Trigger 8: Epigenetics and cancers Flashcards

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1
Q

epigenetic-drven gene inactivation is at least as common as

A

mutational events which lead to cancers

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2
Q

understanding how genetic and epigenetic alteration drive the initiation nd progression of cancer

A

will help foster new potential cancer biomarkers and therapeutic opportunities

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3
Q

mutations in the epigenetic writers, readers and eraser

A

common in cancers

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4
Q

mutations in members of chromatin-remodelling complexes

A

common in cancer

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5
Q

mutations in the epigenetic regulators offer the cancer cell number of advantages

A
  • require transcriptional programs

- adapt to environmental or therapeutic pressures

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6
Q

which epigenome enzyme are commonly mutated in hematopoietic malignancies

A

DNMT3A and TET2

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7
Q

DNA hypermethylation leads to

A

promotor silencing

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8
Q

DNA hypomethylation leads to

A

genomic instability

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9
Q

deamination of meCpG to TpG leads to

A

mutation

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10
Q

DNA hypermethylation and hypomethylation and deamination all lead to

A

cancer

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11
Q

DNA methylation plays a

A

critical role in carcinogenensis

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12
Q

global hypomethylation

A

increase genomic instability

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13
Q

de novo promoter hypermethylation leads to silencing of

A

tumour suppressing genes

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14
Q

de novo promoter hypomethylation may result in activation of

A

porto-oncogenes

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15
Q

hypermethylation and cancer effects

A

tumour suppressor genes

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16
Q

name a tumour suppressor gene which is frequently altered in cancers

A

MLH1

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17
Q

Epigenomics silencing of non-mutated MLH1 gene

A

mismatch repair protein- - frequently silenced by epigenetic in non-familial colon cancer

18
Q

mutated epigenetic machinery in cancer (acute myeloid leukaemia (AML)

A

DNMT3A and TET2

19
Q

Aberrant DNA methylation of multiple genes inc cancer related pathways

A

is a common event in carcinogenesis

20
Q

cancers can be classified according to

A

their degree of methylation

21
Q

CPG island methylator (CIMP) phenotype in cancer

A

= CIMP-associated cancers seem to have a distinct epidemiology, histology, and molecular features.

  • The CIMP subtype has been documented in several additional cancers including prostate, glioma, leukaemia, and breast.
22
Q

combination of …… and …. in the hall marks of cancer

A

epigenetic modification and mutation

23
Q

screening for novel genes epigentially silenced inc ancer

A

identify novel cancer-related differentially methylated genes

validated using standard techniques such as QMSP and pyrosequencing

24
Q

cancer can be detected by

A

assessing DNA methylation

25
Q

DNA methylation has the potential to be an excellent cancer biomarker because

A
  • DNA meth changes are common events in carcinogenesis
  • easy to detect with high sensitivity
  • DNAmeth is more stable than RNA or protein based markers
26
Q

examples of cancers which can be detected by DNA methylation

A
  • prostate
  • lung cancer
  • colon cancer
27
Q

detection of cancer in cell free circulating DNA

A

molecular alterations found int tumour cells, such as methylation, is reflected in cell-free circulating DNA, released from tumour cell into the blood

28
Q

CircDNA is

A

an ideal candidate for the basis of blood-based cancer diagnostic tests

29
Q

prostate cancer gene

A

GSTP1

30
Q

Lung cancer gene

A

SHOX2

31
Q

colon cancer gene

A

Sept9

32
Q

deactivated hitsone

A

closed chromatin- gene silencing

33
Q

acetylation of histones

A

Abnormally open nucleosome configuration

34
Q

name the most clinically advances epigenetic therapies in oncology

A

DNA hypomethylating agents (DNMTi)

Histone deactylase (HDAC) inhibitors

35
Q

DNA methylation inhibition

A

lacks specificity

resistance is common

not very successful in solid tumours

36
Q

HDAC inhibitors (HDACi) examples

A

Vorinostat

37
Q

DNMTi and HDACi have their greatest efficacy when

A

combined with other cancer therapies

38
Q

DNMTi is combined with

A

standard cytotoxic drugs in an attempt to resentisie cancer

39
Q

epigenitcs can also be used with

A

immunotherapy

40
Q

Cancer epigenetic research challenges

A
  • how is heritable gene silencing in cancer cells maintained

- epigenetic biomarkers have low sensitivity and specificity

41
Q

when epigenetic biomarkers lack specificity

A

adverse side effects and off target affects