Carcinogenesis Flashcards
Why are DNA double helixes susceptible to damage?
Nitrogenous bases are FLAT, PLANAR, CARBON rings with lots of FUNCTIONAL GROUPS which means that they can easily react with other chemicals e.g. carbon ring makes base susceptible to electron delocalisation. Double bonds between bases are also reactive.
What are the different mechanisms of DNA damage? (x4)
DEAMINATION: bases are nitrogenous so contain amine groups. Deamination is the removal of an amine group. When an amine group is removed, the amine group is converted into a keto-group (=O group). This results in base changes e.g. CYTOSINE–>URACIL, adenine to hypoxanthine… = BASE MISMATCH MUTATION, creates a bulge in DNA structure.
CHEMICAL MODIFICATION: double bonds open and oxidation reactions subsequently occur at bases. Opening of the double bond is caused by hyper-reactive oxygen species which are generated from normal metabolism or ionising radiation. COMMON CHEMICAL MODIFICATION: double bond opens, and thymine base becomes thymine glycol with two -OH groups (see photo). Things can be added to the -OH groups. If these chemical species are large, they create ADDUCTS (describes large molecule covalently bonded to DNA) which can be carcinogenic.
PHOTODAMAGE: damage from UV light. Occurs WITHIN a strand rather than between strands where there two adjacent thymine bases: UV light activates the thymine bases, which become reactive and form THYMINE DIMERS – distorts double helix.
RADIATION: can break phosphodiester bonds which form the DNA backbone. When a bond breaks, it creates NICKS in the DNA. When there are lots of nicks, whole GAPS can form where a whole region of single strand is missing.
What are the different types of DNA damage? (x5)
- Base dimers.
- DNA adducts and alkylation (addition of CnH2n+1 groups).
- Formation of abastic bases (base is destroyed so much that it is no longer a base) aka apurinic or apyrimidinic sites.
- Base mismatches from base changes.
- Single and double DNA strand breaks (from nicks and gaps).
What are the causes of DNA damage? (x2)
• CHEMICALS that causes cancer – CARCINOGENS e.g. dietary, lifestyle, environmental, occupational, medical and endogenous. • RADIATION e.g. ionizing, solar and cosmic.
How does DNA damage lead to cancer?
DNA damage lead to mutation which can lead to cancer.
How can DNA damage be used in medicine?
DNA damage can be utilised in chemotherapy.
What type of compounds are carcinogens?
Polycyclic Aromatic Hydrocarbons with double bonds. They can also have substituents e.g. methyl groups and N or S inside rings.
How are carcinogens processed by the body?
• They are treated in the same way as drugs in drug metabolism. When they are metabolised, this process is called CARCINOGENESIS. • PHASE I METABOLISM: addition of functional groups to make carcinogen more reactive – through oxidation, reduction or hydrolysis. Mainly CYTOCHROME p450-mediated. • PHASE II METABOLISM: conjugation of Phase I functional groups (through sulphation, glucuronidation, acetylation, methylation, amino acid and glutathione conjugation) to produce POLAR (water soluble) metabolites for excretion.
How does metabolism of Benzo[a]pyrene lead to mutagenesis?
- B[a]P is not itself carcinogenic. Its metabolites are.
- B[a]P is metabolised by cytochrome p450s and Epoxide-Hydroxylase in the liver.
- Result: forms an EPOXIDE form of B[a]P which is highly carcinogenic.
- This molecule attaches itself to chemically reactive regions of DNA, forming ADDUCTS –> mutations and cancer.
How does the metabolism of Aflatoxin B1 lead to mutagenesis?
• Aflatoxin B1 is formed by mould and found on grains and peanuts. • It is a potent liver carcinogen. • Cytochrome p450 converts it into an epoxide. • This epoxide-form of Aflatoxin B1 reacts with DNA (specifically guanines in the N7 position) and results in adduct formation –> leading to mutation.
How does the metabolism of 2-naphthylamine lead to mutagenesis?
• From dyes and a potent bladder carcinogen. • In Phase I metabolism, the cytochrome p450 tries to detoxify 2-napthylamine. • In Phase II metabolism, glucuronide is added to the chemical by glucuronyl transferase. • When it is excreted, urine pH in the bladder causes this glucuronide formation to break down and produce an electrophile which can react with DNA –> MUTAGENESIS.
How do oxygen free radicals cause DNA damage? (x3)
• Oxygen free radicals possess unpaired electrons, are electrophilic, and therefore seek out electron-rich DNA. • It creates APURINIC and APYRIMIDINIC sites (abastic bases i.e. destroyed). • Oxygen free radicals do this by (i) opening guanine and adenine rings, (ii) creating thymine and cytosine glycols, (iii) convert purines into 8-hydroxypurines (A and G) – more chemically reactive so can undergo adduct formation.
What is the normal state of endogenous DNA repair and damage? However, note of caution?
DNA is damaged all the time inside the body. However, the max DNA repair rate FAR EXCEEDS the rate of damage. Therefore, human cells have plenty of spare capacity to deal with both endogenous and exogenous damage. HOWEVER, errors creep in especially with increasing age.
What is genetic underpinning of DNA repair pathways?
The tumour suppressor gene, p53 is responsible for activation of repair pathways. It is a transcription factor and responsible for regulation of gene involved in these pathways. Normally, p53 is held in an inactive form by MDM2. When DNA damage occurs, the MDM2 is lost and p53 is activated.
What are the four different types of DNA repair?
• DIRECT REVERSAL OF DNA DAMAGE. • BASE EXCISION REPAIR: used mainly to repair sites where the base has been lost i.e. sites of apurinic or apyrimidinic damage. • NUCLEOTIDE EXCISION REPIAR: mainly repair DNA where there are adducts. • DURING OR POST-REPLICATION REPAIR includes MISMATCH REPAIR and RECOMBINATIONAL REPAIR.
What is the mechanism of direct reversal of DNA damage (or direct DNA repair)?
• Involves the reversal or simple removal of the damage by the use of proteins which carry out specific enzymatic reactions. • PHOTOLYASES repair pyrimidine-DIMERS (including thymine dimers). • O6 METHYLGUANINE-DNA METHYLTRANSFERASES (MGMT) and ALKYLTRANSFERASES remove alkyl groups from bases i.e. reverses simple alkylation adducts.
What are alkyl groups?
Contains only carbon and hydrogen atoms: CnH2n-1. Most commonly, these are METHYL (CH3) groups.
What is the mechanism of DNA mismatch repair?
- Repair mismatches rather than mutations e.g. DNA polymerase has put in the wrong base during DNA replication.
- The ‘bulge’ produced by a mismatch is recognised by MSH proteins, and MLH protein and a nuclease cuts out the offending base and surrounding regions of the strand.
- DNA Polymerase restores the removed region of DNA.
- This mechanism only works during DNA replication!
What is the mechanism of base excision repair of DNA damage?
- Repair sites where the base has been lost i.e. sites of apurinic or apyrimidinic damage.
- DNA GLYCOSYLASES remove the base part of DNA without affecting the phosphodiester bonds of the backbone.
- AP-ENDONUCLEASE cuts the DNA backbone where the base has been removed.
- DNA POLYMERASE fills in the strand with the correct and functional base.
- DNA LIGASE repairs the phosphodiester backbone.
What is the mechanism of nucleotide excision repair of DNA damage?
- Repair DNA where there are big adducts.
- XERODERMA PIGMENTOSUM proteins recognise these sites of DNA damage.
- TRANSCRPTION FACTOR II H (TFHII) and some xeroderma pigmentosum proteins unwind the DNA (have helicase activity). They also have ENDONUCLEASE activity, forming nicks around the mutated base.
- A patch of DNA is removed by these proteins across the strand where nicks were inserted.
- DNA POLYMERASE fills in the gap.
- DNA LIGASE repairs the phosphodiester backbone.
- Very similar to base excision repair, but a larger operation.
What is transcription-coupled nucleotide-excision repair (NER)?
Most of the genome undergoes NER when the DNA is silent i.e. not doing anything. However, NER can also occur when the DNA is ACTIVE and being transcribed – this is called transcription-coupled nucleotide-excision repair (TC-NER). TC-NER differs from normal NER only in being FASTER and having different INITIAL STEPS. TC-NER does not require xeroderma pigmentosum to recognise damage, but NER is instead initiated when RNA polymerase stalls at areas of damage when transcribing the DNA strand.
What genetic diseases involve nucleotide-excision repair? (x3)
Xeroderma Pigmentosum, Trichothiodystrophy and Cockayne’s Syndrome.
What is the mechanism of the disease Xeroderma pigmentosum?
Xeroderma pigmentosum proteins are important in the recognition and removal of damaged regions of DNA. XP is a rare inherited disease of mutations of these proteins.
What are the symptoms of Xeroderma pigmentosum?
Severe sensitivity to UV light which manifests itself by the formation of skin cancers. In such patients, there is severe pigmentation irregularities, elevated frequency of other forms of cancer and frequent neurological defects.
What is Trichothiodystrophy?
Sulphur deficient brittle hair, facial abnormalities, short stature, ichthyosis (fish-like scaly skin) and light sensitivity, from mutations in the genes responsible for transcription-coupled nucleotide-excision repair.
What is Cockayne’s syndrome?
Dwarfism, light sensitivity, facial and limb abnormalities and neurological abnormalities from mutations in the genes responsible for transcription-coupled nucleotide-excision repair.
What are the mechanisms of recombinational repair? (x2)
- Occur when damage to DNA is substantial – when DNA DOUBLE STRAND is broken. There are two mechanisms:
- DIRECT JOINING: When double strand breaks, the ends do not match, so exonucleases cut back the ends until they reach sequences of DNA that are complementary to the DNA of the other strand. Once these have been located, the two strands are brought back together again by normal base pairing (of course though, the exonucleases mean that some DNA is now missing). DNA polymerases clear up any gaps and ligases fix the backbone – see photo.
- NONHOMOLOGOUS END-JOINING: when complementary nucleotides are not found/searched for, a protein called Ku holds the two ends together and forces them to join back.
What are the consequences of DNA damage? (x3)
• EFFICIENT REPAIR leading to a normal cell. • INCORRECT REPAIR leading to an altered primary sequence. This will create FIXED MUTATIONS in the cell in the DNA that are carried through replication and cell division. • APOPTOSIS if damage is very substantial.
What are the possible outcomes of fixed mutations? (x2)
Transcription/translation giving aberrant proteins OR carcinogenesis if critical targets are mutated: activation of oncogenes and inactivation of tumour suppressor genes.
What does aberrant mean?
Diverging from the normal type.
How can we test for carcinogenicity of chemicals? (x4)
The following tests are SEQUENTIAL. If the chemical is positive in the first test, it is tested using the second test. Each time, the tests give a more comprehensive assessment of CARCINOGENICITY.
- AMES TEST: in vitro BACTERIAL gene mutation assay – chemical to be tested is mixed with a rat liver enzyme preparation (called S9 preparation – containing p450c and enzymes for Phase I and II metabolism) AND bacteria with a mutation that means it cannot synthesise histidine. If bacteria mutate so that it acquires the ability to synthesis histidine, it indicates that the chemical is MUTAGENIC and therefore may act as a carcinogen. Histidine is needed for growth, so histidine synthesis is indicated by a colonised culture plate.
- CHROMOSOMAL DAMAGE TEST: in vitro MAMMALIAN CELL assay – mammalian cells are treated with chemical in presence of liver S9 preparation. Look for damage microscopically e.g. chromosome exchange, acentric rings, chromosome breaks and gaps.
- MICRONUCLEUS ASSAY: in vitro micronucleus assay – cells treated with chemicals and allowed to divide. If DNA becomes very damaged, it gets budded off into MICRONUCLEI during cell division – presence of these can be studies by microscopy.
- MURINE BONE MARROW MICRONUCLEUS ASSAY: IN VIVO mammalian assay – treat animals (usually rats) with the chemical we want to test and examine bone marrow cells in peripheral blood erythrocytes for micronuclei.
What is angiogenesis?
The formation of new blood vessels.
What are the physiological causes of angiogenesis? (x3)
Development, menstrual cycle and wound healing.
What are the main pathological causes of angiogenesis? (x4)
Cancer, chronic inflammatory diseases, retinopathies, ischaemic diseases and more.
What is vasculogenesis?
Angiogenesis is not the only way to make blood vessels. Vasculogenesis produces new vasculature from terminal vessels from differentiation of bone marrow precursor cells into endothelial cells.
What is arteriogenesis?
Angiogenesis is not the only way to make blood vessels. Arteriogenesis refers to an increase in the diameter of existing arterial vessels.
What are angiogenesis regulators?
• The angiogenic process is regulated by a wide array of growth factors and signalling pathways. • Most of these pathways depend on the dynamic regulation of gene expression in endothelial cells and are determined by a complex network of transcriptional regulators. • There are angiogenesis ACTIVATORS, INHIBITORS and those involved in maintaining the INTEGRITY of newly formed vessels. Some activators are essential e.g. VEGF; others are ideal but not a requirement. Some are both pro- and anti-angiogenic.
What are the basic steps of angiogenesis?
- SELECTION OF SPROUTING ENDOTHELIAL CELLS: a TIP cell is activated, as well as the cells sitting below it. The cells adjacent to the tip cell are STALK cells. There is lateral growth inhibition.
- SPROUT OUTGROWTH AND GUIDANCE: Tip cells navigate the direction of angiogenesis, while stalk cells proliferate – resulting in SPROUTING of the endothelium.
- Branching coordination.
- SPROUT FUSION AND LUMEN FORMATION: Stalk elongation and tip cell fusion (anastomosis). Lumen formation also occurs in this part.
- PERFUSION AND VESSEL MATURATION.
What are physiological triggers for angiogenesis?
Hypoxia.
How does hypoxia induce angiogenesis?
• Hypoxia-inducible transcription factor (HIF), in presence of oxygen, is inhibited by pVHL (Von Hippel-Lindau tumour suppressor gene protein). pVHL binds to HIF, preventing it from exercising its effects. • When there is hypoxia, HIF detaches from pVHL and binds to DNA. It is a transcription factor which promotes the expression of genes involved in angiogenesis including VEGF.
What are the types of VEGF and its receptors?
There are 5 members in the VEGF family: VEGF A-D, and placental growth factor (PlGF). VEGF can bind to three TYROSINE KINASE RECEPTORS (VEGFR-1, 2 and 3) and two neuropilin co-receptors (Nrp1 and 2).
What happens in selection of sprouting endothelial cells in angiogenesis?
- Something in the tissue environment produces VEGF.
- VEGF binds to a VEGF receptor on an endothelial cell.
- The cell that VEGF binds to becomes the tip cell. In activating a tip cell, the adjacent endothelial cells become stalk cells which proliferate to support sprout elongation. This is mediated by NOTCH SIGNALLING.
- The basement membrane degrades at the area of sprouting, and there is pericyte detachment and loosening of endothelial cell junctions.
- Subsequent increased permeability of blood vessel wall in this region permits extravasation of plasma proteins (such as fibrinogen and fibronectin) to deposit a provisional matrix layer, and proteases remodel pre-existing interstitial matrix, all enabling cell migration.
What happens in Notch signalling?
- VEGF binds to tip cell, resulting in upregulation of the notch ligand, DLL4. 2. DLL4 binds to notch receptors on adjacent endothelial cells, driving notch signalling in those cells. 3. In notch signalling, the intracellular domain of notch receptors in adjacent endothelial cells CLEAVES itself from the receptor – called intracellular domain of notch (NICD). NICD translocates to the nucleus and binds to transcription factor RBP-J. 4. This Notch signalling inhibits the expression of VEGFR2 (receptors) in stalk cells. 5. RESULT: tip cells acquire a sprouting phenotype; adjacent cells become stalk cells and proliferate to support sprout elongation.
What happens in sprout outgrowth and guidance?
- Tip cells navigate in response to guidance signals (such as semaphorins and ephrins).
- Tip cells also adhere to surrounding extracellular matrix (mediated by integrins).
- Stalk cells behind the tip cell proliferate, elongate and form a lumen.
- Proliferating stalk cells attract pericytes and deposit basement membranes to become stabilized.
- Myeloid cells (such as macrophages) support sprouting – macrophages help by carving out tunnels in the extra cellular matrix (ECM), providing avenues for capillary infiltration by the sprout. Macrophages also proteolytically liberate angiogenic growth factors embedded in the ECM as it carves through it, and are involved in anastomosis at tips of sprouting vessels.
What is the role of platelets in angiogenesis?
Platelets are full of regulators of angiogenesis. Their overall role is to MODULATE angiogenesis – they contain both pro- and anti-angiogenic mediators.
What happens in perfusion and vessel maturation in angiogenesis? (x2)
• After fusion of neighbouring branches, lumen formation allows perfusion of the neovessel. • The new vessel is stabilised in many ways: • FORMATION OF TIGHT AND ADHEREN JUNCTIONS between endothelial cells – by mediators. Junctions are formed between hydrophilic transmembrane proteins. Transmembrane means that endothelial cells can communicate with each other. • MURAL CELLS (PERICYTES) FORM: around the neovessels and are crucial for membrane stability by producing molecules such as in the ANGIOPOIETIN-TIE-2 SYSTEM.
What is a neovessel?
A new blood vessel.
What is the importance of the formation of junctions between endothelial cells? (x5)
• Allows for communication between endothelial cells. • Mediates adhesion between endothelial cells. • Fundamental to permeability of blood vessels and the ability of inflammatory cells to enter tissues. • Control CONTACT-INHIBITION of cell growth. • Promote survival of endothelial cells.
What is contact inhibition?
Contact inhibition refers to two different processes: CONTACT INHIBITION OF LOCOMOTION (or cell growth) – when two cells contact each other, they attempt to alter their locomotion in a different direction to avoid future collision (this occurs in endothelial cells to keep endothelium one-cell thick); and CONTACT INHIBITION OF PROLIFERATION – when cells stop proliferating and growing if they cannot prevent collision by changing direction.
What is the angiopoietin-Tie-2 system?
• This system is important in the regulation of endothelial activation (–> angiogenesis). • Angiopoietin-1 (Ang-1) and angiopoietin-2 (Ang-2) are antagonistic ligands, that bind to the extracellular domain of the Tie-2 receptor on endothelial cells. • Ang-1 promotes VESSEL STABILITY, inhibits vascular leakage and suppresses inflammatory gene expression. It is produced by PERICYTES. • Ang-2 is stored in Weibel–Palade bodies of endothelial cells. It antagonises Ang-1 and has similar actions to VEGF – promotes vascular instability and VEGF-dependent angiogenesis (explained earlier).