PATH: Cell Cycle and Mechanisms of Cancer Development Flashcards

1
Q

Non-cancerous cells must acquire mutations that allow what 5 key capabilities to develop into cancer?

A

Unregulated cell growth, avoid apoptosis and cell death, replicate and divide indefinitely, promote its own angiogenesis, and become capable of tissue invasion and metastasis

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2
Q

By what general mechanisms can cells acquire unregulated cell growth?

A

Unregulated or altered cell cycle progression; acquisition of independence from external growth signals; and insensitivity to external anti-growth signals

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3
Q

What is an oncogene?

A

A gene whose normal activity promotes cellular proliferation or division

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4
Q

What is a tumor suppressor gene?

A

A gene that inhibits events leading towards cancer

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5
Q

Do oncogenes and tumor suppressor genes work through a dominant or recessive manner?

A

Oncogenes through dominant and TS through recessive

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6
Q

What is the most heavily regulated part of the cell cycle?

A

G1 phase

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7
Q

Describe the regulation of E2F and Rb

A

E2F is a transcription factor that promotes cellular proliferation, and, under resting conditions is sequestered by Rb. Phosphorylation of Rb by cyclin-CDK complexes induces release of E2F by Rb. CDK can be inhibited by CDK inhibitors

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8
Q

What are the three main checkpoints in the cell cycle that are critical for cancer development?

A

G1-S checkpoint; G2-M checkpoint; and spindle checkpoint

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9
Q

What must happen for Retinoblastoma to occur?

A

It develops if 2 mutations inactivate both copies of Rb in the same cell

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10
Q

What proteins mediate the compaction of DNA into chromosomes?

A

Cohesins and condesins

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11
Q

What events occur in prophase of mitosis?

A

Compaction of DNA and breakdown of nuclear envelope

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12
Q

What events occur in metaphase of mitosis?

A

ALignment of sister chromatids in the center of the cell, formation of mitotic spindles and kinetochores, attachment of microtubules to kinetochores

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13
Q

What events occur in anaphase of mitosis?

A

Proteolytic degradation of cohesin, triggering chromosome segregation and movement of sister chromatids toward poles

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14
Q

What events occur in telophase of mitosis?

A

Reformation of the nuclear envelope

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15
Q

What is aneuploidy?

A

The state of having an incorrect number of chromosomes

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16
Q

What is Large scale genomic instability?

A

The presence of alterations in the number or structure of chromosomes (aneuploidy, chromosomal rearrangements, chromosomal breakages, etc. )

17
Q

What are the four basic ways a proto-oncogene can be activated to an oncogene?

A

1) Acquisition of a point mutation resulting in a constitutively active protein 2) Amplification (increase # of gene copies) 3) Upregulation of protein 4) Translocation resulting in fusion protein

18
Q

What is the mechanism by which Ras becomes an oncogene?

A

Pt mutation resulting in an inability of Ras to hydrolyze GTP, resulting in a constituitively active MAP K pathway

19
Q

What kind of protein is HER2? What makes it an oncogene?

A

Tyrosine Kinase Receptor; Amplification or Upregulation

20
Q

How is the Philidelphia chromosome made? What abnormal protein is made and what does it cause?

A

Chromosomal translocation t(9;22)(p34;p11) creating Bcr-abl which causes Chronic Myelogenous Leukemia

21
Q

How does p53 play a role in regulating cellular life?

A

When there is significant DNA damage, p53, a transcription factor, is expressed and upregulates the expression of pro-apoptotic Bax, Bak, and Bad proteins

22
Q

What are the major anti-apoptotic proteins that inhibit Bax and Bak? By what are they inhibited?

A

Bcl-2 and Bcl-XL; Bad

23
Q

What is the function of MDM2?

A

Promotes the degradation of p53

24
Q

Almost 50% of cancers have a mutation in what gene?

A

p53