photocarcinogenesis Flashcards

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1
Q

what can activate p53

A
lack of nucleotides
UV radiation
ionizing radiation
oncogene signalling
hypoxia
blockage of transcription
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2
Q

what can p53 cause to happen

A

cell cycle arrest
DNA repair
block of angiogenesis
apoptosis

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3
Q

what type of damage does UVB cause

A

direct DNA damage

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4
Q

what type of damage does UVA cause

A

indirect oxidative damage

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5
Q

what are the two major types of UVB-induced DNA lesion

A

cyclobutane pyrimidine dimers

pyrimidine-pyrimidone photo products

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6
Q

how does UV light cause mutations

A

it induces the formation of covalent linkages producing CPDs and 6,4 photoproducts
UV-induced photoproducts interfere with base pairing during DNA replication and lead to mutations

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7
Q

what are oxidised bases mainly repaired by

A

base excision repair

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8
Q

how does UVA cause damage

A

oxidation of deoxyguanosine forming 8-oxo-deoxyguanosine
repaired by base excision repair
C-A point mutation

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9
Q

what is UVB DNA damage repaired by

A

nucleotide excision repair

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10
Q

what do keratinocytes secrete

A

IL-10 and other immunosuppressive molecules

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11
Q

what are mutations in PTCH1 associated with

A

BCC development

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12
Q

what is PTCH1

A

human homologue of the drosophila gene patched

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13
Q

what does hedgehog signalling do

A

activates the transcription factors GLi1/2, leading to induction of cell proliferation genes and angiogenesis activators

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14
Q

what does Vismodegib do

A

binds to smoothened to block hedgehog signalling and prevent cell cycle activation and angiogenesis

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15
Q

what two genes have been linked to melanoma

A

CDKN2A

CDK4

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16
Q

which signalling pathway is common in melanomas

A

ras/Raf/MAPK

17
Q

example of a targeted therapy for melanoma

A

Vemurafenib

mek inhibitor

18
Q

what is dasatinib and imatinib target and function

A
target - C-Kit
function - prevent cell growth
19
Q

what is vemurafenib and dabrafenib target and function

A

B-raf

prevent cell growth

20
Q

what is trametinib target and function

A

MEK

prevent cell growth

21
Q

what is Ipilimumab and pembrolizumab target and function

A

CTLA-4 on T cells
PD-1 on T cells
T cell activation to enable tumour cell killing

22
Q

what do immune checkpoints do

A

block co-stimulation and inhibit T-cell activation

23
Q

examples of phototoxic drugs

A
voriconazole - antifungal agent
thiazide diuretics
NSAIDs
Anti-TNF
Azathioprine