Hall 18 - Cancer Biology Flashcards
What are proto-oncogenes?
Positive growth regulators
What are four mechanisms of oncogene activation?
- Retroviral integration near proto-oncogene causes increased expression via viral promoter (LTR)
- Gain of function mutations in only one copy > dominant oncogene (ex, RAS)
- Gene amplification leading to increased DNA copy number and expression (ex, MYC)
- Chromosome translocation can place a proto-oncogene under control of a strong promoter or aberrant fused proteins (ex, BCR-ABL)
What are tumor suppressor genes?
Negative growth regulators (in the same signaling networks as proto-oncogenes)
Tumor suppressor phenotype is _______ at the cellular level but inherited between generations in an autosomal ______ fashion.
Recessive, dominant
*Two-hit hypothesis: lose one = increase cancer risk; lose second one = transformation
How do sporadic cases of cancer from tumor suppressor loss happen?
Loss of heterozygosity
One copy lost, other chromosome suffers a deletion and replicates
What is the defective gene and inheritance pattern for retinoblastoma? What cancers do these people get?
RB1
Dominant
Retinoblastoma, sarcoma
What is the defective gene and inheritance pattern for Li-Fraumeni? What cancers do these people get?
p53 (or CHK2)
Dominant
Breast, lung, brain, sarcoma
What is the defective gene and inheritance pattern for familial Wilms tumor? What cancers do these people get?
WT1 or WT2
Dominant
Wilms tumor
What is the defective gene and inheritance pattern for neurofibromatosis 1? What cancers do these people get?
NF1
Dominant
Neurofibroma, MPNST, cafe au lait spots, Lisch iris nodules
What is the defective gene and inheritance pattern for neurofibromatosis 2? What cancers do these people get?
NF2
Dominant
Schwannoma, meningioma, ependymoma
What is the defective gene and inheritance pattern for familial adenomatous polyposis (FAP)? What cancers do these people get?
APC
Dominant
Colon, stomach, small bowel
What is the defective gene and inheritance pattern for von Hippel Lindau? What cancers do these people get?
VHL
Dominant
Kidney, adrenal, hemangioblastomas
What is the defective gene and inheritance pattern for familial gastric cancer? What cancers do these people get?
E-CAD
Dominant
Stomach, breast (lobular)
What is the defective gene and inheritance pattern for Gorlin syndrome? What cancers do these people get?
PTCH
Dominant
Basal cell carcinoma
What is the defective gene and inheritance pattern for Cowden syndrome? What cancers do these people get?
PTEN
Dominant
Hamartomas, increased cancer risk
What is the defective gene and inheritance pattern for multiple endocrine neoplasia? What cancers do these people get?
MEN1 and MEN2
Dominant
Pituitary, pancreatic, parathyroid
What is the most critical cell cycle checkpoint?
G1 to S
Commits cell to mitosis
Controlled by Rb
What are the 6 phenotypic hallmarks of cancer?
- Uncontrolled proliferation
- Failure to respond to growth-restrictive signals
- Failure to undergo apoptosis
- Escaping senescence
- Angiogenesis
- Invasion and metastases
What is required to evade apoptosis and senescence?
Loss of tumor suppressors
How do cancer cells survive crisis related to p53?
Activate telomerase
Telomere shortening normally causes senescence via p53
What is a key molecule involved in local invasion of tumor cells?
Loss of E-cadherin (E-CAD)
What results from loss of E-CAD, change in integrins, affinity switch from cell-cell to cell-matrix?
Local invasion
*Epithelial to mesenchymal transition (EMT)
Promoted by Snail, Slug, Twist, Zeb1/2
Defect in what DNA stability gene leads to ataxia telangiectasia? How is it inherited?
ATM (DSB repair)
Recessive
Defect in what DNA stability gene leads to ataxia telangiectasia-like disorder? How is it inherited?
MRE11
Recessive
Defect in what DNA stability gene leads to Nijmegen breakage syndrome? How is it inherited?
NBS (part of MRE complex)
Recessive
Defect in what DNA stability gene leads to hereditary breast cancer? How is it inherited?
BRCA1 or BRCA2 (HR repair)
*Dominant
Defect in what DNA stability gene leads to Fanconi anemia? How is it inherited?
FANCD2 and FANC (associates with BRCA1/2)
Recessive
Defect in what DNA stability gene leads to HNPCC/Lynch syndrome? How is it inherited?
MSH2, MSH6, MLH1, PMS1, PMS2 (mismatch repair)
*Dominant
Defect in what DNA stability gene leads to Seckel syndrome? How is it inherited?
ATR (activated by ssDNA)
Recessive
Defect in what DNA stability gene leads to Bloom syndrome? How is it inherited?
BLM (RecQ helicase that unwinds stalled DNA replication fork)
Recessive
Defect in what DNA stability gene leads to Werner syndrome? How is it inherited?
WS (RecQ helicase + interacts with DNA-PKcs, Ku in NHEJ)
Recessive
Defect in what DNA stability gene leads to Rothmund-Thomson syndrome? How is it inherited?
RECQL4 (RecQ helicase)
Recessive
Defect in what DNA stability gene leads to xeroderma pigmentosum? How is it inherited?
XP (genome wide NER)
Recessive
Defect in what DNA stability gene leads to Cockayne syndrome? How is it inherited?
CSA, CSB (transcription-coupled NER)
Recessive
How does PI3K lead to cancer?
Phosphorylates PIP2 to PIP3 (reversed by PTEN) > docking site and recruits Akt > active phosphorylated Akt promotes protein synthesis and cell growth (mTORC1), cell cycle progression (activates MDM2, inhibits p21/27, Wee1, Chk1), and escapes apoptosis (activates IAPs, inhibits pro-apoptotic proteins)
PI3K/Akt/mTOR pathway
How is Akt implicated in cancer?
PI3K phosphorylates PIP2 to PIP3 (reversed by PTEN)»_space; docking site and recruits Akt»_space; active phosphorylated Akt promotes protein synthesis and cell growth (mTORC1), cell cycle progression (activates MDM2, inhibits p21/27, Wee1, Chk1), and escapes apoptosis (activates IAPs, inhibits pro-apoptotic proteins)
PI3K/Akt/mTOR pathway
How is EGFR activated?
Ligand binding
It is a canonical RTK
Recruits SOS to activate Ras-GTP (from inactive Ras-GDP)
What is the EGFR pathway and how does it lead to cancer?
EGFR binding by ligand > SOS activates Ras-GTP > Raf > MEK > MAPK (ERK) > increased cyclin-CDK activity and transcription of target genes promoting cell proliferation
What are activators of the Ras/Raf/MAPK pathway?
GPCRs, integrins, SRc family kinases
Anything that shuts down Ras GTPase activity to hydrolyze GTP (ex, *NF1)
What are the PI3K/Akt/mTOR, JAK/STAT, and Ras/Raf/MAPK pathways all downstream of?
RTKs
What normally happens without Wnt ligand?
APC/Axin complex promotes ubiquitination of beta-catenin > proteosomal degradation
Otherwise, Wnt can bind to Frizzled and eventually stabilize beta-catenin > translocates to nucleus and promotes gene transcription
When TGF-beta binds to type II receptor dimer and activates the pathway, what gets phosphorylated to effect transcription?
SMAD2/3 > SMAD4 goes to nucleus
(SMAD6/7 are inhibitory)
What are the effects of the TGF-beta pathway?
Activated SMAD2/3/4» gene transcription
» increased inflammation (pneumonitis)
» decreased growth of epithelial cells
» increased fibrosis
What pathway is stimulated by proinflammatory cytokines TNF-a and IL-1, binding of Toll-like receptors, and UV radiation?
NF-kB
IKK complex»_space; phosphorylates IkB (also possibly by ATM)»_space; degradation»_space; free NF-kB»_space; gene transcription (pro-survival)