MOD 21 - Carcinogenesis: molecular hallmarks of cancer cells Flashcards

1
Q

what are the 2 key concepts for carcinogenesis?

A

oncogenes activation & tumour suppressor gene inactivation

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2
Q

what are caretaker genes

A

maintain genetic stability by repairing damaged DNA and replication errors

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3
Q

what happens to mutated caretaker genes

A

cause genomic instability - which enable specific genetic alterations to accumulate in carcinogenesis

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4
Q

what is the real name of caretaker genes

A

tumour suppressor genes

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5
Q

what are the different subtypes of tumour suppressor genes

A

gatekeepers & caretakers

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6
Q

what does gatekeeprs do?

A

regulating normal growth

-ve regulators for cell cycle and proliferation, +ve regulator of apoptosis & cell differentiation

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7
Q

what does caretakers do?

A

maintain genetic stability

  • DNA repaire genes
  • controlling accuracy of mitosis
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8
Q

what is 2 hit theory?

A

inactivation of a TSG requires 2 mutations on each copy of the chromosome - first hit is normally a point mutation

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9
Q

who will already have the first hit of the 2 hit theory

A

ppl with FH ie familial cancer syndromes

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10
Q

what is proto-oncogenes

A

potential oncogenes which requires only a few mutation to become oncogenes

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11
Q

what can proto-oncogenes do?

A

promote cell proliferation, survival, angiogenesis and negative regulation of apoptosis

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12
Q

what can mutation of the oncogenes lead to?

A

activated versions of increased expression of proto-oncogenes - gain of function

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13
Q

how many copies of mutated oncogenes is required to cause damage

A

only one copy - mutated genes is dominant to other normal parental gene`

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14
Q

what are the 3 different mechanisms which can activate oncogenes

A

translocation of a proto-oncogenes (from a low transciptionally active site to a higher active sites - aberrant expresison of oncogenes

point mutation - cause hyperactive of the a.acid

ampllification - insert of multiple copies of oncogenes

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15
Q

what does tumorigenesis involve

A

multi-step process - involves activation of oncogenes and inactivation of TSG

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16
Q

what are the hallmarks of cancer cells

A

self-sufficency in growth signals, insensitivity to antigrowth signals, tissue invasion and metastasis, limitless potential for replication, sustained angiogenesis, evading apoptosis

17
Q

how can cancer cells achieve independences in acquiring growth factors

A

by modifying growth factor receptors and cause them to be over-expressed and activated.

18
Q

how can cancer cells achieve resistance to -ve growth factor?

A

retinoblastoma protein (RB) is important regulator as it is inhibited progression of cell cycle and the -ve GF activate the Rb protein and so it will prevent cell cycle

tumour cells will inactivat RB gene and so resistance to -ve growth factors

19
Q

how come cells have finite replicative lifespan

A

Due to shortening of chromosome ends (telomeres) after each cell division

20
Q

what is telomeres

A

act to prevent end to end fusion of chromosomal DNA molecules

21
Q

what is telomeres consist of

A

TTAGG - hexanucleotide sequence repeated thousand times

22
Q

what happens when the hexanucleotides run out?

A

Eventually the ends of the chromosomes become exposed and are able to fuse with each other resulting in karyotypic chaos, which usually triggers apoptosis

23
Q

can telomere be regenerated ?

A

Telomere regeneration can be accomplished by an enzyme called telomerase

24
Q

how can tumour cells achieve immortality

A

Rapidly proliferating tumour cells can overexpress the telomerase enzyme to maintain normal telomere length

25
what genes involved in apoptosis?
TP53
26
what does P53 do?
induces cell cycle arrest stoping the advancement of cell cycle allowing repair of DNA damage apoptosis if too much damage
27
how can tumour cells achieve resistance to apoptosis?
TP53 inactivation - lead to loss of apoptotic response
28
when does tumour requires its own blood supply
tumours greater than 2 mm in diameter
29
how does tumour cells achieve angiogenesis?
hypoxia stabilise HIF-1 tanscription factor which induces vascular endothelial growth factor (VEGF) ie recruit endothelial cells that proceed to construct new capillaries and vessels
30
how is epithelial cells held tightly together
by adhesion molecule E-cadherin - many tumours how loss of this
31
how does process of invading and metastasis take place
Epithelial cells are held tightly together by adhesion molecule E-cadherin Many tumours show loss of E-cadherin through mutation/hypermethylation of the gene Results in epithelial-mesenchymal transition (EMT) Mesenchymal cells are motile and secrete proteases - allows them to break through basement membrane and invade the underlying stroma Metastasis involves the spread of malignant cells via the blood/lymphatic system to secondary sites and the formation of secondary tumours