Genome instability Flashcards

1
Q

why is genome instability considered a hallmark of cancer?

A

as genome instability becomes an enabling characteristic that drives/enhances genomic alterations/mutations

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2
Q

what are the types of gene damage?

A
  1. Intrinsic
    - Normal DNA replication
    - Spontaneous base damage
    - V(D) J recombination
  2. chemical agents
    - endogenous (oxygen radicals)
    -exogenous (chemical mutagens)
  3. radiation
    - ionising radiation
    - UV radiation
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3
Q

what types of DNA lesions does intrinsic gene damage cause?

A

base damage
base mismatches
insertions
deletions
DNA strand breaks

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4
Q

what types of DNA lesions does chemical agent gene damage cause?

A

Base modifications
Abasic sites
DNA adducts
DNA crosslinks
DNA strand breaks

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5
Q

what types of DNA lesions does radiation gene damage cause?

A

pyrimidine damage
Base modifications
Abasic sites
DNA stand breaks

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6
Q

what mechanism corrects DNA lesions

A

DNA damage response

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7
Q

what happens if DNA lesions aren’t corrected?

A

leads to genome instability

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8
Q

how do inherited mutations in DNA repair genes link to genome instability in cancer?

A
  1. genome instability present in precancerous lesions
  2. drives tumourigenesis by increasing mutation rate
  3. leads to mutations in oncogenes/tumour suppressor genes
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9
Q

what are the ways in which you can repair DNA lesions?

A
  1. base excision repair (BER)
  2. nucleotide excision repair (NER)
  3. mismatch repair (MMR)
  4. homologous recombination repair (HRR)
  5. non-homologous end joining (NHEJ)
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10
Q

what is single stand break repair?

A

responds to intrinsic - spontaneous base damage, chemical agents - exogenous (chemical mutagens)

to repair DNA lesions - base alkylation

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11
Q

what two types of enzymes repair base alkylation?

A

MGMT
ALKBH

both act directly on alkylated bases
with no steps

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12
Q

explain DNA repair pathways

A
  1. double stranded break (DSB) + abnormal DNA replication detected by the sensors
  2. signal reaches the transducer molecules
  3. activation of transducers
  4. recruit multi-functional mediator receptors
    4.5 amplification of effector protein recruitment to DNA w/ multiple lesions/breaks
  5. effector checkpoint
  6. DNA repair
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13
Q

what are some examples of sensors in DNA repair pathways?

A

MRN
or
RPA

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14
Q

what are some examples of transducers in DNA repair pathways?

A

ATM
or
ATR/ATRIP

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15
Q

what are some examples of mediators/adaptors in DNA repair pathways?

A

BRCA1/53BP1
or
TopBP1/claspin

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16
Q

what are some examples of amplifiers in DNA repair pathways?

17
Q

what are some examples of effectors in DNA repair pathways?

A

Chk2/p53
or
Chk1

18
Q

what do BER do?

A

remove simple alkylation and oxidative damage

repair DNA lesions from intrinsic factors:
base damage
abasic sites
DNA SSBs

19
Q

what do NER do?

A

removes bulky helix-distorting lesions (UV-C)

repair DNA lesions:
base modifications from chemical agents

20
Q

what do MMR?

A

removes mis-matched bases

repair DNA lesions: from gene translation

21
Q

How are DNA DSBs repaired?

A
  1. NHEJ - perform DNA DSB repair through the cell cycle
  2. HRR - requires homologous template for repair only in S/G2 of the cell cycle
22
Q

which pathway repairs DNA DSBs faster?

A

NHEJ - hours - faster due to simplicity
HRR - 8-24hours - slower

23
Q

what are the main ways of exploiting in genome instability in cancer treatment?

A
  1. loss of DDR pathway (genome instability)
  2. increased levels of replication
  3. increased levels of endogenous damage
24
Q

how are endogenous damage caused?

A

increase proliferation = increase metabolic pathways = increase endogenous damage

25
what mutations can increase the risk of breast/ovarian cancer?
mutations in BRCA1/BRCA2
26
how can mutations in BRCA1/BRCA2 be targeted?
PARP inhibitors
27
when are PARP inhibitors used?
target tumours - prostate and leukaemia BRCA1/BRCA2 in breast cancer
28
how do PARPi target mutated BRCA1/BRCA2 ?
healthy cells : PARPi = DNA damage = BRCA1/BRCA2 repair DNA = cell survival unhealthy cells: mutated BRCA1/BRCA2 = no DNA repair= cell death
29
What pathway is BRCA1/BRCA2 apart of?
HRR repair for DNA DSBs
30
how does PARPi break DNA?
collide and break up to replication forks = DNA DSB
31
what are some PARPi drugs?
olaparib -ovarian/breast/pancreatic cancer
32
what can BRCA1/BRC2 mutations cause?
1. HRR deficiency 2. sensitivity to platinum
33
.
.
34
what else can PARPi be used with?
radiosensitsation
35
what do most tumour cells have?
mutated ATM = no DNA repair therefore rely mostly on ATR for DNA repair
36
what is ATM?
regulates entire DNA repair
37
what happens when you give ATRi drugs in tumours cells?
cell death as there's no DNA repair