cellular homeostasis & cancer Flashcards

1
Q

6 DNA repair pathways

A

-direct reversal pathway
-mismatch repair pathway
-base excision repair
-nucleotide excision repair
-homologous recombination pathway
-non-homologous end joining (NHEJ) pathway

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2
Q

where does endogenous DNA damage occur

A

in active DNA participating in cellular activity like cell division (intracellular causes)

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3
Q

causes of exogenous DNA damage & 3 examples

A

environmental, physical, chemical agents

ex.
UV & ionizing radiation
alkylating agents
crosslinking agents

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4
Q

the two categories of DNA mismatch repair enzymes

A

MutS enzymes
MutL enzymes

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5
Q

MutS enzymes are associated with which DNA mismatch repair genes

A

MSH2
MSH3
MSH6

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6
Q

MutL enzymes are associated with which DNA mismatch repair genes

A

MLH1
MLH3
PMS1
PMS2

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7
Q

4 causes of cell cycle arrest

A

damaged DNA
unrepaired DNA
partially repaired DNA
cell size too small

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8
Q

(CDKs) stands for

A

cyclin dependent kinases

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9
Q

4 things that CDKs control in the cell cycle

A

DNA replication
transcription
chromatin remodeling
mRNA processing

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10
Q

CDK activation mechanism

A

CDKs inactive at baseline
->
activated when cyclins bind
->
cyclin/CDK complex modifies target proteins via phosphorylation during cell cycle

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11
Q

cyclin/CDK complexes are activated by _____

A

mitogens

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12
Q

cyclin/CDK complexes are inhibited by _____

A

the activation of cell cycle checkpoints (control points) in response to DNA damage

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13
Q

cyclin D

-active in what phase
-function & mechanism of action

A

G1 phase

promotes cell growth & entry into S phase by activating CDK4, CDK6

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14
Q

cyclin E

-active in what phase
-function

A

transition from G1 to S phase

activates CDK2 to initiate DNA replication

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15
Q

cyclin A

-active in what phase
-function

A

late S phase & G2 phase

regulates DNA replication & prepares cell for mitosis

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16
Q

cyclin B

-active in what phase
-function & mechanism of action

A

M phase

drives events of mitosis (spindle formation & chromosome alignment) by activating CDK1

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17
Q

growth factors are needed _____, and are NOT needed _____

A

needed during early G1 phase

NOT needed after the restriction point (late G1 phase)

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18
Q

each growth factor binds to _____

A

a specific cell-surface receptor with receptor tyrosine kinase (RTK) activity

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19
Q

how do growth factors drive the cell cycle

A

activate RTKS & downstream signaling pathways
->
which regulates cyclin/CDK complexes

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20
Q

what is a senescent cell

A

a cell that can no longer divide

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21
Q

main benefit of cell death

A

maintains tissue homeostasis

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22
Q

3 common types of cell death

A

apoptosis
necrosis
autophagy

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23
Q

apoptosis

-definition
-mechanism
-benefit of mechanism

A

“programmed cell death”

membrane blebbing -> cell shrinkage -> condensation of chromatin -> fragmentation of DNA -> apoptotic bodies -> dead cell rapidly engulfed by neighbors

absence of inflammation during cell death

24
Q

necrosis

-definition
-mechanism
-consequence of mechanism

A

“non-programmed cell death”

cell swells -> plasma membrane ruptures -> lysis of cell -> damages surrounding tissue

presence of inflammation during cell death

25
Q

aggressive tumors _____ via necrosis

A

die from the inside out

26
Q

necrosis is associated with _____

A

increased dissemination of cancer cells

27
Q

autophagy

-definition
-benefit for cell

A

“break down & reuse old cell parts”

autophagic vacuoles -> membrane blebbing -> increased lysosomal activity

helps cell survival & maintenance

28
Q

in a late phase tumor, autophagy supports & enhances _____

A

tumor growth

29
Q

in early stages of cancer, autophagy has _____, which _____

A

anti-metastatic / protective role

limits cancer necrosis & inflammation

30
Q

ferroptosis

-definition
-mechanism
-2 features
-triggered by

A

iron-dependent cell death

via genetic changes in iron homeostasis & lipid peroxidation metabolism

increased membrane density & small mitochondria

triggered by accumulation of iron

31
Q

ferroptosis plays a critical role in _____

A

tumor suppression (may also activate tumors but research unclear)

32
Q

pyroptosis

-definition
-mechanism
-causes release of
-triggered by

A

caspase-dependent inflammatory cell death

NLRP3 activated -> caspase-1 perforates cell membrane (by forming nonselective pores) -> water influx -> cell swelling, membrane rupture, lysis & cell death

causes release of alarmins (DAMPs, S100 proteins) (proinflammatory signals)

triggered by infection

33
Q

pyroptosis is both _____ & _____

A

a tumor promotor & tumor suppressor

34
Q

necroptosis

-definition
-protein & substrate needed

A

caspase-independent “cellular suicide”

protein RIPK3 & substrate MLKL

35
Q

necroptosis is a tumor _____

A

suppressor

36
Q

which programmed necrosis cell death type has maintained mitochondrial integrity

A

pyroptosis

37
Q

what are driver mutations

A

mutations that cause a selective growth advantage to somatic cells in their microenvironment

38
Q

driver mutations drive the cell lineage to _____

A

cancer (promote cancer development)

39
Q

driver mutations in the _____ gene, encoding the _____ protein, are found in a majority of cancers

A

TP53 gene
p53 protein

40
Q

what types of genes do driver mutations occur in

A

driver genes

41
Q

an example of driver genes

42
Q

mutation mechanisms that lead to proto-oncogene activation

A

-coding mutation
-regulatory mutation
-translocation
-gene amplification

43
Q

_____ or _____ contribute to oncogenesis

A

abnormal proteins

excessive amount of protein

44
Q

what are proto-oncogenes

A

genes that normally regulate cell growth & proliferation, or help cells stay alive

45
Q

what activates a proto-oncogene

A

mutation or presence of multiple copies of the proto-oncogene

46
Q

what is an activated proto-oncogene called

47
Q

what is the “molecular basis of cancer”

A

oncogenes inducing cell transformation

48
Q

what is epigenetics

A

the study of how environmental factors can cause cells to modify gene expression (WITHOUT changing the actual DNA sequence)

49
Q

examples of epigenetic changes

A

acetylation
methylation
hypermethylation
phosphorylation
ubiquitylation

50
Q

acetylation _____ gene expression; methylation _____ gene expression

A

acetylation increases gene expression

methylation decreases gene expression

51
Q

epigenetic changes are _____; genetic changes are _____

A

epigenetic changes = reversible

genetic changes = irreversible

52
Q

5 mechanisms that may promote tumorigenesis

A

-impaired DNA repair
-epigenetic modification
-chromosomal shattering
-impaired protein synthesis
-cell transformation

53
Q

_____ is the underlying cause of tumorigenesis

54
Q

mutation in proto-oncogene results in _____ and promotes _____

A

GOF

tumorigenesis

55
Q

common oncogenes

A

MYC
RET
PDGFRA
MET
KIT
FLT3
EGFR
BRAF

56
Q

common tumor suppressor genes

A

TP53
TGFRB2
RB1
PTEN
CHEK2
CDKN2A
BRCA1
BRCA2
APC

57
Q

mutation in tumor suppressor gene results in _____ and promotes _____

A

LOF

tumorigenesis