Exam 3 - Cancer 2 Flashcards

1
Q

What are tumor supressor genes

A
  • 2 types
    1. ) Proteins that normally restrict cell growth and proliferation
      * inhibt progression through g1/S
      • ex: Rb and CKI
        * Receptors or componets of a signaling pathways that inhibt proliferation
        * promote apoptosis
      • Ex: Caspases
    1. ) proteins that maintain the integrity of the genome
      * check point control
      • ATM, ATR both detect DNA damage and stop cell cycle
        * ATM***********TEST
        * DNA Repair Enzyme of pathways
  • If these tumor supressors genes are lost then cancer can occur
    • requires 2 recessive mutations
      *
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1
Q
A
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2
Q

How is retinoblastoma and tumor suppressors related?

A
  • inherited eye cancer in children
  • Rb is a tumor supressor that inhibits progression into S phase
  • Need to lose both gene Rb
  • 2 forms
    • 40% is familial where both eyes are affected
    • 60% is sporadic (no family history) single tumor in one eye
  • can occur in both tumor supressors (Rb) and oncogene (CKI)
    • in the onco version
      • CKI IS ABSENT so Cdk Cyclin is always active and will phosphorlate Rb to deactivate it and that allows proliferation to continue
      • In regular version
        • CKI is present to inhibit CDK from phosphorlatying Rb so that Rb cant stop progression into g1/S phase
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3
Q

What is the hereditary form of Retinalblastomia

A
  • Family form (hereditary)
  • loss of function or deletion of 1 copy of Rb in every cell
  • predisposed to cancer
  • 1 copy of Rb gene
  • Eliminates one good copy and tumor forms
  • loss heterozygosity (LOH)
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4
Q

What is the sporadic form of Rb

A
  • Non hereditary = start off with normal cells
  • Two hit hypothesis
    • first Rb gene obtains mutation then second mutation Rb
    • Familial already has one mutation so they are predisposed to cancer
    • Sporadic
      • 2 normal Rb genes
        • requires 2 mutations or “hits”
          • MUCH More rare than hereditary form
            *
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5
Q

How are tumor suppressors inactivated or lost in Rb?

A
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6
Q

What is P53?

A
  • Huge tumor suppressor gene
  • P53 is involved in
    • Cell cycle arrest
    • Dna Repair
    • Apoptosis
    • Block of angiogenesis
  • P53 is VERY important because majority of cancers have p53 mutation
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7
Q

WHat happens if you lose P53?

A
  • Loss checkpoint control in cell cycle
  • loss of cell cycle arrest in response to DNA damage
  • loss of DNA repair activites
  • Loss of apoptosis in response to DNA damage
  • p53 is a gene regulatory protein
    • Stimulates transcription of gene encoding CKI (cdk inHibitory protein) called P21
    • P21 binds to g1/S-Cdk and S-Cdk and so will stop the cycle
    • p53 also activates expression apoptotic proteins BH123 and Bh3
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8
Q

What kind of factors(signals ) does p53 react to and what are the effects ?

A
  • Reacts to:
    • Hyperproliferative signals
    • Dna Damage
    • Telomere shortening
    • hypoxia
  • Causes :
    • Cell cycle arrest
    • senescence
    • apoptosis
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9
Q

What is a DNA tumor Viruses and an example of one?

A
  • Pailloma viruses is the exampleand can cause warts and cervical cancer
  • Viral DNA exists as extrachromosomal material (like plasmid in bacteria)
  • Normally the replication of the viral DNA coincides with replication of chromomse
  • however once viral DNA intergrates with host DNA it can interfere with the control of cell devision in basal cells and can cause a maignant tumor to develops
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10
Q

WHat are the viral proteins of the papilloma virus ?

A
  • The viral proteins that cause malignancy are E6 and E7
  • These bind to 2 tumor suppressor genes Rb + p53
  • CEels can replicate in an uncontrolled manner
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11
Q

How does normal pathway and the viral pathway for proliferation of DNA tumor viruses compare?

A
  • Normal
    • Rb bound to E2F protein (gene regulatory protein) to inactivate transcription of cycllins and production of g1/s Cdk and S cdk does not happen
    • p53 induces expression of p21 (a CKI) to prevent activity of CDK
    • blocking proliferation
  • VIral Protein
    • E7 binds to Rb causes E2F to overexpress g1/S-CDK and S Cdk and cell grows and Divides
    • E6 binds to p53 and inactivates it and so CKI (p21) is NOT produced
    • Cell proliferation is activated by the virus
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12
Q

How doe Onco genes and tumors compare?

A
  • Overativity mutations: gain of function - ONCOGENES - involve single mutation event and activation of gene causing proliferation (dominant)
    • Underactivity mutations: loss of function - TUMOR SUPPRESSORS GENES - involve genes that inhibt growth. Mutation event: one gene no effect; second mutation causes probelms (recessive)
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13
Q

What is a proto-onco gene?

A
  • Normal gene that is usually involved in refulation of cell proliferation that can be converted to cancer causing oncogene by mutation
  • Transgenic mice are tools for tudying oncogene
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14
Q

How does the Myc and Ras work as oncogenes sepeperatly and collectively?

A
  • in MYC Tg, cell proliferation occurs but most cells do not give rise to cancer
  • Ras Tg mouse tumors occurs as a more severe rate
  • MYC Tg x Ras Tg mouse devlope tumors at a higher rate
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15
Q

What is Bcl-2 ?

A
  • First identified as an oncogene
  • Blc2 expression is elevated by a chromosomal translocation in b-cell lymphoma
  • blc2 mutation stops apoptosis
16
Q

WHat are the barriers for cancer cell metastais ?

A
17
Q

Why is colorectal cancers the most preventable cancers?

A

Colonscopy reveal early detection and it takes 10 years for tumor pregression so there is a lot of time to check

18
Q

What is a polyp?

A
  • Is a precursor of cancer (including colorectal cancer)
  • Cur off polyp = cure
  • if left alone malignan tumor develops from adenoma (polyp)
19
Q

What is colorectal cancer?

A
  • Ariseing in the epithelial lining of large intestine.
  • Gut is renewed at a rapid rate via stem cells and is a highly organized epithelium in large intestine
  • Mutations that disrupt organizaton signals begin tumor progression for colorectal cancer
  • colon cancer can detect small protroding benign tumor called polyp =adenoma
20
Q

What are some mutations that are common in colorectal cancer?

A
  • 40% of colorectal cancers have point mutationin K ras
  • 60% inactiving mutation of p53
  • important loss is APC mutation
21
Q

What is hereditary colorrectal cancer?

A
  • Familial adenomatous polyposis coli (FAP)
  • Hundred of polyps
    • at lease one will will become maligant
  • caused by inactivation of tumor suppressor gene APC
  • There is a loss LOH (loss of Heterozygosity)
  • However, most are not hereditary but more than 80% of these cancers show inactivation of both copies of the APC genes
22
Q

WHat is hereditary nonpolyposis colorectal cancer (HPNCC) ?

A
  • Cancers cells are unsual
  • most HPNCC cells have normal chromosme number or near normal number of chromosmes
  • Colorectal cancer cells usually have multiple copies of chromosomes
23
Q

WHat are different types of cancer treament?

A

Chemotherapy drugs that treat cancer

Chemotherapy stops cell division - impact on rapidly dividing cells (cancer cells) but…..

Causing

  • Loss of hair
  • nausea
  • anemia and immune dysfucntion

Cancer strategy = give as strong a dose as possible to kill a tumor and almost kills the patient

24
Q

What is the cause of chronic myelogenous leukemia?

A
  • Translocation of 9 and 22 = phildelpha chromasome
  • Bcr-Abl causes it
25
Q

What BCR-Abl (this post translocation )

A
  • Abl is a tyrosine kinase for cell signaling
  • N terminus BCR makes it hyperactive
  • bth are fused during translocation
  • BCR-ABl makes a highly active tyrosine kinase that highly xpressed
  • causes cell proliferation = cancer CML
  • treatment is GleevecL inhibts tyrosine kinase activity
  • causes disappearance of phildelphia chromosome in >80% of patients
26
Q
A
27
Q

What is the next step in cancer research?

A
  • Personalized medicine
  • Cancers can be extremely heterogenous so how do we treat
    • red = tumor RNA
    • Green = normal tissue RNA
  • Gene expression profile of a cancer can be analyzed by microarray to identify disrefulated cancer crital genes.
  • custom given treatments can be selected to target specific dysregulated cancer critical proteins
28
Q

What is angiogensis therapy?

A

The idea that cancerous tumor require formation of new blood vessles to go through metastasis via angiogenesis,

Iwe can starve the stare the tu ors by prevent angiogensis

29
Q

Which genes in lecture are onco or tumor repressors?

A
  • Oncogenes
    • CDK
    • RAS
    • MYC
    • BLC2
  • Tumor repressors
    • Rb
    • CKI (P21 and P16)
    • p53