A7-A8 Flashcards

1
Q

Plasticity (Greek “plastikos” – to mold) A phenomenon used to describe a cell that can become a different
type of cell Lineage - descendants of a common ancestor (via cell division)
* Lineage restriction – cells in a lineage have a tendency to stay within that lineage
* Differentiation the process by which a less specialized cell becomes a more specialized cell type
* Determination cellular changes in genetic programming that will eventually induce a specific cell type.
* Cells often become determined for a future role long before they differentiate
* Commitment when the determined state of the cell becomes (largely) irreversible
* Progenitor Cell – Generic term for any cell with the capacity to divide/differentiate that is more primitive (less
differentiated) than daughter cells in the lineage.
* Lineage Reprogramming (see Transdifferentiation)
* Transdifferentation when a somatic cell transforms into another somatic cell type without an intermediate
pluripotent state or progenitor cell type - a type of metaplasia
* Transdetermination - a switch in lineage commitment in a stem or progenitor cell to a closely related cell type
–often requires cell-cell coordination and communication to differentiate new tissue type
* Lineage Priming - a molecular model of stem cell (SC) differentiation in which proliferating SCs express a
subset of genes associated to the differentiation pathways to which they can commit (e.g. HSCs)
* Programming – The pattern of gene expression that induces commitment to a specific cell type in a l

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2
Q

Extrinsic signals can induce a change in gene expression back to a more primitive state (de-differentiation).
* Extrinsic signals can induce a change in gene expression defining one type of differentiated cell to another.
* Transdifferentiation can occur via a relatively more primitive intermediate (dedifferentaion/redifferentation).

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3
Q

Genomic DNA is not often exposed, it is packed in higherorder protein complexes (chromatin).
* During M-phase the replicated DNA (from S-phase) is
most packed into ‘chromosomes’ with the two sister
‘chromatids’ held together at the centromere.
* The centromere attaches to the spindle during M-phase to
facilitate movement of sister chromatids to each pole
during telophase

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4
Q

Transcription factor [Activator] – promotes transcription by RNA polymerase
* Transcription factor [Repressor] – blocks transcription by RNA polymerase
* TFIID – a subunit of RNA polymerase II – the main protein complex that transcribes mRNA in eukaryotic cells.
* HDAC – Removes acetyl groups from histone causing a closed (inaccessible) chromatin structure.

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5
Q

Genes can be ‘active’
transcribing RNA or
not.
* This is regulated at
several levels.

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6
Q

‘Master’ or lineage-specifying transcription factors can
coordinate reprogramming one cell type to another.
* The initial target of these master TFs are usually other
TFs that are lineage specific.
* TFs usually bind a specific sequence of DNA

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7
Q

MyoD (Myoblast Determination protein) the first
lineage defining TF, discovered in 1987.
* Transgenic expression of MyoD in fibroblasts
transdifferentiates them into skeletal muscle.
* GATA1 - GATA Binding Protein 1 - regulates HSC
differentiation.
* C/EBP α - CCAAT/enhancer-binding protein α –
regulates HSC differentiation.

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8
Q

MyoD is regulated by
hypophosphorylated RB
acting as a co-activator of
myoblast differentiation
genes

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9
Q
  • The timing of transcription factor activity
    plays a role in programming cell lineage
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10
Q
  • C/EBPα - CCAAT-enhancer-binding protein α
  • A hematopoiesis and granulopoiesis
    transcription factor that induces myeloid
    lineage-specific genes and regulates the
    cell cycle
  • GATA2 - GATA Binding Protein 2
  • A transcription factor that promotes
    hematopoietic cell differentiation
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11
Q

The Waddington “landscape” of cell fate decisions and the
master transcription factors for each.

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12
Q

During normal differentiation, more primitive cells move ‘downhill’
(metaphorically) in a lineage forming more lineage-restricted precursors
until they reach a differentiated state.
* Differentiation causes cells to move ‘uphill’ to a more primitive state. The
uphill metaphor implies that this is more difficult than progressing normally
along the differentiation lineage.
* Transdifferentiation is characterized as moving from one ‘valley’ to another,
rather than climbing back ‘uphill’ to a more primitive state.

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13
Q

Transcription factors almost always work as multiprotein complexes
* Rb can repress genes involved in differentiation
* Transcriptional feedback loops (positive/negative)
can reinforce a pattern of gene expression.

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14
Q
  • PU.1 - Purine Rich Box-1 / SFFV Proviral Integration
    Site-1 (Spi-1)
  • Transcription factor that induces genes needed
    in immune/hematopotetic lineages
  • GATA1 - GATA Binding Protein 1
  • Transcription factor that induces development
    of erythrocytes and platelets (megakaryocytes)
  • CBP – Cyclic adenosine
    monophosphate Response Element Binding
    protein Binding Protein
  • Transcriptional co-activator
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15
Q

Reprogramming

A

a.
‘Pioneer
’ transcription factors
can access closed chromatin
.
b. Reprogramming factors
recruit other factors and work
cooperatively to activate or
inhibit target gene
expression.
c. Reprogramming factors
could refine the binding
profile of other
reprogramming factors
during direct reprogramming.
The expression of a single
reprogramming factor may
induce the expression of
lineage genes non
-specific to
the target cell type.

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16
Q

Remember Oct4 and Sox2 & iPSCs?
* Nucleosome depleted regions (NDRs) at
active promoters and enhancers are
occupied by transcription factors and
chromatin remodelers.
* When these are removed— for example,
during differentiation — there is now
increased nucleosomes at the regulatory
region and DNA methylation.
* DNA methylation stabilizes silent state,
promoting epigenetic inheritance during cell
division.
* OCT4 targets its own promoter to maintain
expression.

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17
Q

Octamer-binding transcription
factor 4 (OCT4)
* A transcription factor that
activates genes that keep
embryonic stem cells in a
pluripotent state.
* Sex determining region Y-box 2
(SOX2)
* Interacts with OCT4 to
activate pluripotent gene
expression and repress
genes involved in
differentiation

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18
Q

During the process of
embryonic stem cell
differentiation pluripotency
and developmental
regulatory (differentiation)
are suppressed and
somatic genes are
activated.
* When an iPSC fate is
induced, pluripotency genes
are re-activated.
* However, a problem
with some iPSCs is
that development and
somatic gene
expression is not fully
repressed like in ESCs.

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19
Q

Remodeler
– proteins that modify
the spacing or organization of
nucleosomes (DNA wrapped around
an octamer of histone proteins).
Reader
– a protein that senses
modifications to the exposed ‘tail’
region of histones.
Writer
– an enzyme that modifies
histone tails.
Eraser
– an enzyme that removes
modifications from histone tails.
Writer
– an enzyme that adds
methyl groups to C or A bases.
Eraser
– an enzyme that removes
methyl groups from C or A bases.
Reader
– a protein that senses
methyl
-C or methyl
-A bases

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20
Q

DNA methylation

A

Adding methyl groups to adenine (A)
and cytosine (C) is a reversible process
that can change gene activity.
* Methylation is usually repressive.
* DNA methyltransferases add methyl
groups to cytosine
* Demethylases remove methyl groups.

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21
Q

The cycle of DNA
methylation during
division/differentiation

A
  • During early embryogenesis, DNA is
    mostly unmethylated (top left).
  • As cells divide / differentiate genes
    acquire DNA methylation (red circles) by
    DNMT3A DNMT3B (top).
  • Methylation of CpG islands silences
    genes. Methyl-binding proteins chase
    histone H3K9 to be deaceylated then
    methylated, recruiting heterochromatin
    protein 1 (HP1) resulting in closed
    chromatin (bottom right).
  • At S-phase, newly synthesized DNA (in
    green) is unmethylated and the marks
    must be reestablished on opposite the
    existing marks.
  • Adult methylation patterns are erased by
    epigenetic reprogramming during
    embryogenesis (top left).
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22
Q

Heterochromatin protein 1 (HP1) – recruits DNA methyltransferases
* DNMT – DNA methyltransferase 1 –deposits methyl groups on newly
synthesized DNA opposite exiting marks maintaining silencing.

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23
Q
  • H3K27 tri-methylation (H3K27Me3) is a * H3K27Me3 repressive mark.
  • H3K4 tri-methylation (H3K4Me3) is an
    activating mark.
  • Both modifications can be present. In this
    case the gene is considered ‘poised’ for
    transcription.
A

Histone subunit 3 (H3) – Lysine (K) amino
acids within the N-terminal ‘tail’ can be
modified by varying (mono, di, tri-) addition of
methyl groups.

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24
Q

Acetylation of the tail OF histones H2B and H4 inhibits the folding of nucleosome arrays into secondary and
tertiary chromatin structures allowing access to transcription factors and other transcription co-activators.

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25
Q

KMTs = histone–lysine Nmethyltransferases

A
  • Model
  • KMT2C and KMT2D act at distal enhancers
  • KMT2F and KMT2G are the major enzymes at gene promoters.
  • KMT2A and KMT2B function at both regulatory regions.
  • Recruitment of KMT2s to different genomic regions is facilitated by interactions with
    transcription factors or RNA polymerase II (RNAPII).
26
Q

KDMs = histone–lysine demethylases

A
  • During
    differentiation,
    KDM5A represses
    factors that drive
    cell cycle (e.g.
    mitogens) and
    promotes cell cycle
    exit.
  • KDM5B inhibits cell
    cycle exit, by
    repressing
    expression of cell
    cycle inhibitors (e.g.
    p27) and several
    differentiation
    markers.
27
Q

CPG islands

A
  • 60% of human genes have CpG islands
    (CGIs) at their promoters and frequently
    have nucleosome
    -depleted regions (NDRs)
    at the transcriptional start site (TSS)
    .
  • Nucleosomes flanking an ‘active’ TSS are
    marked by trimethylation of lysine 4 within
    histone at (H3K4me3), and the histone
    variant H2A.Z, which is antagonistic to DNA
    methyltransferases (DNMTs).
  • ## Downstream of the TSS, DNA is mostly CpGdepleted and methylated. CGIs, which are
    sometimes located in gene bodies, mostly
    remain unmethylated.
  • LMR, low
    -methylated region.
28
Q

epigenetics

A

Hypermethylation of CpG islands in promoter regions by DNMTs inhibits gene expression (1).
* Histones are protein octamers consisting of a pair of each of four core proteins, histone protein 2A (H2A), H2B, H3 and H4.
* Acetyl groups (AC, filled red triangles) are placed by histone acetyltransferases (HATs) and removed by histone
deacetylases (HDACs)
* Acetylation weakens chromatin compaction status making DNA accessible to transcription factors (2).
* Histone methylation is regulated by methyltransferases (HMTs) and demethylases (HDMs); methyl groups (filled blue
rectangles) on histone tails recruit proteins that repress or increase gene expression (2). For instance, methylation of lysine 27
(K27) on the tail of H3 can repress gene expression.

29
Q

Bmi-1 regulates HSCs

A

Bmi-1 was isolated as an oncogene
* Is now a transcriptional repressor belonging to the Polycomb group (PcG) of proteins.
* A mouse Bmi-1 knockout:
* Neurological defects
* Severe proliferation defects in lymphoid cells
* Bmi-1 is responsible for both HSC and neural stem cell function
* Bmi-1
* RING (Really Interesting New
Gene domain) – Mediates DNA
or protein binding
* HTH (Helix – turn –helix domain)
DNA binding domain
* PEST (Proline Glutamate Serine
Threonine rich domain) –
Promotes Polyubiquitination by
E3 ligases

30
Q

Bmi-1 & the cell cycle

A

BMI1 promotes cell
proliferation by directly or
indirectly inhibiting the
transcription of CDKN2A,
which encodes p16INK4A (also
known as p16) p14ARF
.

31
Q

Bmi-1/is a part of the
‘Polycomb repressive
complex (PRC1)’

A
  • Bmi-1 is NOT a transcription factor!
  • The PRC1 is a complex of proteins that modifies chromatin
    (DNA + protein) that has a direct influence on whether
    transcription factors can bind to DNA.
  • This provides long-term transcriptional memory at CKI
    genes etc.
32
Q

Transcriptional
memory -
Polycomb proteins

A

Polycomb complex (PcG) proteins
associate with chromatin and
repress transcription by RNA
polymerase II.
* PcG recognizes specific genes,
and spreads along the chromatin
to inhibit transcription

33
Q

PcG - discovery

A
  • Bithorax Complex (BX-C) a region
    of homeobox (Hox) genes,
    including Ultrabithorax (Ubx),
    abdominal-A (abd-A) and
    Abdominal-B (Abd-B).
  • This region has complex and
    overlapping gene regulatory
    elements including the abx/bx,
    bxd/pbx and iab elements.
    Parasegment (PS) – a region containing multiple cells within the embryo
    that follows the segmented structure.
  • LacZ- β-galactosidase gene from E. coli, not normally expressed in flies.
  • PRE – Polycomb response element (a DNA sequence recognized by PcG)
34
Q

PcG preserves gene expression patterns
as embryo cell divide/differentiate

A

a) The Drosophila melanogaster larva is derived from the
embryonic parasegments. Imaginal discs originate from
specific pairs of embryonic parasegments and later give rise
to adult structures.
b) The Bithorax complex (BX-C) also contains imaginal disc
enhancers. However, these enhancers do not contain
positional information. The Bithoraxoid (bxd) regulatory
region drives expression (dark grey) in all discs.
c) Addition of the bxd Polycomb/Trithorax response element
(PRE) (from the same regulatory domain) leads to silencing in
all discs (light grey).
d) If the correct embryonic enhancer is added to the construct
together with the PRE, the imaginal disc enhancer becomes
restricted to the correct expression domain, with the
boundary at parasegment
Thus, the bxd PRE transfers positional information from the early
embryonic enhancers to the late enhancers.

35
Q

There are two different Polycomb
repressive complexes (PRCs)

A

Polycomb repressive complex 1
(PRC1)
* RING1A and RING1B are E3
ligases that guide the transfer of a
Ub onto H2AK119 (H2AK119ub1).
The Polycomb group RING finger
(PCGF) subunit regulates PRC1
targeting to chromatin.
PRC2
* Enhancer of zeste homolog 1/2
EZH1/2 of PRC2 act as H3K27
methyltransferases. The
Embryonic Ectoderm (EED),
Supressor of zeste 12 (SUZ12, and
RGB Associated Proteins 46/48
(RBAP46/8) guide the
methyltransferase to H3.

36
Q

H2K119 ubiquitylation and repression

A
  • PRC1monoubiquitylation of histone H2A at K119 (H2AK119ub) recruits PRC2that trimethylates
    histone H3 at K27. H2AK119ub and H3K27me3 both repress transcription.
  • Deubiquitylation of H2A, which can be carried out by deubiquitinases (DUBs), accordingly activates
    transcription.
37
Q

Models of how PRC recruitment maintain gene expression

A

Instructive model - newly recruited
Polycomb complexes lead to
Polycomb chromatin domain
formation, which then directs
repression of transcription by RNA
polymerase II (Pol II) at the
associated gene.
b) Responsive model - Polycomb
complexes constantly ‘sample’
chromatin at regulatory elements
in order to respond to the
transcriptional state of the
associated gene. Reduced
transcription would allow
establishment of Polycomb
chromatin domains that protect
against reactivation. When genes
are actively transcribing, the
presence of Pol II would block
establishment of Polycomb
domains

38
Q

Trithorax complexes (TrxG) act antagonistically to PcG

A

Modify histones and modify
chromatin.
* COMPASS family proteins * SET1, Trx, Trx-related, MLL * Histone-lysine Nmethyltransferase * COMPASS & COMPASS-like
complexes are capable of
monomethylation,
demethylation.
* Menin
– a ‘scaffold’ protein
* Grey
- common subunits
* Green
- shared subunits
* (you don’t need to know
specific names).

39
Q

Trx (MLL) levels change with the cell cycle

A
  • SCF/SKP2 and
    APC/CDC20 target MLL for
    degradation during S phase and
    mitosis, respectively.
  • During G1, MLL1 or MLL2
    associate with E2F to control G1
    phase cell cycle genes.
  • During mitosis, the MLL complex
    is retained on chromatin, which
    could facilitate the inheritance of
    active gene expression during
    cell division.
40
Q

Maintenance of gene activity by PcG and TrxG

A

PRE – PcG recruiting element
TRE – TrX recruiting element

41
Q

How are chromatin
signatures are
stably transmitted
during cell division?

A

Histones at Trithorax group (TrxGMLL1) and Polycomb group (PcG)
binding sites are exchanged multiple
times during cell division.
* Local concentration of PcG proteins
bind/rebinds with H3K27me3 after Sphase to reestablish gene repression.
* Pc (part of PRC2) also ‘writes’
H3K27me3.
* MLL1 likely remains associated with
condensed mitotic chromosomes.

42
Q

Epigenetic
regulation of
haematopoietic
stem cells

A

ES cell cycle is shorter relative to other
cells (∼11–16 hours vs. ∼24 hours) due
to an abbreviated G1 phase.
* in ES cells, cyclin E–CDK2 (E/2) is
constitutively active throughout the cell
cycle, which allows the transition of ES
cells from M phase directly to late G1
* Upon ES cell commitment, the cell-cycle
length is extended as cyclin E–CDK2
activity comes under the control of cyclin
D–CDK4 and phosphorylated RB.
* CDK activity: +/-, negligible; +, low; ++,
intermediate; +++, high.

43
Q

Stem cells – the ‘barrel model’ of the
balance molecular ‘forces’ between
‘commitment’ and proliferation.

A

Early G1
* Mitogen-dependent cyclin D–CDK4
stimulation is represented by taps into the
Proliferation barrel.
* When RB hyperphosphorylation and cyclin
E–CDK2 activation reaches the R point
(Proliferation barrel is full), cell-cycle
progression occurs.
* Certain proliferative stimuli (e.g. MAPK)
induce developmental commitment and
proliferation (represented by a tap into both
barrels).

44
Q

stable occupation
of gene promoters
in stem cells

A

Self
-renewing stem cell daughters
have bi
-stable regulation of genes
encoding master transcription
factors that specific linage etc.
* Early in the commitment process
(induced by MAPK signaling), PcG
is removed from genes directing
both lineages.
* As cells differentiate, PcG is
reestablished at genes not needed
for the chosen lineage
.
* Trx remains at genes that drive
differ enation along a particular
lineage

45
Q

How niche signals
affect stem cell
gene regulation

A

Niche is composed of local cell populations
and the secreted and cell
-surface
-bound
molecules these cells generate as well as the
local metabolic state of the niche (e.g. oxygen
tension.
Important regulators of stem cell function are:
morphogens (Morph
- e.g. Notch, Wnt and
Hedgehog), cell
–cell and cell
–extracellular
matrix (ECM) adhesion molecules (e.g.
cadherins and integrins) and hypoxia.
These factors can alter the balance between
commitment and proliferation by:
a) Affecting entry into the cell cycle.
b) Stimulating proliferation.
c) Blocking expression of development by
recruitment of PcG
.

46
Q

Chromatin bivalency

A

Bivalent genes are
poised to rapidly
increase
/ decrease
their transcription
rate.
* This drives rapid
gene expression
transitions as stem
cells differentiate,
* This occurs by local
competition between
PRC1/PRC2 and Trx
proteins at CpG
islands (CGI)
* This would provide a
binary response to
graded activation
signal(s
)
.

47
Q

How to determine
if proteins interact
with DNA?

A

ChIP
– Chromatin
immunoprecpipatio
n
* CUT&RUN
– antibodies are
bound to a micrococcal
nuclease which cleaves the
DNA surrounding the protein,
freeing it for extraction
* CUT&Tag
– antibodies are
bound to a Tn5 transposable
element enzyme which inserts
small DNA sequences adjacent
to the protein of interest. Tn5
elements are used for PCR to
selectively amplify the DNA that
was bound by the transcription
factor (TF) of interest.

48
Q

Bivalent domains result from Polycomb and Trithorax
activity at bivalent CpG islands (CGIs)

A
49
Q

Most genes in a newly fertilized
zygote are NOT transcribed –
with bivalent histones present.
* KMT2B, PRC1 and PRC2 already
present in the oocyte form
H3K4me3, H3K27me3
H2AK119ub domains to repress
differentiation gene expression.
* As transcription starts at zygotic
genome activation (ZGA) an
initial pattern of pluripotent
genes become activated via
KDM5A, KDM1 and KMT2.

A
50
Q

Variant PRC1 (vPRC1)
nucleates H3K27me3 in
pre
-implantation
embryos.
* Canonical PRC1 (cPRC1)
‘spreads’ H3K27me3.
* Bivalency occurs at
promoters of
developmental regulatory
genes post
-implantation

A
51
Q

No matter what type of
reprogramming, SCNT, iPS cells or ES
cell mediated, a passage through the
cell cycle improves the process.

A
52
Q

Pausing the cell cycle can reversible (quiescent)
or irreversible (senescent and differentiated).
* Senescent cells are dysfunctional cells that no
longer proliferate and are permanently withdrawn
from the cell cycle.
* Differentiated cells are withdrawn from the cell
cycle due to specializations that are incompatible
with division.

A
53
Q

Cells are no longer able to enter the
cell cycle
The Hallmarks of the Senescence
Senescent cells exhibit the following four
interdependent
hallmarks:
(1) cell-cycle withdrawal
(2) macromolecular damage
(3) secretory phenotype (SASP)
(4) deregulated metabolism

A
54
Q

NF-κB
Effector of the
immune signalling
* CEPBβ
Effector of immune
/ inflammatory
response
* GATA4
Effector of
inflammatory
response in
response to NF-κB

A
55
Q

Senescence
activates p16
and p14/ARF

A
  • Senescence
    -inducing signals,
    including those that trigger a
    DNA
    -damage response usually
    engage either the p53 or the
    p16
    –pRB tumour suppressor
    pathways.
  • Senescence signals that
    engage the p16
    –pRB pathway
    generally do so by inducing the
    expression of p16, another
    CDK inhibitor that prevents
    pRB phosphorylation and
    inactivation.
56
Q

Causes of
senescence

A

Extensive DNA damage response (DDR)
causes senescence, via p53 activation.
Minor DDR at telomeres is sufficient to
trigger senescence.
Oncogene activation induces
hyperproliferation and altered DNA
replication patterns that ultimately result in
replication stress and DNA damage
accumulation at fragile sites, including
telomeres. Besides DDR, senescence
features include upregulation of p21 and
p16, increased ROS, metabolic changes
like (SA
-
β
-gal) and a senescence
-
associated secretory phenotype (SASP).

57
Q

Senescent cells execute distinct biological
functions, which can have deleterious or
beneficial consequences in a contextdependent manner.
Senescent cells also promote reprograming to
an embryonic state, at least partially through IL6. The reprograming, on one hand, can support
tissue regeneration and, on the other hand,
favours tumour development.

A

Interleukins (IL) are cytokines ‘cyto/cell +
kinos/movement = attract cells, that are
expressed in response to cell damage.
* Matrix metalloproteinases (MMPs ) break
down the extracellular matrix
* GROα is a chemokine – a chemical attractant
for immune cells
* IFNγ – Interferon gamma – signals induce
senescence in receiving cell

58
Q

SASP

A

Multiple stimuli provoke
senescence and SASP.
* Irreversible cell-cycle arrest
triggered by severe DNA damage
causes SASP in senescent cells.
* Note that overexpression of p16 or
p21 causes growth arrest, but not
SASP.
* SASP cells secrete high levels of
inflammatory cytokines, immune
modulators, growth factors, and
proteases. SASP cells may also
produce exosomes and ectosomes
containing enzymes, microRNA,
DNA fragments, and other bioactive
factors. SASP cells are initially
immunosuppressive but progress
to become proinflammatory.

59
Q

Transient exposure to SASP promotes plasticity and increases iPSC reprogramming in neighboring cells,
promoting tissue repair and regeneration.
* Chronic exposure to SASP cells activates a cell-intrinsic senescence which is thought to mediate tumor
suppression and/or aging.

A
60
Q
  • Werner syndrome (WS) and
    Hutchinson
    -Gilford progeria
    syndromes (HGPS) lead to an
    accelerated aging phenotype.
  • MSCs derived from ESCs
    isolated from patients with
    mutations in the the Werner
    Syndrome Helicase
    (WRN) gene
    had excess DNA damage and
    change in overall nuclear
    architecture consistent with
    altered programming.
A
61
Q

Age-related changes in
the cells and molecules
composing the stem cell
niche lead to aberrant
stimulation of stem cells. * This affects gene
programming
affecting
quiescence,
metabolism and
differentiation.
* Extrinsic signals also
drive epigenetic changes
that can lead to
inappropriate activation
of developmental
pathways.

A
62
Q

The proliferation rate of a stem
cell affects its exposure and
responses to mechanisms of
aging. Although quiescent stem
cells are less susceptible to
DNA damage, when it does
occur, they are more likely to
utilize error-prone nonhomologous end-joining (NHEJ)
as a repair mechanism,
whereas cycling stem cells are
more likely to use homologous
recombination (HR).
* Cycling stem cells also have
higher metabolic demands than
quiescent stem cells.

A