L21: Mechanisms Of Oncogenesis Flashcards

1
Q

What is cancer characterised by?

A

→Abnormal cell proliferation
→ Tumour formation
→Invasion of neighbouring normal tissue
→Metastasis to form new tumours at distant sites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two enabling characteristics of cancer?

A

→genome instability

→tumour inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the two emerging hallmarks of cancer?

A

→avoiding immune destruction

→ reprogramming energy metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the hallmarks of cancer?

A
→sustaining proliferative signalling
→resisting cell death
→genome instability
→enabling replicative immortality 
→evading growth suppressors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How has long life span increased risk of cancers?

A

→longer we live the more time there is for DNA to accumulate
mutations that may lead to cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What type of developmental is cancer?

A

→clonal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How does heterogeneity arise in tumour cells?

A

→Tumour cells can ‘evolve’- sub clonal selection allowing a growth advantage

→Dependent on interaction with other tumour cells and the tumour microenvironment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are proto-oncogenes?

A

→Normal genes that can be activated to be oncogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an oncogene?

A

→a proto-oncogene that has been mutated in a way that leads to signals that cause uncontrolled growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are tumour suppressor genes?

A

→inhibit both growth and tumour formation

→braking signals during phase G1 of the cell cycle, to stop
or slow the cell cycle before S phase.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the 3 assumptions in multistage carcinogenesis?

A

→Malignant transformation of a single cell is sufficient to give rise to a tumour

→Any cell in a tissue is as likely to be transformed as any other of the same type

→Once a malignant cell is generated the mean time to tumour detection is generally constant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the five models of carcinogenesis?

A
→mutational
→genome instability
→non-genotoxic
→Darwinian
→tissue organisation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What supports that cancer arises through the accumulation of irreversible DNA damage?

A

→presence of multiple mutations in critical genes is a distinctive feature of cancer cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 4 classes of carcinogens?

A

→chemical
→physical
→heritable
→viral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the two types of physical carcinogens?

A

→radiation eg ionisation or ultraviolet

→asbestos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are two examples of viral carcinogens?

A

→Hepatitis B

→Epstein Barr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How do chemical carcinogens exert their effects?

A

→effects by adding functional groups to DNA bases called DNA adducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Give an example of a chemical carcinogens

A

→coal tar, which contains benzo[a]pyrene, a polycyclic hydrocarbon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What chemical carcinogen is easiest to enter cells?

A

→Benzo[a]pyrene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which enzymes in the body activate benzopyrene?

A

→cytochrome p450

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the function of Ames test?

A

→determine the mutagenic activity of chemicals by observing whether they cause mutations in sample bacteria

22
Q

How does the Ames test work?

A

Point mutations are made in the histidine (Salmonella typhimurium) or the tryptophan (Escherichia coli) operon,

→the bacteria incapable of producing the corresponding amino acid

→organisms that cannot grow unless histidine or tryptophan is supplied.

→culturing His-Salmonellais in a media containing certain chemicals, causes mutation in histidine encoding gene, such that they regain the ability to synthesize histidine

23
Q

how do physical carcinogens exert their effects?

A

→imparting energy into the biological material
→DNA breaks Pyrimidine dimers
→Translocations
Mutations as a result of failed repair

24
Q

What type of mutations are found in hereditary malignant syndromes?

A

→mutation of a single gene

25
What are some DNA repair defects syndromes predisposing to cancer?→
``` →ataxia telangiectasia →Bloom’s syndrome →Fanconi’s anaemia →Li-Fraumeni syndrome →Lynch type II →xeroderma pigmentosum ```
26
What are some chromosomal abnormalities predisposing to cancer?
→Down’s syndrome →Klinefelter’s syndrome
27
What is ataxia telangiectasia?
→neuromotor dysfunction, dilation of blood vessels, | telangiectasia = spider veins
28
How does ataxia tenlangiectasia?
→Mutation in ATM gene
29
What is the function of the ATM gene activation?
→cell cycle arrest(p53), DNA repair and apoptosis -cell cycle arrest
30
What is the ATM gene activated by?
→dsDNA breaks leading to cell cycle arrest
31
What are the cancer predispositions of ATM mutation?
→lymphoma, →leukaemia →breast cancer
32
What causes Bloom's syndrome?
→Mutation in BLM gene
33
What is the function of the BLM gene?
→that provides instructions for coding a member of the RecQ helicase family that help maintain the structure and integrity of DNA
34
What are the signs of Bloom's syndrome?
→short stature →rarely exceed 5 feet tall, →skin rash that develops after exposure to the sun
35
What are the cancer dispositions of Bloom's syndrome?
→skin cancer →basal cell carcinoma →squamous cell carcinoma
36
What mutations cause Lynch type?
→Mutations in DNA mismatch repair (MMR) genes, notably MLH1, MSH2, MSH6 and PMS2
37
What are the symptoms of Lynch type?
→doesn't cause any symptoms
38
What are the caner predispositions of Lynch type?
→colorectal cancer
39
At what stage of a virus does it have restricted gene expression?
→latent phase
40
What are the properties required of tumorigenic viruses?
→stable association with cells →must not kill cells →must evade immune surveillance of infected cells
41
What does the latent phase of viruses express?
→express non immunogenic to allow virus to survive within the host
42
What are some RNA retroviruses associated with cancer?
→HTLV-I = Adult T-cell leukaemia, lymphoma
43
What is genome instability of the cancer model?
→At least two events are necessary for carcinogenesis and that the cell with the first event must survive in the tissue long enough to sustain a second event.
44
What is the non-genotoxic model of cancer?
→do not seem to act through a structural change in DNA but rather through functional changes including epigenetic events
45
What are the group of carcinogens that induce cancer via non-genotoxic mechanis?
→tumour promoters (1,4-dichlorobenzene), →endocrine-modifiers (17β-estradiol), →receptor-mediators (2,3,7,8tetrachlorodibenzo-p-dioxin), →immunosuppressants (cyclosporine) or →inducers of tissue-specific toxicity and inflammatory responses (metals such as arsenic and beryllium), also in model 1
46
What is the Darwinian model of cancer?
→Sequential accumulation of mutations due to exposure to carcinogens →Tumour cells will be selected for ability to grow and invade →Selection will include resistance to therapy →Some mutations may be deleterious for tumour
47
What are the two forces driving carcinogens?
→somatic mutation theory (SMT) →the tissue organization field theory (TOFT
48
What is the SMT approach to cancer?
→cancer is derived from a single somatic cell that has successively accumulated multiple DNA mutations →those mutations damage the genes which control cell proliferation and cell cycle
49
What is the TOFT approach to cancer?
→Carcinogenesis is primarily a problem of tissue organization →carcinogenic agents destroy the normal tissue architecture thus disrupting cell-to-cell signaling and compromising genomic integrity
50
What is the difference between the SMT and TOFT approach to cancer?
→SMT= single catastrophic event triggering carcinogenesis | →TOFT=carcinogenesis as general deterioration of the tissue microenvironment due to extracellular causes
51
What are the three Es of cancer immnunoediting?
→elimination →equilibrium →escape-expanding tumour populations becomes clinically detectable
52
What can happen during the equilibrium of cancer immunoediting?
→some of the tumour may mutate or give rise to genetic variants that survive, grow and enter the next phase