Chapter 4: Growth factor signaling and oncogenes (Lecture) Flashcards

1
Q

What are two general statements describing the molecular basis (origin) of cancer?

A
  • Cancer arises by the accumulation of genetic and epigenetic changes in DNA.
  • Cancer arises by deregulation of signal transduction pathways.
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2
Q

Why is signal transduction important (name three reasons)?

A
  • Through signal transduction neighboring cells can communicate.
  • Through signal transduction cells can react to a changing environment.
  • Signals lead to cellular responses
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3
Q

Name cellular responses (for illustration).

A

Proliferation, differentiation, motility, apoptosis, kill something, metabolism, protein production and secretion, depolarization and contraction.

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4
Q

Changes in cellular activities are governed by changes in…

A

protein activity.

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5
Q

How can protein activity be changed on RNA level? And how on protein level?

A

RNA level: gene transcription regulation, transcript degradation regulation by miRNAs, differential splicing.

Protein level: protein production, modification, degradation and translocation.

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6
Q

Name three “actions” that act as “molecular switches” and enable protein modification.

A

Chemical modification, interaction, binding to small molecules (GTP, Ca2+, cAMP, PIP3, IP3, DAG).

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7
Q

Name different types of chemical modification.

A

Phosphorylation, acetylation, mono-ubiquitination, methylation, sumoylation.

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8
Q

What protein is responsible for phosphorylation?

A

The protein kinase

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9
Q

How can the protein kinase phosphorylate other molecules?

A

It can phosphorylate a protein or an amino acid with a free -OH through the use of ATP (amino acid/protein-OH + ATP -> amino acid/protein-O-P + ADP).

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10
Q

What are amino acids with free -OH?

A

Tyrosine, serine and threonine.

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11
Q

On what classifications are protein kinases based?

A
  • Function classification (tyrosine kinases (PTKs), serine/threonine kinases (PSKs) or dual specificity kinases).
  • Homology classification
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12
Q

What is the counterpart of the protein kinases?

A

The protein phosphatases (tyrosine phosphatases (PTPs), protein serine/threonine phosphatases (PSPs), dual specificity phosphatases).

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13
Q

What is the kinome?

A

The complete set of protein kinases encoded in the genome.

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14
Q

Why are there more protein kinases (n=518) than protein phosphatases (n=50-100)?

A

Because protein kinases have a higher specificity than protein phosphatases.

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15
Q

How can kinase inhibitors inhibit protein phosphorylation?

A

They are analogs of ATP. They can inhibit kinases through the use of ATP-like molecules (that don’t have the same function as ATP and thus cannot activate).

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16
Q

What is meant by dirty spectrum kinase inhibitors (KIs)?

A

Broad spectrum KIs (you also have small spectrum KIs).

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17
Q

What is the effect of protein phosphorylation?

A

Change in conformation or a creation of a docking site.

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18
Q

Name an example of the creation of a docking site as an effect of phosphorylation.

A

Phosphorylation of tyrosine is recognized by SH2-domain (Src homology 2-domain).

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19
Q

Onto the second “action” that acts as a “molecular switch” and can enable protein modification: protein interaction. With what kind of proteins can other proteins interact and what does it do?

A
  • With an inhibiting protein -> the modification releases an inhibitor. - With an activating protein -> the modifcation stimulates activation or active complex formation.
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20
Q

Name examples of protein binding domains.

A
  • SH2 domains (binds to phosphorylated tyrosine (phosphotyrosines).
  • SH3 domains (binds to proline rich domains)
  • WW domain
  • Pleckstrin Homology domain
  • Leucine zipper domain
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21
Q

Just know from this picture that several different molecules (enzymes, adaptors, docking proteins etc.) can have multiple protein binding domains combined.

A

This makes that the enzyme depicted in this picture is able to bind proline rich domains (SH3) and to phosphotyrosine (SH2) etc.

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22
Q

Onto the third “action” that acts as a “molecular switch” and can enable protein modification: binding to small molecules. GTP is always present in cells, what proteins can bind GTP?

A

Heterotrimeric G-proteins and most importantly Ras-like GTPases (important in cancer).

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23
Q

Ras is important in signal transduction and is located on the plasma membrane of cells. There, it is either found in an active or inactive state. Describe the active state of Ras.

A

Ras is bound by GTP (with three phosphate groups bound).

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24
Q

Ras is important in signal transduction and is located on the plasma membrane of cells. There, it is either found in an active or inactive state. How is Ras turned off (and also think of the protein which is involved in this process)?

A

GTP is switched for GDP through GTP hydrolysis (phosphate group is removed from GTP). GTP hydrolysis is stimulated by GTPase Activating Proteins (GAPs).

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25
Q

Ras is important in signal transduction and is located on the plasma membrane of cells. There, it is either found in an active or inactive state. How is Ras turned on (and also think of the protein which is involved in this process)?

A

Ras is converted to the active GTP-bound state by exchange of GTP for bound GDP, which is stimulated by guanine nucleotide exhange factors (GEFs).

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26
Q

What are other second messengers (which are freely diffusing small molecules formed or released)?

A
  • cAMP, cGMP
  • Ca2+
  • Lipid derivatives (DAG, PIP, IP3).
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27
Q

What are important second messengers?

A

Phospholipids in the cell membrane

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28
Q

PIP2 is a minor phospholipid component of cell membranes. Which kinase can interact with PIP2?

A

PI3-kinase (phoshatidylinositol 3-kinase or PI3K). It exchanges ADP for ATP, so that PIP2 changes into PIP3 (which then can act as a second messenger).

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29
Q

Name an example of a relay system.

A

Steroid hormones

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30
Q

What is typical for steroid hormones?

A

They work through nuclear receptors, which results in transcription of certain proteins. These proteins are translocated to the cytoplasm, where they can change cell function.

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31
Q

In short: what is EGFR signaling?

A

EGFR stands for Epidermal Growth Factor Receptor. It’s a tyrosine kinase receptor that consists of two dimers. Depending on its activation, it can alter e.g. cell function.

32
Q

What are the steps in EGFR signaling?

A
  1. Growth factor binding
  2. dimerization
  3. autophosphorylation
  4. translocation of specific proteins to the membrane
  5. RAS activation
  6. Raf, MEK, MAPK activation,
  7. regulation of transcription factors.
33
Q

What happens in the first three steps of EGFR signaling?

A

EGF binds to EGFR, this causes the two EGFR monomers to interact to form a dimer (through conformational changes of the monomers). This conformational change disrupts inhibitory interactions, leading to kinase activation. This leads to phosphorylation of one receptor of the dimer. Because of the proximity of the other receptor of the dimer, this one gets autophosphorylated.

34
Q

Note on previous question/answer: -Grb2 is able to recognize phosphorylated EGFR through SH2 domains which can bind to distinct amino acid sequences C-terminal to phosphorylated tyrosine residues. -Grb2 is able to recruit specific protein to the membrane through SH3 domains which bind to proline and hydrophobic amino acid residues on partner proteins.

Explain the step “translocation of specific proteins to the membrane” that happens after autophosphorylation of EGFR signaling. (Think of domains and proteins that are needed here)

A

Phosphorylated tyrosine residues create high-affinity binding sites for proteins that contain SH2 domains. Grb2 (intracellular protein with SH2 and SH3 domains) recognizes the phosphorylated EGFR and facilitates the recruitment of specific proteins to the membrane. Grb2 interacts through SH3 domains with a protein SOS. SOS is translocated from the cytoplasm to the membrane where it facilitates the activation of RAS.

35
Q

Note on previous question/answer:

  • Grb2 is able to recognize phosphorylated EGFR through SH2 domains which can bind to distinct amino acid sequences C-terminal to phosphorylated tyrosine residues.
  • Grb2 is able to recruit specific protein to the membrane through SH3 domains which bind to proline and hydrophobic amino acid residues on partner proteins.
A

So remember the difference!

36
Q

What happens during RAS and Raf activation (in EGFR signaling)?

A

Through interaction of Grb2 and SOS, RAS can be activated. Here, GDP is exchanged for GTP (SOS catalyzes this reaction by releasing GDP from the pocket on RAS). GTP causes a conformational change which results in the activation of RAS. RAS-GTP binds and contributes to the activation of the (serine/threonine) kinase Raf. Raf acts as a signal transducer that carries the signal away from the membrane. Raf then phosphorylates MAPKK (mitogen-activated protein kinase kinase).

37
Q

What happens after RAS and Raf activation (in EGFR signaling)?

A

MAPKK is phosphorylated and activated by Raf. MAPKK then phosphorylates mitogen-activated protein kinases (MAPKs). MAPKs form the cytoplasmic link between active RAS on the plasma membrane and the regulation of gene expression. MAPKs can enter the nucleus where it can regulate the activity of transcription factors through phosphorylation.

38
Q

Please remember that the classical example of EGFR signaling is the pathway mentioned above. Here, the first receptor discovered is described, which is the EGFR called ErBB1 or HER1.

A

But know that there are multiple receptors and ligands with different downstream effects (also dependent on the different phosphorylation sites). For example you have ErbB2 (HER2), ErbB3 (HER3) and ErbB4 (HER4).

39
Q

Also look at this picture to have an idea of the different pleiotrophic effects of RAS.

A

Okay

40
Q

Name an effector protein of RAS activation.

A

Phosphatidylinositol 3-kinase (PI3K), a lipid kinase (enzyme that phosphorylates lipids, like PIP2).

41
Q

Describe PI3K signaling after activation of RAS.

A

RAS interacts directly with the catalytic structure of PI3K. Here, lipid PIP2 changes into PIP3 with the help of PI3K. PIP3 recruits kinase PDK-1 to the membrane. Kinase Akt is also recruited and phosphorylated and activated by PDK-1. Active Akt is important in anti-apoptotic and survival roles by phosphorylating distinct target proteins.

42
Q

Active Akt is important in anti-apoptotic and survival roles by phosphorylating distinct target proteins through translocation to the nucleus. In the nucleus it can interact with proteins. With what protein does Akt interact in order to inhibit apoptosis? And with what protein does Akt interact to stimulate cell growth and proliferation?

A
  • It can interact, phosphorylate and inhibit the protein Bad, involved in apoptosis.
  • It can interact, phosphorylate and stimulate the protein mTOR for cell growth and proliferation.
43
Q

Name three reasons relay systems are important.

A
  • To transfer signals
  • To amplify signals
  • To integrate and regulate signals
44
Q

What is a photon receptor?

A

A receptor in the retina of your eyes that uses light (or a photon) as a ligand. This pathway contains a G protein-coupled receptor. (I think the most important think here is to realize that receptors can work in different ways).

45
Q

Point mutations can result in activation or inactivation of a gene. What kind of mutations are mostly activating and what are mostly inactivating ( splicing, missense, nonsense)?

A
  • Mostly activating: missense
  • Inactivating: nonsense, splice site
46
Q

What are other ways (beside point mutations) that can result in a mutated gene?

A

Chromosomal translocations, chromosomal gains (gene amplification) and viral integration (not in humans).

47
Q

An example of an oncogenic activation is a V600E mutation, that causes consitutive activation of BRAF. What does this mutation (V600E) mean?

A

V stands for the amino acid valine. E stands for the amino acid glutamic acid. The mutation means that the 600th amino acid valine (V) has changed into the amino acid glutamic acid (E).

48
Q

What will a nonsense mutation in a kinase receptor result in?

A

The mutation causes a premature stopcodon to be formed, which results in an incomplete protein. The kinase receptor will be incomplete, which causes loss of regulation. The receptor kinase is always on.

49
Q

What will translocation of a gene result in?

A

It leads to a weird fusion protein with aberrant functions.

50
Q

What’s the result of a missense mutation in RAS (amino acid 12 or 13)?

A

Loss of GTPase activity. GTPase is no longer able to terminate Ras acitivity, which means there’s no off switch anymore for Ras.

51
Q

What is the RET oncogene?

A

An important gene in neuronal development and neuroendocrine cells. When mutated, the gene can cause neuroendocrine cancers or hereditary tumor syndromes. The gene works somewhat differently (discussed in the book).

52
Q

What is interesting about the RET oncogene?

A

The gene has many phosphorylation sites, all these sites can be altered which can have downstream effects.

53
Q

Just know that different mutations in the RET oncogene result in different neuroendocrine cancer predisposition syndromes.

A

Okay

54
Q

What is a dominant negative mutation?

A

The product that arises from the mutation interferes with the function of the normal wild-type allele. This results in an altered molecular function (often inactivation).

55
Q

Classic example of p53, fill in the words:

  • acts as stress induced …. (1).
  • blocks … (2) and induces … (3).
  • Protein acts as a … (4).
  • Located on chromosome … (5).
A
  1. transcription factor
  2. cell cycle
  3. apoptosis
  4. tetramer
  5. 17
56
Q

Describe what happens to p53 when genotoxic stress, UV light or DNA damage are absent.

A

When there’s no damage, p53 is highly unstable because it will be bound by MDM2. This tags p53 for ubiquitination and at last degradation.

57
Q

Describe what happens to p53 when genotoxic stress, UV light or DNA damage are present.

A

When there’s damage, MDM2 and p53 get phosphorylated. As a result MDM2 and p53 cannot bind which causes p53 to build up in concentration. This causes cell cycle arrest (p53 induces p21 which inhibits Cdk 2,3,4&6)

58
Q

What happens when there’s a nonsense or truncating mutation of p53?

A

There’s less p53, but it’s stil active. It produces a mild effect.

59
Q

What type of mutation is a missense mutation in the DNA-binding domain of p53 that causes inactivation and overexpression? Why?

A

It’s a dominant-negative mutation. This is because p53 normally forms a tetramer with 3 other p53-proteins. Here, the missense mutation is located in the DNA-binding domain of p53 which. These mutant proteins interfere with the function of the normal p53-proteins.

60
Q

What kind of pathway can be described as oncogenic? Also name a gene that is oncogenic.

A

Oncogenic = growth stimulating pathway. An example is RAS.

61
Q

What kind of pathway can be described as suppressing? Also name a gene that is suppressing.

A

Suppressing = growth inhibiting pathway. An example is TGFb or p53.

62
Q

What are four characteristics of signaling and cancer?

A
  • There’s overproduction of growth factors.
  • There’s a gain of function mutation (usually genes are put ON).
  • There’s a loss of function mutation (usually genes can no longer be put OFF).
  • Overexpression of transcription factors
63
Q

Name treatment options as an antagonist for growth factors.

A
  • Cetuximab (anti-EGFR)
  • Herceptin (anti-Her2-Neu)
64
Q

Name treatment options as an inhibitor of tyrosine kinases.

A

Gleevec, Iressa, Vemurafenib

65
Q

Fill in: Herceptin and Cetuximab are monoclonal antibodies that inhibit …. (1). Gleevec targets the … (2) gene. Vemurafenib targets … (3).

A

Herceptin and Cetuximab are monoclonal antibodies that inhibit EGFR (1). Gleevec targets the Abl (2) gene. Vemurafenib targets RAF (3).

66
Q

A frequent mutation (85%) is the p.V600E mutation in B-RAF. This mutation has a role in the formation of melanomas. Mutated B-RAF can be a target for therapy, what drug is used and what is its function?

A

Vemurafenib, inhibits protein phosphorylation. So it’s a kinase inhibitor.

67
Q

Where does head and neck squamous cell carcinoma (HNSCC) arise from?

A

It arises from mucosal epithelium in upper-aerodigestive tract.

68
Q

Describe characteristics of the early stage of head and neck squamous cell carcinoma (HNSCC).

A
  • Favorable prognosis (5 yrs survival > 90%)
  • Treatment of the primary tumor
  • Treatment surgery OR radiotherapy
69
Q

Describe characteristics of the advanced stage of head and neck squamous cell carcinoma (HNSCC).

A

-Poor prognosis (5 yrs survival <50%) -Treatment of the tumor and the neck -Multiple treatments (surgery, chemoradiation and bioradiation).

70
Q

What is the difference and similarity between chemoradiation and bioradiation of head and neck squamous cell carcinoma (HNSCC)?

A

During chemoradiation there’s systemic administration of cisplatin (slows down cancer (cytostaticum)). During bioradiation there’s systemic administration of cetuximab (binds and slows down cancer cells). The similarity is the locoregional administriation of radiotherapy.

71
Q

What are clinical problems in the managment of head and neck squamous cell carcinoma (HNSCC)?

A
  • 10-30% locoregional recurrence - 10-30% occult lymph node metastases: staging inaccuracy for the neck - 15-25% distant metastases - 5-15% second primary tumors So based off this, it becomes clear that despite invasive treatments, they are still not adequate enough. Novel treatments are therefore required.
72
Q

What is a major problem with kinase inhibitors? And what is a problem with the use of BRAF inhibitors?

A

Therapeutic resistance to these kinase (RAF) inhibitors. Use of BRAF inhibitors result in skin cancer.

73
Q

What is an important pathway in head and neck squamous cell carcinoma (HNSCC)?

A

The EGFR pathway

74
Q

What drug is effective in head and neck squamous cell carcinoma (HNSCC)?

A

Cetuximab (also erbitux), monoclonal antibody against EGFR. (Radiotherapy in combination with this drug, works most effectively).

75
Q

What is correct?

  1. RAS binds ATP by which it becomes activated
  2. RAS belongs to the kinases

a) 1 is correct, 2 incorrect
b) 1 is incorrect, 2 correct
c) 1 and 2 are correct
d) 1 and 2 are incorrect

A

d) 1 and 2 are incorrect

76
Q

Phosphorylation is an important functional modification of proteins. Which enzymes are typically involved in the regulation of protein activity by phosphorylation?

a. Ser/Thr kinases
b. GTP-ase activating proteins (GAPs)
c. Protein phosphatases
d. a) and b) and c)
e. a) and c)

A

e. a) and c)