Genetic Pre-Disposition in Cancer. Flashcards

1
Q

What is the cause of most cancer?

A

Sporadic mutations.

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2
Q

What can increase people’s risk of cancer?

A

A genetic inherited pre-disposition for cancer.

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3
Q

Genetic pre-dispositions for cancer are spread from generation to generation, but what may start them?

A

Germ Line Mutation. (in sperm or eggs)

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4
Q

What is another name for germ line mutation?

A

De novo mutation.

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5
Q

If there is a germ line mutation, which cells in the child’s body are affected by this mutation?

A

All of them.

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6
Q

Name three genes associated with an increased risk of cancer.

A

Oncogenes
Tumour suppressor genes
DNA damage response genes.

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7
Q

What are oncogenes called when they are functionalling normally?

A

proto-oncogenes

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8
Q

How many mutations do proto-oncogens require to ecellarate cell growth, which could lead to cancer?

A

Just one.

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9
Q

How many mutations do tumour suppresser genes require for ‘both breaks to fail’, and for them to be unable to prevent cell growth?

A

2 mutations. First can be hereditary - someone with this mutation is more likely to get cancer.

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10
Q

What do DNA damage response genes usually do?

A

Repair DNA if something has gone wrong.

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11
Q

How many mutations would cause the DNA damage response gene to be unable to stop the accumulation of mutations in other critical genes?

A

two.

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12
Q

What is micro satellite instability?

A

When the Mismatch repair gene doesn’t work, then many nucleotide units can be added on.

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13
Q

What is the syndrome called when you require two recessive, abnormal genes to be passed down to cause cancer?

A

Autosomal recessive syndrome.

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14
Q

What might explain having a history of cancer, but no identified mutations.

A

Multiple modifier genes of lower genetic risk.

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15
Q

How can you tell if someone has a pre-dispotion for cancer?

A

Check their family history. Could do mutation testing, surveillance - and if needs be, surgery.

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16
Q

Is heritable cancer likely to be uni lateral or bi lateral?

A

Bilateral - as every cell is made dodgy!

17
Q

List the sequence of cancer, from normal epithelium –> Carcinoma

A

Normal epithelium -> Hyperproliveactive epithelia -> adenoma -> carcinoma.

18
Q

What genes make you hereditary susceptible to having breast cancer?

A

BRAC 1, BRAC 2, TP53, PTEN

19
Q

What types of cancer are non-inheritable.

A

Somatic cancer that occurs in nongermline tissue.

20
Q

What is dysplasia?

A

‘Benign’ but could progress to malignant.

21
Q

Is retinoblastoma heritable or non - inheritable

A

Both!

22
Q

Hereditary Colorectal cancer can come in two forms - non polyposis, or polyposis. How are they different?

A

Non polyposis has few to no adenomas. - tumour is seen throughout the colon - not just descending.
Polyposis has multiple adenomas.(FAP/AFAP) - untreated cancer leads to 100% risk of cancer.