Edmead L2 - Proto-oncogenes to Oncogenes Flashcards

1
Q

Oncogenes are genes that result in a _____.
The mutation happens at DNA level so when transcribed the protein either has:
1) Altered to ______ ______.
2) Been ______ __ ______ ______.

A

Altered to increase activity

Produced in higher quantities

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2
Q

Normal function of proto-oncogenes is to _____ ___ ____.
____ __ _____ mutations in proto-oncogenes activates them to become oncogenic.
They then encode proteins that can _______ cells.
Basically they are the normal cellular counterpart of a mutated gene that can cause tumours.

A

Control cell growth
Gain of function mutations
Transform

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3
Q

What are the three different types of mutation that can lead to oncogene formation?

A

1) Point mutation
2) Gene amplification
3) Chromosomal translocation

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4
Q

What is being described?

  • DNA transversion and/or transition occurs
  • Change in nucleotide from G to C changes codon and AA hence protein structure and function is altered
  • OR a change in purine for pyrimidine occurs
  • This results in a gain of function so the protein can become constitutively active and promotes growth all the time.

Give an example of a protein.

A

Point mutations
Point mutations in the gene encoding RAS can result in RAS becoming constitutively active
Cells are constantly signalled to grow and proliferate and a tumour can result

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5
Q

What is being described?
- If when a cell proliferates, it copies DNA but slips and copies the same length of DNA again this can lead to increased numbers of the gene
- This then leads to increased amount of the protein being produced (over expression of the gene occurs)
- This can lead to increased growth and mass formation
N.B it is a wild type copy just more of the protein around

Give an example of a protein

A

Gene amplification

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6
Q

What is being described?

  • Change in the chromosome where part breaks off and moves to another chromosome
  • Genes are regulated by promoter regions - if the gene breaks off and moves from an area of low transcription to high transcription then more protein produced

Give an example of a protein

A

Chromosomal translocation

E.g. BCL2 locus translocates to area next to heavy chain enhancer which is very active in B cells. BCL2 is anti-apoptotic and expressed in higher levels after translocation leading to B cell lymphoma (apoptosis reduced so more cell survival)

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7
Q

Src is a ____ _____ (phosphorylates proteins) involved in growth and survival pathways

A

Tyrosine kinase

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8
Q

c-Src is a ______ whereas V-Src is a ______

A

c-Src is a proto-oncogene whereas v-Src is an oncogene (altered form transduced by retrovirus)

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9
Q

Describe INACTIVE and ACTIVE Src

A

Inactive Src: SH2 domain is bound to phosphorylated Tyrosine 527 residue meaning it is in a ‘closed’ or inactive confirmation

Inactive Src becomes active when phosphateases that dephosphorylate it or when phosphorylated receptors e.g. EGFR interact with the SH2 domain disrupting the -ve regulatory intramolecular conformation

Active Src: The tyrosine 527 is dephosphorylated thus it is unable to bind to the SH2 domain resulting in an ‘open’, active conformation this can then phosphorylate target proteins including FAK and transcription factors

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10
Q

List a way in which Src can become constitutively active

A

Mutational activation e.g. mutation or deletion of tyrosine 527

  • In sarcomas, the Rous sarcoma virus integrates it’s genetic material into chicken genome so that the DNA is next to the Src gene
  • This genetic material is then excised to make a new viral particle and it takes some of the Src gene with it BUT doesn’t include the C terminal tyrosine (527)
  • The virus can then integrate it’s genetic material into another chickens host DNA and the Src protein is then make w/o the C terminal tyrosine residue 527
  • The infected chickens acquire the version of Src missing the regulatory domain so the Src becomes constitutively active as it cannot fold up into the close conformation
  • This leads to the Src being able to phosphorylate target proteins such as FAK and transcription factors which can then lead to tumour growth
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11
Q
  • HER2 - _____ AA is part of the transmembrane region (_____ so sits in the membrane)
  • EGF binds and dimerises 2 subunits of the receptor and causes activation of intracellular signalling domain (_____ domain)
  • This then uses ATP to phosphorylate downstream targets
A

Valine
Hydrophobic
Kinase domain

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12
Q
  • _____ can get mutated through _____ mutation to become glutamine
  • Glutamine is a _____ AA so not favourable to sit in lipid membrane so it tries to minimise the disruption but this causes _______ of the 2 receptor chains
  • This activates intracellular domains so receptor signals w/o ligands
  • It then becomes ______ _____
  • This form is referred to as the ___ _____ (mutated form of the HER2 receptor) - point mutation
  • This is a point mutation and is seen in ______ cancer

What can you treat this with?

A
Valine 
Point
Charged 
Dimerisation 
Constitutively active
Lung

You can treat this with small molecule inhibitors e.g. Iressa/Tarceva which block the kinase domain, preventing downstream signalling

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13
Q

The HER2 receptor is susceptible to amplification where there is no change in ____ and it is still regulated by a ligand. There’s just more receptors, so more chance of a ligand interacting with receptor and causes more growth. This can lead to _____ cancer and is due to ______ _______ and cells are more sensitive to growth factors.

A

Valine
Breast
Template slippage

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14
Q

HER2 is amplified in around __% of breast cancers and HER2 over expression leads to cell ______ and induction of breast cancer.

A

30

Induction

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15
Q

In cases where HER2 is over expressed e.g. ____ cancer. mAbs e.g. _____ can be used to block _____ _____. This prevents _______ of the receptor. It doesn’t work in cancers where HER2 is constitutively active as they are ligand independent (so doesn’t work in ____ cancer).

A
Breast
Herceptin
Ligand binding
Dimerisation 
Lung
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16
Q

Herceptin only works in pts who are _____ not those who are oestrogen+ or BRCA1+

A

HER2+

17
Q

HER2 status can be detected by ___________, _____ or ____-_____ _____.

A

1) Immunohistochemistry - stain proteins in tissue sample with Abs then take a biopsy and look at amount of HER2 protein expressed on cells - rating 0-3 (latter = HER2 +ve)
2) FISH - fluorescent in situ hybridisation, more sensitive than immunohistochemistry, probe binds to DNA & if multiple copies = multiple binding of fluorescent probe - MAIN METHOD OF DETECTING
3) HER2-ECD ELISA - as protein is over expressed, it becomes unstable and cleavage of extracellular domain of HER2 often occurs - can detect ECD circulating in serum - quicker but not as sensitive

18
Q

What does more specific detection of mutations enable?

A
  • Quicker identification of cancer
  • Can target cancer using more specific treatment
  • This can reduce side effects
  • And mean treat quicker and more effectively
  • Can save costs as can predict drugs likelihood of working better
19
Q

Herceptin (Trastuzumab) may also induce ______ of the receptor by binding it and causing _______.
It also induces cell cycle arrest through increasing ____ (cell cycle dependent kinase inhibitor) and may increase ____ of cells and decrease angiogenesis.
It also promotes ADCC (antibody ______ ______ ______) via FcR on NK cells.

A
Downregulation 
Internalisation 
P27
Apoptosis 
Antibody dependent cellular cytotoxicity
20
Q

Herceptin is usually given in combination with therapeutic agents e.g. D______, C_______ and P______ - allows smaller doses of drugs to be given so fewer side effects.

A

Doxurubicin, cyclophosphamide and paclitaxel

21
Q

Name three issues with Herceptin:

A

1) Expensive
2) Resistance - when DNA mutated it become more unstable and more likely to acquire mutations so if continues to mutate then the ab no longer binds so need a different agent instead
- Pts are often treated for 1 year but build up of resistance is common
3) Potential cardiotoxicity as HER2 important in ventricular development so contraindicated if heart disease as can cause down regulation of heart function

22
Q

How does Petruzumab work?

A

It inhibits receptor dimerisation so slightly different target to Herceptin so can use if resistance builds up

23
Q

How might HER2 vaccines work?

A

Stimulate CD4+ T cells so they recognise when over expression of HER2 is present and they then try to kill these cells at an early stage and recruit bodies immune system to target the cancer

24
Q

RAS is involved in the same growth pathway as EGFR but is downstream. Explain why blocking EGFR is not useful if RAS is constitutively active.

A

RAS is downstream of EGFR so blocking EGFR with Iressa or Tarceva (small molecule inhibitors) or with Herceptin (if EGFR over expressed) then no effect will occur as RAS will be active despite this.

25
Q

Diff mutations in RAS occur in different cancers e.g. valine to glycine or serine mutations. These mean RAS loses it’s _____ ability so when bound to ____ it stays doesn’t hydrolyse back to ____ so always in activation state and always activating RAS in down stream pathway - so mutations lead to constitutive activation of RAS.

A

Hydrolysing
GTP
GDP

26
Q

Ras as a cancer target: Would seem like a good target but not a _____ so doesn’t have ATP binding site which is usually target of EGFR and others in the pathway.

A

Kinase

27
Q

Why has Ras not proven to be a good cancer target?

A

Ras has a fatty acid modification that tethers it to the membrane. So if this addition of fatty acids to Ras is blocked then localisation of Ras to the membrane can’t occur and the interaction between Ras and Raf is blocked.
Farnesyl transferase inhibitors were developed (small peptides that block and outcompete Ras) which inhibits this modification
BUT in the clinic - unsuccessful
Instead of adding a farnesyl group fatty acid, the body used a different enzyme (geranyl geranyl) instead and added this group which did the same job.
Ras then still remained constitutively active.
Tried to block the new enzyme but this drug was toxic and withdrawn

28
Q

Why is HER2 status detection important?

A

Because determining the HER2 status of a breast cancer tumour can help in selecting which drug agent to target the tumour with. E.g. If HER2 positive then the HER2 targeted mAb Herceptin can be used to target the HER2 over expression.