The Hallmarks of Cancer Flashcards

1
Q

What are the hallmarks of cancer?

A
Self-suffiency in growth signals 
Insensitivity to antigrowth signals 
Tissue invasion and metastasis 
Limitless replication potential 
Sustained angiogenesis 
Evading apoptosis
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2
Q

What does the term ‘self-sufficiency in growth signals’ mean?

A

Cells do things which they aren’t signalled to do

Cell Signalling to do not respond to the negative signals

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3
Q

Why does ‘sustained angiogenesis’ effect tumour growth?

A

Gain new blood vessels for oxygen and nutrients which promotes growth

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4
Q

What are the 3 types of self sufficiency in growth factor Signalling by cancer cells

A

1) production of growth factors by cancer cells themselves
2) amplification or transcription up regulation of genes encoding growth factor receptors
3) mutation of genes encoding receptors and downstream components of Signalling machinerary

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5
Q

What is the mode of action by typical growth factors?

A

The growth factor binds to a tyrosine kinase receptor
The tyrosine kinase domain phosphorylase a protein and a signalling cascade occurs - eventually the transcription factor is phosphorylase and enters the nucleus = activation of genes which upregulate growth

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6
Q

What receptors tyrosine kinase pathway induces cancer?

A

The Ras-ERK pathway

Ras.GTP conformation at all time, therefore, upregulation of the downstream proteins which induce cell growth

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7
Q

Where is MEK phosphorylated to be activated?

A

2 serine residues

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8
Q

Where is ERK phosphorylated to be activated?

A

A threonine and a tyrosine residue

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9
Q

What effect does phosphorylation cause?

A

Change the protein:protein interactions

Conformational change in the protein itself

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10
Q

How are they able to mimic the effects of serine phosphorylation?

A

Use glutamic acid or aspartic acid since the negative charge of these mimic the negative charge of the phosphorylated serine

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11
Q

What is a common mutation in malignant melanomas?

A

Braf

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12
Q

What does RAF usually work as?

A

A dimerise

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13
Q

What does RAF become in cancer?

A

V600E

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14
Q

Name an inhibitor of Braf

A

PLX4720

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15
Q

Why is PLX4720 binding so selective for BrafV600E?

A

Binding site overlaps the ATP binding site

PLX4720 binds preferentially to the active conformation

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16
Q

What is the name of the PLX4720 drug?

A

Vemurafenib

17
Q

How do tumours become resistant to vemurafenib?

A

NRAS mutation
Splice variant
CRAF overexpression

18
Q

What do all of the vemurafenib resistant tumours do?

A

Find another way of activating the ERK pathway

19
Q

What two types of drugs are thought to be quite effective together?

A

Braf and MEK inhibitors

20
Q

Why can’t MEK inhibitors be used alone?

A

There is very high levels of MEK due to Braf so the drug wouldn’t be able to tackle them all
Large doses of MEK inhibitor are toxic

21
Q

How may resistance to Braf inhibitor be overcome?

A

Use it intermittently

22
Q

How is intemittent drug use thought to be effective?

A

1) given in small doses on and off and it does not form resistance
2) bounce back in ERK in a very high response which can also damage the cancer cell