Terms and Molecules Flashcards
Type I ovarian cancer
25%, Low-grade
Not spreading
Contained to ovaries
Early diagnosis
Mostly Ras, BRAF, PTEN, and beta-catenin mutations
Type II ovarian cancer
75%, high grade
Highest prevalence and lethality (HGS)
Late diagnosis, rapid, metastatic
P53, operative cytoreduction!
P63
Essential in ectoderm development
P73
Delta Np73 inhibitor of usual p53 fanily function
Anti-apoototic
Important in brain development
STIC
Serous tubular intraepithelial cancer
Stage (in situ carcinoma) of ovarrian cancer
CA125
Tissue marker of peritoneum
Elevated in ovarian carcinoma, pregnancy, cirrhosis, ascites, …
Rituximab
mAb against CD20
On pre and mature B cells
B Lymphomas (NHL)
Fc and Fab region
Regions of antibodys
Fc region interacts with immune system and induces cell lysis
Fab region binds a specific surfaxe marker (e.g. Rituximab binds CD20)
FISH
flourescence in situ hybridization
Flourescent DNA or RNA probes hybridize
Detection of translocations and copy number variations
Her2
Amplification associated with poor prognosis and increased recurrence in breast cancer
Maybe involved in tumorigenesis and therapy resistance to some chemotherapies
Diagnosis importent for therapeutic descicions
Causes of genetic instability
Environmental (lifestyle: smoking, diet and UV and IR exposure, viral/bacterial infections, …)
Genetics: defects in DDR, cellcycle regulation, checkpoints, …
In total causes high mutation rate or chromosomal instability
G1 checkpoint
CDK4/6
Cyclin D
G1/S checkpoint
CDK 2
Cyclin E
S checkpoint
CDK 2
Cyclin A
G2 checkpoint
CDK 1
Cyclin A
M checkpoint
CDK 1
Cyclin B
Checkpoints definition
Monitor and control the completion and irder of major cell cycle events
Types of DNA damage
Loss of bases
Modification of bases
Strand breaks
Blocked DNA replication
Intertumor heterogeneity
Tumors of different patients have different genetic profiles even when stemming from the same tissue or cell type since mutations occur randomly and even driver mutations can vary
Intratumor heterogeneity
Higher mutations rates allow development of driver mutations within one cell and subsequent tumorigenesis
During this process and after many other mutations occur from which some may have replicative benefits, different cells may develop different mutations with reolicative benefits which lads to their increased expansion –> subclones
Initiator caspases
8 (extrinsic)
9 (intrinsic)
10
Activated through dimerization and autoprocessing through adaptors
Executioner caspases
3, 6 and 7
Activation through clevage by initiator caspases
Caspase activation
Executioner through clevage by initiator
Initiator through dimerization through adaptors
Adaptors through apoptosis-inducing signals
–> LOSS of MITOCHONDRIAL INTEGRITY
–> RECEPTOR-LIGAND interaction
–> CELL-CELL CONTACT
Bcl2 family type & role in MOMP
BAX/BAK
pro-apoptotic multidomain
dimerize and release cytochrome c
usually inhibited through anti-apoptotic Bcl2 (Bcl-2, Bcl-XL, …)
Bcl2 family type & role in MOMP
Bcl-2 (Bcl-XL, Mcl-1)
anti-apoptotic
bind Bax/Bak and prevent dimerization
inhibited by BH3 only –> apoptosis
Bcl2 family type & role in MOMP
BIM
pro-apoptotic BH3 only
bind anti-apoptotic Bcl-2 and desinhibit Bax/Bak dimerization
Bcl2 family type & role in MOMP
BID
pro-apoptotic BH3 only
bind anti-apoptotic Bcl-2 and desinhibit Bax/Bak dimerization
Bcl2 family type & role in MOMP
BAD
pro-apoptotic BH3 only
bind anti-apoptotic Bcl-2 and desinhibit Bax/Bak dimerization
Complex I formation
TNF-receptor ligation
Caspase-8 and c-FLIP-L
NFkB signaling, JNK and p38
SURVIVAL
Complex II formation
TNF-receptor ligation
Caspase-8 and Caspase-8
activation of Caspase 3 and BID
APOPTOSIS
Complex III formation
TNF-receptor ligation
Caspase-8 and v-FLIP or c-FLIP-S
NECROPTOSIS
Cell death pathways as target for anti-cancer therapy
BH3-mimetics (= Bcl2 inhibitors)
XIAP inhibitors = Smac mimetics
RTKi target BIM, BAD, BMF
Biogenesis of miRNA
Transcription of pri-miRNA
Processing through DROSHA/PASHA to pre-miRNA
Nuclear export (Exportin 5)
Dicing through TRBP/Dicer-1 to miRNA:miRNA* duplex
RISC loading from pre-RISC to mature RISC
DROSHA/PASHA
processing pri-miRNA to pre-miRNA within the nucleus
Exportin-5
nuclear export of pre-miRNA into the cytosol
TRBP
in complex with Dicer-1 dicing of pre-miRNA to miRNA:miRNA* duplex
Dicer-1
in complex with TRBP dicing of pre-miRNA to miRNA:miRNA* duplex
TRBP/Dicer-1
dicing of pre-miRNA to miRNA:miRNA* duplex
global miRNA reduction
example for reason
consequnces
e.g. through Exportin-5 defect
promotes tumorigenesis
oncomiRNA
examples and consequences
overexpression promotes tumorigenesis (e.g. miR-17-92 inhibits PTEN)
can also induce EMT (e.g. miR-21 is induced through androgens, causes EMT and inhibits pro-apoptotic protein PDCD4)
miR-17-92
oncomiRNA
inhibits PTEN
onco-miRNAs
miR-17-92: inhibits PTEN
miR-21: induces EMT and inhibits PDCD4 (pro-apoptotic), regulated via androgens
miRNA seed region
nts 2-6
require perfect base pairing –> determine selectivity of targets
lncRNAs in gene regulation
mechanisms
guides
decoys
scaffolds
enhancers
ceRNA
competing endogenous RNA
coregulation with mRNA transcript through identical RISC-binding sites
Ras activation and consequence
inactive GDP-bound Ras activated through GEF that exchanges GDP with GTP
shift in swith regions I and II
enables interaction with effectors containing RBD
MAPK cascade with examples
small G protein (Ras)
MAPKKK (BRAF)
MAPKK (MEK)
MAPK (ERK1/2)
effector
Markers of EMT (up and down)
E-cad down
N-cad up
MET up
HGF up
HDGF up
Oct4 and BIM-1 up
TF regulating EMT
Snail & Twist (induced by TGF-beta)
tumor suppressive miRNAs
miR-29b: inhibits metastasis, E-cad up, N-cad down, Snail&Twist down
miR-338-5p & miR-421: reduce EMT markers and stemness, proliferation, growth and metestasis
regulation of EMT through steroid hormones
onco-miR-21 redgulated through androgens
promotes EMT and inhibits PDCD4 (anti-apoptotic)
experimental therapies to target EMT
ZOLEDRONIC ACID: reverses EMT, Snail&Twist, N-cad, Oct4 and BIM-1 down
SD-208: reverses TGF-beta induced EMT, BRachyury, migration and invasion down, chemosensitivity up
PROTEOSOME INHIBITOR: reduces Snail
Wnt INHIBITORS: reduce EMT
targeting EGF, EGFR, and ErbB2 –> reduces EMT
TGF-beta and EMT
causes growth, immunosuppression, angiogenesis and EMT
E-cad down, Fibronectin and Twist&Snail up
induces TF Brachyury –> increases invasiveness
Heat shock proteins and EMT
Hsp27 induces EMT
chaperone of oncogenes
E-cad down
Wnt, mesenchymal proteins and MMP up
Hsp27 essential for IL6 and therefore the IL6/STAT/Twist pathway
Zoledronic acid
experimental therapy to target EMT
reverses EMT
Snail&Twist, N-cad, Oct4 and BIM-1 down
SD-208
experimental therapy to target EMT
reverses TGF-beta induced EMT
Brachyury, migration and invasion down
chemosensitivity up
Proteosome inhibitors
experimental therapy to target EMT
reduce Snail
Wnt inhibitors
experimental therapy to target EMT
reduces EMT
target EGF, EGFR and ErbB2
experimental therapy to target EMT
reduces EMT
Hsp27
heat shock protein
chaperone to oncogenes
induces EMT (E-cad down
Wnt, mesenchymal proteins and MMP up)
essential for IL6 and therefore the IL6/STAT/Twist pathway
lymphatic spread
PERMEATION: easy access through lack of thight junctions, BM and astrocytes –> intravasation for hematogenous spread requires proteolytic enzymes
CHEMOTACTIC DIFFUSION: cytokines of lymphatic vessels promote infiltration
LYMPHANGIOGENESIS: tumor cell induced vessel formation (VEGF-C)
MMPs
function
remodelling of ECM components through degradation and clevage
Znc-dependend endopeptidases, activated through clevage by proteinases
MMPs
structure
membrane-bound and secreted MMPs (can interact with cytoskeleton)
metal ion at center (often Znc)
PRO-PEPTIDE: autoinhibition, activation requires its clevage
CATALYTIC DOMAIN: active site, contains Znc2+
C-TERMINUS: protein-protein interactions, e.g. TIMPs
challenges for CTCs
shear forces –> mechanical destruction
immunological clearance
survival mechanisms of CTCs
dynamic regulation of cellular stiffness and contractility
close interaction with blood microenvironment
clusters of CTCs show better survival as single cells
seed & soil hypothesis
Stephan Paget
metastasis formation reuqires the right cell to be in the right environment
for certein tissues of origin certain organs are beneficial (but it also depends on the individual genetics of the cell in question)
anatomical hypothesis
metastasis depends on the blood flow downstream of the primary tumor
CTCs form metastasis in small vessels downstream –> liver or lung
for splanchnic organs = liver, rest = lung
definition CTCs
cells that successfully detached form their primary tumor and intravasated (& survived in the blood)
detection of CTCs
hard, low cell number esp. when comparing to blood cells
MACS: density, CD45 and EpCAM
CellSearch: EpCAM
ScreenCell Filtration: size
ParsortixTM microfluidic system: deformability and size
CTC detection - MACS
depending on density, CD45 and EpCAM
CTC detection - CellSearch
depending on EpCAM (often loss during EMT!)
CTC detection - ScreenCell filtration
depending on size
CTC detection - ParsortixTM microfluidic system
depending on size and deformability
reasons for metabolism alterations in tumors
sustaining proliferative signaling
enabling replicative immortality
evading cell death
evading growth suppressors
activating invasiveness and metestasis
inducing angiogenesis
tumor-specific metabolic adaptations
TCA cycle
lipolysis, proteolysis, glutaminolysis
lipogenesis
redox status
glycolysis –> Warburg and Carbtree effect