41. THE HER2 ONCOGENE Flashcards

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1
Q
  1. What does the HER2 gene encode for?
A
  • it encodes for part of the human epidermal growth
    factor receptor
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2
Q
  1. What is HER2 binded to?
A
  • this is binded to the EGFR
  • it is binded by growth factors
  • this alters the structure of the receptors that became
    active
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3
Q
  1. What does HER2 need to function?
A
  • receptor dimerisation
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4
Q
  1. Where is HER2 amplified?
A
  • it is amplified in invasive breast cancers
  • it is amplified by roughly 20%
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5
Q
  1. What is a therapy that targets HER2?
A
  • Trastuzumab (Herceptin)
  • it is a monoclonal antibody
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6
Q
  1. What is the third way in which proto-oncogenes can be converted to oncogenes?
A
  • mutations in the Proto-oncogenes
  • mutations in the control elements
  • these are known as gain-of-function mutations
  • the increase the gene expression of the proto-
    oncogene
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7
Q
  1. What mutation is common in human cancers?
A
  • mutations in the Ras proto-oncogene
  • this leads to a hyperactive Ras protein
  • leads to increased cell division
  • leads to cancer
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8
Q
  1. What happens tumour suppressor genes are inactivated?
A
  • cancers can form
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9
Q
  1. How can Tumour suppressor genes be inactivated?
A
  1. Loss of function mutations
  2. Insertional Mutagenesis
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10
Q
  1. What are Loss of function Mutations?
A
  • they are inactivating mutations
  • they happen within the tumour suppressor genes
  • they inactivate the tumour suppressor genes
  • they inactivate the proteins
  • cancer development follows
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11
Q
  1. What is Insertional Mutagenesis?
A
  • this is the insertion of the viral genome
  • this viral genome is inserted into the host cell’s DNA
  • inactivates the tumour suppressor genes
  • inactivates proteins
  • allows for cancer development
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12
Q
  1. What are the 3 roles of the Tumour Suppressor proteins?
A
  1. THEY INHIBIT CELL SIGNALLING PATHWAYS
    • they inhibit the cell cycle
    • they induce apoptosis
    • (Rb and p53 tumour suppressor proteins)
  2. THEY REPAIR DAMAGED DNA
    • using the BRCA 1
  3. THEY CONTROL CELL ADHESION
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13
Q
  1. Why is p53 very important?
A
  • it is known as the gatekeeper of the genome
  • it is a major tumour suppressor protein
  • it causes cell cycle arrest at the G1 phase
  • it prevents the DNA damaged cell from passing
    mutations to its daughter cells through replication
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14
Q
  1. What do mutations in the p53 gene result in?
A
  • they prevent necessary cell cycle arrest
  • they lead to prolific damaged cell growth
  • they lead to cancer
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15
Q
  1. Where is DNA damage detected at?
A
  • it is detected at the checkpoints
  • this gives the cell the opportunity to repair this damage
  • the cell will commit apoptosis if the damage cannot be
    repaired
  • this is when the cell commits programmed death
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16
Q
  1. What percentage of breast cancers have amplified HER-2 genes?
A
  • 12%
17
Q
  1. What percentage of breast cancers have mutated p53 genes?
A
  • 23%
18
Q
  1. What is needed for a full fledged cancer?
A
  • multiple mutations
  • the risk of cancer increases with old age
19
Q
  1. How is the cancerous cell characterised at the DNA level?
A
  • it is characterised by at least one active oncogene
  • mutation of several tumour suppressor genes
20
Q
  1. What can individuals inherit with response to cancerous genes?
A
  • individuals can inherit oncogenes
  • they can inherit mutant alleles of tumour suppressor
    genes
  • they can inherit mutations in the APC
  • this is the Adenomatous Polyposis Coli tumour
    suppressor gene
  • mutations in the BRCA-1 OR BRCA 2 genes
  • this is found in at least half of the inherited breast
    cancers
21
Q
  1. List the 2 Oncogenes.
A
  • HER2
  • growth factor receptor
  • Ras
  • MAPK pthway protein
22
Q
  1. List the 3 Tumour Suppressor genes?
A
  • p53
  • DNA repair
  • G1 cycle arrest
  • Rb
  • G1 cycle arrest
  • BRCA1 AND BRCA 2
  • DNA repair