15 Reprogramming energy metabolism in cancer Flashcards

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1
Q

What is the Warburg effect?

A

described increased lactate production by cells under aerobic conditions

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2
Q

How does the Warburg effect occur?

A

oncogene /TSG induced changes in proliferatice drive

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3
Q

Name 4 mediators of the Warburg effect

A

PTEN
TP53
c-Myc
K-Ras

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4
Q

What is PTEN?

A

TSG

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5
Q

What does loss of PTEN activity do?

A

AKT is activated

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6
Q

What does AKT do?

A

promotes proliferation, cell migration, and survival
increases glucose uptake via GLUT-4
increases glycolysis

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7
Q

How does p53 increase glycolysis?

A

hexokinase and PGM activation

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8
Q

How does p53 control oxidative phospharylation?

A

SCO2 -> funcitonal COX

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9
Q

Do p53 defficient or XS tissues exhibit the Warburg effect?

A

defficient

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10
Q

What happens if TP53 is mutated instead of knocked out?

A

retention of its ability to upregulate enzymes involved in…

detox oxidative stress
DNA/RNA synthesis
Oxidative ATP generation
Increased glucose consumption

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11
Q

What does c-Myc do?

A

Myc,MAX is bound to E box with TFI, both regulating genes in…
Lipogenesis
RNA, protein synthesis
Glucose and glutamine metabolism

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12
Q

Why is c-Myc amplification so good at driving proliferation?

A

Glutaminolysis offers a source of material where lots of AAs and FAs can be produced

supports entire width of metabolism

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13
Q

What does K-Ras do?

A

induces tumour cells to increase uptake of external protein

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14
Q

Which Warburg mediators are involved in pancreatic cancer?

A

K-Ras

TP53

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15
Q

Which 2 complexes in the electron transport chain are important in cancer?

A

succinate dehydrogenase mutations

fumarte hydratase mutations

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16
Q

What cancers are succinate dehydrogenase mutations involved in?

A

paraganglioma

phaeochromocytoma

17
Q

Which cancers are fumarate hydratase mutations involved in?

A

leiomyoma

renal cell carcinoma

18
Q

Why is blockage in fumarate hydratase or succinate dehydrogenase problematic?

A

fumarate / succinate accumulation inhibits apha ketogluterate dependent dioxygenases

this leads to HIF activation