Cancer cell signalling Flashcards

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1
Q

How do cancer cells make different decisions to non-cancer cells

A

Cells must continually sense and respond to environmental state and adapt according to them e.g Survive, grown + divide, differentiate, die

In cancer, how these cells respond are very different (constantly proliferate)

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2
Q

Why study cancer cells?

A

Cell signaling is altered in most cancers

  • Signaling tuned on and unresponsive to inhibition
  • Volume of signaling increased
  • Signaling at wrong time or place

Alterations of signaling enable the cell to evade normal regulatory controls

The most fundamental trait of cancer cells involved their ability to maintain chromic proliferation (hallmarks)

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3
Q

Whats the difference between cell signalling and signal transduction?

A

Cell signaling: The mechanisms that cells use to perceive and adapt to their state and surroundings

Signal transduction: the biochemical process that facilitates information processing by the cell

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4
Q

Signaling pathways have both plasma membrane/cytosolic events and nuclear events and gene-expression
These operate in different time scales…

A

cell signaling – fast ON/OFF (seconds to minutes), transient changes (minutes-hours)

Gene expression – Slow ON/OFF (minutes to hours), stable changes (hours – years), energetically costly

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5
Q

Three general mechanisms for signal transduction

A

Lipophilic ligands are able to traverse the cell membrane and typically bind to an intracellular receptor in the cytoplasm or nucleus (e.g steroid hormones, or nitric oxide). These bind to receptors that are internal to the cell.

Gated channels allow the passage of specific ions as in the case for neurons conducting electrical signals

Hydrophilic ligands such as peptides or proteins are unable to cross the membrane and instead bind to extracellular receptor, which is then altered so that information can e passed over the membrane.

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6
Q

Properties of transmembrane receptors

A

Transduces information

Convert extracellular ligand concentration into intracellular signal

Discriminator domain binds specific ligand - ‘dicscrimintor’ on the extracellular face of the plasma membrane that is able to selectively bind ligands (targets for many different drugs in oncology and other medical fields)

Transmembrane domain anchors in membrane - typically composed of hydrophobic amino-acids that spans the membrane and joins the ligand binding domain to an intracellular effector

Effector domain directly or indirectly linked to intracellular enzymatic activities

Indirect: receptor associates with separate kinase protein

Direct: kinase domain in same protein structure as transmembrane receptor

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7
Q

Properties of RTKs

A

Receptors with intrinsic Tyr kinase activity

Recent evolutionary development

< 100 tyrosine kinases in mammals (~60 are receptor)

Important target for oncogenic mutations

Diverse ligands (growth factors, insulin)

Large family of proteins with sub-families, classified according to ligand binding

Ectodomains are highly variable according to the ligand, whereas the sequence and structure of the tyr kinase domains is relatively well conserved

These are releatively recent in evolutionary terms because they are generally not found in single cell eukaryotes, they have evolved in concert with the evolution of multicellularity

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8
Q

Give an example of an RTK and how its activated

A

e.g. EGFR

dimerization and activation

How does dimerization occur?

Different mechanisms for different receptors

Epidermal growth factor receptors best studied

Ligands bind to and stabilize transiently associated homodimers

Monomers of EGRF typically mobile within the plasma membrane.

However, a homodimer (two copies of the protein) is able to form when two molecules encounter one another.

These is achieved by ligands:

having two receptor binding sites,

by ligands existing as homodimers (as is the case with PDGF)

or in case of EGF by inducing a conformationl change that changes the affinity of receptor molecules for one another.

EGFR: This changes the conformation of the receptor molecules, and if present allows the binding of the EGF ligand

This cause stabilization, and idnduces the alloseric conformational changes that result in auto phosphorylation of the tyrosine kinase domains with downstream signalling

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9
Q

RTK mechanisms for intracellular activation

A

Conformational changes in cytoplasmic domains upon dimerization/activation lead to Two principal mechanisms of intracellular activation :

Auto-phosphorylation and recruitment of signalling proteins

Phosphorylation of scaffold proteins that organizes signalling complexes

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10
Q

How is signalling through receptor tyrosine kinases altered in cancer?

A
  • Mutations may alter propensity for dimerization (red dots)
  • Or alternatively complete loss of whole domains (for example ectodomains – which results in higher levels of basal phosphorylation of the intracellular domains). i.e. phosphorylation even in absence of ligand
  • Alternatively the proteins themselves may not be altered by mutations, but their expression may be disregulated. This could result from mutations that are not in the coding sequence of the genes, but in promoter, that alter expression levels of the gene and associated proteins
  • Alternatively by increasing the production of receptor tyrosine kinases proteins in the membrane, the chance that they will form dimers increases substantially, resulting in constitutive activation.

–Oncogenic versions may lack ectodomains

–Truncated receptors no longer responsive to ligands

–Constitutive activation of signalling(promoter always on)

–Important oncogenic mutations in many cancers e.g. breast

  • EGFR: copy number alterations cause amplification of protein expression

–Increases protein expression and chance of receptor firing

–Alterations due to chromosomal or gene amplifications

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11
Q

Explain EGFR aplifications

A

Copy number amplifications (chromosomal 2-5 amplification) or gene amplifications 5-10 cause over-abundance of EGFR expression, increasing probability of dimerization and firing, even in presence of low levels of EGF ligands

Focal amplifications are common for EGFR but not so common for other growth factor receptors.

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12
Q

Targeted therapies for RTKs

A

Gefitinib specifically targets tyrosine kinase domains of EGFR (ATP binding site)

Prevents activation of signal transduction

For types of lung cancer with specific EGFR mutations

Although initially effective for patients with non-small-cell lung cancers with EGFR mutations, most relapse due to acquisition of resistance

Emergence of second point mutation in kinase domain is a major cause of resistance (this mutation is caused by selective pressure in tumours) – it is rarely found in patient tumours that have not been treated with gefitinib

Mutations that cause resistance may alter binding topology of ATP binding pockets

And may cause greater affinity for ATP or disrupt the interaction between gefitinib and kinase domain.

Possible solutions include targeting other pathways in addition to EGFR

But also better matching of patients with drug treatments – need to ascertain just what mutations are present in a given tumour prior to drug treatment (personalized medicine).

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13
Q

Cellular functions of cancer related kinases

A

phosphorylation integral to cell signalling and frequent targets of mutation

play multiple roles

Kinase motifs in receptors are only one cellular location in which kinases work

Mutations in kinases underlie different diseases e.g. cancer

Kinase domain often conserved, but other regulatory motifs in other parts of the protein may regulate the context – substrate specificity or binding to other signal transduction proteins

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14
Q

Explain phosphorylation

A

Addition (and removal) of phosphate groups – a common mechanism for regulating protein activity

Ser > Thr > Tyr commonly modified in eukaryotes

Kinase writers, Phosphatase erasers

30% human proteins may be phosphorylated

Reminder of importance of phosphorylation in protein regulation

Important in signalling as well as other related processes of proliferation , growth, cell cycle

Remember that phosphorylated or unphosphorylated form may correspond to the activated form.

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15
Q

What are the functional consequences of phosphorylation

A

Activation/inactivation

Form/hinder protein interactions

Sub-cellular relocalization

Degradation via proteasome

e.g. phosphorylation of serine adds negative charge and changes size of side chain.

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16
Q

Explain the different types of PTMs in signalling

A

Phosphorylation

Acetylation

Methylation

Ubiquitylation

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17
Q

Apart from the fact PTMs of signalling molecules (e.g. p53) intails combinational complexity, what else makes it very difficult to know how many different post-translationally modified versions exist?

A

because most techniques such as phosphoproteomics can identify phosphor sites from only a population of molecules – so cannot know what is happening on any one protein

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18
Q

is p53 extensivly modified post-translationally?

A

Yes

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19
Q

Explain interplay between PTMs and an example

A

PTMs may promote or antagonize another

Integrate and process multiple upstream signal

Multiple PTMs may target same amino-acid (e.g acetylation or methylation on lysine)

PTM may be required for subsequent modification by another PTM

e.g. CDKs regulate cell cycle transitions;
-phosphorylate Ser/Thr residues on targets -this then recognized by ubiquitin ligase complex, which polyubiquitlates the phosphoprotein
- targeteing it for destruction via proteasome

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20
Q

Features of signalling pathway outputs

A

Transcriptional regulation key output of signaling pathways

Mediated via modification of transcriptional regulator proteins

May/may not bind directly to DNA

Many oncogenes or tumor suppressors encode transcription factors

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21
Q

What are the transcriptional targets of the Wnt signalling pathway

A

Wnt pathway activation induces expression of genes that lead to proliferation

Many transcriptional targets of β-catenin/TCF activated

Cyclin D1
- Drives G1 to S phase transitions in cell cycle

Myc
- Proto-oncogene encoding multifunctional transcription factor involved in cell cycle, apoptosis

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22
Q

Explain the dynamics of the transcriptional response

A

If stimulate cells with growth factors can identify two waves of transcriptional response

Immediate early genes – direct targets of transcription factors from signaling pathways

Delayed early genes – those that require activation via transcription factors that must be synthesized first

And so response from minutes to hours.

Also some genes may come on transiently.

Different profiles of gene expression, different dynamics associated with functions.

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23
Q

Explain how signalling pathways are inter-linked in different ways

A

Convergence (multiple signals activate Ras)

Divergence (one signal elicits multiple outcomes)

Cross-talk (interaction of signalling pathways)

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24
Q

How complex is the molecular signalling network

A

In human genome

~1500 signal receptors

~500 kinases

~1500 transcription factors

How many signaling protein molecules per cell?

20,000 protein molecules per cell

EGFRs normal 104, tumor 106

Variation according to pathway, context, cell type

e.g. Ras 104-107 per cell

Axin v.low conc. regulator of Wnt pathway

Local concentrations of signaling molecules may be increased in sub-cellular compartments

And in cancer may be greatly increased number of molecules due to mutations e.g. egfr

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25
Q

What is Wnt?

A

Wingless (Wg) gene -identified as important developmental gene during Drosophila embryogenesis

Called Int1 when identified in mice (as gene promoting breast cancer)

realised these are homologs - renamed ‘Wnt’

refers to both the pathway and the genes encoding the pathway ligand

Wnt pathways subsequently shown to be universally present across metazoans (animals)

Aberrant Wnt signaling implicated in many different developmental disorders and cancers

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26
Q

Explain Wnt Gene nomenclature

A

Gene and protein names often derived from phenotype of mutants in model organisms

  • Wingless (Wnt in human)
  • Armadillo (β-catenin in human)
  • Frizzled (Frizzled in human)
  • Naked
  • Legless
  • Pygopus
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27
Q

Wnt functions during embryogenesis

A

Determination of body axis (which way is up?)

  • Injecting Wnts into frog embryos causes axis duplication

Cell fate decisions

  • Stem cell renewal and differentiation

Cell proliferation

  • Wnt signaling activates proteins that promote cell-cycle

Cell migration

  • Promotes epithelial mesenchymal transition (EMT)
28
Q

What are mutations in the Wnt pathway called?

A

Dickkopf mutations (have a look at Hikasa et al 2013)

29
Q

Explain the evolutionary conservation of signalling

A

Pathways are conserved across animal evolution

Model systems can be used to study cancer signaling pathways

Many cancer signaling pathways are important regulators during embryogenesis and development

Wnt, Notch, Hedgehog, TGF-Beta

Cell signaling evolved 100s of millions of yrs ago as a need for cells in multicellular organisms to be able to communicate in orde to build tissues, organs and bodies

Cells are constantly talking to one another,;

Production of tissues requires careful regulation of how much and how rapidly cells are proliferating and differentiating; this must be carefully coordinated as a whole

30
Q

Explain Aberrant Wnt signalling and disease

A

Wnt signaling activity kept within homeostatic range by regulatory processes

Over (or under) -activity leads to disease

Most cancers have elevated levels of Wnt signalling activity

Some neurodegenerative diseases have decreased activity

31
Q

Diseases affected by changes in Wnt signalling

A

Cancer(s)

-Wnt regulates stem cell homeostasis in the gut; inappropriate activation leads to colorectal cancer

Neural tube defects

-Neural tube does not close (e.g. spina bifida)

Bone density defects

-Mutations that promote Wnt signaling lead to high bone density and vice-versa

Tooth agenesis

-Dental abnormalities in which teeth fail to develop

Diabetes

-Mutations in Wnt transcription factor link to elevated risk for type II diabetes

32
Q

Wnts involved in many different diseases - why?

A

Perhaps because regulate such fundamental biological processes as cell differentiation, proliferation?

Which are intrinsic to all biological processes..

33
Q

Explain the different types of Wnt signalling pathways

A

“Canonical”

β-catenin dependent Wnt signaling

Embryogenesis; differentiation and proliferation

Important role in many cancers (e.g. colorectal)

“Non-canonical”

Planar Cell Polarity

β-catenin independent Wnt signaling

Tissue patterning, cell polarization and migration

Neural tube defects (e.g. spina bifida)

Metastasis? - its thought that non-canonical pathways may be important in this

Canonical is most well studied

Talk about B-catenin dependent and planar cell polarity as these have documented roles in cancer cells.

How distinct are these pathways, since components are shared and there is cross-regulation between canonical and non-canonical pathways.

34
Q

Explain the pinciple of Wnt signalling

A

Activation of signalling protects a transcription factor from degradation

i.e. signalling turns off a degradation process

Potentially an expensive mechanism, since cell must continually produce the transcription factor

May allow for rapid response since production of new protein not required

B-catenin is the TF, Wnt ligand turns off the degradation process, this allows for rapid response as new proteins don’t need to be made

35
Q

Explain canonical Wnt signalling

A

Highlight important components and mechanisms in this pathway

Key factor that it is really the reconfiguration of destrution complex that regulates the levels of B-catenin and signaling in the cell

Continual turnover of B-catenin in the cell.

Nuclear accumulation of B-catenin

36
Q

Features of Wnt ligands

A

Small secreted glycoproteins with specific lipid modifications to target to membrane

May function as short or longer range morphogens through paracrine and/or autocrine mechanisms

19 Wnt genes in human genome encoding Wnt proteins (conserved gene family)

Which canonical, which are non-canonical?

37
Q

Explan the different Wnt receptors

A

‘Frizzled’ family receptors, 7 transmembrane domain proteins - type of G-protein-coupled-receptor (GPCR)

Wnt ligands form trimeric complex with Frizzled receptor and co-receptor LRP5/6

Wnts may also bind to certain RTK type receptors, to activate other pathways

Receptor type and context play an important role in outcome (rather than the ligands themselves)

From these and other data, a picture emerges of various Wnts binding to different classes of receptors. The outcome of signaling is then regulated by receptor context and is not intrinsic to a particular Wnt.

38
Q

Explain negative fedback in the Wnt pathway

A

Dickkopf (Dkk) proteins are Wnt antagonists (through binding LRP receptor)

Dkk are transcriptional targets (turned on) by canonical Wnt signaling

Dkks provide negative feedback to regulate Wnt activity

Mechanism is conserved over 500m yrs (Dkks found in cnidarians- sea urchins?)

Dkk expression turned off in colorectal cancer (turned off) i.e. tumour suppressor

(Niers 2006)

Negative feedback is important for many signalling pathways, this is one way Wnt signalling is controlled

39
Q

Explain inhibiting inhibators in terms of Wnt signalling (drug stratagy)

A

drug strategy for bone disorders?

Wnt signalling promotes bone formation

Dkk1 and sclerostin bind Wnt co-receptors and inhibit signalling, could be drug targets (Ke et al, 2012)

Recessive mutations of sclerostin associated with increased bone mass

Romosozumab is an anti-sclerostin antibody that promotes bone formation used as a treatment for osteoporosis (prescribed since 2019)

40
Q
A
41
Q

EXplain the therapeutic stratagy for maintaining b-catenin destruction

A

Axin and the destruction complex is normally inactivated / or degraded by activation of Wnt signalling

tankyrase: an enzyme that works to degrade Axin through attachment parsylation (addition of ADP-ribose units)

Tankyrase can be inhibited - this preservs the destruction complex (stabalising Axin) and preventing β-catenin accumulation (peterson 2009)

Most Wnt pathway components are not very druggable

Thus some excitement at the discovery of a molecule that could prevent the inactivation of the destruction complex following Wnt activation

42
Q

Explain how b-catenin is a multi-functional protein

A

Signalling function:

Central effector of Wnt signalling pathway

Structural function:

Component of cell-cell junctions (adherens junctions)

There are different pools of B-catenin in the cell that have different functions

43
Q

EXplain b-catenins function in the nucleus

A

β-catenin imported to nucleus

Binds to TCF transcription factors and releases inhibitory factors

TCFs are a family of DNA-binding proteins that provide specificity of DNA-binding

A classical means of measuring Wnt signaling is using a transcriptional reporter consisting of TCF binding regions linked to luciferase (this is known as top flash)

44
Q

Transcriptional targets of Wnt signalling

A

Wnt pathway activation induces expression of genes that lead to proliferation

Many transcriptional targets of β-catenin/TCF activated

Cyclin D1 (CCND1):
Drives G1 to S phase transitions in cell cycle

Myc:
Proto-oncogene encoding multifunctional transcription factor involved in cell cycle, apoptosis

45
Q

Explain Wnt and colon cancer progression

A

Wnt signaling plays a key role in the development and homeostasis of the villus epithelium

Activation of Wnt signaling (through APC mutations (APC is involved in the destruction complex )) is an early ‘gatekeeper’ event in development of colon cancer

APC loss may occur with initial germline mutation then additional somatic mutation ‘two-hit’ hypothesis

Diagram (Davies et al 2005)

46
Q

Explain B-catenin and colon crypt biology

A

Normal circumstances:

Bottom of crypt; Stem cells present, b-catenin: Tcf/Lef target genes induced by Wnt, cells are proliferatinh, undifferentiated progenators as you move up

as move up towards the intestinal lumen, b-catenin: Tcf/Lef turns off and this reasults in cell cycle arrest of differentiated cells

In APC or b-catenin mutations, where b-catenin: Tcf/lef is tuned off normaly, it stays on, creating a progenator like phoenotype and accumulation at site of future polyp formation, this results in the failure for the mutant cell to continue outward migration towards the intestinal lumen

NB: Wnt activity decreases naturally towards the epithelial layer, this ISNT shut off when theres APC or b-catenin mutations

47
Q

Examples of oncogenic b-catenin mutations

A

Stabilizing mutations of β-catenin delete codon encoding phosphorylation site

Allow β-catenin escape destruction via proteasome

Occurrence is usually mutually exclusive of APC mutations

48
Q

Examples of Adenomatous Polyposis Coli (APC) (TSG) in cancer

A

Destruction complex component

300kDa protein; multi-domain protein

Frequent truncation mutations colorectal cancer (~60%)

“gatekeeper” tumor suppressor (two hit…)

Loss of APC tumor suppressor leads to carcinoma through β-catenin/ Wnt signaling

Germline/(somatic mutations v.freq. colorectal cancer)

Truncations remove important binding domains allowing β-catenin accumulation

APC mutations aren’t complete knockouts - when the mutation cluster region is mutated you get truncations in many CRCs

49
Q

Explain an example of a comprehensive analysis of colorectal cancers

A

Genome (exome) sequencing and gene-expression analysis of 276 colorectal tumours (the cancer genome atlas, Nature 2012)

showed that out of the tumours studied, Wnt signalling was affected in 92% of cases (the highest of the signalling pathways tested)

Check ref/image

50
Q

Different experimental systems in cancer signalling

A

Clinical samples

  • Human tumour sample (e.g. biopsy)
  • Human biofluid sample (e.g. blood plasma, urine), may pick up a signal from the tumour in the plasma

Model organism

-Genetic model of human cancer or xenograft

Cultured human cells

  • Immortalised cells from tumours (harbour defined mutations and capable of indefinite proliferation)
  • Primary cells from tumours (derived from individual tumours)
  • Cultured cells come in different forms: Use as a 2d culture, grow as tumour spheres (cells ageegate to form a clump of cells that mimics a tumour), organoids (miniature versions of organs)
51
Q

Questions/problems with the different experimental systems in cancer signalling

A

Disease relevance? - is a mouse model the same?

Ease of experimental manipulation?- human cultured cells make this easier

Sample complexity and heterogeneity? - individual tumours are very heterogenous, meaning between patients the tumour profile could be very different

52
Q

Explain experimental pertubation of signalling

A

Addition of ligand (e.g. that activates pathway)

Genetic deletion (e.g. knock-out) to remove key proteins e.g. a Tumour suppresser protein

Pharmacological (e.g. small molecule inhibitor)

Mutant kinase + ATP analog, Mutant kinase is created with mutation in ATP binding pocket of selected kinase, so that normal function of the kinase is not disrupted, but which allows binding of an ATP analog that can be given to the cell. i.e. kinase can be very precisely and selectively switched off

Need perturbation before can study signalling

53
Q

Explain experimental activation/inhibition of Wnt signalling

A

Wnt ligand

Wnt conditioned media (from cells expressing Wnt ligand)

Recombinant, purified Wnt protein

Pharmacological inhibition

Inhibition of GSK3B (kinase that phosphorylates β-catenin) using lithium

Genetic

Knock-out cells

e.g. β-catenin knock-out / mutant and wild-type alleles

RNAi

Not all the same, since affect proximal or distal components of the pathway

Specificity (e.g. lithium – other cellular effects?). Also GSK3B involved in other processes

54
Q

How can Wnt signalling output be measured

A

Topflash system links TCF binding domains to reporter luciferase

Introduce into cells of interest as plasmid

Measure Topflash/Fopflash ratio

Links TCF (T cell factor) a TF to a reporter gene e.g. leuciferase (Luc)

e.g. Zhang 2008

looked at protein Osx

Authors believed Osx was an inhibitor of Wnt signalling

They used different cells with different combinations of Wnt3A (ligand), Osx and Dkk1 (also a negative regulator for Wnt signalling, this addition of Dkk1 showed further inhibition when Osx was added, further confirming/showing Osx is an inhibator

55
Q

Explain genome wide RNAi screens

A

Use short RNA molecules (siRNA) to inhibit expression of specific genes

Libraries of siRNA molecules have been created to target all genes in genome

RNAi screens proceed by introducing all of these siRNA molecules into cells, and observing the effect on a phenotype of interest

Applied in many different organisms to study many different processes, including signalling

56
Q

Explain identifying signaling pathway components using RNAi screens

A

Detect activating and inhibitory regulators

Detect regulators acting that different levels and through different mechanisms

Does not provide mechanistic information

Pros/cons:
False positives, false negatives

Identify known components is good

57
Q

Example of an RNAi screen for Wnt pathway regulators

A

DasGupta 2005

Screened 22k RNAs in Drosophia cells for alterations to Topflash activity - Identified 238 regulators

Limitations: provides genetic, does not clarify mechanisms

Also, many may be drosophila-specific proteins (95% drosophila genome)

58
Q

Features of protein-protein interactions

A

Protein-protein interactions critical component of pathways

Differing properties

  • Permanent/transient
  • Obligate/non-obligate

Influenced by

  • Post-translational modifications
  • Sub-cellular location
  • Rate of synthesis and/or degradation
59
Q

Explain the use of Yeast wo-hybrid for detecting interacting proteins

A

An assay performed in yeast cells to test whether two proteins interact
Can be applied to proteins from any organism
Can be scaled up to test 1000s of proteins
Has been used to map 1000s of human protein-protein interactions

60
Q

Explain how yeast two-hybrid works

A
  • Fuse test proteins X and Y to activation and binding domains of transcription factor to make two hybrid - proteins
  • Reporter gene

–Gene that allows yeast to grow when turned on

–Only active when Activation and Binding domains interact

  • If test proteins X and Y interact

–Transcription factor is reconstructed

–reporter gene is on

–yeast cells grow

61
Q

Explain large scale yeast two-hybrid

A

Test many protein combinations?

Make libraries of all proteins fused to activation or binding domains

Screen combinations by mating yeast strains

Crossed-strains that grow indicate protein-protein interaction

Can be broadly applied (e.g. test interactions between human proteins)

62
Q

Applying Yeast two-hybrid to the MAPK signalling pathway:

A

Yeast two-hybrid used to identify >600 interactions pertaining to the MAPK signalling pathway (from 86 ‘baits’)

Identifies existing an novel protein-protein interactions

RNAi knock-down analysis can then be used to identify which proteins regulate MAPK signalling

63
Q

explain Integrated multi-omics of oncogenic β-catenin signaling

A

Derivative cell-lines expressing either mutant or wild-type Beta-catenin

Wild-type

E-cadherin associated /membrane localized

Mutant

Nuclear localization, enhanced Wnt activation

Elevated EMT markers

Ewing 2018 CHECK OUT PAPER

64
Q

Reference for how data mining can be used to identify new proteins that regulate b-catenin

A

Looked at EMT markers in mutant vs WT b-catenin cells

Ayati 2015

identrifieds antagonist for Wnt signalling called ELF3

65
Q

Paper that showed ELF3 is an antagonist of Wnt/b-catanin signalling

A

Gingras 2016

looked at mRNA levels usinh western blots

showed it was a TSG and mutations associated with ampullary cancer

66
Q

Paper showed ELF3 is associated with good prognosis in CRC

A

Liu 2019

Representative ELF3 staining pattern (High or Low ELF3) in 86 human CRC tissue microarray cores

IHC scores of ELF3 staining in 86 paired human CRC and adjacent normal tissues

Kaplan–Meier survival curve shows significant association between low levels of ELF3 and poor survival in CRC patients

67
Q
A