Cell Cycle & Cancer Flashcards

1
Q

What is the primary role of the G1 phase? What other functions occur?

A

Primary role: Sense DNA damage

Other functions: synthesize proteins necessary for DNA replication, increases in cell size

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2
Q

What is the primary role of the S phase in the cell cycle? What is doubled?

A

Primary role: DNA synthesis

Number of genetic material is doubled, there are now 46 chromosomes

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3
Q

What is the primary role of G2? Other functions?

A

Primary role: Synthesize things needed for mitosis for cell survival
increased cell growth

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4
Q

What is the function of mitosis and the phases of mitosis?

A

Function of mitosis: DNA condensation to chromatin

Prophase: DNA condenses into sister chromatid
Metaphase: DNA aligns in the center to prepare for separation
Anaphase: DNA begins to separate and move to opposite poles
Telophase: DNA begin dividing into 2

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5
Q

Function of G0? What cells go to G0?

A

Function of G0 is to sequester cells not ready for cell division. Either due to cell damage or division of the cell is not needed in the body at that time. Cells are arrested either until they are given the sequence to initiate move into G1 or are too damaged to be repaired and are marked for apoptosis

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6
Q

What are the two mechanisms for programmed cell death and their pathways?

A

Intrinsic cell death (mitochondrial)

  • -Propoptic: BAK, BAX. Create pores in the mitochondrial membrane that release cytochrome C and induce apoptosis
  • -Antipropotic: Bcl-2, Bcl-xL. Make the mitochondrial membrane impermeable so that cytochrome C cannot be released and inhibits apoptosis.

Extrinsic cell death

  • -Ligand mediated: FasL/Fas or TNF-alpha/TNF bind together and initiate the release of initiator caspases that then signal the release of the caspases that trigger apoptosis
  • -Cytotoxic T cell: GRANENZYME perforates cell membrane releasing PERFORIN which activates caspases that trigger apoptosis
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7
Q

Differences between apoptosis and necrosis

A

Apoptosis: programmed/regulated, non-inflammatory, cell membrane remains intact
Necrosis: not planned, always pathological, always inflammatory, cell membrane disrupted, macrophage digestion

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8
Q

Which part of the cell cycle does each cyclin regulate and with what respective cyclin-dependent kinase

A

Cyclin D/CDK4/CDK6: G1 –> S
Cyclin E/CDK2: G1 –> S (helps to finish transition)
Cyclin A/CDK1/CDK2: S & G2 (only cyclin that is responsible for 2 phases)
Cyclin B/CDK1: Mitosis

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9
Q

What is the function of cyclins? What is the function of cyclin-dependent kinases?

A

Cyclin by itself is unstable. CDKs stabilize cyclin when they bind. The only role of cyclin is to move cells further in the cell cycle. CDKs are indirect regulators of cyclin

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10
Q

How do cyclins regulate themselves?

A
  1. Cyclin-inhibition kinases: inhibit the activation of CDK/cyclin complexes downstream
  2. The structure of cyclin is unstable with a short half life and will naturally ensure that expression stops
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11
Q

What role does the tumor suppressor Rb play in regulation of cell cycle progression and by what mechanism and which part of the cell cycle?

A

Rb is an indirect inhibitor of the cell cycle. E2F is a protein that must be expressed in order for S proteins to be expressed and cell cycle progression to continue. When cyclin D is activated and binds to CDK4, the cyclin D/CDK4 complex goes to phosphorylate the Rb/E2F complex. The phosphorylation decreases affinity between Rb and E2F so that as long as Rb is continually phosphorylated then E2F will be expressed and the cell cycle will progress past the G1/S checkpoint

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12
Q

What role does p53 play in cell cycle progression. Which part of cell cycle? By what mechanism?

A

P53 inhibits progression at the G1/S checkpoint. p53 binds to damaged DNA and makes p21. This p21 acts as an inhibitor and binds to cyclin E/CDK2 to inhibit cell cycle progression. DNA is given a chance to repair itself before it goes into the cell cycle. If p53 is expressed for too long, the cell is marked for apoptosis because the DNA damage is too much to repair

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13
Q

Describe the function of each cell cycle checkpoint

A

G1/S: MAJOR checkpoint. Ensures that there is no damaged DNA
G2/M: Ensures that all the DNA made it to decrease the risk of aneuploidy
Mitosis metaphase: Ensures that the sister chromatids are aligned so that they split evenly

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14
Q

What are the mechanisms of cancer pharmacotherapy?

A
  1. Cytotoxic chemotherapy: CELLULAR POISON to stop proliferation of abnormal cells
  2. Molecularly targeted therapy: targets specific receptors/pathways
  3. Immunotherapy: aids the immune system in attacking
  4. Endocrine therapy: treats cancers that have specific hormone receptors by blocking/modifying the hormone
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15
Q

S phase cytotoxic drugs

A

Antimetabolites (Azathioprine, methotrexate)

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16
Q

S/G Phase cytotoxic drugs

A

Topoisomerase inhibitors. Block enzymes for breaking and reconnecting DNA strands

17
Q

G2 phase cytotoxic drugs and mechanism

A

Bleomycin, antitumor antibiotic. Causes free radical generation that breaks strands and arrests at G2.

18
Q

M Phase cytotoxic drugs

A

Microtubule inhibitors like VINCA ALKALOID DRUGS

19
Q

Cell cycle independent cytotoxic drugs and their mechanism

A

Alkylating agents, work by cross linking DNA chains to cause them to break which can occur at any part of the cell cycle.

20
Q

Rituximab, class of chemotherapy drug, acts on, mechanism, associate cancer

A

Molecularly targeted therapy drug, acts on CD20 receptors on B cells by increasing susceptibility of cancer cells to immune attacks, associated cancers are: B-cell cancers like non-Hodgkin lymphoma and chronic lymphocytic leukemia

21
Q

Bevacizumab, type of cancer drug, acts on, mechanism, associated cancer,

A

Molecularly targeted drug, acts on vascular endothelial growth factor, works to inhibit angiogenesis in the blood vessels, associate cancer is any tumor growth

22
Q

Imantib, class of cancer drug, acts on, associated cancer

A

Molecularly target therapy drug, acts on BCR-ABL tyrosine kinase, associated with chronic myelogenous leukemia due to philadelphia chromosome t(9,22)

23
Q

What does the suffix -mab indicate about a drug

A

-mab suffix indicates the drug is a therapeutic monoclonal antibody that targets a specific cell surface molecule

24
Q

How do cancers use immune checkpoints?

A

Use immune checkpoints to bypass the antitumor immune response by hijacking machinery. CTLA-4 inhibits T cell activity. Programmed cell death protein 1 (PD-1) function is to prevent an excessive immune response but when its hijacked by the cancer it inhibits the function completely

25
Q

Ipilimumbab, type of cancer drug, acts on, associated cancer, mechanism

A

Immunotherapy drug, works by blocking CTLA-4 activity and increasing T-cell activity. Used to treat melanoma

26
Q

Chimeric antigen-receptor T cells (CAR-T), type of cancer drug, mechanism

A

CART, a cell therapy, uses modified T cells specific to the cancer antigen to allow for easy targeting of cancer cells by T cells

27
Q

Adverse affects of Cisplastin/Carboplastin

A

Ototoxicity

Nephrotoxicity

28
Q

Adverse side effects of vincristine

A

Peripheral neuropathy

29
Q

Adverse effect of bleomycin, busulfan

A

pulmonary fibrosis

30
Q

Adverse affect of Doxorubicin

A

cardiotoxicity

31
Q

Adverse effect of trastuzumab

A

cardiotoxicity

32
Q

Adverse effect of cyclophosphamide

A

Hemorrhagic cystitis

33
Q

Autophagy dependence and programmed/unprogrammed

A

Programmed/regulated cell death and lysosomal dependent

34
Q

Necroptosis dependency and programmed/unprogrammed

A

Programmed/regulated. Dependent on phosphorylation. Independent of caspases and autophagy

35
Q

Ferroptosis regulated/unregulated

A

Regulated