Genetics: Genetics and Cancer Flashcards

1
Q

what type of mutations is cancer largely caused by

A

post-zygotic - somatic mosaicism

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2
Q

describe the heterogeneity of cancer

A

the same disease can be caused by many different types of mutations

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3
Q

driver mutations

A

mutations that drive carcinogenesis

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4
Q

passenger mutations

A

mutations that are accumulated as a result of cancers instability

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5
Q

somatic mutations (in terms of cancer)

A

not inherited, mutations caused by carcinogenesis

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6
Q

epigenetics

A

the study of mutations in the gene sequence but not in the DNA sequence

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7
Q

what is methylation

A

prevents transcription by binding with histones

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8
Q

where does hypomethylation occur

A

many tumour types

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9
Q

where does hypermethylation occur

A

tumour suppressor genes

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10
Q

what are oncogenes activated by

A

proto-oncogenes that are activated by point mutations, translocations or gene amplification leading to oncogenes gaining dominant control of function mutations

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11
Q

as a result of mutations what might tumour cells possess

A
  • own EC growth factors
  • over expression of growth factor receptors
  • continually active proteins that don’t require phosphorylation
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12
Q

vemurafenib MoA

A

inhibits continually active proteins therefore stopping proliferation

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13
Q

herceptin MoA

A

binds to receptors blocking proliferation signalling

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14
Q

what is the Philidelphia Chromosome

A

translocation between 9 and 22 that can cause leukaemia

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15
Q

what types of signal do normal cells rely on to regulate growth but cancer cells become unresponsive to

A

anti-growth signals

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16
Q

are tumour suppressor mutations recessive or dominant

17
Q

how does hereditary Rb present

A

in babies with FHx

18
Q

how does sporatic Rb present

A

in older children with no FHx

19
Q

describe the 2 hit hypothesis

A

the first mutation increases cancer suscpetibility, the second leads to cancer

20
Q

tumour suppressor genes (6)

A
Rb 
BRCA 1
BRCA 2
p53 
PTEN 
APC
21
Q

what is the normal function of tumour suppressors

A

supress cell division

22
Q

what is the normal function of oncogenes

A

activates cell division

23
Q

are oncogene mutations recessive or dominant

24
Q

what types of mutations are tumour suppressor mutations normal caused by

A

point - deletions

25
what types of mutations are oncogene mutations normal caused by
point, gene amplification, translocations
26
why do cancer cells gain so many mutations
cancer cells become genetically unstable and so can acquire many mutations in order to continue growing
27
what is and 'oncogenic signature'
cancer characteristics are derived from their driver mutations in oncogenes rather than their tissue of origin
28
what is Lynch syndrome
herediatry cancer caused by a mutation in the MLH1 repair gene
29
are cancers multifactorial or mendelian
usually multifactorialm 5-10% mendelian
30
what family features suggest an inheritable cancer susceptibility
- many 1st or 2nd relatives with cancer - early age of onset - many close relative with related cancer types - bilateral tumours in paired organs - tumours in 2 organ systems of 1 individual
31
what does a positive result from genetic cancer testing entail
specific mutation associated with cancer that they were looking for was found
32
what does a negative result from genetic cancer testing entail
the specific mutation associated with cancer was not found but individual may still develop cancer
33
what does a variant of unknown significance result from genetic cancer testing entail
a variant was found however lab is uncertain if it is cancer causing or not