Cancer Genetics Flashcards

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1
Q

classes of genetic damage in cancer

A
  • proto-onco genes
  • tumor suppressor genes
  • apoptosis
  • DNA repair
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2
Q

driver mutation

A
  • cause of malignant phenotype

- genes that are in congrol

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3
Q

initiating mutation

A

the first driver mutation/ first cell that is mutated

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4
Q

passenger mutation

A
  • no phenotypic consequences

- genes don’t do that much/ not in control

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5
Q

major phases of cancer evolution

A
  • breakthrough phase
  • expansion phase
  • invasive phase
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6
Q

what is the breakthrough phase?

A
  • one bad cell/ driver cell causes mutation

- divides abnormally

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7
Q

what is the expansion phase?

A
  • still benign

- proliferation of cells locally

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8
Q

what is the invasive phase?

A
  • more driver gene mutations

- tumor invades distant organs

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9
Q

oncogene

A

mutation in a single allele is tumorigenic

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10
Q

tumor suppressor gene

A
  • mutation required in both alleles
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11
Q

first hit germ-line

A
  • inheritance of a single germ-line mutation increases a chance of receiving a second somatic hit causing cancer
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12
Q

second hit somatic-line

A
  • happens in sporadic forms of disease by two sequential somatic mutations
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13
Q

retinoblastoma

A
  • rare type of eye cancer of early childhood that develops in retina
  • caused by RB1
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14
Q

sporadic Rb

A
  • both alleles of RB1 are mutated

- two hits after birth

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15
Q

inherited Rb

A
  • first hit mutation is inherited
  • second hit is in somatic line after birth
  • have multiple tumors and at an earlier age
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16
Q

loss of heterozygosity

A
  • change from heterozygous state to homozygote state in the tumor DNA
  • have mutated allele, normal functioning allele is deleted in second hit
  • hallmark for tumor suppressor genes
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17
Q

ulcerative colitis

A
  • chronic inflammation causing ulcers in the inner lining of large intestine
  • chronic inflammation makes colon more susceptible to ROS
  • inflammation -> dysplasia -> carcinoma
  • associated with p53 gene
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18
Q

what is the p53 gene

A

tumor-suppressor gene

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19
Q

SNPs and cancer

A
  • most common inherited mutation
  • GWAS used to compare SNP of diseased vs control to identify cancer genes
  • can be used to identify risk factors associated with cancer in certain populations
20
Q

cancers caused by obesity

A
  • meningioma
  • thyroid cancer
  • adenocarinoma
  • esophageal cancer
  • post-menopausal breast cancer
  • liver cancer
  • gallbladder cancer
  • stomach cancer
  • pancreatic cancer
  • kidney cancer
  • colorectal cancer
  • prostate cancer
  • ovarian cancer
  • multiple myeloma
  • endometrial cancer
21
Q

obesity and cancer links

A
  • obesity is a chronic state of inflammation
  • IGF-1 stimulates cell growth
  • leptin released, promotes cell proliferation
  • adiponectin not released, prevents cell growth
  • fat tissue produces estrogen
  • gut microbes activate bacteria to secrete chemicals that damage DNA
22
Q

major pathways affected in obesity and cancer

A
  • mTOR
  • AMP-APK
  • both involved in cell growth and metabolism
  • mTOR more strongly associated with GI cancers
23
Q

how do viruses cause cancer?

A
  • viral oncogene expression
  • genome integrations
  • chronic activation of inflammatory response
24
Q

connection between chronic inflammation and cancer

A
  • increased ROS causes DNA damage
  • anti-apoptotic genes activated
  • angiogenesis with chronic inflammation
25
Q

lifestyles of oncoviruses

A
  • all parts of viral genome expressed, viral replication, cell lysis and death
  • viral DNA integrated, transformation of cells
26
Q

HPV

A
  • can cause genital warts
  • cancers: penile, uterine, cervical, anal, oral, laryngeal
  • have early genes and late genes expressed on virus
27
Q

HPV lifecycle

A
  • virus infects basal layer of epithelium
  • early genes stimulate growth and replication of viral DNA
  • late genes cause virus to assemble to top of epithelium
28
Q

Epstein Bar virus

A
  • type of herpes virus
  • infects oral cavity
  • affects B cells and results in a lot of blast B cells and memory B cells
  • latency- EBV shuts down protein-encoding genes
  • if resting B cell reactivated causes virus to proliferate
29
Q

HBV and HCV

A
  • hepatitis B and C
  • associated with hepatic carcinoma (HCV more so)
  • infection -> hepatitis -> cirrhosis -> hepatic carcinoma
  • have inflammation, ROS, cellular growth signals, no apoptosis
30
Q

why is HBV different?

A
  • has covalently closed circular DNA - cccDNA

- cccDNA causes therapy to fail, is a template for transcription and translation of the virus

31
Q

RNA oncoviruses

A
  • aka retrovirus
  • instead of having DNA converting to RNA, start with RNA use reverse transcriptase to make dsDNA
  • dsDNA integrated into host cell
  • RNA copied from integraded DNA and spliced to give mRNA
32
Q

HTLV-1

A
  • human T cell leukemia virus 1
  • causes adult ATLL
  • have tax protein
33
Q

what is the function of tax proteins

A
  • regulatory protein
  • if there is DNA damage it disables DNA repair system and cell cycle checkpoints
  • gives virus advantage to survive and proliferate
  • retrovirus
34
Q

what bacteria associated with cancer?

A
  • H. pylori

- can cause gastric cancer

35
Q

H. pylori infection

A
  • causes inflammation -> DNA damage and changes in cell proliferation
  • somatic mutations due to errors in replication or DNA repair
  • epigenetic changes
36
Q

cancer stem cells

A
  • cell within a tumor that can self-renew and cause heterogenous lineage of cancer cells
37
Q

what is the cancer stem cell hypothesis?

A
  • malignancies originate from small populations of stem cells
  • can initiate characteristics of cancer cells
38
Q

origins of cancer stem cell hypothesis

A
  • CSC arise from mutated stem cell so can self renew
  • CSC arise from progenitor cells with partial self renewal
  • CSC arise from differentiated cells which de-differentiate to become more stem-cell like
39
Q

metastatic stem cells (metSC)

A
  • any disseminated tumor cell capable of initiating clinically detectable tumor distant from primary tumor
40
Q

why are metSC important?

A
  • can be found in distant organs
  • survive after cancer treatment
  • causes uncontrollable metastasis
41
Q

CSC targeted cancer therapy

A
  • traditional treatments dont kill CSC, kills tumor cells -> tumor shrinks but can come back
  • CSC therapy kills CSC, tumor cannot proliferate and it will shrink
42
Q

Alzheimer’s disease

A
  • irreversible, progressive brain disease
  • characterized by amyloid plaques and tau tangles
  • causes death of nerve cells
  • either early or late onset
43
Q

amyloid precursor proteins (APP)

A
  • normally APP gets cleaved in different sections

- mutation in APP -> abnormal cleavage -> plaques aggregate -> neuron miscommunication

44
Q

early onset AD genetic links

A
  • chromosomes 1, 14, 21

- mutations in PS1, PS2, and APP

45
Q

late onset AD genetic links

A
  • chromosomes 14 and 19

- mutation in APOE4