Familial Cancer Flashcards

1
Q

Which enzyme is responsible for transcription of DNA to mRNA?

A

RNA polymerase

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2
Q

Which process follows transcription to remove introns from mRNA?

A

Splicing

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3
Q

What is an example of a splicing disorder?

A

Myotonic dystrophy

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4
Q

Where does translation occur?

A

Ribosome

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5
Q

What are mRNA and tRNA also known as at the ribosome?

A

Codons (mRNA) and anticodons (tRNA)

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6
Q

What does translation synthesise?

A

Polypeptide chain of amino acids

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7
Q

What are exons?

A

“expressed” sequences that code for proteins

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8
Q

What are introns?

A

“intervening” sequences that make up 98% DNA

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9
Q

List the 4 abilities a cell has to gain to become cancerous.

A
  1. Proliferative signalling
  2. Avoidance of apoptosis
  3. Bypassing replicative senescence
  4. Insensitivity to anti-growth signalling
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10
Q

What is replicative senescence?

A

Telomere mechanism at tips of chromosome that when too short will stop any further cell division

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11
Q

What is the normal function of a TSG?

A

Inhibit progression through cell cycle
Promote apoptosis
Act as stability genes

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12
Q

What are some TSGs?

A

Retinoblastoma (RB)
TP53
NF1
APC

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13
Q

How does mutation affect TSG function?

A

LOSS of function of protein

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14
Q

How many gene copies must become mutated for the tumourigenic effect, and what is this known as?

A

2 copies - known as the “two hit hypothesis”

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15
Q

What is the pattern of inheritance of single gene TSG mutations?

A

Autosomal dominant

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16
Q

What is the normal function of proto-oncogenes?

A

Stimulate cell cycle

17
Q

How does mutation affect proto-oncogene function?

A

GAIN of function of protein - activation to “oncogene”

18
Q

How many gene copies must mutate to get tumourigenic effect?

19
Q

What are the 2 classes of cancer?

A

Sporadic

Familial

20
Q

Which is more common?

21
Q

Which is earlier in onset?

22
Q

Which likely results in a single (as opposed to multiple) primary tumours?

23
Q

What is normal function of a stability gene?

A

Minimise genetic alterations (e.g. BRCA1/2)

24
Q

Which families are considered high risk for breast cancer?

A

4 cases of breast cancer in individuals under 60yrs

25
What are the risks if BRCA1 mutation is present?
Breast cancer before age 70
26
What are the risks if BRCA2 mutation is present?
Breast cancer before age 70 Ovarian cancer Male breast cancer
27
What is the normal function of BRCA1/2 genes?
Code for proteins that function in DNA repair by homologous recombination of double-stranded breaks
28
What preventative measures are taken for breast cancer?
Breast exams Screening (mammography/MRI) Prophylactic mastectomies/oophorectomies (for BRCA1/2 carriers only)
29
Which genes are associated with ovarian cancer?
BRCA1/2 | MLH1/MSH2 - also associated with HNPCC
30
Which gene is associated with colon cancer?
HNPCC (hereditary non-polyposis colon cancer)
31
Which gender are at greater risk of colon cancer?
Males
32
What screening is offered for persons at high risk of colon cancer?
2-yearly colonoscopy from age 25 / upper GI endoscopy from age 50
33
Which colon cancer predisposition syndrome results in annual bowel screening from age 11 for high risk patients?
Familial adenomatous polyposis (FAP)
34
Which colon cancer predisposition syndrome is unusual in that it shows autosomal recessive inheritance?
MYH-associated polyposis (MAP)
35
Which rare cancer predisposition syndrome is caused by mutated TP53 master control gene?
Li Fraumeni Syndrome