Tumour pathology 5 Flashcards
types of tumour-suppressor genes
- Genes negatively regulating mitosis - Rb
- Genes regulating apoptosis
- Genes regulating DNA repair
factors that cause carcinogenesis
- geographic and environmental factors
- age
- heredity
how can pRb be altered to cause increased cell proliferation?
- mutation directly to Rb gene
- mutation to genes that control pRb phosphorylation
examples of mutations to genes that control Rb phosphorylation
- Mutational activation of cyclin D or CDK4
- Mutational inactivation of CDKIs also drive proliferation
what causes the inherited form of retinoblastoma?
- one defective inherited copy of pRb
- somatic point mutation of other copy
what causes the sporadic form of retinoblastoma?
both hits occur in a single cell
examples of inherited cancer syndromes?
- familial retinoblastoma
- familial adenomatous polyposis of colon
- multiple endocrine neoplasia
- neurofibromatosis
- Von Hippel-lindau Syndrome
inherited cancer syndrome characteristics
- autosomal dominant inheritance of a single mutant gene
- strong family history of uncommon site-specific cancers
familial cancer syndrome characteristics
- family clustering of cancers but INDIVIDUAL PREDISPOSITION UNCLEAR
- multifactorial inheritance
- early age of onset
- multiple / bilateral tumours
examples of familial cancers
- Some Breast cancers
- Some Ovarian cancers
- Non-FAP colon cancers
examples of anti-oncogenes and there function
APC- signal transduction p53- cell cycle/apoptosis after DNA damage Rb- cell cycle regulation p16- inhibits CDK's BRCA-1 and 2- DNA repair
cancers causes by somatic and inherited mutation of APC
somatic- gastric, colon, pancreas, melanoma
inherited mutation- FAP colon cancer
cancers causes by somatic and inherited mutation of p53
somatic - most cancers
inherited mutation- Li-Fraumeni syndrome
cancers causes by somatic and inherited mutation of Rb
somatic- retinoblastoma, colon, lung, breast carcinomas
inherited- retinoblastoma and osteosarcoma
cancers causes by somatic and inherited mutation of p16
somatic- pancreatic, oesophageal carcinomas
inherited- malignant melanoma