Path: Hallmarks of Cancer 1 Flashcards

1
Q

What is Rb protein?

A

a protein that can complex with E2F TF to block transcription of growth factors required for the S phase

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2
Q

What happens when RB is hypophosphorylated?

A

hypophosphorylated RB will complex with E2F TF; together they bind DNA and recruit chromatin-remodeling factors; this inhibits transcription of genes whose products are required for the S phase

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3
Q

What are the chromatin-remodeling factors recruited to block transcription by hypophosphorylated RB and E2F complex?

A

histone deacetylases and histone methyltransferases

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4
Q

What happens when RB is [hyper]phosphorylated?

A

it releases E2F and ill no longer block transcription

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5
Q

What cyclins phosphorylate RB?

A

D-CDK4, D-CDK6, and E-CDK2 complexes

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6
Q

What does E2F do when not bound to RB protein?

A

it acts as a TF and activates transcription of S phase genes

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7
Q

The phosphorylation of RB is inhibited by ________ because they inactivate ________ complexes.

A

cyclin-dependent kinase inhibitors; cyclin-CDK

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8
Q

Growth inhibitors activate ____, whereas growth factors activate ____. This leads to ____ and ____ RB, respectively.

A

CDKIs; cyclin-CDK complexes;

hypophosphorylated and hyperphosphorylated

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9
Q

Virtually all cancer cells show dysregulation in the ____ checkpoint as the result of a mutation in one of the four genes that regulate the phosphorylation of ____.

A

G1/S; RB

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10
Q

What are the 4 genes that regulate the phosphorylation of RB?

A

the genes encoding:

RB, CDK4, cyclin D proteins, CDKN2A (p16)

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11
Q

What state is RB in within active cells, and what state within inactive cells?

A

RB is in an active hypophosphorylated in quiescent cells; it’s in an inactive hyperphosphorylated in G1/S transitioning cells

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12
Q

Once a cell enters the S phase, is it obligated to complete mitosis?

A

Yes

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13
Q

What are the 2 manners in which RB function may be compromised?

A
  1. loss of function mutation involving both alleles
  2. shift from active to inactive state by gain-of-function mutations in the cyclin-CDK complexes OR loss of function in the CDKIs
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14
Q

What effect do some oncogenic viruses have on RB?

A

the virus binds hypophosphorylated RB in the same pocket that E2F would be, so E2F is free to go transcribe and cause cell cycle progression

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15
Q

What is the basis of HPV types that confer a high risk for development of cervical carcinoma versus a lower risk viral type?

A

the higher risk types express protein variants (E7 in the case of HPV) that will bind hypophosphorylated RB with greater affinity than E2F, and with greater affinity than other viral proteins

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16
Q

What does p53 do to DNA and the cell when active?

A

binds DNA in genetically damaged cells, arrests cell cycle for DNA repair, and initiated apoptosis if repair is impossible

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17
Q

How long it the p53 half-life, and what inactivates it?

A

half life is 20min and ubiquitin proteolysis ends p53

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18
Q

There is a bi-allelic loss of p53 in ___% of tumors.

A

70%. wow that’s a lot.

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19
Q

What do MDM2 and E6 (HPV proteins) do?

A

they degrade p53, which gives the virus resistance to p53

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20
Q

What component within cancer cells mediates the response to chemoradiotherapy and how?

A

p53 - because chemoradiotherapy introduces cell DNA mutations, and p53 is the one that is supposed to recognize and fix the damage, or apoptose the cell

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21
Q

What is TP53?

A

the name for the tumor suppressor gene that regulates cell cycle progression, DNA repair, cellular senescence, and apoptosis

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22
Q

____ is the most frequently mutated gene in cancer: loss-of-function mutations in TP53 are found in over ___% of cancers.

A

TP53; 50%

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23
Q

What are the 3 leading cancers that cause death?

A

lung, colon, and breast cancers

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24
Q

True or false: most TP53 mutations are inherited in germline cells.

A

False - most are acquired in somatic cells

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25
Q

One mutated allele for TP53 will do what?

A

predispose a person to develop a malignancy because only one additional “hit” to the one remaining normal allele is needed

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26
Q

What is Li-Fraumeni syndrome?

A

AD allele mutation in the TP53 gene that confers a 25-fold greater chance over the general population of developing malignancy by age 50

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27
Q

What protein does the TP53 gene encode?

A

p53

28
Q

If a tumor lacks a TP53 mutation, what is a logical other mutation that might be present?

A

mutation that affects proteins that regulate p53 function

29
Q

MDM2 stimulates the degradation of ____ and is frequently ____ in malignancies with normal TP53 alleles.

A

p53; overexpressed

30
Q

Amplified expression of MDM2 results in what?

A

a functional deficiency of p53 (because it is degraded by MDM2) and defective G1/S transition control –> CANCER

31
Q

What kind of gene is Bax?

A

apoptosis gene

32
Q

p21 is a ____ ____ that will arrest the cell at G1 to repair DNA.

A

CDK inhibitor

33
Q

GADD45 has what function in fixing mutant cells?

A

DNA repair

34
Q

What is senescence?

A

permanent cell cycle arrest

35
Q

Once activated, p53 thwarts neoplastic transformation by inducing what three conditions?

A
  1. cell cycle arrest
  2. senescence
  3. apoptosis
36
Q

p53 acts as a transcription factor for these 3 categories of genes:

A
  1. those that cause cell cycle arrest
  2. those that cause apoptosis
  3. those that enhance catabolism or inhibit anabolism
37
Q

What types of RNAs are p53 target genes?

A
  1. micro-RNAs (mIRs)

2. long intervening noncoding (LINC) RNAs

38
Q

What are some things that can activate p53? (3 on this list)

A
  1. anoxia
  2. inappropriate signaling by mutated oncoproteins
  3. DNA damage
39
Q

What senses DNA damage and how does it relay this information to p53?

A

complexes containing kinases of the ATM/ATR family; these kinases phosphorylate p53 to liberate it from inhibitors like MDM2; freed p53 can then upregulate proteins such as CDKI p21 to cause cell cycle arrest to allow for DNA repair

40
Q

What does von Hippel Lindau gene product do?

A

causes ubiquitination and degradation of hypoxia inducible TF-1, which would yield increased PDGF and VEGF and tumor angiogenesis

41
Q

Adenomatous polyposis coli (APC) is a member of the class of tumor suppressors that function by … ?

A

downregulating growth-promoting signaling pathways

42
Q

Germline loss-of-function mutations involving the ____ locus (____) are associated with familial adenomatous polyposis.

A

APC locus (5q21)

43
Q

What is adenomatous polyposis coli?

A

an autosomal dominant disorder in which individuals born with one mutant allele develop thousands of adenomatous polyps in the colon during their teens or 20s

44
Q

70% of nonfamilial colorectal carcinomas and sporadic adenomas show acquired defects involving both ____ genes.

A

APC

45
Q

WNT signals through a family of cell surface receptors called ____ and stimulates several pathways.

A

frizzled (FRZ)

46
Q

What are the components of the major pathway that WNT-FRZ stimulates?

A

beta-catenin and APC

47
Q

A main function of the APC protein is to hold _____ activity in check.

A

beta-catenin

48
Q

In the absence of Wnt signaling, what does APC do to beta-catenin?

A

degrades it by forming a macromoleular destruction complex that leads to its proteosomal degradation; thereby prevents its accumulation in the cytoplasm meaning none in the nucleus and no trasncription

49
Q

In the presence of Wnt signaling, what does APC do to beta-catenin?

A

APC is inactivated, so there’s no formation of the destruction complex, β-catenin is stabilized and translocates from the cytoplasm to the nucleus where it forms a transcription activation complex TCF (a DNA-binding factor) which increases the transcription of MYC, cyclin D1, and other genes

50
Q

Cells that lose APC do what, and cells with too much APC do what?

A
  • without APC it’s like Wnt signaling, which means cell growth/proliferation
  • with APC it’s like no Wnt signaling and no cell growth or proliferation
51
Q

What is E cadherin and what important IC protein binds to it?

A

a cell surface protein that maintains intercellular adhesiveness; beta-catenin binds its cytoplasmic tail

52
Q

True or False: loss of cell-cell contact has no effect on beta-catenin stimulated cell growth & proliferation.

A

False - Loss of cell-cell contact, such as in a wound or injury to the epithelium, disrupts the interaction between E-cadherin and β- catenin, and also promotes increased translocation of β-catenin to the nucleus, where it stimulates genes that promote proliferation, which is an appropriate response to injury that can help repair the wound.

53
Q

What is the role of E-cadherin in malignancies?

A

loss of E-cadherin can contribute to the malignant phenotype by allowing easy disaggregation of cells, which can then invade locally or metastasize

54
Q

Dimerization of the TGF receptor upon ligand binding initiates intracellular signals that involve proteins of the ____ family, and normally these signals turn on ____ genes and turn off ____ genes.

A

SMAD; antiproliferative; cell growth

55
Q

Loss-of-function mutations affecting either the TGF receptor or SMAD proteins would result in what?

A

a loss of growth inhibition and BOOM: cancer.

56
Q

What is PTEN?

A

a membrane-associated phosphatase that acts as a tumor suppressor by serving as a brake on the PI3K/AKT arm of the receptor tyrosine kinase pathway

57
Q

What is Cowden syndrome?

A

an autosomal dominant disorder marked by frequent benign growths, such as skin appendage tumors, and an increased incidence of epithelial cancers, particularly of the breast, endometrium, and thyroid

58
Q

What is CDKN2A?

A

complex locus that encodes two tumor suppressive proteins, p16/INK4a, a cyclin-dependent kinase inhibitor that augments RB function, and ARF, which stabilizes p53

59
Q

What is NF1?

A

gene that encodes neurofibromin 1, a GTPase that acts as a negative regulator of RAS

60
Q

What is the result of germline loss-of-function mutations in the NF1 gene?

A

results in neurofibromatosis type 1, an autosomal dominant disorder associated with a high risk of neurofibromas and malignant peripheral nerve sheath tumors

61
Q

What is NF2?

A

gene that encodes neurofibromin 2 (merlin), a cytoskeletal protein involved in contact inhibition

62
Q

What is the result of germline loss-of-function mutations in the NF2 gene?

A

results in neurofibromatosis type 2, autosomal dominant disorder associated with a high risk of bilateral schwannomas

63
Q

What is WT1?

A

gene that encodes a transcription factor required for normal development of genitourinary tissues

64
Q

What is Wilms tumor?

A

a pediatric kidney cancer associated with germline loss-of-function mutations in WT1; similar WT1 mutations also found in sporadic Wilms tumor

65
Q

What is PTCH1?

A

a gene that encodes membrane receptor that is a negative regulator of the Hedgehog signaling pathway

66
Q

What is the result of germline loss-of-function mutations in PTCH1?

A

Gorlin syndrome, autosomal dominant disorder associated with a high risk of basal cell carcinoma and medulloblastoma

67
Q

Acquired biallelic loss-of-function mutations of PTCH1 are seen frequently in sporadic ____ ____ carcinomas and ____.

A

basal cell; medulloblastomas