ANAT 212 (2) Flashcards
Causes of cancer theory (3)
- Humoral theory: excessive black bile caused caused
- Infectious disease theory: cancer was infectious
- Moder day: viruses, chemical carcinogens and radiation
Hallmarks of Cancer: DNA damaging agents
- radiation
- viral infection
- chemical exposure
Hallmarks of Cancer: Sustaining proliferative signaling
-Cancer cells do not have to same extracellular signaling
-Have constitutive signaling (can divide without any signaling)
Hallmarks of Cancer: Resisting Cell death
- Mutation pathways can evade apoptosis
Hallmarks of Cancer: Enabling replicative immortality
- Divide forever (non-stop)
Hallmarks of Cancer: Activating invasion & metastasis
- Cancer is able to move from original source
- Through the lymphatic system
- ex: breast cancer –> lung/brain
What is a Sarcom?
- Cancer in soft tissue (muscle)
Explain the experiment of Peyton Rouse Avian Sarcoma (chicken/bird cancer)
- Take sarcoma from chicken
- Break it into small pieces
- Grind it with sand
- Filter it (we don’t want big particles)
- Inject it into another chicken
What were the findings of Peyton Rouse’s Avian Sarcoma experiment?
- size of the particle was smaller than the cell itself
What does RSV stand for?
- Rous sarcoma virus
Explain the experiments done to identify RSV.
- on cell culture dish
- infected cells would infect monolayer
- would grow on top of each other (focus forming)
- Carcinogen agent (what caused it) = virus (RSV)
Explain 7 attributes of cell transformation
- Replicate forever
- Altered morphology (round shape)
- Loss of contact inhibition
- Anchorage-independent growth (soft-agar)
- Reduced requirements for GF
- Increased glucose transport
- Tumorgenicty (can form tumors)
Can Immortalized be transformed cells and vice versa?
No:
- transformed cells = Immortalized
- Immortalized cells ≠ transformed
Why does transformed cells high affinity for glucose help us?
- Pet scans
- Inject the patient with radiolabeled glucose
- Tumours will take up this glucose
- Glucose decays and generates positrons
- can visualize tumors on scans
Is it true that tumor viruses are causative agents for all human cancers?
No, viruses are linked to some cancers, but NOT ALL
Explain how RSV retrovirus works
- Retrovirus has a single strand of RNA
- Uses reverse transcriptase (enzyme) to reverse transcribed RNA into cDNA
- Integrates itself into host genome
What are 3 important genes in the Viral RNA genome (ALV)?
- Gag gene = core proteins
- Pol gene = Integrase and RT
- Env = envelope protein
What is src?
- Sequence driving tumors genesis/transformation
- Plays an important role in triggering sarcoma formation
- found in RSV
Is src found in viral or non-virally infected cells?
- Both!
- Src sequence is present in all normal genomes of the host cell
What is ALV?
- pro-viral DNA
- integrates next to c-src by chance
- gets transcribed and packaged into RSV
How did src come to be from an evolutionary aspect?
- ALV was integrated next to c-src by chance
- Was transcribed/packed into RSV
What is the difference between v-src and c-src?
c-src: cellular src gene (proto-oncogene)
v-src: viral src gene (oncogene)
What does expressing high levels of src gene do?
- Doing this in viral infection led to cellular transformation
What is a kinase?
- enzyme that removes high energy phosphate group from ATP and puts it onto a suitable protein substrate
What was the anti-src antibody experiment?
- Src actslike a tyrosine kinase and phosphorylates specififc tyrosine amino acids in subtrates
- Src can autophosphorylate
Are all oncogenes kinases and vice versa?
No, many, but not ALL, oncogenes are kinases
What does PKB influence?
- Phosphorylated downstream substrates either activating or inactivating them
What is an oncogene?
Gene that increases selective growth advantage of a cell
What is selective growth advantage?
Allows cancer cells to outgrow the surrounding ‘normal’ cells
What is a proto-oncogene?
A gene that can become an oncogene because of mutations/overexpression
What is a tumor suppressor?
- Gene that serves as roadblocks = breaks
- If it is lost/inactive it will lead to an increase in selective growth advantage
Do you need 1 oncogene or the loss of 1 tumor suppressor to cause cancer?
NO! It is a build-up of mutations in different oncogenes/losses of tumor suppressors in combination
Do you need virus to form tumors?
No! Under the right conditions, you can get it through carcinogens
What was speculated about carcinogen and their possible functioning as mutagens?
- Carcinogens function as mutagens inducing cancer by turning proto-oncogenes into oncogenes
What was NIH 3T3 cell experiment with 3-MC?
- Used NIH 3T3 cells (immortalized fibroblast) because are great at taking up DNA
- Treat mouse cells with 3-MC (potent carcinogen a component of coal tars)
- Transfected into small fragment (some contained oncogene) and introduces into host cell = promoting transformation of cells
What are 4 ways to turn a proto-oncogene into an oncogene?
- Amplification (large number of copies of a small segment)
- Insertion/deletion (indel) (of a few nucleotides)
- Translocation (Philadelphia chromosome)
- Point mutations (single nucleotide substitution)
What is the difference between driver/passenger mutations?
Driver: mutation that directly/indirectly confers selective growth advantage to a cell
Passenger: does not confer a selective growth advantage
What is the difference between low/high mutation burden?
- low mutation burden: mutated proteins are low
- high mutation burden: more mutated proteins = worst
What is karyotyping?
-process of pairing and ordering chromosomes
Explain the experiment steps where we found BCR-Abl?
- treat cells with colchicine (drug) that prevents passage from metaphase to anaphase
- ## stain with Giernsa so you can observe and do karyotyping
What is CML and ALL?
CML: Chronic myeloid leukemia
AML: Acute lymphoblastic leukemia
Describe the Philadelphia chromosome.
- translocation between chromosomes 9 and 22
- generates BCR-Abl (fusion event)
- found in patients with CML and ALL
What is BCR-Abl?
BCR: Breakpoint Cluster Region
Abl: tyrosine kinase (protooncogene that phosphorylates tyrosine amino acid on select tyrosine on downstream substrate)
What does the fusion of BCR-Abl lead to?
-Leads to Abl being on crack (unable to turn off)
- Abl has constitutive activity
- inability to be regulated
What is the name of the compound that competes with BCR-Abl and why was it a revolutionary finding?
- Imatinib = compound that killed CML cells but NOT normal ones
- acted as a competitive inhibitor to BCR-Abl
- prevent BCR-Abl from phosphorylated because it was bound to the ATP binding site (no more ATP binding)
What is erbB2/Her2?
- Receptor Tyrosine Kinases (RTK)
- Her2 : GF receptor
- Utilizes Ras in its process
- It will insert itself in PM and respond to epidermal GF
What does the dimerization of erbB2/Her2 do?
It activates cell proliferation and survival gene expression signaling pathways
Describe the structure of RTKs.
- Has hydrophilic TM proteins
- Respond to external signals and transmit info into cells through kinase activity
- Ectodomain: in extracellular space and recognizes/binds ligand
- Kinase domain: inside cell
How does RTk operate with/without mutations?
- Without: GF binds and leads to RTK dimerization and activation of kinase domain
- With: ligand-independent kinase (doesn’t need GF to be activated)
What happens when erbB2 is amplified? What are the consequences?
- Proliferation, survival and resistance to apoptosis = high
- off of them surviving with disease-free progression drops
How can we identify erbB2 amplification in the genome?
FISH (fluorescence in situ hybridization)
- can observe 2 copies of erbB2 in all our cells (gene amplification)
Describe FISH.
- DNA probe against wanted gene (ex: erbB2)
- Denature DNA and add fluorescent
- Hybridize this to on of the copies
- detect copies of genes in cells
Is it always the case that erbB2 is amplified at the gene level?
NO!
- promoters could become hyperactive pumping out a lot of proteins (even without erbB2 amplification in tumor cells)
Why does excessive phosphorylation aid tumor cells?
- Cellular Signaling Dysregulation
- Activation of Oncogenes
- Inactivation of Tumor Suppressor Genes
- Enhanced Cell Migration and Invasion
- resistance to Apoptosis and Chemotherapy
How can we analyze erbB2/HerbB2+ on a protein level (not gene amplification)?
- ICH (immunohistochemistry) utilizes antibody against erbB2 protein
- If antibody binds (with dye), we can measure the amount of protein based on staining, and its location in the cell
What is a personalized medicine approach that treats erbB2 breast cancer?
Traztuzumab (Herceptin)
- Bind extracellular domain and inhibits Her-2 homodimerization (prevents Her-2-mediated signaling)
- CANNOT give this to all breast cancer patients
- wont repond to GF
Is Ras a kinase?
NO! It is a G protein (GTP)
Name 5 signaling pathways that Ras provides (downstream pro-signaling pathways)
- activation of chromatin remodeling mRNA
- translational controls of protein synthesis
- transcriptional activation in the nucleus
- inhibition of apoptosis
- cell growth and proliferation
What are the missense mutations in Ras and what does it do?
- Mutations in G12 and 61
- take Ras from proto-oncogene\e to oncogene
- Enhances Ras to bind to GTP so it is always active
- Inactivation of GTPase negative feedback mechanism
How do oncogenes form?
- Upregulation of proto-oncogene expression alters their structure
- Leads to overly active growth-promoting genes (in cancer cells = activated oncogene)
Are tumor suppressor Genes and oncogenes recessive?
NO!
1. TSG: recessive (needs a mutation in both copies for LOF)
2. Oncogene: dominant (1 mutant copy is enough to cancer development)
What are the 2 different ways retinoblastoma can be diagnosed?
- Diagnosed from birth-8 years old
1. Sporadic form: no family history so single tumor (unilateral = one eye) and can be treated with radiation/surgery)
2. Familial form: family history so multiple tumors in both eyes (bilateral retinoblastoma) can be treated with radiation/surgery- HOWEVER: higher risk of bone cancer (osteosarcoma)
What is the knudson 2-hit hypothesis?
- Familial form: needs 1 random event (only 1 because already has 1 in genome)
- Sporadic form: needs 2 random event
What does Rb do in the cell cycle?
- Acts as gatekeeper on cell cycle control
- R point = Regulates restriction point where G1 either goes into S phase or G0
- Too much DNA damage = R point will not let it go to S phase
What is G0 phase in cell cycle?
- Quiescence (reversible) stage
- no dividing
What are the levels of phosphorylation of Rb depending on its location?
- In the nucleus: not heavily phosphorylated
- In cell cycle: heavily
- Stress occurs: does NOT get phosphorylated, instead binds to e2f and prevents it from transcribing genes
- Missing Rb: things go into Cell cycle even if they shouldn’t
How can you lose your TSGs?
- Familial cancers: many inherited mutant TSG
- Sporadic: mitotic recombination leads to loss of TSG
- occurs during G2
- segregation of chromatid may yield daughters with LOH
When damage is done to the cell, how do we repair chromatid? How does this effect TSG genes?
- repairs through recombination
- could results in daughter cell having mutations in both chromatids (loss of ‘second hit’ copy from sporadic form)
Can cancer form from the loss of Rb?
yes
Can cancer form from the loss of one type of TSG?
Additional layers of oncogenes are required
What does LOH stand for?
Loss of heterozygosity
Where are TSG found?
- Within chromosomes in regions that are unstable
- indicates different mutations can lead to the loss of the second allele
What are 4 examples of second hit being lost?
- Terminal deletion (wt second allele for Rb is lost = becomes hemizygous)
- indels (premature stop codon)
- Translocation (leads to loss of expression of wt Rb)
- Epigenetic silencing (DNA presence is the same, but how active the gene is from being trasncribed changes)
What are some characteristics of activating and silencing domains on chromatin?
OFF: heterochromatin (tightly packed, unable to transcribe)
ON: euchromatin (loosely packed)
Sometimes in normal cells, how are tumor cells maintained?
- they are maintained in euchromatic format
How do tumor supressor genes get transcriptionally silenced?
through DNA methylation
What is DNMT and what does it do?
- DNA methylation enzyme
- upregulated in cancer cells
Name 2 tumor suppressor genes and whether they follow the Knudson 2-hit model.
- p-53 (no = not haplosufficient meaning 1 wt copy is NOT enough)
- BRAC1 (yes)
- Rb (yes)
How does methylation work? (promoter region? cytosine?)
- cytosine turns into 5 methyl cytosine
- If promoter region upstream of gene needed to be transcribed = can lead to transcriptional silencing (epigenetic silencing mode)
Is there any way a patient with tumors suffering from loss of TSG because of silencing can get better? If yes, how does this happen?
- give patients drugs to prevent methylation (try to reactivate expression of silenced TSG)
Describe p53, its function, and what leads to its stabilization.
- DNA damage and dysregulated growth signals leads to p53
- p53 not stable protein until
- becomes stabilized by becoming homotetramer
- Transcription factor that halts cell cycle (DNA repair genes, regulators of apoptosis)
What does TSG dominant negative mean? Name an example.
- p53 is an example
- produces non-functional protein that interferes with normal function
- only 1 copy is needed (dominant over wildtype)
- EX: one mutant copy incorporates p53 inhibiting its ability to become a transcription factor
How can we target ‘untargetable’ tumor suppressor gene mutants in cancer cells? Explain process.
- synthetic lethal
- Gene A and Gene B. Cancer cells = one of the genes if knocked out, so relies on the other, dies, but not normal cells (draw the schematic)
Define synthetic lethal.
2 recessive mutants needed to act, alone is unlethal
Benefits of synthetic lethal strategies?
- selective for cancer cell-specific genetic mutations
- can be applied to any type of cancers mutations (TSG and undruggable tumors)
Difference between BRCA1 and PARP1.
- BRAC1: TSG homologous recombination
- PARP1: base-excision repair
Describe what happens if BRAC1 gets lost, examples, and the consequences.
- If lost, homologous recombination is not available, become es more dependent on other repair mechanisms (PARP1)
- EX: breast cancer cells have BRCA1 mutated
- use PARP1 inhibitors to kill cancer cells (used in synthetic lethal matter since BRAC1 will also be mutated in cancer)
- normal cells stay untouched
Describe Hela cells.
- Named after Henrietta lacks
- immortalized
Name and describe 2 major obstacles to cellular immortalization.
- replicative senescence: irreversible halt in cell proliferation with retention of cell viability = metabolically active, but exited from cell cycle forever
- crisis: leads to cell death by apoptosis
Explain replicative senescence and hayflick limit.
- replicative senescence: process of getting old
- limit: # of times human cell divide until cell division stops (enters senescence)
Discuss telomeres and how they relate to senescence. (bypass?)
- senescence is triggered by telomere shortening (can be bypassed by TSG mutations)
- after bypass, cell undergo crisis (chromosome fuse leading to apoptosis) (telomeres get short = p53 independent)
- causes chromosomes to fuse/break
Describe breakage fusion bridge cycling.
- chromatid ends without telomores fuse:
- Chromosome is formed due to abnormal chromosome breakage and fusion
- snap at anaphase and cause genetic instabilities
- kill some cells (mitotic arrest)
Describe escaping crisis.
- a way of immortalizing cells
- cell overexpresses enzyme that keep telomere long
Describe hyperplasia
- increases in NUMBER of cells
- Occurs in cells withe the capacity to divide
- occurs in liver regenration and epithelial cells of pregnant ladies
- once stimuli is gone, it is reversed
Describe hypertrophy.
- increase in SIZE of cell
- no ability of dividing
- occurs in skeletal when working out, in cardiac muscle
- once stimuli is gone, it is reversed
Describe neoplasia
- new growth (tumours)
- excessive proliferation of cells
- irreservsible
- arises from genetic alteration
- can be benign (not cancer) or malignant (cancer)
Compare benign and malignant tumors.
benign:
- no invasion of BM or neighboring cells
- mostly harmless (unless high hormone levels are sent to specific places like brain)
malignant:
- invasion of BM and neighbors
- can metastasis (travel from origin)
- 90% of cancer death are from metastasis
- cells who took up mesenchymal transition infiltrate lymphatic system and invade other tissues
Describe dysplasia.
- cells look abnormal
- not cancerous (pre-cancerous)
- can be mild, moderate or severe
- could result in cancer or not
- reversible
- results from genetic alterations
What is the difference between the theoretical vs reality of cells forming tumors?
Theoritical: exponential growth
Reality: not all cells survive as they divide (some die through apoptosis)
- cancers develop over many decades - age is a big factor
Do cancers show up right when the original carcinogen happens?
NO! tumors take many years to pop up from original carcinogenic on original cells
- we see lag in data
Discuss colorectal cancer and why they are the best models to study metastasis and progress
- colon and small intestine covered by epithelia cells (tight junction, thin layers, fast turnover)
- the villi: BM composed of ECM allowing epithelial cells to grow
- Epithelial layer: site of most pathological changes associated with the development of colon carcinoma
Difference between carcinoma and adenoma. What about adeno carcinoma?
Adeno carcinoma: derived from intestinal epithelial cells
- occurs due to loss of p53
carcinoma: malignant, no BM breach and cannot metastasise (lacks certain malignant characteristics) (pre-malignant/cancerous)
adenoma: benign, no Bm breach
polyp:
- slow growth
- no potential of spreading
What is EMT? Describe the process.
Epithelial to mesenchymal transition
- epithelial cells acquire mesenchymal traits (loosely organized, fibroblast-like morphology, increased invading abilities)
- also acquire behavior following the downregulation of epithelial features (form barriers, very organized)
- occurs during embryogenesis, wound healing and cancer
Name 4 core EMT changes.
- cytoskeletal remodeling
- cell-cell adhesions weakening
- acquisition of cell mobility (moving from one cell to another)
- BM invasion
Explain the invasion-metastasis cascade. What is the difference between Intravasation and Extravasation?
- localized invasion (in situ carcinoma cells break BM)
- Intravasation into lymphatic system and spread
- locate to another tissue tissue forming metastatic tumors
- Extravasation: where the cells land and set up metastasis (require extra traits depending on where they end up)
What is MET?
- mesenchymal to epithelial transition
- acquire polarity back (apical-basal), cell-cell adhesions, reorganized cytoskeleton
What is an example of primary tumors and metastatic destination (Mind map)?
prostate: brain, lung, liver, bone marrow
pancreas: lung and liver
breast: all
colon : lung, liver and bone
Name the 6 major tissue types
- epithelial
- connective
- bone
- nerve
- lymphatic
- muscle
Name the 3 cell junctions. Also name further examples of each.
- occluding junction (tight junctions (vertebras) and separate junctions (intervertebral))
- anchoring junction (1. actin filaments (cell-cell (adhesions) and cell-matrix (focal)) 2. intermediate filaments (cell-cell (desmosome) and cell-matrix (hemidesmosome))
3 communications junctions (gap junctions)
Define the 3 cell junctions.
occluding: seal cells together in an epithelium, no leakage from any side
anchoring: attach cells to neighbors or ECM
communicating: mediate passage of signal from one cell to another
Describe the process of a molecule passing through tight junctions. Discuss the 2 sets of TM protein, if they mix, etc.
- seperation of the proteins allows for vectorial transfer of nutrients across thee epithelium
- tight junctions are located under microvilli
- sodium driven glucose symport (against gradients to BM)
- glucose carriers at BM take the glucose
- This travel is done passively (no ATP)
- both glucose and sodium bind the symport
function: protein localization, prevents backflow and acts as diffusion barrier for PM
Discuss light and electron microscope: difference, specifics, etc.
wavelength (up) velocity (down)
- accelerating volatge: 100,000 V
- wavelength = 0.004 nm
- practical resolving power for biological specimen = 1 nm
- source of e= cathode
- acceleration : e- through anode
- ultralow pressure vacuum
- magnetic coil focus beam (glass lenses for LM)
- tissues are not dense we need staining (osmium tetroxide= bind to lipid bilayer and proteins)
- specimen needs to be thin because e- have limiting penetration power
explain tracer molecule and tight junction
- small, e- dense and extracellular
- no passage through tight junction (no matter what direction)
explain ultralow pressure vaccuum in microscope
e- will scatter by collision with air = try to keep the air as minimal as possible
explain freeze-fracture electron micrograph and e and p face.
- rapid freeze of cell where PM is cleaved down the fracture plane
- E face: inner face of the outer monolayer
- P layer = inner face of the inner leaflet (complementary face)
Discuss the 2 major proteins in sealing strands.
- Claudin (most important)
- 20-27 dKa
- Claudia-16 mutation = kidney, excessive loss of MG2+ from urine to blood - Occludin
- bigger, 67 kDa
- 2 isoform produced by alternative splicing
- localization of occlusion done by phosphorylation
BOTH HAVE:
- 4 alpha helical TM helices (2 extracellular loops, c-terminus located inside the cell)
- tight interactions with each other
Give an example of tight junctions and how it relates to the anchorage to the cytoskeleton. Draw it out.
ZO: zonula occludens
- intracellular connection to the cytoskeleton
- tight junction complezes connect to actin filament
DRAWING:
- sealing strands of tight junction proteins hold adjacent PM
- strands composed of tM proteins making contact accross the intercellular space and created seal
Explain how to go from protein mass to amino acid to # of nucleotide.
protein mass: 67 kDa.
1. divide by 100 to get amino acid (100 being the mass of amino acid)
2. multiply by 3 (because 3 nucleotide make up 1 amino acids)
Name the 3 types of cytoskeletal fibers
- Actin filament (actin)
- intermediate filament (desmin, keratin and vimentin)
- microtubules (tubulin, not apart of cell junctions)
Name and explain a tight-junction-associated disease.
CLDN-14 (claudin 14 mutation)
- nonsyndromic deafness
- we have epithelial tissue in our ears important for hearing, so mutation could lead to deafness
Where would we find anchoring junctions? Describe their structure (strong?)
- intestinal
- skin
- other epitehlial cells
- they are weak and flimsy, so anchoring junctions provide support and stability
Name 2 principal classes of anchoring junctions. Describe their specifics (draw structure)
- TM adhesions proteins
- cell-cell: interact with themselves (hemidesmosome (IF) (cadherins) and adherent junctions (actin))
- cell-matrix: interact with matrix (hemidesmosome (integrins (IF)) and focal adhesions (a)) - Intracellular anchor proteins
- connect to actin, to TM adhesions proteins
Describe cadherins and specify what class of junctions they belong to.
- adherens junctions
- homophilic interacts with itself
- homodimers
- calcium-dependent
Give examples of intracellular (adapter) proteins. Give the 3 different types of them.
- catenin
- vinculin
3 types:
1. p-120
2. beta-catenin
3. alpha-catenin (longer and interacts with vinculin)
Where is the adhesions belt and what is it?
- located below tight junctions
- is made up of adherens junctions (cadherins)
- could also be referred to as zonula adherens
Explain the process of the neural tube.
- epithelial cells
- invagination occurs
- pinching off gives rise to the neural tube
- occurs through contractibility forces from the actin-myosin II system (ATP dependent)
Describe the actin-myosin II system.
- Made up of 2 heavy chains
- 4 myosin light chain
- myosin dimerizes and self-assembles (forms bipolar filaments)
- Bipolar filaments interact with actin filaments (utilize ATP to pull them together)