Oncogenes and Tumour Suppressor Genes Flashcards

1
Q

what are the 6 hallmarks of cancer?

A
o	Disregard signals to stop proliferating.
o	Disregard signals to differentiate.
o	Capacity for sustained proliferation.
o	Evasion of apoptosis.
o	Ability to invade.
o	Ability to promote angiogenesis.
\+ avoid immune destruction 
\+ tumour promoting inflammation 
\+ genome instability and mutation
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2
Q

what ensure genetic fidelity?

A

Cycle checkpoints

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3
Q

what do proto-oncogenes code for?

A

essential proteins involved in maintenance of cell growth, division and differentiation.

produce normal protein, expressed normally and respond to signals appropriately

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4
Q

what does a mutated proto-oncogene produce?

A

oncogene (whose protein product does NOT respond to control influences)

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5
Q

how can oncogenes be active?

A

be aberrantly expressed, over-expressed or aberrantly active

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6
Q

what is the minimal requirement for a proto-oncogene to become an Oncogene?

A

can be converted to an oncogene by A SINGLE MUTATION.

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7
Q

what are the 4 ways a normal proto-oncogene can become an oncogene?

A
  1. Mutation in the coding sequence
    - leading to an aberrant protein
  2. Gene amplification
    - leading to overproduction of the normal protein
  3. Chromosomal translocation e.g chimeric genes
    - enhancer added to increase normal protein levels
  4. Insertional mutagenesis e. g viral infection
    - fusion protein created is hyperactive
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8
Q

what are the mutations that can occur in a coding sequence?

A

Point mutation or deletion.

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9
Q

what happens in gene amplification?

A

A protein may block the DNA polymerase so the polymerase repeatedly backs up to go over the area a few times creating many identical genes.

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10
Q

what genes are produced in chromosomal translocation?

A

Chimeric genes.

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11
Q

example of gene created by chromosomal translocation?

A

Philadelphia chromosome (translocation between Chr 9 and 22)

Bcr-abl encodes a tyrosine kinase receptor that does not switch off which is anti-apoptotic enable cancer cell survival

leads to CML

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12
Q

what is insertional mutagenises?

A

Viral infections – some viruses insert their genome into our DNA and usually this isn’t a problem as much of our DNA does not code but if it’s in a coding region, this could be cancer.

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13
Q

examples of proto-oncogenes and proteins they produce?

A

o Tyrosine kinase receptors EC – met, neu.
o Tyrosine kinase receptors IC – src, ret.
o Transcription factors – myc, fos, jun.
o GPCR g-proteins – ras, gip-2.
o Kinases – raf, pim-1.

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14
Q

how is Ras switched on and switched off?

A

binding GTP, RAS becomes active and it’s dephosphorylation of GTP to GDP switches RAS off.

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15
Q

what does Ras binding to GTP enable?

A

allows RAS to bind RAF and pass the signal to RAF deliver the signal further to MEK and ERK.
Dephosphorylation unbinds Raf from Ras

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16
Q

what does mutant Ras do?

A

fails to dephosphorylate GTP and remains active and bound to RAF and drives proliferation.

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17
Q

what is the cancer associated with Myc transcription factor?

A

a translocation can lead to Burkitt’s lymphoma

18
Q

what is the cancer associated with ha-ras and ki-ras g proteins?

A

a point mutation can lead to bladder and colon&lung cancer respectively

19
Q

what are tumour suppressor genes (TSGs)?

A

encode proteins whose function is to regulate cellular proliferation and maintain cell integrity
– e.g. pRb.

20
Q

how many copies of each TSG is present in cells? how many mutations are required to drive cancer?

A

Each cell has 2 copies of each TSG

mutation/deletion of 1 copy is (usually) insufficient to promote cancer
mutation or loss of BOTH copies means a loss of control.

21
Q

what are common features of susceptibility to cancers due to TSG mutations?

A
  • Family history
  • Early age of onset
  • Bilateral tumours in paired organs (seen with non-sporadic retinablastomas for example)
  • Synchronous/successive tumours
  • Different organ tumours in the same individual
  • Mutation inherited through germline
22
Q

what hypothesis describes the activation of cancer via TSGs?

A

Knudson’s 2 hit hypothesis

23
Q

what is the difference between sporadic and inherited cancers due to TSGs?

A

sporadic–> 2 acquired mutations of TSGs (rare)

inherited –> 1 acquired mutation and 1 inherited mutation (more common)

24
Q

what causes retinoblastoma?

A

Malignant cells of developing retinal ganglionic cells.
o Mutation of RB1 (retinoblastoma) TSG on Chr 13q14.
o RB1 encodes a nuclear regulation protein:retinoblastoma protein
- requires two mutated copies

treatment is to remove the eye

25
what are the sporadic and inherited differences in the presentation of retinoblastoma?
A sporadic disease usually involving one eye. The hereditary versions can be uni/bilateral or multifocal (multiple tumours).
26
what are the functional classes of TSGs?
- Regulate cell proliferation - Maintain cellular integrity - Regulate cell growth. - Regulate cell cycle - Nuclear transcription factors - DNA repair proteins. - Cell adhesion molecules - Cell death regulators. these suppress the neoplastic phenotype of a cell
27
what is the associated cancer with p53 regulator mutation?
colon breast lung
28
what is the associated cancer with BRCA1 regulator mutation?
breast ovarian prostate
29
what is the associated cancer with PTEN (phosphates) mutation?
prostate | glioblastoma
30
how is p53 TSG mutation different in cancer activation?
- mutation of a SINGLE copy is enough to cause dysregulation of activity and cancer. (normally TSGs requires mutations on both alleles) - Mutant p53 produces a protein that acts in a dominant manner - one of the most common defects in cancer
31
what keeps p53 in inactive state? when does it become active?
MDM2 keeps p53 in an inactive state under stress p53 disassociates from MDM2 and becomes active by forming p53 tetramer
32
what is the effect of APC TSG deletion at 5q21?
Familial adenomatous polyposis coli | hyperproliferation in colon
33
what is APC involved in? i.e what is its role
in cell adhesion and signalling
34
what is the risk associated with multiple benign adenomatous polys in the colon due to APC loss?
90% risk of colorectal carcinoma.
35
what pathway is APC involved in? what does this control?
- WNT signalling pathway - control activity of beta-catenin (degrades it) - prevents uncontrolled cell growth. beta catenin involved in cell-cell adhesion and gene expression. Binds to cadherins to form cell-cell adhesions
36
what are the 3 combinations of genes that trigger cancer?
o Oncogene + TSG. o Proto-oncogene + defective TSG. o Oncogene + defective TSG.
37
what is the pathway to colorectal cancer?
1) epithelium 2) APC--> hyperproliferation 3) K-ras (+ DNA hypomethylation) --> adenoma 4) p53--> carcinoma 5) metastasis
38
oncogene summary
- gene is activated - occurs as specific translocations/point mutations - rarely hereditary - dominant - broad tissue specificity - in leukaemia and lymphomas
39
tumour suppressor gene summary
- gene is inactivated - occurs as deletion or mutations - can be inherited - recessive - considerable tumour specificity - solid tumours
40
which defective gene, oncogene or TSG defect , is more likely to be inherited?
TSG defect - inherited in the germline - show early onset