Cancer And DNA Flashcards

1
Q

Name a few characteristics of cancer cells

A

Grow in the absence of growth signals
Ignore apoptosis signals
Spread to other areas of the body
Accumulate changes in their chromosomes

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2
Q

Why is cancer so difficult to cure

A

Every tumour is unique - single tumour contains diff populations of cells
Treatment leads to evolution of drug resistant tumour cells

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3
Q

What are the current aims and strategies of cancer drug discover

A

Identify underlying molecular pathologies
Target the identified differences between normal and tumour cells

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4
Q

Describe Knudson’s Two Hit hypothesis

A

In order for a cell to become cancerous both of the cells tumour suppressor genes must be mutated

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5
Q

Describe cancer

A

Family of genetic disease caused by germline and somatic mutations and chromosomal aberrations

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6
Q

What causes cancer

A

The accumulation of mutations in genome arsing from DNA damage

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7
Q

What genes are mutated in cancer

A

Oncogenes (+tive regulators of cell growth)
Tumour suppressor genes (-tive regulators of cell growth)
Apologise and lifespan-regulating genes
Mutator genes (DNA damage surveillance and repair)

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8
Q

Name a few environmental factors that can lead to cancer

A

Sex -> HPV -> Cervical
Alcohol -> Cirrhosis -> Liver
Stress -> Inflammation -> Various
Viruses -> EBV -> Burkitt’s lymphoma

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9
Q

Name examples of environmental carcinogens

A

X -irradiation -> radiotherapy -> breast
UV irradiation -> sun -> skin
Anti cancer drugs -> chemotherapy -> leukaemia
Benzopyrenes -> tobacco -> lung

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10
Q

What influences ‘the cancer lottery’

A

Casual mechanism in loving evolutionary mismatches and intrinsic fallibility
= mutations that enable increased cell survival
-> Darwinian selection will then select for these ‘positive attributes’

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11
Q

Describe the mechanism of DNA damage by carcinogens

A

Metabolised in body -> electrophiles that react w nucleic acid
E.g benzo[a]pyrene -> BPDE -> covalent adduct + guanine

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12
Q

Describe the mechanism of DNA damage by ionising radiation

A

X-rays cause oxidative damage to DNA
OH radicals damage nucleic acids
Result of hydrolysis of water by ionising radiation

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13
Q

Describe the mechanism of DNA damage by UV radiation

A

UVA: produces mainly reactive O2 species (ROS)
UVB: produces thymine photoproducts in the DNA

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14
Q

Describe the absorptions of the 3 types of UV

A

UVA 320-400nm - 95% reaching earth surface
UVB 280-320nm - Most absorbed by ozone layer
UVC <290nm - absorbed by O2

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15
Q

Describe the mechanism of DNA damage by sun damage

A

UV damages some cells -> can’t be repaired and are destroyed as risk of becoming cancerous
Some damage may remain, increasing cancer risk

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16
Q

What are the 3 types of UV

A

UVA: penetrates deep into skin, causes ageing
UVB: responsible for sunburns and can cause cancer
UVC: most dangerous of all, blocked by ozone

17
Q

Describe the mechanism of DNA damage by chronic infections

A

Chronic infections lead to persistent inflammation at sites of infection = damage to cells

18
Q

Describe the mechanism of DNA damage by endogenous causes

A

Hydrolysis of glycosyl bonds = base loss in DNA
Exposure to free radicals and oxidation
Methylation of bases in DNA via SAM
Replicating errors by DNA polymerase = deletions
Spontaneous decay of DNA

19
Q

What is one of the most server side effects of cancer therapies

A

Diagnosis of second primary cancers unrelated to original ancerts

20
Q

Describe the mechanism of DNA damage by DNA replication

A

Template lacks necessary information to form correct sentence =
Insertion of wrong base
Addition/deletion of short sequences
Double strand breaks

21
Q

What are the consequences of incorrect DNA replication

A

Loss of chromosome segments
Exchange of sequence (recombination)
Stalling of replication fork @ damaged sites

22
Q

What are the 2 most frequently mutated genes in smoking related lung cancer

A

K-ras (oncogenes) and p53 (tumour suppressor)
Benzo[a]pyrene linked to these mutations

23
Q

How does benzo[a]pyrene cause a mutation

A

It’s epoxide binds to guanine in nucleus
If unrepaired G-C -> T-A (trans version mutation)

24
Q

How does the K-ras oncogene

25
How does a mutation on p53 cause its inactivation
Undergo G->T transversion in 3 key sites
26
What are the consequences of base substitutions
No change Loss/change in activtiy of gene product Change of amino acid
27
What are the consequences of deletions and insertions
Loss of function of gene product
28
What are the consequences of gene amplification
Repeated firing of replication of origins Over-expression of gene product
29
What are the consequences of chromosomal rearrangements
Loss of gene(s) Alterations in expression Changes in function Creation of new fusion genes
30
What cell types are susceptible of DNA damage
Cells w high proliferation capacity e.g intestinal epithelium Cells exposed to environmental carcinogens e.g skin and lungs
31
What is the spontaneous mutation rate vs DNA damage
10-6 -> 10-8 per cell doubling per gene DNA damage can increase rates by 10->100 fold
32
What are the genome defence strategies
1- Range of interactive DNA damage repair pathways 2- DNA damage activated enzymes 3- Detoxifying enzymes e.g free radical scavengers 4- Apoptosis (in multi-cellular organisms)
33
What are emerging hallmarks of cancer
Capability to modify or reprogram cellular metabolism Evading immunological destruction
34
What are the enabling characteristics of cancer
Genomic instability -> mutation gives cells genetic alterations = tumour progression Inflammatory response but innate immune cells -> tumour promoting