Session 6 ILO's - DNA repair and cancer Flashcards

1
Q

Describe Ataxia Telangiectasia (4)

A
  • Rare neurodegenerative disease (degeneration of the nervous system, specifically the neurones in your brain) that causes severe disability
  • Damage to the cerebellum causes difficulty with movement and coordination
  • Heightened radiation sensitivity and weakened immune system
  • DNA repair is disrupted, so increased risk of cancer
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2
Q

Explain and describe the DNA damage response

A
  • During the normal course of the life, DNA can be damaged by lots of endogenous and exogenous agents
  • Damage to DNA is usually sensed by the cell and repaired using a set of repair mechanisms
  • This will restore the DNA to it’s healthy/normal state
  • In some cases, if the damage to DNA is too big or if the DNA repair mechanism is faulty, a mutation can occur
  • This can be propagated in cells throughout the germline or in daughter cells, leading to the expression of a disease
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3
Q

Name sources of DNA damage

A

Exogenous (external) sources of DNA damage :
Ionising radiation
UV light
Mutagenic chemicals
Anti-cancer drugs
Alkylating agents
Free radicals

Endogenous (internal) sources of DNA damage:
Free radicals
Replication errors

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4
Q

Compare single and double strand DNA breaks

A

Single:
- Only one side of the DNA moleucule is damaged

Double:
- Both sides of the DNA molucule is damaged
-

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5
Q

Describe the variety of exogenous and endogenous factors that can cause DNA damage

A

Exogenous (external) sources of DNA damage :
Ionising radiation
UV light
Mutagenic chemicals
Anti-cancer drugs
Alkylating agents
Free radicals

Endogenous (internal) sources of DNA damage:
Free radicals
DNA Replication errors

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6
Q

Describe the general outline of the different phases of the eukaryotic cell cycle, including G0

A

G1 = Growth 1 - where the cell content duplicates itself
S = DNA replication - when the DNA replication occurs
G2 = Growth 2 - where the cell is double checked and repaired
M = Mitosis/Meiosis - where cell division/replication occurs
G0 = resting phase

G0 phase comes off G1 stage and cells in this phase are not immediately preparing to divide. G0 can be a temporary or permanent phase depending on the cell type & properties

EXAMPLE: Some cells enter G0 temporarily until an external signal triggers the onset of G1 e.g. liver cells Whereas cells that never or rarely divide, such as mature cardiac muscle and nerve cells, remain in G0 permanently.

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7
Q

Appreciate the complexity of cell cycle control and the consequence of loss of control

A
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8
Q

Give examples of types of DNA damage

A
  • Single strand damage/breaks
  • Double strand damage/breaks
  • Deamination
  • The formation of dimers between different nucleotides
  • Crosslinking between strands
  • The linking of intercalating agents.
  • Replication stress, for example when the replication
    fork is slowed down, or fork slippage occurs – DNA that contains many repetitive sequence is harder to copy accurately and in some cases this can trigger the formation of protein aggregates leading to disease.
  1. Base change (apurinic site)
  2. Dimers (additional chemical structures)
  3. Interstrand cross links
    4.Mismatch/insertion/deletion
  • Misincorperation of base pairs and proofreading errors

ASK ABOUT THESE

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9
Q

Describe in general terms what is meant by replication stress and the differentiat ways it can be caused

A

Replication stress is the inefficient DNA replication that leads to replication fork slowing, stalling and/or breaking

  1. Replication machinery defects EXAMPLE: DNA polymerase mis-incorporation
  2. (factors hindering replication fork progression) Replication fork progression hindrance EXAMPLE: fork slippage (backwards or forwards)
  3. Defects in response pathways EXAMPLE: regulation of origin firing, helicases
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10
Q

Outline and explain how fork slippage cause mutations

A
  • Repetitive sequence within the DNA sequence can lead to fork slippage, meaning you copy the wrong number of these repetitive sequences
  • E.g fork slippage can lead to expansion of trinucleotide repeats (common in diseases like Huntington’s disease and spinocerebellar ataxia, fragile X syndrome
  • The DNA molecule compares repeats of 3 base pairs, and large numbers of these over time, (e.g AAAAAAA, large numbers of the base pair A found in one stretch of DNA
  • The DNA polymerase finds it hard to accurately copy these, and in some cases will incorporate extra base pairs, leading to slippage and an expansion in the size of the gene

Describe the 2 scenarios in the image

  • Resulting in insertion
  • Resulting in deletion
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11
Q

Compare and describe in general terms of number of single strand breaks repair mechanism and double strand repair mechanisms

A
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12
Q

Appreciate the potental consequences of error-prone double strand repair

A
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13
Q

Describe the complex relationship between mutations, DNA repair and cancer

A

DNA repair factors can repair mutations, which helps to prevent cancer from forming (stops pre-malignant cells) - however defects in DNA repair factors stimulate carcinogenesis. There are thousands of different DNA repair factors, which makes it more complex!
Using synthetic lethality strategies, you can use the cell’s DNA repair factors against it!

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14
Q

Compare single- and double stranded DNA breaks

A
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15
Q

Explain different DNA repair mechanisms – basepair and nucleotide excision,
mismatch repair, non-homologous end joining and homologous recombination

A
  1. Base-excision repair
    Where the base has been converted, the wrong base is detected and removed, the sugar phosphate is removed and the new, correct nucleotide is added in
  2. Nucleotide-excision repair
    Where there is a dimer (double base addition), the surrounding DNA is opened to form a bubble. The bubble is cut out, new undamaged DNA is synthesised (5’ -> 3’) and is inserted and fused by ligase
  3. Mismatch repair
    A mismatch is identified in newly synthesised DNA and is cut out by exonuclease activity (including it’s neighbours), new undamaged DNA is synthesised (5’ -> 3’) and is inserted and fused by ligase
  4. Non homologous
  5. Homologous
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16
Q

Understand how DNA repair defects can lead to cancer, steps need for tumour
formation

A
17
Q

Explain clinical resistance to chemotherapy and synthetic lethality strategies

A
18
Q

Describe in general terms, what is meant by tumour heterogeneity

A

Means that tumours are not generally composed of all the same cell type, can have:
1. Intertumour heterogeneity = can have different tumours in different people
2. Intratumour heterogeneity = within a tumour, there can be multiple sub-clones

19
Q

Describe in general terms, what is meant by cancer evolution

A

Cancer evolution is where ‘early driver’ mutations, followed by mutation accumulation leads to malignant tumours and clonal expansion (multiple subclones) can lead to a heterogeneous tumour - made up of all the multicolour phases of tumours

20
Q

Describe how Huntington’s disease comes about

A
  • Caused by replication errors and fork slippage