Lecture 48: Tumor Suppressor Genes Flashcards

1
Q

What do Tumor Suppressor genes do?

A

-Which normally inhibit growth

-Cell cycle control genes, apoptosis
promoting genes and/or DNA repair genes

Loss of function: Cause cancer when they stop working

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2
Q

Wilms Tumor

A
  • AD inheritance
  • Loss of function of WT1 gene (tumor suppressor)
  • Chrom 11
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3
Q

Sporadic cancer

A
  • Inherited two normal tumor suppressor alleles, but then later one cell loses one of its gene = first hit
  • Then second allele is lost = second hit = Loss of Heterozygosity (LOH)

Identifiers:

  • Presents with one tumor
  • Unilateral (in one cell in the body)
  • Skips generations in a pedigree
  • Later onset
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4
Q

Familial cancer

A

-Inherited one normal tumor suppressor allele, then later in life second allele is lost = cancer

Identifiers:

  • Presents with multiple tumors
  • Bilateral (all cells have first hit)
  • Doesn’t skip generations in a pedigree (Family history)
  • Earlier onset
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5
Q

Mechanisms producing 2nd hit

A

1) Point mutation
2) Gene deletion (Most common)
3) Mitotic recombination
4) Loss through non-disjunction
5) Methylation of gene (still present but silenced)

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6
Q

Rb protein

A
At G1/S checkpoint
-CDK 4/6 --> constantly made
-Cyclin D
-Rb no longer represses E2F
-E2F activates S-phase genes
(Cell divides)

No cyclin/Cdk

  • Transcription blocked
  • Arrested in G1
  • Deacetylation
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7
Q

Hyperphosphorylated Rb

Hypophosphorylated Rb

A

Cyclins/Cdk HYPERphosphorylate

  • Rb doesn’t repress E2F + activates S-Phase genes
  • Cell cycle progresses, cell division, no G1 arrest

No cyclin/Cdk present = HYPOphosphorylated Rb

  • Rb/E2F complex still binds to DNA + gets methylase and histone deacetylase
  • Cell cycle arrested, no cell division, arrested in G1
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8
Q

How does the loss of Rb effect the cell cycle?

A

Loss of Rb/ mutant Rb, does NOT bind to E2F → Increased

transcription of S phase genes (Unregulated cell division)

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9
Q

What is a criteria all cancers show?

A

Dysregulation of the G1-S checkpoint

Mutation in one of these 4 genes:

1) RB –> Inhibitor of E2F
2) CDK4
3) Cyclin D gene
4) CDKN2A (p16).

(G1 CDK complex inactivates Rb by phosphorylation)

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10
Q

Retinoblastoma

A

-Mutation of Rb gene on chromosome 13

Symptom:
-White pupillary reflex

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11
Q

p53

A
  • Tumor suppressor protein = “guardian of genome”
  • G1/S checkpoint
  • Cell Cycle Control (Cell Birth)
  • Apoptosis Control (Cell Death) –> (Bax promotes apop.)
  • Increases DNA repair capabilities

-Loss of p53 function results in net cell growth, and increased mutation = cancer progression

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12
Q

How does p53 influence apoptosis

A

-Activates intrinsic and extrinsic pathways for apoptosis

p53 increases:

  • Bax (promotes apoptosis)
  • Fas receptor (CD95)
  • IGFBP-3 (sequesters cell survival proteins like IGF1/2 away from receptors)
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13
Q

Li-Fraumeni syndrome

A
  • Inherited mutation in p53
  • 1st hit = inherited from mom
  • 2nd hit = somatic (LOH)
  • Breast, bone, brain, and soft-tissue carcinomas
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14
Q

Common Inherited Cancers

A

1) Colorectal cancer
- FAP
- HNPCC
- Most non-familial

2) Breast/Ovarian

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15
Q

Familial Adenomatous Polyposis (FAP)

A
  • AD disorder
  • High penetrance
  • Tumor suppressor gene (affects B-catenin involved in growth control pathway)
  • Many different mutations of the APC gene = (Allelic heterogeneity)
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16
Q

Normal APC pathway: WNT Signal present

A

-APC encodes a tumor suppressor

1) Destruction complex inactivated
2) B-Catenin not degraded
3) B-Catenin moves to nucleus = complex w TCF-4
= Growth promoting genes

17
Q

APC Pathway: No WNT signal

A

1) APC interacts w/ B-catenin
2) Phosphorylation of B-catenin
3) Ubiquitination and B-catenin degraded
= low B-catenin degradation

*With mutated APC, it doesn’t interact w B-catenin, B-catenin interacts w TCF-4 = activation of growth

18
Q

Hereditary Non-Polyposis Colon Cancer

(HNPCC): Lynch Syndrome

A
  • Mutation of DNA mismatch repair (MMR) genes
  • Cells accumulate mutations
  • Tumors have microsatellite instability = Tandem repeats
  • Fewer polyps
  • Accelerated tumor progression

Genes responsible:

1) MSH2
2) MLH1
3) PMS1/2

19
Q

FAPS

A
  • APC mutation
  • Accelerated Initiation
  • Numerous Polyps
  • Normal tumor progression
20
Q

Breast Cancer

Ovarian Cancer

A

Breast Cancer

  • BRCA1 (Allelic heterogeneity) and BRCA2 code for breast cancer type 1 and 2 susceptibility protein
  • If lost cells can duplicate with DNA damage = cancer

Ovarian Cancer
-BRCA2

21
Q

Epigenetics in Tumorigenesis

A

-Tumor suppressors are frequently HYPERmethylated in cancer cells (silencing tumor suppressor genes) = cancer progression

  • Loss of imprinting = growth
  • MicroRNAs
22
Q

MicroRNA in Tumorigenesis

A

-MicroRNA reduces expression of genes

Reduction of miRNA could be inhibited oncogene RNA
-Increase in miRNA that inhibit tumor suppressor RNA

23
Q

Expression array analysis and cancer

A

-Helps classify cancer and therapy needed

Microarray Analysis:
-Can determine changes in the expression of large numbers of genes between two groups