Maintain cellular integrity
  • Regulate cell growth
  • Regulate the cell cycle
  • Nuclear transcription factors
  • DNA repair proteins
  • Cell adhesion molecules
  • Cell death regulators

=> Suppress the neoplastic phenotype

+ fit in well with the hallmarks of cancer.

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15
Q

What are some common tumour suppressor genes that may be mutated in cancer?

A
  • p53 (very difficult to target in cancer therapy because it has so many different roles)
  • BRCA1 (important for single strand break repair)
  • PTEN
  • APC
  • p16-INK4A
  • MLH1
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16
Q

p53

A

= guardian of the genome

  • Although p53 is a tumour supressor gene, mutants of p53 act in a DOMINANT manner and mutation of a single copy is sufficient to get dysregulation of activity.
  • bound to MDM2 (mitotic regulator) -> inactive; if released it has actions including metabolic homeostasis, antioxidant defence, DNA repair, Growth repair, senesc, apoptosis
17
Q

APC tumour suppressor gene

A
  • e.g. familial adenomatous polyposis coli
  • Due to a deletion in 5q21 resulting in loss of APC gene (tumour suppressor gene).
  • Involved in cell adhesion and signalling.
  • Sufferers develop multiple benign adenomatous polyps of the colon.
  • There is a 90% risk of developing colorectal carcinoma.
  • The tumour suppressor gene APC participates in the WNT signalling pathway.
  • APC protein is a negative regulator of b-catenin, thereby preventing uncontrolled cell division.
  • Mutation of APC is a frequent event in colon cancer.
18
Q

What are the steps in the development of colorectal cancer?

A

Hyperplasia (Apc) -> (Metaplasia,Dysplasia) Adenoma (k-ras) -> carcinoma (p53) -> metastasis

19
Q

What are the differences in oncogenes and ts-genes in cancer?

A

Oncogene

  • Gene active in tumour
  • Specific translocations/point mutations
  • Mutations rarely hereditary
  • Dominant at cell level
  • Broad tissue specificity
  • Leukaemia and lymphoma

Tumour suppressor gene

  • Gene inactive in tumour
  • Deletions or mutations
  • Mutations can be inherited
  • Recessive at cell level
  • Considerable tumour specificity
  • Solid tumour
20
Q

How many driver mutations are needed in cancer?

A
  • depends on the type, e.g. colon needs about 11, kidney 2, breast and stomach 4, lungs and brain need 6.
21
Q

What is a driver mutation?

A

a mutation that gives a selective advantage to a clone in its microenvironment, through either increasing its survival or reproduction. Driver mutations tend to cause clonal expansions.

22
Q

COSMIC

A
  • catalogue of somatic mutations in cancer.

- important for precision medicine.

23
Q

Summary

A
  • Human cancer involves damage to DNA, or inheritance of aberrant sequences, at critical gene targets.
  • These targets, proto-oncogenes and tumour suppressor genes, regulate cell cycle decisions (mitosis, arrest, differentiation, apoptosis).
  • The ‘guardian of the genome’, p53 is a key player in decision making during the cell cycle.
  • Studies of rare heritable cancers have led to an understanding of tumour suppressor genes.
  • Colon cancer is a model for many of these factors.
24
Q

What is special about p53?

A
  • it is a tsg
  • its mutants act in a dominant manner and mutation of a single copy is sufficient to get dysregulation of activity
  • bad to target in cancer therapy because it has so many important roles and important effects in healthy cells
25
Q

Have does a p53 mutation affect the cancer prognosis?

A

poor prognosis

- usually FH, aggressive, strange rare tumours.

26
Q

What does p53 do?

A
Responds to:
- NO
- oxidative stress
ribonucleotide depletion
- mitotic apparatus dysfunction
- oncogene actovation
- DNA replication stress
- double strand breaks
- telomere erosion

By:

  • apoptosis
  • antioxidant defence
  • metabolic homeostasis
  • DNA repair
  • growth arrest
  • senescence
27
Q

MDM2 and p53

A
  • MDM2 is bound to p53 -> inactive
  • regulated
  • self regulation
28
Q

MDM2 and p53

A
  • MDM2 is bound to p53 -> inactive
  • regulated
  • self regulation
29
Q

typical progression to CRC

A

normal -> APC mutation -> hyper proliferative epithelium -> Kras -> Adenoma -> p53 -> carcinoma