Molecular Basis of Carcinogens Flashcards

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1
Q

What are 5 properties of malignant cancer cells?

A
  1. Unresponsive to proliferation control signals
  2. DE-Differentiated: do not have specialized structures /function of tissue where they are growing
  3. Invasive: can grow into neighboring healthy tissue, extending the boundaries of the tumor
    4; Malignant: can shed cells that travel through circulatory system and proliferate at other sites
  4. Clonal in origin: all cells from same single cell origin
  5. Resistance to apoptosis
  6. limitless replication potential
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2
Q

What is the multistep process for carcinogenesis?

A

cancer is the result of the accumulation of somatic mutations produced by environmental factors

Important steps are:
Tumor initiation
promotion
conversion
progression
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3
Q

What is the relative importance of heredity in carcinogenesis? The environment?

A

Heredity:

  • susceptibility to cancer is heritable
  • cancer is caused by changes in cellular heredity
  • Cancer is not inherited as a single gene (mendelian inheritance)

Environment:
- mutagenic events early in life can be associated with cancer later

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4
Q

What types of early mutations are associated with later cancer?

A

UV light exposure

mutations to DNA repair genes

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5
Q

How do mutations in DNA repair genes cause later cancers?

A

increases rate of future mutations

Ex: p53, BRCA1, BRCA2

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6
Q

What 2 types of genes are usually mutated in tumor initiation?

A
  1. Oncogenes: encourage cell proliferation -> activated

2. Anti-oncogenes: inhibit cell proliferation -> inactivated

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7
Q

What are at least 2 cytogenetic abnormalities associated with malignancy?

A
  1. translocations/ deletions
    ex: CML- Philadelphia chromosome
  2. Loss of heterozygocity (LOH)
    ex: retinoblastoma
  3. Aneuploidy
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8
Q

What events can lead to a loss of heterozygocity?

A

Classic 2 Hit hypothesis of tumorgenesis (Kundson)

1st hit: pont mutation in activating tumor supressor gene
2nd hit: deletion resulting in loss of WT copy

Both are necessary because 1 good copy is enough for normal function

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9
Q

What are some dominantly inherited susceptibilities to cancer?

A
familial Adenomatous Poluposis
Familial retinoblastoma
Familial breast and ovarian cancer 
Wilms tumor syndromw
von hippel lindau
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10
Q

What are some recessively inherited susceptibilities to cancer?

A

xeroderma pigmentosa
ataxia-telegiectasia
bloom’s syndrome
fanconi’s congenital aplastic anemia

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11
Q

How was the retinoblastoma gene identified?

A

many tumors had abnormal structure on chromosome 13 near q14 -> some completely deleted, some partial deletions, some rearrangements

-> in most patients, heterozygosity for Rb gene

=> tumor descends from single cell that has become homozygous for susceptibility gene

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12
Q

What are 3 functions of the normal Rb protein?

A
  1. Prevent excessive cell growth by inhibiting cell cycle
  2. recruits chromatin remodeling enzymes
  3. Has a “pocket” for function binding of other proteins -> can be targeted by pathologies like HPV and become inactivated
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13
Q

How doe Rb function during the cell cycle

A

inhibits cell proliferation -> anti oncogene
- hypophosphorylation of Rb protein prevents cells from entering S phase

  • if Rb protein hyperphosphorylated -> cell proceeds to S
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14
Q

What happens during the cell cycle if Rb is lost/ nonfunctional?

A

Cells cannot down regulate their division and growth is out of control

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15
Q

What is a hallmark of tumor suppressor genes?

A

protects a cell from one step on the path to cancer
ex) Rb prevents cell from entering s phase

their loss may be more important than oncoactivation in many cancers

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16
Q

What is the normal function of the APC gene?

A

tumor suppressor of FAP - familial Adenomatous Polyposis
on chromosome 5q

Encodes cytoplasmic protein that regulates location of beta-catenin (keeps it at the plasma membrane)

APC protein also degrades free beta catenin in cytoplasm

17
Q

What happen if APC gene is lost?

A

Beta catenin enters nucleus and produces transcription of oncogenes like c-myc

18
Q

What types of genes are BRCA1 and BRCA2?

A

tumor suppressor genes - “checkpoints”

19
Q

What type of gene is p53?

A

tumor suppressor gene - “guardian of the genome”

20
Q

Why was p53 originally thought to be an oncogene?

A

certian p53 mutations are dominant to the WT allele

  • they bind the WT and inactivate it
  • dominant negative “spoiler”
21
Q

Why is p53 considered the “guardian of the genome”

A
  • prevents cell from replicating damaged DNA

- required for apoptosis

22
Q

What is the name for specific mutations that are frequently found in human cancers?

A

hotspots

23
Q

Give 1 example of a virus that is oncogenic

A

HPV: inactivates p53

24
Q

How were oncogenes discovered?

A

through their identification in retroviruses which have the ability to insert new genetic info into host genome (and produce malignancy if they contain v-onc)

25
Q

What are some of the functions of viral oncogenes?

A
  1. affect gene expression (kinase that phosphorylates tyrosine)
  2. Growth stimulation (miic EGFR)
  3. de-regulate growth signals to allow unregulaed prolifeation
26
Q

What are at least 4 examples of oncogenes with known function?

A

v-src: rous sarcoma- fibrosarcoma in birds
v-erb: avian erythroblasosis- in chickens
v-abl: abelson leukemia from mice
v-myc: neoplastic transformation of cells

  1. c-ras - transforms normal cells when introduced via DNA transfomation - bladder cancer
  2. N-myc (c-myc family) - amplified in neuroblastoma
27
Q

How does amplification correlate with prognosis?

A

Higher levels of amplification correlate with poor prognosis

=> quantitative model- too much of a protein leads to malignancy

28
Q

What is the qualitative model of cancer transformation?

A

overactive or unregulated protein can lead to malignancy

29
Q

What combination of activation and suppression can lead to malignancy?

A

activation of oncogenes

suppression of tumor suppressor genes

30
Q

How does herceptin work?

A

specific antibody to protein product of HER2 oncogene -> reverses transformed phenotype of cancer cell

31
Q

How does gleevac work?

A

inhibits typrosine kinase in BCR-ABL translocation (philadelphia chromosome)

32
Q

How is a heat map used in cancer treatment?

A

changes in gene copy number/ gene expression are correlated with tumor grade

33
Q

How is a heat map used in breast cancer?

A

Xpress chip-
123 genes know to be altered in breast cancer
- tx determined based on Rxs known to creat response in specific mutations