Ch7.11 APC Flashcards
What is Familial Adenomatous Polyposis (FAP)?
An inherited susceptibility to develop adenomatous polyps in the colon, which can progress to colon cancer.
What percentage of colon cancers is accounted for by Familial Adenomatous Polyposis (FAP)?
Less than 1% of all colon cancers.
How is FAP linked to the APC gene?
Mutations in the APC gene cause the development of numerous polyps in the colon, increasing the risk of cancer.
What role do stem cells play in the colonic crypt?
They divide to maintain the stem cell pool and produce progenitor cells that differentiate and migrate upwards.
What happens to enterocytes after they migrate out of the crypts?
They differentiate, function briefly, die by apoptosis, and are shed into the colonic lumen within 3-4 days.
How does the process of enterocyte turnover defend against colon cancer?
Mutations in enterocytes are quickly eliminated as the cells die within days of being formed.
What kind of mutation can contribute to colon cancer development in enterocytes?
Mutations that block out-migration and apoptosis of enterocytes can lead to cancer.
What signaling pathway regulates the stem cell state in colonic crypts?
The Wnt/β-catenin signaling pathway.
What is the role of β-catenin in colonic stem cells?
High levels of β-catenin maintain the stem cell phenotype in enterocytes.
How does APC affect β-catenin levels?
APC promotes the degradation of β-catenin, lowering its levels as enterocytes migrate out of the crypt.
What happens when APC is mutated or inactivated?
β-catenin accumulates, causing cells to retain a stem cell-like phenotype and preventing migration out of the crypts.
What is the consequence of β-catenin accumulation in colonic enterocytes?
It leads to the formation of adenomatous polyps, which can progress to carcinomas.
What other gene mutations often follow APC inactivation in colon cancer development?
Mutations in genes like K-ras, which cause more aggressive cell growth.
What is the role of GSK-3β in β-catenin regulation?
GSK-3β phosphorylates β-catenin, marking it for degradation via the ubiquitin-proteasome pathway.
What are the components of the APC degradation complex?
APC, axin, conductin, and GSK-3β.
What percentage of sporadic colon carcinomas involve APC inactivation?
About 90%.