genetics discussion 4 (cancer) Flashcards

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1
Q

Why do tumour suppressor genes usually require both alleles to be mutated before there is an increased cancer risk?

A

Tumour suppressor genes ARE RECESSIVE
tf INACTIVATION OF BOTH alleles are REQUIRED

If one gene is unaffected,
it will be functional
thus suppress tumours.

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2
Q

What are 2 reasons why mutations in Ras are important in tumour formation?

A
  1. The protein that is coded by Ras gene,
    is present in many SIGNAL TRANSDUCTION PATHWAYS
    - eg. MAPK pathway
    which are IMPORTANT IF CELL REGULATION (differentiation, proliferation and apoptosis).
  2. Ras is a GENE that has the
    MOST FREQUENT PROTO-ONCOGEN MUTATION
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3
Q

What are 2 reasons why epithelial cells are a common tumour cell type?

A
  1. Epithelial cells such as skin are
    MOST EXPOSED to the external environemnt causing mutations
    - by UV rays
  2. In areas such as PROSTATE there is
    HIGH TURN OVER of EPITHELIAL CELLS, t
    his means there is MORE PROLIFERATION hence
    HIGH CHANCE OF MUTATION
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4
Q

Why is one mutated allele of an oncogene sufficient to increase cancer risk?

A
==> Because AFTER THE MUTATION 
of a normal gene into oncogene, 
==> there is either 
- CHANGE the DNA SEQUENCE 
- or it will INCREASE GENE EXPRESSION
==>As the mutation occurs, 
the oncogene will have an 
>>> INCREASE PROTEIN FUNCTION
which will 
- INCREASE ACTIVITY of the protein, 
- INCREASE the STABILITY of protein
- INCREASE PROTEIN EXPRESSION (which has a loss of control of transcription.)

> > > increase the risk of cancer.

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5
Q

Why are mutations in the MAPK pathway commonly found in tumour cells?

A

The MITOGEN-ACTIVATED PROTEIN KINASE (MAPK) pathway is involved in
- process of mitosis.

==> mutation in this pathway
==> CELL DIVISION may become UNREGULATED
»> leading to the development of a tumour.

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6
Q

p53 is a protein that prevents cell division when DNA is damaged. How is it regulated in the cell?

p53 mutation = NO BRAKE pedal

==> non functional p53 gene
==> produces a non functional p53 protein
==> tf don’t get the DNA check we should get (w normal p53)
==> tf fails to stop cell division of damaged cells & no DNA repair
==> so if there is an error, there is nothing to stop the cells from dividing
==> enough errors built up
»> cancer

A

The main regulator of p53
= MDM2.

In normal cells 
==> p53 is regulated by
==> binding of MDM2 proteins. 
==> This inhibits the activity of p53 
==> and encourages p53 degradation.

In a damaged cell
=> levels of p53 increase
==> followed by an increase of MDM2
==> However, MDM2 is not effective on p53 if
phosphorylated with protein kinases (eg. ATM).

Once the damage has been fixed in the cell.
==> Proteins inactive = dephosphorylation of p53
==> allows the built up MDM2 to bind
==> stop p53 protein

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7
Q

Why is p53 only activated in cells with damaged DNA?

A
==> DNA is damaged it 
==> trigger the increase of p53 protein 
==> as its functions of growth arrest 
==> stops the cell cycle 
==> prevents the damaged DNA from further replication. 

During the growth arrest period
==> p53 may activate proteins to help repair the DNA.
==> The last resort is apoptosis
»> avoid the reproduction of cells w damaged DNA

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8
Q

Why do you think several mutations are required for a cell to become a tumour?

A
It requires 
==> many of the various genes 
==> that control cell proliferation to 
==> become mutated and 
>>> cause a tumour 
due to the lacked signalling for apoptosis. 

Thus mutations in
- tumour suppression genes are also required
along with the
- mutations causing unregulated growth.

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9
Q

Which type of cancers are more common and why?

A

CARCINOMAS
because they involve EPITHELIAL CELLS

  • are more rapidly growing and
  • display higher rates of mutation.
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10
Q

How is a proto-oncogene different to an oncogene?

A
proto-oncogene 
= considered a normal gene 
involved in functions within the cell 
such as signals 
- leading to cell division and 
- regulation of apoptosis, 

==> but when altered by mutation,
==> becomes a oncogene
==> that can contribute to cancer.

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11
Q

3 ways oncogene code for protein leading to uncontrolled cell division

A

oncogene c. uncontrolled cell div

  1. alter RECEPTOR for growth =>STAYS ACTIVE (membrane receptor),
  2. UPREG cytoplamic SIGNALLING of growth (cytoplasm)
  3. UPREG activity => TRANSCRIPTION FACTORS (nucleus)
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12
Q

How could an enzyme that is normally in the cytoplasm be oncogenic?

A

= Mutated forms TYROSINE KINASE

could STAY ACTIVATED,
thus signalling CONTINUOUS GROWTH

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13
Q

Why can chronic myeloid leukemia

be treated by a DRUG THAT INHIBITS the cytoplasmic TYROSINE KINASE produced in this cancer?

How and why is this safer than forms of cancer therapy involving chemotherapy or radiation?

A

“GLIVEC” (anticancer med)
==> blocks specifically mutated tyrosine kinase
==> but not unmutated enzyme.

This is safer as it is SPECIFIC and
does NOT INDUCE OTHER MUTATIONS
(like chemo & radiation)

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14
Q

Name three ways a tumour suppressor protein could inhibit tumour growth.

A

1, Activate DNA DAMAGE REPAIR

2, PREVENT CELL DIVISION
when DNA damage is recognised

  1. INITIATE APOPTOSIS
    if DNA damage cannot be repaired
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15
Q

A liver cancer is found.

How can we determine whether it is the primary or secondary cancer?

A

BLOOD TEST can measure the BIOCHEMICAL PROFILE of the tumour.

A SECONDARY tumour will have a
biochemical profile SIMILAR TO ITS ORIGIN (of cancer)
eg. For instance alpha-fetoprotein (AFP) is produced by liver cells,

secondary brain tumour=
if a BRAIN TUMOUR is ACCOMPANIED BY AFP
that may indicate
it is secondary to a (primary liver tumour.)

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16
Q

Cancer cells are frequently high in telomerase.

Why then can arsenic cure some cancers yet cause others?

A

Arsenic is a carcinogen,
but at the correct dose, it

==>  arsenic suppresses the hTERT gene 
==> hTERT codes for one of the two building blocks of telomerase. 
==> Without telomerase 
==> the telomeres will shorten and 
>>> the tumour cell will eventual die.
  • hTERT needed for telomerase
  • telomerase adds telomere repeat seq at end dna)
17
Q

Smoking causes cancer.

Cigarettes contain benzene.

Lung cells replicate uncontrollably without receptors for growth.

From these facts, how might benzene cause lung cancer?

A

==> Cigarette smoking induces benzene inhaled into lungs.
==> Lung cells’ DNA would be damaged
==> since benzene is a carcinogen.

  • Lung cells replicate uncontrollably without receptors for growth.
  • plus tumour supressor genes (p53) is INACTIVATED by BENZENE BINDING TO IT’S SITES

==>DNA damaged cells would
==> replicate uncontrollably and
==> forming a tumour in the lung.

Hence, the benzene from cigarettes might causes lung cancer.

18
Q

Why might drugs that prevent blood vessel formation aid in the prevention of tumour growth?

A

Anti angio/genesis drugs aim to (block bv growth factors)
==> block vascular endothelial growth factor (VEGF) of tumours
==> attach to the receptors of cells
==> may stop blood vessels from proliferating
==> tf stop supplying oxygen and nutrients to growing tumours.

These may include

  • cancer growth blockers or
  • tyrosine kinase inhibitors (TKIs).
19
Q

One tumour suppressor gene is called BRCA1. Explain whether patients with this gene will develop breast cancer.

A

People who carry BRCA1 gene
- are at risk of getting breast cancer.

bec...
BRCA1 is a proto-oncogene, 
==> that performs tumor suppression normally, 
==> but when mutated 
==> will not perform tumor suppression. 
==> If further mutations occur 
in other tumor suppressor genes, 
>>> it could lead to breast cancer.
20
Q

Why would smoking increase the risk of developing cervical cancer?

A

Cervical cancer arises when
==> HPV integrates into DNA
==> may cause mutations in process.

==> Benzene in cigarettes can cause damage to DNA in cervical cells.
==> Benzene inhibits P53
==> wh is used in apoptosis of mutated cells
==> risk of uncontrolled cell growth increases.

21
Q

What are two ways by which viral infection can cause cancer?

A

BOTH unregulated cell growth
through decreased regulation
»> cancer

= when viruses integrate their DNA into the gene
of the host cell
==> to replicate viral cells (viral oncogenes).
==> This can damage host cell DNA
==> which interrupts tumour suppressor gene
==> which increases chances of cancer.

= Viral DNA also has transcription promoters
==> which also results in increased unregulated cell growth.

22
Q

Give an example of an inherited mutation in a tumour suppressor gene.

A

Many families have mutations in BRCA1 and 2.
==>They are tumour suppressor genes
==> proteins encouded by brca 1 / brca 2 gene
suppress tumours by
- repairing DNA damage

23
Q

What cancers are related to this mutation?

A
Mutations in BRCA 1 and BRCA 2 genes 
(tumour suppressor genes)
increases risk of 
- breast, 
- ovarian, 
- prostate 
- pancreatic 
cancers.
24
Q

Give an example of an

inherited mutation in an oncogene.

A

= APC gene is RELATED TO
FAMILIAL BOWEL POLYPS

These polys grow on the surface of the bowel and can become cancerous.

don’t need to know…

*The APC protein is a 
= negative regulator 
= that controls beta-catenin concentrations 
= and interacts with E-cadherin, 
which are INVOLVED IN CELL ADHESION 

> > > tf mutation = too much cell adhesion

25
Q

What cancers are related to this mutation?

A

Bowel cancer arising from

= BOWEL POLYPS

26
Q

How does HTLV-1 cause

T cell leukemia?

A

==> HTLV-1 activates the expression of interleukin 2
==> IL-2 imp for PROLIFERATION of lymphocytes.
==> HE/ this must be regulated

==> mutation in HTLV-1
==> tf not stopped by regulation
==> c's MULTIPLE MUTATIONs
& lots lymphocytes PROLIFERATE 
>>>leading to LEUKAEMIA
27
Q

Why would a combination of
- radiation therapy and
- nitrosUREA
be especially harmful for healthy cells?

= NO nitrosurea + radiation therapy

A

When undergoing radiation therapy it is important that
- the body ‘s cell repair mechanisms (NER, BER, SOS)
are functioning.

The drug NITROSUREA
==> inhibits DNA repair mechanisms (NER/BER/SOS)
»> making it a harmful combination
alongside radiation therapy.

28
Q

Explain how a life-time of X-rays could
- lead to myeloid leukaemia

*Acute myeloid leukemia (AML)
= a cancer of the
MYELOID LINE OF BLD CELLS

characterized by the

  • rapid growth of ABNORMAL CELLS
  • that BUILD UP IN BONE MARROW & BLOOD
  • interfere with normal blood cells.
A

==> X-rays over a lifetime
==> creating continuous damage to
- one or both strands of DNA

This could lead to myeloid leukemia, as over time the
==> continued damage and repair can
==> result in DELETED GENES or FUSION IN CHROMOSOMES
»> One of these fusions leads to myeloid leukaemia.