Neoplasm III Flashcards
What does Retinitis (Xeroderma) Pigmentosum make people more susceptible to?
Increased risk of skin cancer in people exposed to UV light
Which gene is inherited in familial breast cancer?
BRCA1/BRCA2
What is a proto-oncogene?
A normal gene that can become an oncogene due to mutations or increased expression
How many alleles need to have an oncogene to cause a neoplasm?
Only one allele of a proto-oncogene needs to be mutated to cause neoplasia
How can proto-oncogenes be modified to create oncogenes?
Mutation, amplification, translocation
What is a tumour suppressor gene?
A gene that encodes proteins that suppress growth and therefore cancer
How many tumour suppressor genes need to be modified to create a neoplasm?
Both alleles of a Tumour Suppressor gene need to be mutated to produce neoplasia (Knudson’s 2-hit hypothesis).
What is Knudson’s 2 hit hypothesis?
Developed looking at retinoblastoma
2 hits needed for them to develop
Familial cancers - one hit immediately so higher risk of cancer
How is Ras important in the development of cancers?
Normally transmits growth-promoting signals to the nucleus
Mutant Ras is permanently activated resulting in continuous stimulation of cells
How is C-myc important in the development of cancers?
Binds to DNA, stimulates synthesis
Amplified (over-expressed) -Neuroblastoma, breast cancer
Translocation 8 –> 14 -Burkitt’s lymphoma
How is HER2 important in the development of cancers?
Encodes for a growth factor receptor
Amplified (over-expressed)
~25% of breast cancers
Herceptin is a competitive antagonist of HER2 receptor
Why is the pRB tumour suppressor gene important?
Passage beyond the R checkpoint at G1–>S boundary is governed by the phosphorylation of pRb.
A defect in both alleles of pRb leads to the cell escaping cell cycle control.
Retinoblastoma
Why is the p53 tumour suppressor gene important?
Approximately 50% of tumour contain p53 mutations
Gene encodes a nuclear protein, which binds to and modulates expression of genes important for cell-cycle arrest, DNA repair and Apoptosis
What is an initiator?
Carcinogenic agent
What is a promoter?
Enhance proliferations, especially in mutated cells and increase incidence of further mutations – can result in cancer