Cancer Cell Biology Flashcards

1
Q

What is cancer?

A

A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can spread to other parts of the body through the blood and lymph systems.

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2
Q

What are the causes of cancer?

A
  • Environmental/ lifestyle factors
  • Infectious agents - HPV (cervical)
  • Environmental carcinogens – smoking (lung)
  • Diet – alcohol
  • Genetics
  • Inherited – BRCA in breast cancer
  • Somatic - RAS in pancreatic cancer
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3
Q

What are proto-oncogenes?

A

a gene that when mutated/over-expressed contributes to the dev of cancer

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4
Q

What are oncogenes?

A
  • a gene that contributes to the dev of cancer

- has diff mutation to proto-oncogene so protein made differs from normal protein made in cells

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5
Q

Why do oncogenes cause cancer when protooncogenes do not? Describe 4 mechanisms

A

Oncogenes result in the enhanced activity of the encoded protein
- Activating mutations e.g. Ras(G12V)
- Overexpression through promoter exchange: more protein prod than normal e.g. Bcl 2 protects cells from apoptosis which gives cell survival adv
- Can also get protein prod that’s not part of normal biology through gene fusion so no mech to regulate its activity –> enhanced activation e.g. BCL ABL drives prolif
- Elevated expression through gene amplification e.g. EGFR on surface of breast cancer cells which ↑
signal to div + prolif

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6
Q

Why is RAS significant?

A

RAS protein part of mech of cell div – RAS mutation means protein always on

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7
Q

What is a tumor suppressor gene and what are they known as?

A

a gene whose loss contributes to the
development of cancer
Tumour suppressor gene have therefore been classified as “gatekeepers” and “caretakers”

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8
Q

How do mutations affect oncogenes?

A

A mutation in a single allele
can result in deregulation of
signalling

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9
Q

How do mutations affect TSG?

A

A mutation in a single allele is insufficient to disrupt protein function*
Loss of both alleles is usually required to disrupt tumour suppressor function

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10
Q

What is the cell cycle + the phases?

A

the interval between successive mitoses
Divided into 2 phases, interphase (I) and mitosis (M)
Interphase further divided into G1, S and G2 phases

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11
Q

How do cancer cells differ in the cell cycle vs normal cells?

A

Cancer cells spend most of their time in cell cycles due to loss of regulatory control, most cells don’t (in G0)

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12
Q

List the 3 main control points

A

• In G1 – decision to enter S phase
End of G2 – decision to enter M phase
• Progression through M

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13
Q

What provides signal to go from G1 to S phase?

A

Growth factor signalling is signal to go from G1 to S

GF outside cell bind to receptor à initiates receptor signalling pathway ∴ ends up with signal to go from G1 to S phase

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14
Q

What is RB and how can its loss cause tumor suppression?

A

Rb protein is a major cell cycle regulator
Retinoblastoma sits on DNA + prevents transcription of genes for kinases that cell needs to go further into cell cycle
When GF binds to receptor on cell –> protein phos –>
∴ can’t bind to E2F –> protein falls off –> transcription of early cell cycle genes that allows cell to transition into S phase to enter cell cycle
RB is tumor suppressor ∴ loss can drive tumor suppression
Cell senses that its going to cell cycle to often + ∴
triggers apoptotic pathways

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15
Q

When is apoptosis induced and how?

A

in response to DNA damage OR oncogene activation

• Mediated by p53

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16
Q

How is R to apoptosis achieved?

A
  • Loss of p53

* Upregulation of pro-survival factors, eg. Bcl2 can override p53

17
Q

What is the evidence supporting the role of p53 as a tumor suppressor?

A

• More than 50% of human tumours contain a mutation
or deletion of the p53 gene
• Many tumours lack p53 expression all together
• WT p53 actively suppresses oncogene-mediated
cellular transformation

18
Q

Why is p53 important?

A

a key node in signalling networks involved in sensing cellular stress
p53 has dose-response effect – triggering of p53 doesn’t cause automatic cell apoptosis but p53 can transiently arrest cell cycle to promote recovery

19
Q

What is senescence?

A

cell alive but not div

20
Q

How does the body control cell cycles?

A

Telomeres shorten every time cell div + after a no. of times, cell goes into senescence/apoptosis ∴ body can control no. of cell cycles it goes through
Telomere shortening activates a DNA damage response involving p53

21
Q

Why is there a limit to cell div in a somatic cell vs stem cell?

A

Cell replication can be risk for changes in genome
∴ don’t want cells to cycle so many times
∴ somatic cells have limit on no. of div vs stem cells which have no limit

22
Q

How do cancer cells differ from somatic cells in terms of cell div?

A

Cancer cells have long telomeres bc re-express telomerase which puts repeats on ends of chromosomal DNA
Telomerase only expressed embryonically so but get re-expression/changes in regulatory pathway so cell loses ability to count no. of div it has undergone bc telomerase keeps adding repeats back on
telomerase expression/activity is gained in
~85% of human carcinomas

23
Q

What causes necrosis hypoxia of the tumor?

A

Tumor cells become starved of nutrients bc limit in diffusion in existing vasculature –> necrosis hypoxia of tumor due to large size

24
Q

What causes metastasis?

A

Cancer cells start to trigger de novo angiogen + dev its on vasculature
Allows tumor cells to invade into vasculature + enter bloodstream + organs, adhere to vessels + extravasation occurs –> metastasis

25
Q

What is the angiogenic switch?

A

Balance tipped towards pro-angiogenic factors = angiogenic switch by VEGF –> denovo angiogen into tumor bed

26
Q

What is involved in activating invasion and metastasis?

A

Involves:
1. Altered cell adhesion (to cells and matrix)
2. Increased motility and local invasion (matrix
degradation)
3. Intravasation, survival in circulation, arrest, extravasation
4. Increased motility and local invasion at distal site

27
Q

What causes Altered cell adhesion (to cells and matrix)?

A

E-cadherin binds epi cells but downreg in cancer
∴ cells stop expressing it ∴ epi cells loosely bound + acts as single cells
Integrins enable cell to bind to ECM through combo of integrin pairs – cancer cells change pairs on surface so can bind to diff proteins in stromal tissue
The changes in cells during this process mirror the
developmental changes during
epithelial to mesenchymal transition (EMT)
Transcription factors TWIST, SLUG and SNAIL can
initiate EMT and are seen to be activated in cancer

28
Q

List Secondary sites for metastasis of lung cancer + prognosis

A
  • liver
  • brain
  • bone
  • lung
    short latency
    aggressive
29
Q

List Secondary sites for metastasis of breast cancer

A
  • liver
  • brain
  • bone
  • lung
30
Q

List Secondary sites for metastasis of colon

A
  • liver –> lung (sequential)
31
Q

List Secondary sites for metastasis of prostate cancer + prognosis

A
  • long latency

- strong preference for bone mets

32
Q

What is Seed and Soil Hypothesis?

A

Local (or distal) secretion of particular growth factors or cytokines/chemokines needed by particular tumours may also be a factor.
Ligand for breast cancer cell found in lung not skin so won’t stim growth + survival
Same with melanoma cell which has ligand in skin not lung