Carcinogenesis: Molecular Hallmarks of Cancer Cells Flashcards

1
Q

why is the Rb protein a key regulator the the cell cycle.

A

key regulator by preventing progression from G1 to S phase. negative gene factors inhibit progression of cell cycle by activating Rb protein

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2
Q

what does the inactivation of Rb cause?

A

this is a common event in tumours and results in resistance to negative growth regulation. (this is the gatekeeper between G1 and S phase of the cell cycle)

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3
Q

how do cancer cells avoid immune destruction?

A

the tumour cells, bind to the immune checkpoint protein PD-1 and PD-L1 and this inhibits from killing tumour cell

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4
Q

What 2 key events are needed for the transformation from normal to neoplastic cells?

A

1) Oncogene activation

2) Tumour suppressor gene inactivation

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5
Q

What are caretaker genes?

A

Genes which maintain genetic stability by repairing damaged DNA and replication errors, controlling the accuracy of mitosis - mutant forms of these genes cause genomic instability

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6
Q

What role do caretaker genes play in carcinogenesis?

A

Mutations in caretaker genes results in genomic instability - genetic instability is important for enabling specific genetic alterations to accumulate in carcinogenesis
Genetic instability is a common feature of most tumour cells

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7
Q

Why is genetic instability important a common feature of tumour cells?

A

Just clonal expansion is not enough to aquire the necessary mutations for neoplasm as the normal mutation frequency is not high enough so genetic instability is a key factor

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8
Q

What are the 2 types of tumour suppressor genes?

A

1) Gatekeepers

2) Caretakers

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9
Q

What are gatekeeper genes?

A

Genes which play an important role in regulating normal growth

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10
Q

Name 3 types of gatekeeper genes?

A

1) Negative regulators of the cell cycle and proliferation
2) Positive regulators of apoptosis
3) Positive regulators of cell differentiation

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11
Q

Carcinogens induce molecular abnormalities in tumour suppressor genes which lead to what change in function?

A

loss of function

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12
Q

What is required for TSG’s to become inactivated?

A

A first and a second hit - loss of heterozygosity
After the first hit, the single remaining normal copy of TSGs is capable of doing the job of 2 genes - the second hit is required for complete loss of function

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13
Q

The first hit in TSG inactivation is normally what kind of mutations?

A

a point mutation

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14
Q

The second hit in TSG inactivation is normally one of what 3 types of mutation?

A

1) Chromosomal non-dysjunction
2) Epigenetic inactivation through promoter methylation
3) Mitotic recombination

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15
Q

What is different about TSGs in people with familial cancer syndromes?

A

every cell in their body will carry first hit mutations

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