Tumour pathology 4 MW % + Flashcards

1
Q

Normal cell cycle

A

Mitosis

  • mechanism of cellular replication
  • nuclear division plus cytokinesis

Mitotic division generates 2 genetically identical daughter cells

Cell Cycle = time interval between mitotic divisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cell cycle diagram

A
  • G0: Exit from cell cycle. Stopped undergoing mitosis indefinitely
  • G1 : Cell growth. Metabolically active; duplicates organelles and cytosolic components and centrosome replication begins
  • S: DNA Replication
  • G2: Preperation for mitosis. Cell growth continues; enzymes and other proteins are synthesized; centrosome replication completed.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cell cycle phases pic 2

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cell cycle control

A
  • A cell must progress through cycle phases in the correct sequence in order to produce viable progeny
  • DNA synthesis and mitosis must occur sequentially
  • Quality control ensures genetic fidelity (accuracy) in daughter cells

–each cell must receive a full chromosome complement

–mutations in DNA sequences must not pass on

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name the external and intrinsic factors in cell cycle control?

A

External factors

  • Hormones,
  • Growth factors
  • Cytokines
  • Stroma

Intrinsic factors

  • Critical checkpoints ⇒ Restriction point (R)
  • prior to restriction point progress through G1 depends on external stimuli
  • after restriction point progression becomes autonomous (free)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Phases of cell cycle

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Other cell cycle checkpoints

A
  • If cell size inadequate - G1 or G2 arrest
  • If nutrient supply inadequate - G1 arrest
  • Essential external stimulus lacking - G1 arrest
  • If the DNA is not replicated - S arrest
  • If DNA damage is detected - G1 or G2 arrest
  • Chromosome mis-alignment - M-phase arrest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the checkpoints?

A
  • System of cyclically active and inactive enzymes
  • Catalytic sub-unit activated by a regulatory sub-unit

-catalytic subunits are called cyclin-dependent kinases (CDKs) (Substrate)

  • regulatory sub-units are called cyclins (enzyme)
  • The active enzyme complex - CDK/cyclin complex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cyclins and cyclin-dependent kinases

A
  • Different CDKs and cyclins operate at sequential stages of the cycle
  • Active CDK/cyclin complexes phosphorylate target proteins
  • Phosphorylation results in activation/inactivation of that substrate
  • Substrates regulate events in the next cycle phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Regulation of CDK activity

A
  • CDKs are constitutively expressed in an inactive form
  • Cyclins accumulate and are destroyed as cycle progresses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Regulation by CDK inhibitors (CKIs)

A
  • INK4A family bind to CDK4 and 6 and prevent association of these CDKs with their cyclin regulatory proteins
  • 2nd family of CKIs - CIP/KIP family
  • These inhibitor molecules bind to cyclin/CDK complexes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The Retinoblastoma gene

A
  • Encodes a 110 kDa phosphoprotein (pRb) expressed in almost every cell of the human body
  • pRb is hypophosphorylated (partial phosphorylation)
  • phosphorylation increases as cells progress through the cell cycle
  • active cyclin D/CDK complexes phosphorylate pRb
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pRb functon

A
  • The most important target is E2F transcription factor
  • Hypophosphorylated/active Rb inactivates E2F
  • Phosphorylated/inactive pRb loses affinity for E2F
  • Free E2F transcription factor activates vital target genes

E2F is a potent stimulator of cell cycle entry

Note: Active pRb applies a brake to the cell cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Carcinogenesis

A
  • Cancer is a genetic disease
  • Carcinogenesis is caused by mutation of genetic material that upsets the normal balance between proliferation and apoptosis (cell death)
  • uncontrolled proliferation of cells leads to tumours
  • Only mutations in genes regulating cell division, apoptosis, and DNA repair cause a cell to lose control of proliferation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Carcinogenesis factors►

A

Non-lethal genetic damage

–Environmental agents

  • Chemicals
  • Radiation
  • Oncogenic viruses

Inherited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Chemical carcinogenesis

A
  • purine and pyrimidine bases in DNA are critically damaged by various oxidizing and alkylating agents
  • Chemical carcinogens or their active metabolites react with DNA forming covalently bound products (DNA adducts)
  • Adduct formation at particular chromosome sites causes cancer
17
Q

Radiation carcinogenesis

A
  • purine and pyrimidine bases in DNA are critical cellular targets for radiation damage
  • High-energy radiation is carcinogenic if received in sufficient doses

ultraviolet radiation (UV-B present in sunlight)

X-rays

Gamma radiation

18
Q

Cell cycle dysfunction

A

The primary defect in cancer is Uncontrolled cell proliferation via cell cycle dysregulation

Many genes mutated in cancer regulate the cell cycle

• Two regulatory pathways frequently disrupted -

  1. The cyclin D-pRb-E2F pathway
  2. p53 pathway

Absent or inactive pRb releases the cell cycle brake

19
Q

P53 function

A
  • Maintains genomic integrity
  • p53 levels increase in damaged cells
  • induces cell cycle arrest at G1
  • facilitates DNA repair

• severe damage: p53-induced apoptosis (programmed cell death)

20
Q

DNA damage response

A
  • Cells with mutated p53 do not G1 arrest or repair damaged DNA
  • Genetically damaged cells proliferate and form malignant neoplasms