Exam #4: Cancer Flashcards

1
Q

What are the six acquired capabilities of cancer cells?

A

1) Self-sufficiency in growth signals (oncogenes)
2) Insensitivity to antigrowth signals (tumor suppressors)
3) Evading apoptosis (mutation apoptotic pathway)
4) Limitless Replicative Potential (Telomerase)
5) Sustained Angiogenesis
6) Tissue invasion & metastasis

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2
Q

Proto-oncogene vs. Oncogene

A
  • Proto-oncogenes are genes associated with the control of cell division– they promote growth
  • A mutated proto-oncogene is an oncogene causing excessive growth
  • Gain of function mutation
  • Dominant
  • Analogous to gas pedal stuck on
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3
Q

Tumor Suppressor Gene & Mutation

A
  • Tumor suppressor genes normally inhibit growth
  • Mutations inactivate the genes
  • Recessive i.e. needs mutation in BOTH alleles
  • Analogous to break failure
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4
Q

Caretaker Gene & Mutation

A
  • Function to protect the integrity of the genome e.g. DNA repair enzymes
  • Mutation causes increased accumulation of DNA damage
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5
Q

HER2

A
  • Family of Epidermal Growth Factor Receptors (tyrosine kinase)
  • Mutations convert into oncogene form
  • Point mutation allows activation of receptor without ligand
  • Generates Neu Oncoprotein
  • Implicated in breast cancer
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6
Q

Erb1

A
  • Family of Epidermal Growth Factor Receptors (tyrosine kinase)
  • Mutations convert into oncogene form
  • Specifically, mutation deletes ligand binding domain
  • Receptor is constitutively active without ligand
  • Generates Erb1 Oncoprotein
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7
Q

Ras Mutations

A
  • G-protein that is normally activated by Sos in the MAP kinase signaling cascade
  • Mutations generate a form of Ras that is constitutively active
  • Specifically, mutations occur at amino acid positions 12, 13, or 16 & favor GTP binding
  • Dominant
  • Cancers include pancreas, large intestine, biliary tract, & skin
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8
Q

Burkitt’s Lymphoma

A
  • B-cell cancer
  • Caused by c-Myc rearrangement from chromosome 8 to 14
  • c-Myc now near control elements for antibody heavy chain
  • Continual production of high levels of Myc in B-cells
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9
Q

Two Hit Model

A
  • 2 mutations required for tumorigenesis
  • 1st mutation in germline (tumor suppressor) is inherited form parents & gives predisposition to cancer
  • 2nd somatic mutation is spontaneously & necessary for tumorigenesis
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10
Q

Retinoblastoma

A
  • Malignancy of the retina seen in childhood
  • Gene RB1 encodes Retinoblastoma protein, Rb, that normally inhibits cell cycle progression by binding E2F
  • Hereditary vs. Sporadic
  • Involved in numerous other cancers
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11
Q

p53

A
  • Normally unstable, stability increased by ATM/ATR phosphorylation
  • Normal instability comes from association with Mdm2, which targets p53 for degradation
  • Functions as homotetramer
  • Encoded by TP53, most commonly mutated gene in cancer
  • dominant negative mutations
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12
Q

Li-Fraumeni Syndrome

A
  • Heritable condition conferring susceptibility to many forms of cancer
  • Dominant inheritance
  • Caused by mutant TP53 allele i.e. disabled p53 tetramer
  • DNA Damage Repair severely limited
  • Early onset tumors, many family members w/ tumors, multiple tumors in individual
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13
Q

HPV protein E6

A
  • HPV is the most common cause of cervical cancer

- Viral protein E6 inhibits p53 by targeting for ubiquitination

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14
Q

HPV protein E7

A
  • HPV is the most common cause of cervical cancer

- Viral protein E7 inhibits p53 by targeting for ubiquitination

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15
Q

Neurofibromatosis 1

A
  • Characterized by cafe au lait spots i.e. multiple non-malignant peripheral nerve tumors
  • Caused by a loss of function mutation of NF1 gene, which encodes for the protein, neurofibromin
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16
Q

NF1 gene & neurofibromin: normal function

A
  • NF1 encodes for the protein neurofibromin
  • Neurofibromin accelerated GTP hydrolysis by Ras
  • Lack of NF1 gene prolongs Ras signaling
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17
Q

BRCA1 & BRCA2

A
  • Function in DNA repair by repairing ds-DNA breaks

- Also contribute to homologous recombination

18
Q

Epigenetic Change

A
  • any process that alters gene activity without changing the DNA sequence AND leads to modifications that can be transmitted to the cell’s progeny
19
Q

Breakage/Fusion/Bridge Cycle

A
  • Loss of p53 function prevents cell cycle arrest & initiate cycle
  • Lack of telomeres allows fusion of sister chromatids at mitosis
  • Resulting chromosome doesn’t separate at mitosis; rather, it breaks
  • Cycle continues
  • Ultimately cell should experience mitotic catastrophe and die
20
Q

HIF-1aB

A
  • Oxygen sensitive transcription factor

- Regulates the expression of VEGF, vascular endothelial growth factor

21
Q

HIF-1aB Regulation

A
  • Oxygen mediated
  • Normoxia= HIF-1a is hydroxylated, ubiquitinated, & destoryed i.e. NO HIF-1B
  • Hypoxia= HIF-1a not hydroxylated, pairs with HIF-1B, activates transcription factors for angiogenesis (VEGF)
22
Q

Outline the steps of Metastasis

A

1) Invasion of Basement Membrane (E-Cadherin breakdown & Secretion of MMPs)
2) Passage through ECM (breakdown of collagen IV & laminin)
3) Intravasation & Immune System Avoidance
4) Adhesion to basement membrane
5) Extravastion
6) Metastatic Deposit
7) Angiogenesis
8) Growth

23
Q

Familial Adenomatous Polyposis (FAP)

A
  • Inherited condition where patients develop adenomatous polyps in colon (benign)
  • Develops into colorectal adenocarcinoma without prophylactic colectomy
  • Due to mutation of APC gene
24
Q

APC & WNT signaling in FAP

A
  • APC gene normally encodes tumor suppressor, APC, which also ensures correct attachment of microtubules to kinetochore
  • APC down-regulates WNT
  • Without APC, WNT simulates expression of cyclin D, Myc, & other growth promoting genes through B-Catenin
25
Q

Familial Nonpolyposis colorectal carcinoma (HNPCC)

A
  • Hereditary susceptibility to colon cancer
  • Defective DNA mismatch repair from mutations in MSH2 or MLH1 genes
  • Patient’s inherit one defective allele, and get second later
26
Q

Philadelphia Chromosome

A
  • Reciprocal translocation between chromosomes 9 & 22
  • Fuses BCR & ABL genes together
  • ABL normally endcodes tyrosine kinase
  • BCR-ABL tyrosine kinase is constitutively active
  • Characteristic of Chronic Myelogenous Leukemia
27
Q

Chronic Myeloid Leukemia

A
  • Caused by BCR-ABL kinase action in hematopoietic cells of the bone marrow, causing expansion of white blood cells
28
Q

Imatinib Mesylate

A
  • Specific BCR-ABL kinase inhibitor

- Treatment for CML

29
Q

Trastuzumab

A
  • Monoclonal antibody that binds extracellular domain of HER2/Neu
  • HER2/Neu expression is prominent in some breast cancers
  • Trastuzumab has potent anti-tumor effects
30
Q

Why do normal cells divide a certain number of times and then enter senescence?

A
  • In somatic cells, telomerase (extends telomere) is not expressed in high quantity
  • Therefore, with each division, the telomere shortens
  • After ~70 divisions short telomeres are recognized as ds-DNA breaks, and p53 mediates cell cycle arrest
31
Q

What two things does conversion of a proto-oncogene to an oncogene do?

A
  • Promote excess protein production

- Deregulate function

32
Q

c-Fos & c-Myc

A
  • Transcription factors that activate genes that drive cell cycle progression, specifically cyclins
  • Normally unstable mRNA & proteins
  • Mutations stabilize c-fos
  • Chromosomal Rearrangement deregulates c-Myc
33
Q

Hereditary Breast & Ovarian Cancer Syndrome (HBOC)

A
  • Inherited in autosomal dominant manner
  • One defective copy of either BRCA1 or BRCA2 increased risk of breast or ovarian cancer
  • Loss of second copy causes cancer (Two hit)
34
Q

BRCA1 vs. BRCA2

A
  • BRCA1 participates in homologous recombination & DNA repair via interactions with ATM
  • BRCA2 only participates in homologous recombination
35
Q

Increased methylation

A
  • Silences transcription

- Reduce tumor suppressor expression

36
Q

Decreased methylation

A
  • Activates transcription

- Increase production of oncoprotein

37
Q

What allows tumor cells to exit the breakage/fusion/bridge cycle?

A

Re-expression of telomerase

38
Q

VEGF

A
  • Vascular Endothelial Growth Factor
  • Activated by HIF-1a/B
  • Function to develop an angiogenic gradient
39
Q

MSH2

A
  • DNA mismatch repair gene

- protein identifies mismatches

40
Q

MLH1

A
  • DNA mismatch repair gene

- protein repairs DNA