DNA Repair and Cancer Part 2 Flashcards

1
Q

What happens if DNA damage is persistent or too high

A

If DNA damage is persistent or too high
then senescence or apoptosis will occur
Ideal scenario: repair DNA after insult

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2
Q

What is senescence

A

loss of a cell’s power of division and growth

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3
Q

What is apoptosis

A

the death of cells which occurs as a normal and controlled part of an organism’s growth or development.

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4
Q

How many check points are there is the cell cycle
Where do they take place
What does each other check for

A

There are three cell checkpoints
- G1- checkpoint
(checks whether environment is favourable)
- G2- checkpoint
(checks if all DNA is replicated & if damaged DNA is repaired)
- Checkpoint in mitosis
(Checks if chromosomes are properly attached to the spindle fibres)

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5
Q

What does the G2 checkpoint allow for

A

Checkpoint in G2 allows temporary arrest to repair DNA

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6
Q

What are the types of single strand break repair

A

Base excision repair

Nucleotide excision repair

Mismatch repair

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7
Q

What is Base excision repair

A

Deamination converts a cytosine base into a uracil

The uracil is detected and removed, leaving a base-less nucleotide

The base-less nucleotide is removed, leaving a small hole in the DNA backbone

The hole is filled with the right base pair by a DNA polymerase and the gap is sealed using a ligase

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8
Q

What is Nucleotide Excision repair

A

UV Radiation produces a thymine dimer

Once the dimer has been detected, the surrounding DNA is opened to form a bubble

Enzymes cut the damaged region out of the bubble

A DNA polymerase replaces the excised (cut of) DNA, and ligase seals the backbone

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9
Q

What is Mismatch repair

A

A mismatch is detected in newly synthesised DNA

The new DNA strand is cut and the mispaired nucleotide and its neighbours are removed

The missing patch is replaced with correct nucleotide by a DNA polymerase

A DNA Ligase seals the gap in the DNA backbone

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10
Q

What are the types of Double Strand break repair

A

Non-homologous end joining

Homology-directed repair

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11
Q

What is Non-homologous end joining

A

The broken ends are bound by Ku70/80 proteins

A complex of other proteins is bound and it trims of base pairs around the breakage
(DNA-PKcs complex is recruited, followed by Artemis and
MRN – resection (trimming of excess bp) occurs)

DNA ligase repairs the break

The new DNA may not be an exact copy of the original piece

Some base pairs may be missing which can lead to different consequences for different proteins

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12
Q

What is Homology-directed repair

A

The DNA either side of the break is resected by a protein
complex that includes ATM and MRN

A second complex called The Rad51 then permits a heteroduplex to form (pairing up with another copy of the gene found in the genome)

– combining the 3’ single strand and a homologous dsDNA sequence

A D-loop, or displacement loop moves along the DNA,
making a complementary strand to the 3’ single strand
template

The newly synthesised DNA is captured by the 5’ single
strand of the original template. Polymerase and ligases
repair the break

(Two copies of each gene in the genome
If only one is mutated, other can be used as a template)

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13
Q

Mutations in DNA repair genes can lead to cancer
Is it a multi-step process

What are the steps to cancer

A

There are multiple steps of a cell mutation till cell becomes cancerous.

Normal to
Pre-malignant to
Malignant

MULTIPLE Mutations accumulate over time until a threshold is passed and cancer is triggered.

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14
Q

What is Lynch syndrome

A

Lynch syndrome caused by defective mismatch repair

Also called Hereditary nonpolyposis colorectal cancer

Caused by mutations in mismatch repair genes: MLH1, MLH2, MSH6, PMS2

Autosomal dominant inheritance
(One parent can pass this on to their offspring)

High risk of colorectal, endometrial, gastric
and ovarian cancer

Treated by surgery in many cases

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15
Q

What is Intertumoral and intratumor heterogeneity difference

A

-Intra-tumor heterogeneity,
(different cell types with in a tumor)

-Inter-tumor heterogeneity,
(between different tumour)

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16
Q

What is Chemotherapy

A

Chemotherapy is the use of chemicals to kill cancer cells without damaging other cells of the body, however Heterogeneity within the tumors limit the ability of chemotherapy to kill tumors

17
Q

Clonal expansion and clinical resistance
(When does Chemotherapy not work)

A

Differential Sensitivity
-Some cells will be killed, others will not
- These will expand over time till you have a chemotherapy resistant tutor

Chemotherapy-induced Mutagenesis
- Chemotherapy can cause mutations within the cancer cells
- Making cells resistant to chemotherapy
- These will expand over time

18
Q

What is Synthetic Lethality strategies

A

By using redundancy in genetic pathways, drugs can target cancer cells but not normal cells

19
Q

What is an example of Synthetic Lethality strategies

A

Example: PARP inhibitors and breast cancer

20
Q

What causes Ataxia Telangiectasia

What is the symptoms of it

how do you treat it

A

Ataxia Telangiectasia is caused by failure of homology directed repair

Mutations occur in the ATAXIA TELANGIECTASIA MUTATED (ATM) gene

Failure of homology directed repair.
(Homology-directed repair is a mechanism in cells to repair double-strand DNA lesions)

Autosomal recessive inheritance pattern – more likely to occur as result of co-sanguinity (between relatives, cousins)

Patients are sensitive to UV damage (sunlight)

Currently no treatments for this disease