Case 7 Flashcards
what are the 6 hallmarks of cancer?
indefinite replication angiogenesis apoptosis evasion independent growth intolerance to growth signals metastasis
what is clonal evolution?
when sporadic mutations are passed on to daughter cells meaning each point mutation can occur independently
what are the types of mutation that cause cancer?
Leads to cell proliferation
Leads to genome destability
how are oncogenes activated?
Point mutations
Chromosomal translocations- different promoter control
Chimeric genes
what is the ligand for the Her2 receptor?
EGF
Describe the cascade following Her2 receptor activation
homodimer transphosphorylation
Grb-SOS
Ras GTPase
eventual phosphorylation of ETS
What are the consequences of Her2 activation?
cyclin D1 gene expression
what genes come under the control of the estrogen response element?
Cyclin D and E
the progesterone response element controls expression of what gene?
cyclin D
What protein does BRCA1 associate with?
BRCA associated ring domain BARD
What are the functions of BRCA1? (4 main functions)
E3 ubiquitin ligase
double stranded DNA repair
Apoptosis
Controls cell cycle
How does BRCA1 control the cell cycle?
activates p21
p21 inhibits CDK’s
cell cycle arrest
What are the functions of BRCA2?
single stranded DNA repair
Why is Rb known as a tumour suppressor protein?
Binds E2F
E2F is a TF for cyclin genes
How is the Rb protein inactivated?
hyperphosphorylation by cyclins
What are the functions of p53?
apoptosis initation
DNA repair
Cell cycle control
What protein regulates p53?
mdm2- E3 ubiquitin ligase
How does p53 carry out its DNA repair function?
mdm2 senses DNA damage
Disocciates from p53
p53 increases expression of p21
cell cycle arrest
What cyclins and CDKs are associated with the G1:S phase?
Cyclin D:CDK4
Cyclin E:CDK2
What cyclins are associated with the S:G2 phase?
Cyclin A:CDK2
What cyclins are associated with the G2:M phase?
Cyclin B:CDK1
Cyclin A:CDK1
What is the treatment for Her2 receptor positive cancer?
Herceptin/trastuzumab
monoclonal antibody
what is the treatment for estrogen receptor positive breast cancer?
Tamoxifen
estrogen receptor inhibitor
What is the mechanism of action of Anastrazole?
aromatase inhibitor
used to treat estrogen receptor positive breat cancer in peri/post menopausal women
What are the ligands that initiate extrinsic apoptosis?
Fas and TNFa