(lecture 2) Flashcards

1
Q

How do tumors arise? by accumulation of what?

A

somatic mutations

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2
Q

(Accumulation of Mutations in Cancer)

  1. contribution from non-tobacco mutagens in the environment is probably small
  2. Contributions from what are probably more important?
  3. What may be most important?
A
  1. crummy polymerases and errors during DNA repair
  2. errors by high fidelity enzymes during normal replication
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3
Q

(Gene Mutation Model)

(Oncogenes and Tumor Suppressor Genes)

  1. tumor suppressor genes do what or what?
  2. oncogenes promote what?
  3. Do all genes/proteins involved in growth regulation have oncogenic or tumor suppressive capacity?
A
  1. inhibit growth or promote apoptosis (two hits - knudson hypothesis)
  2. growth and survival (one hit)
  3. no
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4
Q

(The “Mutator” Hypothesis)

(Larry Loeb)

  1. Assumes that most heritable (and many sporadic) cancers are associated with changes in genes that control what?
  2. Most atypical polymerases have low fidelity and can lead to what?
  3. If the genotype is carried in the germline, it will increase the rate of mutation until what occurs?
A
  1. DNA repair (or synthesis)
  2. DNA duplication with essential errors
  3. essential genes that cause transformation are enabled or disabled
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5
Q

(Heritable Cancers vs. Sporadic Cancers)

  1. Sporadic cancers account for what percent of all cancers (in people)?
  2. Do both have a genetic component?
A
  1. 95%
  2. yes (sporadic cancers in the sense that they means that they have an effect on genes - not that they are inhertied)

(these slides have nothing to do with pictures)

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6
Q

(Heritable Cancers)

  1. manifest earlier or later?
  2. multiple or single tumors most of the time?
  3. how is long term survival?
  4. Associated with how many genes?
  5. variable penetrance
  6. lifetime risk can be as high as what?
A
  1. earlier (but after reproductive age)
  2. multiple
  3. poor (most often)
  4. single gene (~2-dozen syndromes identified in people)
  5. 9/10
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7
Q
A
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8
Q

only takes this allele to be inactivated in a single cell for there to be an effect

chances are likely that this will happen to someone who carries this genotype - so even though inhertied recessively - it has dominant phenotype

A
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9
Q

(Heritable Traits and Sporadic Cancers)

Heritable traits contribute to cancer risk

1-3. “risk” may take what three forms?

A
  1. susceptibility to transformation
  2. tumor behavior
  3. response to therapy (if you try to give collie convential chemotherapy won’t work cause its pump in brain is messed up to a mutation in the MRD gene)
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10
Q
  1. if you look at all dogs getting lymphoma - about 70% get b-cell and 30% get T-cell
  2. this shows that what kind of cancer the dogs developed had some kind of genetic basis

(cancers only arise in somatic cells - can’t be passed on in germ cells cause these cells owld be rendered dysfunctional)

A
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11
Q
A
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12
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13
Q
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14
Q

(Epigenetics)

  1. epigenetic influence on gene expression (changes in methylation or acetylation) usually occur dut to malfunction of what?
  2. in many cases, tumors underexpress their genomes due to what?
A
  1. associated enzymes
  2. hypermethylation

(imprinting - when one set of genes turn off - an example of an epigenetic change)

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15
Q
A
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16
Q
A
17
Q

(Sporadic Cancers)

  1. can manifest at any age, but usually strike when?
  2. usually how many tumors?
  3. survival?
  4. accumulation of what?
  5. is there any penetrance?
  6. What is lifetime risk?
A
  1. disease of adults and elderly
  2. single
  3. variable
  4. random mutations
  5. no (somatic)
  6. 1 in 3
18
Q
A

basically what is going on here… i think… is that somewhere in our evolutionary past these chromosomes were linked up - but speication caused them to drift apart - so mutations that cause aren’t necessarily completely random - they are just reverting back to ancient forms in a sense … poissbily

19
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A
20
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