Lecture 2 REVISION Flashcards

1
Q

Why do cancer cells divide uncontrollably

A

Circumvent normal regulation of cell cycle

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2
Q

What are oncogenes

A

Gene whose presence results in cancerous phenotype

Dominant at cellular genetic level

Derive from cells normally involved in regulating proliferation (proto-oncogene) through mutation or misregulation

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3
Q

History of oncogenes

A

Early 1900s:
- Presumed cancer was infectious through a virus

  • Later discovered this was not the case as epidemilogy didn’t match and no viruses found in tumours

Only certain cancers e.g. cervical and liver carcinomas known to be caused by viruses

1970s:
test created to test cancer is genetic hypothesis:

  1. Chemical carcinogens added to mouse/human cells
  2. DNA isolated from transformed cells and transfected back in human cells using calcium phosphate co-precipitation
  3. Cells became cancerous after a few weeks, and started growing abormally
  4. Cells injected into mice and tumours began to form, proving genetic origins
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4
Q

How are oncogenes activated?

A

Deletion or point mutation in coding sequences - hyperactive protein made in normal amounts

Regulatory mutation - overproduction of protein

Gene amplification - overproduction of protein

Chromosomal rearrangements - nearby DNA sequences cause protein overproduction OR fusion to actively transcribed gene produces hyperactive fusion protein

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5
Q

Types of oncogenes

A

Growth factors

Growth factor receptors e.g. receptor tyrosine kinase

G proteins

Intracellular serine/threonine kinase

Intracellular tyrosine kinase

Transcription factors

Negative regulators of apoptosis

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6
Q

Growth factor signalling

A

Growth factors bind to growth factor receptors

Enzymes activated e.g. kinases

Signalling cascades activated

Transcription factors activated which transcribe DNA

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7
Q

TGF-a signalling

A

Normal cells - paracine or endocrine signalling

Cancer cells autocrine signalling

Normal cells:
TGF-a is secreted from a mesenchymal cell, where it binds to a receptor tyrosine kinase called an epidermal growth factor receptor to stimulate downwards signalling in the epithelial cell, where the receptors dimerize. At the same time, platelet derived GFs are secreted from an epithelial cell which is bind to PDGR-R located on the surface of a mesenchymal cell, stimulating downwards signalling in the mesenchymal cell to allow for cell proliferation and growth

Cancer cells:
Transforming growth factor-a is secreted from epithelial cells and bind to EGF-a on the surface of the same epithelial cell, leading to uncontrolled cell growth

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8
Q

What cancers does TGFa cause?

A

Produced by lung, prostate, pancreatic, mesothelioma and breast cancers

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9
Q

Other examples of cells that undergo autocrine signalling in cancer

A

SCF (Kit), VEGF-A, (VEGF-R) HGF (Met), NRG (HER2/HER3) etc

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10
Q

Normal vs cancer growth factor receptors

A

Deregulation of receptor firing in cancer

Normal cells:
Growth factor binds tyrosine kinase receptors causing them to dimerize, forming a ligand-dependent firing receptor after dimerization

Cancer cells:
Caused by mutations affecting structures or overexpression of receptors:

Mutations affecting structure- ligand not required for dimerization and signalling leading to excessive cell proliferation

Overexpression of receptors means more growth factors bind to more receptors - increasing the quantity of signalling of the receptors to stimulate increased cell proliferation

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11
Q

G-proteins

A
  • large family of proteins activated by binding GTP.
  • Prominent subfamily of G-proteins are monomeric small GTPases - Ras prototypical member

-Bind GTP/GDP - GTP in ‘on’ form, GDP for ‘off’ form

  • regulated by Guanine nucleotide exchange factors (GEFs, activate)
  • or GTPase activating proteins, inactivating
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12
Q

Ras in cell signalling

A

Three genes encoding 4 21kDa ras proteins:
HRAS, NRAS, KRAS4A, and KRAS4B

Inactive Ras-GDP ->
Guanine exchange nucleotide factors e.g. SOS activate Ras and upstream stimulatory signal
GDP->GTP->
Active Ras-GTP undergoing downstream signalling->
GTP hydrolysis and Ras inactivation induced by GTPase activating proteins e.g. NF1, Pi released->
Inactive Ras-GDP

In cancer, oncogene blocks GTP hydrolysis and Ras inactivation by GAP

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13
Q

How do adaptor proteins link RTK to RAS

A

First way:
phosphate group on RTK binds SH2 which is bound to Grb2 and two SH3

SH3 binds the guanine nucleotide exhange factor SOS

Causes GDP -> GTP on Ras to allow downstream signalling

Second way:
- Phosphate group on receptor tyrosine kinase bind SH2-Shc

  • Phosphate group on SH2-Shc binds SH2-Grb2 bound to 2 SH3 groups
  • SH3 groups bind SOS
  • Causes GDP -> GTP on Ras to allow downstream signalling
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14
Q

RAS hotspots

A

9787 tumours on amino acid 12

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15
Q

Ras mutation frequency

A

HRAS - 9% of cervical cancers, 15% of head/neck cancers

NRAS - 18% skin cancers, 10% haemopoietic cancers, 8% thyroid cancers

KRAS - 57% pancreatic cancers, 33% colorectal, 31% biliary tract, 20% small intestine, 17% lung, 14% ovary, 14% endometrium

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16
Q

B-raf V600E and V600K mutations in melanoma

A

In G0->G1, RAS stimulates the production of RAF

In cancer, due to Ras being stuck in the active phase, more downwards signalling stimulatyes the production of more Raf

This causes Raf to produce more cyclin D1-CDK4 or CDK6, which then causes more Phosphorylated Rb production

This causes more cells to later enter mitosis, increasing cell proliferation and division

17
Q

bcr-abl oncogene

A

Translocation between chromosomes 9 and 22 causes ‘Philadelphia’ chromosome and bcr’abl oncogene

This encodes for the Bcr-Abl fusion protein, a constitutively active tyrosine kinase

Found in >95% of chronic myelogenous leukaemia

18
Q

bcr-abl pathway

A

Kinase domain on Abl on BCR-ABL dimer transactivate

Cytoskeletal proteins produced, leading to altered adhesion/motility

Phosphorylated STAT5 causes survival and proliferation

Degradation of phosphorylated p27 causes proliferation

BCL-XL causes survival

19
Q

Myc transcription factor

A
  • Regulates expression of genes involved in promoting cell proliferation and survival

Becomes oncogene by:
- Myc locus amplified frequently in various laukaemias and carcinomas (10-50%)

  • Expression of myc deregulated in Kurkitt’s lymphoma by chromosomal translocation between IgH gene on chromosome 14 and myc proto-oncopgene on chromosome 8.
20
Q

Myc overexpression

A
  • Over 70% of cancers overexpress Myc or one of its homologues (N/L-Myc)

> 10 copies of N-myc severly decreases event free survival of neuroblastoma patients