Genetics of Cancer Flashcards

1
Q

What are the common features of cancer?

A

Somatic cells accumulate mutations in a variety of genes
Normal function of these genes is to act as accelerators or brakes for cell division
Mutations cause cancer cells to divide rapidly and uncontrollably

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2
Q

What are the three ways cancer cells evade normal controls on cell growth?

A

Produce cell division signals (autocrine stimulation?
Lose contact inhibition
Avoid programmed cell death

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3
Q

How many divisions do normal cells undergo before death?

A

20-50

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4
Q

How is the length of chromosome ends maintained in cancer cells?

A

Expression of telomerase

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5
Q

What is angiogenesis?

A

Production of substances that encourage blood vessel growth

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6
Q

What is metastasis?

A

Blood vessels provide nutrients to tumor, allow movement to other locations

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7
Q

Why do cancer cells have a higher rate of mutation than normal cells?

A

Enzymatic systems that repair DNA damage or mistakes during replication are often defective

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8
Q

How is cancer correlated with old age? What does this support?

A

INcidence of cancer rises dramatically with age
Supports idea that cancer involves the accumulation of mutations in the clonal descendants of a somatic cell

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9
Q

Why does inheritance of some mutations predispose a person to cancer?

A

They have to accumulate fewer mutations

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10
Q

What are passenger mutations?

A

Occur due to increased mutation rate of cancer cells
Do not contribute to disease

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11
Q

What are driver mutations?

A

Cause cancer phenotypes

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12
Q

Which is more common in cancer genomes, passenger or driver mutations?

A

Passenger

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13
Q

What needs to happen in order for cancer to appear?

A

Accumulation of several driver mutations in different genes

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14
Q

How does feedback result in tumor progression?

A

Mutation result in more cancer-like properties
Cells with more cancer-like properties accumulate more mutations

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15
Q

What are mitogens?

A

Growth factors that stimulate cell proliferation

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16
Q

What are receptors?

A

Found on surface of cell
Bind growth factors
Initiate signal transductioncascade
Ultimately activates synthesis of transcription factors

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17
Q

What are transcription factors?

A

Regulate genes whose protein products cause cells to divide or stop dividing

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18
Q

What are the two basic types of signals that initiate cell division?

A

Extracellular and cell-bound

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19
Q

What are extra-cellular signals?

A

Act over long or short distances

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20
Q

What are extracellular signals collectively known as?

A

Hormones

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21
Q

What are cell-bound signals?

A

Require direct contact between cells

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22
Q

Give an example of an extracellular signal that acts over large distances

A

Thyroid-stimulating hormone (TSH) produced in pituitary gland
Moves through blood to thyroid gland, which expresses throxine, which influences metabolic rate

23
Q

How do growth factors transmit signals into cells?

A

Through transmembrane receptors

24
Q

What relays a signal transmitted into a cell?

A

Signal transducers

25
Q

What are oncoproteins?

A

Receptors that normally bind growth factors and do not require growth factor to be active. Retain their functionality but no longer respond to normal regulatory cell signals

26
Q

What are CDKs?

A

Family of kinases that regulate the transition through stages of the cell cycle

27
Q

When do CDKs function?

A

When associated with Cyclins

28
Q

What does phosphorylation by CDKs do?

A

Activate or inactivate proein

29
Q

What activates the G1 to S checkpoint?

A

DNA damage

30
Q

how is p53 related to apoptosis?

A

If DNA damage is great enough, cells producing p53 not only arrest in G1, but commit apoptosis

31
Q

Outline apoptosis

A

DNA is degraded, nucleus condenses, phagocytic cells devour and destroy dying cell

32
Q

What are checkpoints need?

A

They are not essential for cell division but cells with defective checkpoints are more vulnerable to DNA damage

33
Q

What are the three types of genomic instability checkpoints helps prevent transmission of?

A

Point mutations
Translocations
Gene amplification

34
Q

What is a proto-oncogene?

A

Nonmutant allele

35
Q

What proteins do proto-oncogenes often encode?

A

Those needed for cell cycle progression

36
Q

When are oncogenes produced?

A

When mutations cause improper activation in a gene

37
Q

What are two approached to identifying oncogenes?

A

Tumor-causing viruses
Tumor DNA

38
Q

Outline how oncogenes can be identified through association with tumor viruses

A

After infection, retroviral genome integrates into host genome and may activate a proto-oncogene
Genes near viral integration sites in cancer cells may be oncogenes
Host proto-oncogenes may be packaged into RNA virus particles

39
Q

How can oncogenes be identified through cell transformation assays?

A

Human gene that is oncogenic can be identified and clone from transformed mouse cells

40
Q

Give examples of oncogenes

A

Ras, c-ABL, Her2

41
Q

Describe Ras

A

Usually active when bound to growth factor
Onocgenic point mutation makes constitutively active protein

42
Q

Describe c-Abl

A

Chromosomal translocation fuses the c-abl and bcr genes
hybrid protein encodes a constitutively active tyorsine kinase

43
Q

Describe Her2

A

FOund in 20% of breast cancers
Ocerexpressed growth factor receptor

44
Q

Give an example of an ancient cancer treatment

A

Egpytian physicians treated it with surgery or sticking hot pokers into tumors

45
Q

What is chemotherapy

A

Drugs that may kill cancer cells that are unreachable or missed by surgery

46
Q

What does chemotherapy do?

A

Directed against pathways needed for cell proliferation

47
Q

What is an issue with chemotherapy?

A

Our bodies require cell renewal
Normal proliferating cells are killed by chemotherapy

48
Q

Explain how Gleevec works

A

ATP required for Bcr/c-Abl enzyme to phosphorylate target proteins
Gleevec binds to the ATP binding site, inactivating enzyme
Leukemic blood cells disappeard in 98% of patients

49
Q

Explain Herceptin

A

Antibody that binds to the Her2 receptor
Prevents activation
Results in destruction of cancer cells

50
Q

What are some challenges with counteracting mutations in tumor suppressor genes?

A

Cancer cells lack both functional copies of tumor suppressor genes - nothing to tatger

51
Q

What are two cancer therapies that increase the ability of T cells to destroy cancer cells?

A

Blocking T-cell inhibitoris
CAR T-cell therapy

52
Q

Explain blocking T-cell inhibitors

A

Some cancer cells avoid immmune system by using immune checkpoints
PD-1 protein off switch on T cells prevents T cells from attacking normal body cells when bound by the PDL-1 protein on normal body cells
Some cancer cells also express PDL-1, switching the PD-1 protein to off
Antibodies against PD-1 or PDL-1 can act as cancer drugs, allowing T cells to attack cancer cells, but can have sever side effects

53
Q

Explain CAR T-cell therapy

A

A gene encoding a synthetic chimeric antigen receptor (CAR) is added to a pateint’s T cells
Receptor is designed to bind antigens on cancer cells but not normal cells
Allows CAR T cells to destroy tumor cells