Oncosuppressor genes petronini Flashcards

1
Q

In an experiment, a normal cell (normal fibroblast) has been fused with a cancer cell line derived
from a uterine cervix carcinoma. A hybrid has been obtained: a cell composed of the DNA of the normal
cell and the tumor cell
Did the cell become cancerous?

A

The behaviour of the hybrid cell is normal, not neoplastic.
At least initially it works normally because in normal cell there is something that inhibits the
growth of the hybrid cell.
The problem occurs when hybrid loses
chromosome 13: if cell loses this chromosome the behaviour becomes neoplastic.
So, the chromosome 13 contains genes whose products are called tumour-suppressor.
If this chromosome is reinserted the behaviour is normal.
This is the first explanation of the presence of brakes in cells.

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2
Q

Retinoblastoma:

A

Retinoblastoma is a cancer that affects the precursor retinoblasts of photoreceptors.
There are two forms of this tumor:
* Early familial form (40% of cases)
* Late sporadic form (60% of cases)

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2
Q

Cytogenetic studies have shown the presence of a band deletion characteristic on the long arm of
chromosome __________ in retinoblastoma and on this part of the chromosome there is the Rb gene, codifying
for Rb protein

A

13(q14)

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3
Q

In __________ form there is a deletion in all cells of the body, meaning that this deletion is inherited.

A

familial

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4
Q

In __________ form, the deletion is only present in tumor cells.

A

sporadic

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5
Q

In hereditary retinoblastoma (familial form)
the first mutation is present in the _________, so the
cells of all tissues of the child are all
heterozygous for this mutation

A

germline
A single
additional mutation is enough to inactivate both
alleles and give rise to the tumour. The first
mutation is prezygotic, the second one is
postzygotic.

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6
Q

In non-hereditary retinoblastoma (sporadic
form) the germline is without mutations, both
work correctly. The first and second mutations
are _____________ and probability is lower than
familial retinoblastoma in which was enough
just one mutation because here are necessary
two mutations in the same cell.
The offspring of this child has no risk of
retinoblastoma because he doesn’t carry any
mutant allele

A

postzygotic

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7
Q

Knudson’s “Two-Hit” Theory of Cancer Causation

A

We have seen that we need two hits to inactivate onco-suppressor and develop retinoblastoma (Knudson’s “Two-Hit” Theory of Cancer Causation).
The normal gene balances the mutated one, so the
phenotype is normal.
In the scheme, above, we have nonhereditary
retinoblastoma, in which we start form a normal cell, cell is
hit by first mutation (one-hit cell) and so only one allele
becomes mutated, cell is hit again by a second mutation
(two-hit cell) and also the other allele becomes mutated:
retinoblastoma gene.
Below there is hereditary retinoblastoma in which the first mutation is in the germ line and the second
gives rise to retinoblastoma.

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7
Q

In the S phase of chromosome replication, we have normal and mutant alleles (heterozygosity of the Rb
gene). After ___________ and _____________ of chromatids, there can be retention of Rb
heterozygosity in daughter cells or loss of Rb heterozygosity in which cell lacks any functional
Rb gene copies.

A

mitotic recombination, segregation

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8
Q

___________ has a dominant phenotypic
expression, only one allele is mutated and so an oncogene is obtained. In the last lesson, we saw it
happens because of point mutation, amplification of
the gene, or translocation

A

Proto-oncogene

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8
Q

which chromosome is p53 gene is located on?

A

17

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9
Q

is one mutated allele is enough for p53 to become an oncogene?

A

yes

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9
Q

____________ gene, inactivated by double hits, has recessive phenotypic expression, due to
inactivating mutation, deletion, and repression by hypermethylation (epigenetics) of the cytosine of
the promoter of the gene

A

Onco-suppressor

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10
Q

Rb, when present in the hypophosphorylated state, binds the
transcription factor _______, so that the cell is
blocked in G1 phase.
When Rb is hyper-phosphorylated
byCDK4/6, it releases _______,

A

E2F, which
binds to promoters of genes like DNA
polymerase, Thymidylate synthase,
Ribonucleotide reductase, Cyclin E,
Dihydrofolate reductase.
Products of these genes are important for moving to S phase.
If Rb protein is not present because of deletion of one allele or, for example, hypermethylation of the
second allele, E2F is free so proliferation of the cell is not regulated.

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11
Q

in the structure of the P53 ____________ domain is the region
affected by mutation so that it
becomes unable to bind DNA and
therefore unable of inducing
transcription of genes involved in cell
cycle arrest, apoptosis.

A

DNA binding
There are also transactivation domain, proline-rich domain, and tetramerization domain.

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12
Q

At molecular level, when there is DNA damage, there is
kinase called ATM, mutated in the disease Ataxia
telangiectasia, which phosphorylates p53, which performs functions like?

A
  • Phosphorylated p53 is stable and accumulates,
    inducing transcription of p21 (remember CDK
    inhibitors: p16, p21, p27), which induces
    proliferative arrest.
  • Can also induce expression of GADD45 (growth
    arrest DNA damage), which induces DNA repair.
  • If damage is repaired, mdm2 accumulates and
    inhibits p53: cell restart proliferation.
  • If the damage is not repaired, p53 induces cell death by increasing expression of BAX, a
    pro-apoptotic protein
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12
Q

One of the most important transcriptional targets of p53 is _____. It can promote temporary arrest,
therefore quiescence of the cell cycle, or permanent arrest, therefore senescence.

A

p21

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12
Q

Which caspase is involved in the initiation of the extrinsic pathway of apoptosis?

A

Caspase 8
The extrinsic pathway is related to
release of cytochrome c from
mitochondria by BAX; then the
cytochrome binds to Apaf-1, activating
caspase 9

13
Q

In some tumours there is wild-type protein p53, but it doesn’t work because it is degraded in
the proteasome after being inhibited by protein _________, which binds p53 and induces
ubiquitination and therefore degradation. In some tumours there is amplification in the gene that
codifies for mdm2, so p53 can’t work

A

mdm2, If mdm2 binds to mutated p53, p53 can function again as onco-suppressor, so can induce cell cycle
arrest, repair DNA damage and cell cycle can restart or can induce apoptosis and elimination of
damaged cells; in both cases we have cellular and genetic stability

13
Q

CDK4/6 and cyclin D promote the transition from
____________ of cell cycle.
This transition is regulated by pRb: when
phosphorylated Rb releases E2F.
There are many CDK inhibitors; in INK4 we have
to remember p16, in CIP/KIP we have to
remember p21 and p27

A

G1 phase to S phase

14
Q

what is Li Fraumeni syndrome?

A

Li-Fraumeni syndrome (LFS) is a rare inherited condition that increases the risk of several types of cancer. It is characterized by an increased risk for certain types of cancer and affected people often develop cancer at an earlier age than expected. LFS is caused by a mutation in the tumor suppressor gene TP53
Germline mutations in p53. 30 years old people have 50% chance of cancer, 90% at 60 years old.

15
Q

what is APC (Adenomatous polyposis coli) gene?

A

The APC gene encodes a protein called Adenomatous polyposis coli (APC), which acts as a tumor suppressor by controlling cell growth and division. It interacts with other proteins such as E-cadherin and beta-catenin

Associated with familial adenomatous polyposis of the colon. Polyp is a benign tumor of the
epithelia. The malign one is called carcinoma, in this case, adenocarcinoma.
Familial adenomatous polyposis (FAP) has the following clinical features:
* Frequent hereditary syndrome
* Characterized by the presence of hundreds - thousands of polyps adenomatosis of the colon
* Appearance in childhood
* Complete expression around 30 years
* In 70% of cases a carcinoma appears within 40 years
* Presence of extra colic polyps in the stomach, duodenum, and tenuous
It is an autosomal dominant disease, with prevalence of 1-9/100000
It is caused by a homozygous mutation of the gene Adenomatous Polyposis Coli (APC), found
on the long arm of chromosome 5. APC is an onco-suppressor gene.
The allelic mutation (heterozygous) is typically inherited from one of the parents. Loss of
heterozygous, acquired causes the appearance of adenomas.
This is an example of familial adenomatous polyposis in an 18-year-old woman. The mucosal surface is carpeted by innumerable polypoid
adenomas.
In this case, only surgery removal of this portion of the colon can be done.
If there are 1 or 2 polyps, biopsy forceps can be used.

15
Q

What is Ataxia-telangiectasia?

A

Ataxia means progressive loss of muscle coordination; there are difficulties in voluntary movements.
Telangiectasia: vessels on the skin’s surface form bright red star branches.
This disease is characterized by frequent tumors. We will study A-T in immunopathology because it
is an immunodeficiency syndrome and so there is elevated susceptibility to infections.
In this autosomal recessive disease, the ATM gene is inactivated. Remember that ATM is a
kinase that detects double strains of DNA damage and activates p53 by phosphorylation.

15
Q

When
________ is not present β
catenin is free.

A

APC

16
Q

carcinogenicity
is a________ process. Proto-oncogenes must be transformed into oncogenes and
inactivate onco-suppressor genes; only one mutation is insufficient. _____ mutations are
necessary in humans to develop cancer.

A

multistep. 4-6

17
Q

What is adenoma?

A

Adenomas are noncancerous tumors. They may grow along your adrenal, parathyroid, or pituitary glands. If your adenoma is small, your healthcare provider may use a wait-and-see approach. In more severe cases, you may need surgery to remove the adenoma.

17
Q

Steps of molecular alteration of the colon cancer:

A
  • Normal epithelium
  • Hyperproliferative epithelium due to inactivation of APC. This patient is affected by familial
    adenomatous polyposis.
  • Early adenoma due to DNA hypomethylation
  • Intermediate adenoma due to K-Ras mutation
  • Late adenoma due to Deleted in colon carcinoma (DCC)
  • Carcinoma due to loss of function of p53 due to mutation or deletion of both alleles
  • Metastasis due to other alterations like mutation that affect receptor MET (MET is proto-oncogene).
18
Q

What is NF1(Neurofibromin) gene?

A

Neurofibromin (NF-1) is a protein that is encoded in humans, in the NF1 gene. NF1 is located on chromosome 17. Neurofibromin is a GTPase-activating protein that negatively regulates RAS/MAPK pathway activity by accelerating the hydrolysis of Ras-bound GTP. NF1 has a high mutation rate and mutations can alter cellular growth control, and neural development, resulting in neurofibromatosis type 1 (NF1, also known as von Recklinghausen syndrome)
NF stands for Neurofibromatosis.

Neurofibromatosis type 1 (NF1) is a clinically heterogeneous neurocutaneous genetic disease
characterized by coffee-milk spots, Lisch’s iris nodules, freckles in the armpits or groin, and multiple
neurofibroids.
The NF protein is a GAP (GTPase activating protein), therefore the function is to regulate the
activity of Ras. NF1 inactivates Ras so it is an onco-suppressor.
Some neuro fibroids evolve into malignant peripheral nerve sheaths

18
Q

What is Cowden syndrome?

A

Cowden syndrome (also known as Cowden’s disease and multiple hamartoma syndrome) is an autosomal dominant inherited condition characterized by benign overgrowths called hamartomas as well as an increased lifetime risk of breast, thyroid, uterine, and other cancers

In this case, PTEN is deleted.
So, in human tumors, there are oncogenes like PI3K and PTEN as onco-suppressor.
In many metastases, there is an alteration of PTEN or PI3K.

19
Q

The
most important growth factor inhibitor is
_________. It binds a receptor which is
serine-threonine kinase activates
a transcription factor called Smad4,
which activates genes that code for cell
cycle inhibitors like _______________ and
switches off MYC.
The lack of function of this pathway is due
to mutation in the receptor that binds
TGFβ colon, stomach, endometrium
cancer, or due to mutation is Smad4 in
pancreas carcinoma.

A

TGFβ, p21, p16, p27

20
Q

What is VHL gene?

A

The VHL gene is a tumor suppressor gene that functions as part of the VCB-CUL2 complex. This complex targets other proteins to be broken down by the cell when they are no longer needed. Von Hippel-Lindau (VHL) syndrome, caused by a mutation in the VHL gene, affects one in 36,000 people and increases the risk of developing certain tumors

VHL or Von Hippel-Lindau syndrome is a
very rare hereditary disease, giving rise to
elevated increase in renal cancer and
pheochromocytomas.
The cause of this disease is a mutation of the
gene located on the short arm of the third
chromosome, which encodes the VHL
protein.
VHL protein is a ubiquitin ligase,
important in the regulation of the level of
HIF ∝subunit (Hypoxia Induced Factor).
When HIF1 is ubiquitinated, it moves to
proteasome where is degraded.
During hypoxia, the ∝subunit is not
degraded, because the proline is not
hydroxylated and therefore not ubiquitinated,
so it stabilizes and becomes associated with the βsubunit, to induce the transcription of genes
that codify for VEGF (vascular endothelial growth factor). So, angiogenesis is stimulated.
A Tumour that has a high level of HIF is a tumor with a bad prognosis.

21
Q

What is WT1(Wilmis Tumor Protein) gene?

A

The WT1 gene is necessary for the development of the kidneys and gonads before birth. After birth, it is limited to a structure known as the glomerulus, which filters blood through the kidneys. It is also associated with the development of Wilms’ Tumor and is a tumor suppressor gene

Wilms’ tumor is the most common primary renal neoplasm in childhood. It is hereditary or sporadic.
The gene involved is called WT1 (by “Wilms Tumour”). The WT1 gene is located on the short arm
of chromosome 11 and codifies for a protein involved in the early stages of embryonic kidney
development (important in the differentiation of nephroblasts).
Some mutations in the gene lead to the production of a non-functioning protein, resulting in a lack of
control of cellular differentiation.
Tumour is characterized by alterations in cell proliferation and cell differentiation. Lack of
differentiation in tumors is called anaplasia.

22
Q

Another gene, deleted in many tumors like malignant pleural mesothelioma, is _____________
When it is deleted, the cell lacks two proteins: p16 (also called INK4a) and p14 which is an inhibitor of
mdm2. In this situation, there is an inhibitor of CDK4 and p53 that is degraded because mdm2 is
increased.

A

CDKN2A

22
Q

Another onco-suppressor gene that is deleted is _________, codifying for cadherin-1 or epithelial cadherin
(E-cadherin). E-cadherin is an adhesion molecule. It is an autosomal dominant familial disease that
induces the appearance of gastric carcinoma.
β-catenin is bound to E-cadherin, so if E-cadherin is not present, β-catenin can induce
transcription of genes involved in cell proliferation.
This is the same situation seen when the APC gene is not present in familial adenomatous polyposis

A

CDH1

23
Q

Tumour arises when there is translocation ___________ that involves bcl-2.

A

18-14
Bcl-2 is present on chromosome 18 and in B cell follicular lymphoma it is translocated on
chromosome 14.
This tumour is treated with combination of chemotherapeutic drugs CHOP and monoclonal
antibodies called rituximab

24
Q

If a cell lacks p53, a_______________________ pathway is activated in which
there is bridge-fusion-breakage cycle.

A

non-homologous end
joining (NHEJ)
In this situation, cells increase, and if
telomerase is not reactivated there is mitotic
catastrophe that induces cell death.
If there is telomerase reactivation there is
cancer.
p53 and telomerase have very important roles.

25
Q

Subjects who have mutations in ___________genes are more likely to develop cancer.

A

DNA repair

26
Q

3 methods of DNA repair are:

A
  • Mismatch repair (MMR)
  • Nucleotide excision repair (NER)
  • BRCA1 and BRCA2
27
Q

BRCA1,2 function?

A

The BRCA1 is a tumor suppressor gene that encodes for the BRCA1 protein, which plays a vital role in DNA repair, cell cycle regulation, and the maintenance of genomic stability.

28
Q

Hereditary non-polyposis colorectal cancer

A

Lynch syndrome, also known as hereditary non-polyposis colorectal cancer (HNPCC), is the most common cause of hereditary colorectal (colon) cancer. People with Lynch syndrome are more likely to get certain cancers and to get them before age 50.

2-5% of colon cancer. Around the age of 40, appear non-polyposis cancer of the colon, sometimes
associated with the appearance of carcinomas in other sites. It’s preceded by an adenoma, not by a
polyp.
In this cancer, there are alterations of the MMR system. These alterations lead to the instability of
microsatellites, which are short repeated nucleotide sequences.
Due to errors of the MMR repair system, there is an expansion or a contraction of these repeated
sequences and it is called instability of microsatellites.
This instability is a molecular marker of defective DNA repair.
Among the genes that contain microsatellites and that are frequently inactivated in colon carcinomas
are: receptor of TGFβ and pro-apoptotic gene BAX.
When there is colon cancer, we have to look for this instability. This alteration can be inherited, so
present in the germline, but can also be present in the tumor cell.
If it is present in the germline, the patient has to be checked very frequently because it can develop
colon cancer, bladder cancer, and others.
UV radiations give rise to the formation of pyrimidine dimers

28
Q

what is Xeroderma pigmentosum?

A

is a genetic disorder in which there is a decreased ability to repair DNA damage such as that caused by ultraviolet (UV) light. Symptoms may include a severe sunburn after only a few minutes in the sun, freckling in sun-exposed areas, dry skin, and changes in skin pigmentation.

Very rare autosomal recessive inherited syndrome. There is mutation in a component of the NER
system.
Children with this disease have a strong sensibility to the mutagenic action of ultraviolet radiation.
High occurrence of basocellular and spinocellular epitheliomas, melanomas and fibrosarcomas.
Mutations involve p53 and Ras genes.
The treatment is limited to avoid exposure to solar radiation, and the subject must stay indoors and
use highly protective clothing, glasses, and sunscreens.

29
Q

Breast cancer can be classified into different subtypes based on gene expression patterns. The major subtypes include:

A

luminal A, luminal B, HER2-positive, and triple-negative breast cancer (TNBC)

30
Q

5-10% of breast cancers are familiar. 80% of these have mutations of ______________ genes.

A

BRCA

31
Q

In sporadic
breast cancer, _________ mutation is a rare occurrence

A

BRCA