Cell Cycle, Cancer, and Cell death Flashcards
reference reading and LO #1 Cell Cycle, Cancer, and Cell death
REFERENCE READING: References and citations for further reviewing and reading: • Lippincott’s Illustrated Reviews: Cell and Molecular Biology, 2e. 2019. Nalini Chandar and Susan Viselli (E-Book available through KCU) (Unit V chapter 20-24): Regulation of Cell Growth and Cell Death) • Lecture slides and relevant citations listed on slides for specific subject
Recognize and discuss the basics of cancer cell biology (Ch. 22), including:
A. Know some historical perspective; classification (lecture slides)
B. Discuss and understand the multistep nature of cancer: i. Cancer initiation, promotion and progression ii. Proto-oncogenes; oncogene activation a. Viral Oncogenes – types and examples b. Mechanism of conversion of protooncogenes to oncogenes c. Defects in cell signaling pathways iii. Tumor suppressor genes a. Defects in cell cycle checkpoints b. Defects in cell death activation
C. Understand the components of the tumor microenvironment (lecture slides)
D. Clinical examples if cancer and defects in gene expression i. Breast Cancer ii. Head and neck cancer iii. Pancreatic cancer
What is a tumor?
Tumors - Space occupying lesions that may or may not be neoplasms
What is a neoplasm?
Neoplasm - relatively autonomous abnormal growth with abnormal gene regulation, 2 types: benign and malignant (→ cancer)
What is cancer?
Cancer - Malignant neoplasm (can produce metastasis)
What is metastasis?
• Metastasis - Secondary growth of cancer at different - location from primary neoplasm
Describe Multistep nature of cancer.
- 1941 Isaac Berenblum: Showed mouse skin 2- step treatment model for cancer induction
- Carcinogenesis involves at least 2 different distinct steps (multistep process)
What are the Stages of Carcinogenesis?
Initiation • Simple mutation in one or more genes that control key regulatory pathways of the cell
Promotion • Selective functional enhancement of signal transduction pathways that were induced by initiator by continuous exposure
Progression • Continuing change of the basically unstable karyotype
Stages of Carcinogenesis
- Initiation - Genotoxic event - (Change in DNA sequence)
- Promotion - Epigenetic event -(involving changes in gene regulation)
- Progression - Clastogenic events and other (further changes in karyotype)
- Cancer is largely the result of acquired genetic and epigenetic changes
Describe Initiation.
- Irreversible
- No threshold
- Genotoxic agents include chemicals, radiation, reactive oxygen species, and viruses
- Involves sequence change in cellular DNA
- Single gene mutation, chromosomal translocation, and gene amplification
- Can be a result of the activation of oncogenes or the inactivation of tumor suppressor genes
Describe Promotion.
- Follows initiation
- Promotion occurs over a long period of time • Reversible in its early stages
- Involves gene activation or repression such that the latent phenotype of the initiated cell becomes expressed through cellular selection and clonal expansion.
- Threshold exists (time and dose)
- Various mechanisms such as
- Inhibition of cell death of in the initiated cells
Describe Progression
Involves further complex genetic changes (chromosomal translocations, deletions, gene amplifications)
- Irreversible changes in gene expression.
- Evolution of karyotypic instability.
- Selection for optimal growth in response to the cellular environment.
- Results in the conversion of benign tumors into malignant neoplasms. capable of invading adjacent tissues and metastasizing to distant sites.
What are the Hallmarks of cancer?
- Acquire self-sufficiency of growth signals
- Become insensitive to growth inhibitory signals
- Evade cell death
- Acquire limitless replicative potential
- Sustain angiogenesis
- Acquire capabilities to invade tissues and metastasize
- Create genome instability
- Promote inflammation
- Avoid immune destruction
- Reprogram energy metabolism
What are Oncogenes & Tumor suppressor genes?
- Oncogenes. These cellular genes whose expression stimulate cell division and/or growth. Expression of these genes is tightly control under normal circumstances. Loss of regulation of gene expression can lead to enhanced expression of these proteins which leads to unregulated cell division and growth.
- Tumor suppressors. These are cellular genes that serve to check or inhibit cell division. Loss of expression of these proteins leads to cell growth or cell division.
Describe oncogenes in detail
- In carcinogenesis: activated by mutations or overexpression.
- Germline inheritance rarely involved.
- Oncogenes are said to be “dominant” in their action. This is because they result from a “gain of function” mutation that results in their overexpression or unregulated activity (i.e., they remain constitutively active).
- Since they promote cell growth and proliferation, their unregulated activity would provide a continuous stimulation of cell division. Because of this dominant action, it is only necessary that one of the two alleles be activated for the effects on cell growth to be felt.
What are the 3 forms that oncogenes are found in?
Oncogenes are found in three forms:
- Cellular proto-oncogenes that have been captured by retroviruses,
- Virus-specific genes that behave like cellular proto-oncogenes that have been mutated. (When the chicken made history –Discovery of Avian sarcoma virus, 1911 (Peyton Rous) - Viral oncogenes)
- Cellular proto-oncogenes that have been mutated,
When a mutation or rearrangement event is involved, it is said that the protooncogene has been “activated.”
Describe Tumor suppressor genes in detail.
- Recessive
- Normal activity: repress growth
- In carcinogenesis: inactivating mutations, deletions, loss of expression,
- Germline inheritance frequently involved in cancer development
- No known analogous in oncogenic viruses
- Major examples are: p53, Rb, p14ARF, p16INK4A • All are cell cycle regulatory proteins
- p53
- p16INK4A – Numerous studies showed inactivation of the INK4a locus on human chromosome 9p21 in human cancers (2nd most commonly inactivated gene) • Gene mutation • Gene deletion • CpG island methylation in promoter
- Rb (Retinoblastoma) – Not limited to loss of both alleles leads to RB.
Describe The Tumor Microenvironment (TME)
- The tumor microenvironment is the tissue environment in which cancer cells exists, that include normal cells, secretory factors, and the extracellular matrix.
- Cellular components (non-cancerous cells): – Immune cells : lymphocytes, macrophages, bone marrow-derived inflammatory cells – Fibroblasts, other stromal cells that are tissue specific such as stellate cells in the pancreas and glial cells in the brain – Blood vessels cells: endothelial cells and smooth muscles cells – Epithelial-mesenchymal transitions (EMTs) cells
- Secretory factors: signaling molecules, growth factors, inflammatory factors, and enzymes (MMPs)
- Extracellular matrix: Fibrous proteins and Proteoglycans. Provide structural support for multicellular environment
- Barrier for therapy
- Paracrine signaling
- Desmoplastic reaction
- Promoting tumor progression, therapy resistance and recurrence
- EXAMPLE: Chronological aging of fibroblasts contributes to the pancreatic cancer progression and that the inflammatory mediators ALOX12 and 12-(S)-HETE may be potential stromal (TME) targets for interventions that seek to halt progression and improve therapy outcomes.
What is breast cancer?
- Breast cancer is the most frequent malignancy in women worldwide
- It is curable in ~70–80% of patients with early-stage, non-metastatic disease
- Advanced breast cancer with distant organ metastases is considered incurable with currently available therapies.
- On the molecular level, breast cancer is a heterogeneous disease; with molecular features include:
- Activation of human epidermal growth factor receptor 2 (HER2, encoded by ERBB2),
- Activation of hormone receptors (estrogen receptor and progesterone receptor)
- BRCA mutations
Describe Estrogen Receptor signaling pathway re: breast cancer
- Estrogen Receptor signaling pathway
- Breast cancer cells have relatively high ERα expression and low ERβ expression.
- These two types of nuclear hormone receptors form homo- or heterodimers upon ligand binding and translocate into the cell nucleus for transcriptional regulation, which is the main function of ERs.
- ER dimers bind to the ERE region of target genes and recruit co-regulators to achieve the regulation of transcriptional activity.
- Another mechanism by which ERs control the expression of target genes is acting as a coregulator for other transcription
Describe the HER2 signaling pathway re: Breast cancer
- HER2 signaling pathway.
- HER2 as well as the other members of the EGFR family are receptor tyrosine kinases which are located on the cell membrane and responds to a wide variety of ligands.
- Phosphorylation of the tyrosine kinase domain in the cytoplasm initiates downstream oncogenic signaling pathways such as PI3K/AKT pathway and Ras/MAPK pathway.
Describe Head and neck cancer
- Approximately 500,000 newly diagnosed HNSCC each year worldwide (www.who.int)
- In 2016, 62,000 new cases of HNSCC will be diagnosed in the US. (www.cancer.net)
- Two-thirds of HNSCC are presented with locoregionally advanced disease.
- Recent studies show an increase is HNSCC due to human papilloma virus infections HPV
What is pancreatic cancer?
- The most common exocrine pancreatic neoplasm is pancreatic ductal adenocarcinoma PDAC, which accounts for more than 95% of all pancreatic malignancies
- Pancreatic epithelial neoplasia is a multistep process
- K- ras mutation is believed to be an early genetic event, followed by loss of functional p16 , p53, SMAD4, and many other changes