Oncogenes and Tumour Suppressors Flashcards

1
Q

What are the six hallmarks of cancer?

A
Disregard of signals to stop proliferating
Disregard of signals to differentiate
Capacity for sustained proliferation
Evasion of apoptosis
Ability to invade
Ability to promote angiogenesis
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2
Q

What are the two emerging hallmarks of cancer?

What are two enabling characteristics?

A

Deregulating cellular energetics
Avoiding immune destruction

Genome instability and mutation
Tumour-promoting inflammation

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3
Q

Differentiate between proto-oncogenes and oncogenes.

In what ways may the oncogene function differently?

A

Proto-oncogenes code for essential proteins involved in maintenance of cell growth, division and differentiation.
Mutation (can be a single mutation) converts a proto-oncogene to an oncogene, whose protein product no longer responds to controller influences.

Oncogenes can be aberrantly expressed, over-expressed or aberrantly active.

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4
Q

What are the different types of oncogene activation/mutant proto-oncogenes?

A
  • Mutation in the coding sequence (point mutation or deletion)
  • Gene amplification (production of multiple gene copies)
  • Chromosomal translocation (Chimaeric genes)
  • Insertional mutagenesis (e.g. viral infection)
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5
Q

When can the formation of chimeric genes be a problem? Give and example of a cancer.

A
  • If one of the pieces of translocated DNA is a promoter, it could lead to upregulation of the other gene portion (this occurs in Burkitt’s lymphoma)
  • If the fusion gene codes for an abnormal protein that promotes cancer (e.g. Philadelphia chromosome)
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6
Q

What is the Philadelphia Chromosome?

A

Chromosome produced by the translocation of the ABL gene (strong promoter) on chromosome 9 to the BCR gene on chromosome 22
The BCR-ABL fusion gene encodes a tyrosine kinase receptor that does not switch off and thus drives uncontrolled proliferation

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7
Q

Give examples of different signal transduction proteins that are proto-ongogenes.

A

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

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8
Q

State the mechanism of activation to an oncogene for src, myc, jun, Ha-ras, and Ki-ras.
State an associated human cancer for each.

A
SRC = Overexpression/ C-terminal deletion
MYC = Translocation
JUN = Overexpression/ deletion
Ha-RAS = Point mutation
Ki-RAS = Point mutation
SRC = Breast, colon, lung
MYC = Burkitt’s lymphoma
JUN = Lung
Ha-RAS = Bladder 
Ki-RAS = Colon, lung
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9
Q

List the functional classes of Tumour Suppressor Genes

A
Regulate cell proliferation
Maintain cellular integrity
Regulate cell growth
Regulate the cell cycle
Nuclear transcription factors
DNA repair proteins
Cell adhesion molecules
Cell death regulators
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10
Q

Why is a mutation/deletion of ONE TSG copy (usually) insufficient to promote cancer?

A

Each cell has two copies of each tumour suppressor gene.
Only a mutation or loss of both copies means loss of control.
= Knudson’s two hit hypothesis (either 2 acquired mutations or 1 inherited + 1 acquired mutation)

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11
Q

List some typical features of cancers involving TSGs

A
  • Family history of related cancers.
  • Unusually early age of onset.
  • Bilateral tumours in paired organs.
  • Synchronous or successive tumours.
  • Tumours in different organ systems in same individual.
  • Mutation inherited through the germline.
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12
Q

Give an example of a tumour suppressor gene and describe the mutation that leads to cancer

A

Example – Retinoblastoma:

  • Mutation of RB1 TSG on Chr 13q14 => Malignant cells of developing retinal ganglionic cells.
  • RB1 encodes a nuclear regulation protein.
  • A sporadic disease usually involving one eye. The hereditary versions can be uni/bilateral or multifocal (multiple tumours).
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13
Q

State some important tumour suppressor genes in human cancers. State the associated cancers corresponding to each TSG.

A

p53 – cell cycle regulator
BRCA1 – cell cycle regulator
PTEN – tyrosine and lipid phosphatase
APC – cell signalling

Many (colon, breast, bladder, lung etc)
Breast, ovarian, prostate
Prostate, glioblastoma
Colon

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14
Q

In what form is p53 inactive?

A

When it is bound to MDM2

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15
Q

What is p53 important for?

A

It is important for regulation of p53 target genes (involved in DNA repair, growth arrest, senescence etc.) and protein-protein interactions (e.g. apoptosis)

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16
Q

What is odd about p53 considering it is a tumour suppressor gene?

A

It acts in a DOMINANT manner – mutation of a single copy is sufficient to achieve dysregulation of activity

17
Q

What deletion causes loss of the APC gene?
What is APC involved in?
Sufferers develop what?

A

5q21

Cell adhesion
Cell signalling

Sufferers develop multiple benign adenomatous polyps of the colon (Familial adenomatous polyposis coli)

18
Q

What is the risk of people with this mutation developing colon cancer?

A

90%

19
Q

What signalling pathway is APC involved in?

A

WNT signalling

20
Q

Summarise the routes to cancer

A

Cancer can be triggered by:
Oncogene + TSG.
Proto-oncogene + defective TSG.
Oncogene + defective TSG.

21
Q

Describe the step-by-step development of colorectal cancer.

A
  1. APC mutations => hyperproliferative epithelium
  2. DNA hypomethylation + K-ras mutation will make the polyps => adenomas
  3. P53 mutation will result in the development of carcinoma
  4. Metaplasia
22
Q

Give 3 important distinctions between the cancers caused by oncogenes (1), and TSGs (2)

A
  1. Mutations rarely hereditary
  2. Mutations can be inherited
  3. Dominant at cell level
  4. Recessive at cell level
  5. Broad tissue specificity
  6. Considerable tumour specificity