Lecture 6: Infectious Agents and Cancer Flashcards

1
Q

Around what percentage of cancers are estimated to be caused by infections?

A

15% (particularly in regions in Africa and Asia related to income/economy - higher lower income counties)

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2
Q

What are four infectious agents commonly associated with cancer formation?

A

Helicobacter pylori (bacteria) - stomach cancer
HPV (Human papilloma virus) - predominantly causes cervical cancer
Hepatitis C virus - liver cancer
Hepatitis B virus - liver cancer

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3
Q

Give an example of a cancer enabled by HIV infection?

A

Kaposi’s sarcoma (due to destruction of immune system by HIV - immunosurveillance decreased)

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4
Q

What virus is associated with Burkitt’s Lymphoma?

A

Epstein-Barr Virus (EBV)

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5
Q

What was the Rous experiment?

A
  • sarcoma removed from chickens and broken up into small pieces
  • grind up the sarcoma
  • collect filtrate that has passed through fine-pore filter to remove all the cellular particles
  • inject the filtrate into young healthy chicken
  • observed the development of sarcoma as the chicken developed
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6
Q

What is indirect pathogen driven carcinogenesis?

A

Chronic inflammation in response to pathogen that causes cellular damage by oxidative damage

Prevention of apoptosis

Induction of chromosomal instability and translocations

immunosuppression caused by virus that activates other tumourviruses (E.g. HIV causes immunosuppression that can result in infection with Kaposi’s sarcoma infectious agent)

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7
Q

What is direct pathogen driven cacinogenesis?

A

Integration of viral DNA to the cellular DNA - cells produce viral genes that cause DNA mutations
- introduction of viral oncogene into host cells
- modified viral oncogenes after introduction into host cell DNA
- modified host cell genes integrated into viral genomes act as oncogenes

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8
Q

What is Rous Sarcoma Virus (RSV)?

A

A retrovirus (RNA virus)
- env gene encodes surface glycoproteins - virus entry into cells by interacting with cell membrane
- gag gene encodes coat proteins
- pol gene encodes reverse transcriptase (generate DNA from the viral RNA)
- src gene (oncogene)

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9
Q

Describe the lifecycle of the retrovirus?

A
  • virus enters cell, shedding viral envelope
  • DNA generated from viral RNA template by reverse transcriptase
  • dsDNA integrated into host cell genome as a provirus
  • viral genome replicated by host machinery to produce many mRNAs that are transcribed and assembled into new viral particles
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10
Q

How was RSV shown to cause aberrant growth in cells?

A
  • monolayer of cells
  • infect one cell with RSV particle
  • cell transformed - loss of contact inhibition
  • formation of a focus due to continued proliferation of transformed cell
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11
Q

How was it shown that the cancerous phenotype required the presence of active viral proteins?

A
  • normal morphology cells grown at 37 degrees
  • infect cells with a temperature sensitive RSV mutant (proteins labile at higher temperatures)
  • cancerous phenotype (transformed morphology) observed when cell continued to grow at 37 degrees
  • then increased the temperature and showed that the cells reverted to normal morphology
  • then shifted the temperature down and observed that the cells become transformed again
    –> the viral proteins were inactive at the higher temperatures so cells do not become transformed.
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12
Q

What was causing the RSV virus to promote cancer formation?

A

Incorporation of the src gene from the host genome, which became an oncogene expressed by the virus
- when provirus integrated adjacent to the cellular src (encodes form important kinase protein in the host)
- c-src transcribed and packaged into viral capsid

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13
Q

How is c-Src activated and what does c-Src do?

A

intracellular kinase that activates downstream signalling pathways to promote proliferation
- inactive = closed conformation - phosphorylated C-terminal (at Y527) interacted with the SH2 domain
–> binding of growth factor to PDGF-R results in phosphorylation of receptor that binds to the SH2 domain of c-Src, displacing the C-terminus (which is dephosphorylated) and opening up the c-Src
- phosphorylation of the activation loop that exposes the catalytic cleft
- promotes activation of proliferation pathways downstream of Src

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14
Q

How does the v-src act as an oncogene?

A

the v-Src protein lacks the C-terminal tyrosine (Y527) that is normally phosphorylated in c-Src, resulting in constitutive activation of the Src and uncontrolled proliferation

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15
Q

What is ALV and how can it cause cancer?

A

Avian leukosis virus
- a slowly transforming retrovirus
–> provisus inserts randomly into host and occassionally inserts upstream of c-myc which results in uncontrolled proliferation by activating proto-oncogene (activation or overexpression)
–> provirus could also insert adjacent to c-src gene resulting in the formation of RSV (rare event)

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16
Q

What is the 4th most common cancer in women worldwide?

A

cervical cancer (incidence and mortality is much higher in developing countries - low income countries)

17
Q

Why does cervical cancer have a lower age at diagnosis than breast cancer for example?

A

Individuals will often acquire the virus at a young age (often related to sexual activity in teenage years) and develop cancer cancer earlier in life

18
Q

How have countries tried to reduce the incidence of HPV-related cervical cancer

A

Vaccination of school-age children (before sexual activity starts)
males vaccinated as well (penile cancer, head and neck cancers, anal cancer)
- longevity of the protection conferred by the vaccine will influence ability of the vaccination programme to decrease prevalence

19
Q

what type of virus is HPV?

A

double stranded DNA virus that shows tissue tropism
(many subtypes, most of which cause warts)

20
Q

Which HPV subtypes are high risk for cervical cancer?

A

HPV-16 and -18

21
Q

what is the structure of the HPV-16 genome and how is it expressed during infection?

A

Early genes expressed during vial replication
Late genes expressed during viral packaging (encode capsid proteins)
Oncogenes expressed by viral genome

22
Q

What are the viral oncogenes expressed by HPV?

A

E6 and E7

23
Q

How can HPV cause infection and increased cellular proliferation?

A

microabrasion that causes lesion in epithelial basement membrane allows HPV to infect the stems cells adjacent to the epithelial basement membrane
- as the stem cells proliferate and differentiate through the different layers of the skin, the virus remains within the cells as viral episomes that express the viral proteins within the cell
- at some point, they can integrate into the host genome and produce the oncogenic proteins (E6 and E7)

24
Q

How does E7 result in cancer progression?

A

Oncogene
- binds to Rb in place of E2F transcription factor
–> Rb degraded by the proteasome and E2F now free to bind to DNA ad upregulate transcription of genes required for cell cycle progression
- stimulates genomic instability by integrating into host DNA

25
Q

How does E6 result in cancer progression?

A

Oncogene
- involved in targeting tumour suppressor gene p53 for proteasomal degradation (removes suppression of proliferation so get uncontrolled growth)
- de-represses expression of hTERT (a component of telomerase so telomerase remains active and prolongs the life of cells by preventing telomere shortening overtime) - immortalise cells
- stimulates overexpression of VEGF (important in angiogenesis)
- stimulates genomic instability by integrating into host DNA

26
Q

Give an example of a parasite linked to liver cancer?

A

Southeast Asian liver fluke

27
Q

Give an example of a parasite that is liked to bladder cancer?

A

Bilharzia (Schistosoma hematobium)

28
Q

What is the most prevalent pathogen associated with cancer?

A

H. pylori (causes up to 90% of all stomach cancers)

29
Q

How does H. pylori cause stomach cancer?

A

Causes chronic inflammation (chronic superficial gastritis –> atrophic gastritis –> dysplasia –> carcinoma)
- driven in part by chronic inflammation but also involves virulence factors of H. pylori (important one is CagA)

30
Q

What is an important virulence factor produced by H. pylori that contributes to the development of stomach cancer?

A

CagA

31
Q

How does CagA drive carcinogensis?

A

Has pleiotropic effects:
- disrupt cytoskeleton (rearrangements)
- disrupt cell polarity and cell junctions
- mitogenic (increases cell proliferation) pro-inflammatory (E.g. IFN-gamma) effects by upregulating transcription

32
Q

How does the phenotype of gastric cells change when exposed to H. pylori?

A

shows the ‘hummingbird phenotype’
- changes in cytoskeleton and cell junctions
- cells are less attached so more able to migrate (invasion and metastasis of malignant cells)

33
Q

Does SARS-CoV-2 infection cause cancer?

A

Unsure as currently not enough evidence
but it is believed that it could cause cancer since infects several organs which may enable cancer stem cells to develop