Tumour Supressor Genes Flashcards

1
Q

How does the karyotype of a cancer change with clonal evolution?

A

Human tumors with minimal chromosome change (diploid acute leukemia, chronic granulocytic leukemia) are considered to be early in clonal evolution; human solid cancers, typically highly aneu- ploid, are viewed as late in the developmental process.

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

What sort of genes are mutated in cancer to allow for uncontrolled proliferation?

A

Regulation of cell proliferation can either be positive or negative; the acquisition of tumourgenicity results from genetic changes that affect these controls:

  1. Interference with controls that restrain cell multiplication-loss of function mutations
  2. Gain of function mutations resulting in constitutive activation of signals to proliferate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What evidence suggests that LOF mutation of tumour supressors plays a role in carcinogenesis?

A

1) Cell hybrids, 2), familial cancer, 3) loss of heterozygosity, 4) downregulation of gene expression.

The first insight into the activity of tumor suppressor genes came from somatic cell hybridization experiments, carried out by Henry Harris and colleagues in 1969.

The fusion of normal cells with tumour cells yielded hybrid cells containing chromosomes from both parents. In most cases they were unable to form tumors in animals. It appeared that genes derived from the normal cell parent acted to inhibit or suppress tumour development.

The observations seen here can now be described through our knowledge of loss of function mutations in tumour supressor genes, which were subsequently replaced by the somatic cell.

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

What is the difference between tumour supressor genes and oncogenes?

A

Oncogenes are genes that, when mutated to produce a gain/increase of function, promote the formation of tumours. Hence the oncogene products – oncoproteins – are responsible for promoting proliferation, growth and survival etc.

Tumour suppressor genes, also called anti-oncogenes, are genes that, when mutated to cause a loss/reduction of function, lead to increased cancerogenesis. Hence they are genes whose products supress cancer trends such as proliferation growth and survival.

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

What was the first tumour supressor gene identified?

A

The first tumor suppressor gene was identified by studies of retinoblastoma, a rare childhood eye tumor. 50% of children from the parents of those affected would go on to develop RB, consistent with Mendelian transmission of a single recessive gene that confers susceptibility to tumor development.

In hereditary cases of retinoblastoma (40% of cases) an earlier age of tumor development is inflicted, suggesting tumor suppressor genes to have already been lost from inheritance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What hypothesis did the age of onset for hereditary Rb lead to?

A

That the children were not born with retinoblastoma led to the proposal of the two hit hypothesis.

In 1971 Alfred Knudson proposed that the development of RB requires two mutations, which are now known to correspond to the loss of both the functional copies of the rb gene. With only one defective copy being inherited due to heterozygosity, another mutation in the functional RB is required for tumor formation.

This Loss of Heterozygosity (LOH) is more frequent than a random event which would induce heterozygosity.

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

What is Rb?

A

Is a nuclear phosphoprotein of 105 kDa and is a member of a family of pocket proteins that interact with E2F promoter regions. There are three members, p105, p107, p130, which are inactivated in cells via sequestration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is Rb regulated in G0?

A

The pocket domain described directly interacts with proteins holding an LXCXE motif, the phosphorylation of which regulates its activity. In GO it is dephosphorylated, which allows the RB protein to bind to promoter regions of E2F shielding from transcription factors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How is Rb regulated at the restriction point?

A

The restriction point RB undergoes phosphorylation by CDK4/6 and cyclin D complexes, through a transphopshorlyation reaction in which phosphates of the threonine 160/161 residues of CDK4/6 are transferred to RB proteins, leading to its inactivation by preventing binding of LXCXE motifs in the pocket domain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Other than the obvious, what cancer is Rb involved in in humans and mice? What do Rb null mouse models show about its redundancy?

A

It contributes to small cell lung carcinoma, sarcomas and bladder carcinoma.

RB-/- mice- embryonic lethal- die day 13.5 to 15.5 due to defects in fetal liver erythropoiesis, neurogenesis and lens development/ problem with placenta

Chimeric Rb (-/-) and Rb (+/+) mice do not develop retinoblastoma but acquire pituitary tumours with age. This implies a functional redudancy in Rb, with other pathways being able to compensate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do viral proteins interact with Rb?

A

SV40 & polyoma virus large T antigens, Ad E1A and HPV16/18 E7 viral proteins bind the de/hypophosphorylated form, restricting entry into late G1 to immortalise cells by competetively inhibiting Rb.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do the levels of the different pRb family members change through G1 into S?

A

p105 (pRb) only slowly and slightly increases consistently during this time, but its activity is highly regulated.

p107 is highly repressed during G0, but its expression is consistently increased until its peak when the cell passes the R-point when it plateaus.

p130 is highly expressed during G0, being important for its regulation, and its level is consistently decreased during G1 to it’s lowest point at the beginning of S-phase after which it gets a slight uptick.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How does Rb suppress E2F stimulated genes?

A

Not only does it sequester free E2F to prevent it acting as a TF, it can bind to DNA bound E2F and recruit HDACs and HMTs to epigenetically silence the genes.

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

What are the varying roles of the E2F TFs?

A

E2F1, 2 and 3a activate transcription of genes essential for S phase. Expression of these proteins is regulated by cell growth via RB.

E2F3b, 4 and 5 (found in quiescent cells) and 6-8 function as transcriptional repressors of S phase genes as well as the E2F1, 2 and 3a proteins

E2F4 and 5 are not regulated in response to position within the cell cycle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where do E2F TFs bind to DNA?

A

E2Fs as TFs bind to the TTTCCCGC (or slight variations of this sequence) consensus binding site in the target promoter sequence. They often bind when dimerised with dimerisation proteins (DP1 & 2).

This is found in genes such as c-myc, B-myc, cdc2, DHFR, TK, cyclinA, PCNA, cyclinE and E2F1.

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

How is Rb involved in regulating differentiation?

A

MyoD, a helix-loop-helix (HLH) containing transcription factor can interact with RB.

This interaction is important for induction of cell cycle arrest and differentiation.

17
Q

How does Rb interact with c-abl?

A

Association of RB with c-abl prevents/represses its activity as a kinase until pRB is inactivated by phosphorylation. The c-abl binding domain is distinct from that required for the binding of other partners.

Since c-abl tyrosine kinase may have a role in transcription, this might represent another means of regulating transcription.

18
Q

How does Rb interact with the apoptosis pathway?

A

RB also binds to MDM2- can form trimeric complex with p53 and block anti-apoptotic activity of MDM2.

19
Q

How important is p53 in cancer? How is this demonstrated in cell models?

A

p53 is probably most commonly mutated gene in human cancer. The loss of p53 function allows for gene amplification at three orders of magnitude higher then the norm.

p53 -/- cells show no growth arrest after irradiation or other forms of DNA damage or genotoxic stress.

20
Q

What is the domain structure of p53?

A
N
1.	mdm2-binding/transactivation domain
2.	Proline rich domain
3.	Sequence specific DNA Binding domain
4.	Tetramerisation domain
5.	Transcription, regulation and DNA binding domain
C

There are three NLSs near the CTD.

21
Q

How is p53 generally mutated in cancer?

A

The mutant form typically presents with a LOF mutation that prevents DNA binding.

The loss of p53 function allows for gene amplification at three orders of magnitude higher then the norm.
LOF allows for the maintainence of mutations due to continued replication of incompletely repaired DNA.

22
Q

What is the role of p53?

A

P53 binds DNA at specific regions and is a transcriptional activator. It acts as a sensor of DNA damage, hypoxia, oncogene activation and viral infection, as demonstrated by its ability to complex with SV40 T antigen, the Adenovirus E1B 55K and HPV 16/18 E6 proteins.

The signals transmitted by p53 generates a feedback loop through its activity with other proteins that are implicit in cell cycle control, such as p21. The result of this feedback loop is the shut down of the cell cycle until DNA damage is repaired, or the entrance into apoptotic pathway.

23
Q

How is p53 activated in the DNA damage response?

A

DNA damage results in the rapid and substantial increase of p53 levels. DSBs stimulate ATM and ATR which activates p53 via Chk2 kinases which phosphorylate p53 in its NTD.

Phosphorylation of the p53 NTD prevents MDM2 from binding, which would otherwise ubiquitinate p53 targeting it for degradation. It also promotes C-terminal acetylation which removes the DNA binding inhibition, promoting activation of the target genes.

24
Q

What is the impact of p53 activation in the DNA damage response?

A

The stabilization of p53 allows for the upregulation of Cyclin G, and p21 which can interact with PCNA (proliferating Cell Nuclear Antigen) a component of DNA polymerase delta. This co-factor is required for processivity and fidelity of the DNA polymerase delta. Its absence from the replisome leads to the replication of short strands of DNA which can act to repair DNA.

It additionally signals for the recruitment of the family Y polymerases, which are key polymerases presenting extremely different structures from other families, the differences in structure allow for the replication of short stretches of DNA in a non-fidelous manner.

25
Q

What is the result of sustained p53 signalling?

A

Damage also leads to the transcirpiton of apoptotic proteins, bax, cyclin G and other factors. This means that if damage is too great and the cell is not relieved from its bar on cell cycle repression then the cell will enter into apoptotic pathways promoted by bax.

26
Q

What other major process does p53 regulate?

A

p53 can regulate metabolism and cell homeostasis without cell cycle arrest or apoptosis.

27
Q

How is p53 regulated in relation to metabolism?

A

Nutrient deficiency leads to activation of p53 through direct phosphorylation at Ser15 by AMP-activated protein kinase (AMPK), a key regulator of cell metabolism

The serine 15 phosphorylation blocks the interaction between MDM2 and p53 again, this time though it is a different kinases (AMPK instead of Chk1/2) – this is how p53 is turned on.

28
Q

What does p53 regulate in terms of metabolism?

A

p53 promotes expression of AMPK, leading to negative regulation of mTOR. PI3K/Akt/mTOR pathway can suppress apoptosis and stimulate proinflammatory gene expression to promote cancer growth and progression.

p53 inhibits glycolysis and enhances oxidative phosphorylation via upregulation of genes including TIGAR and SCO2 (synthesis of cytochrome oxidase 2) and inhibiting expression of glucose transporters (GLUT1, GLUT3 and GLUT4)

TIGAR (TP53-inducible glycolysis and apoptosis regulator of fructose-2,6- bisphosphatase) inhibits glycolysis

SCO2 increases mitochondrial respiration

29
Q

How does MDM2 interact with p53?

A

Binds to the amino terminus of p53 and masks transcriptional activation domain, inhibiting the tumour supressing-effects of p53.

MDM2 is an E3 ubiquitin ligase that targets p53 for ubiquitination and proteasome mediated degradation

30
Q

How does p53 affect MDM2?

A

MDM2 is upregulated by p53 to provide a negative feedback loop for p53.

31
Q

What other members of the p53 family are there? What do they do?

A

p63 and p73. In addition to these three protein family members, they are also differentially spliced.

Additionally, each of the proteins has another form called a trans-activator form, and another form where they use a different promoter and form what are called amino-terminally delta N forms which can compete with the normal regulatory activity.

P53 is really the only member that is involved in cancer, p63 and p73 tend to be much more do with development

32
Q

Why is p53 a big target for therapy?

A

Induction of apoptosis by chemotherapy drugs requires wild type p53 or will not be effective.

People are trying to create ways/therapies that allow WT p53 to be introduce in a tumour as a way of treatment.
If you can introduce WT into the tumour, then in fact you can treat them with therapeutic agents and induce apoptosis .

33
Q

Why is p53 sometimes referred to as a contrived oncogene?

A

GOF mutations can subvert the activity of it to promote cancer.

34
Q

What GOF mutations can p53 acquire?

A

Some mutations can allow p53 to bind to p63, preventing p63 from activating its downstream targets.

It can also gain the ability to bind ETS2, causing ETS2 to turn on slightly different downstream targets.

35
Q

What does p53 binding to ETS2 lead to?

A

Mutant p53 binds to ETS2 allowing it to activate MLL1, MLL2 and MOZ. MLL1 and MLL2 encode MLL enzymes that add methyl groups (Me) to histones within chromatin whereas MOZ adds acetyl groups (Ac).

Both modifications increase local gene expression, leading to an increase in cancer cell proliferation through as-yet-unknown mechanisms.

36
Q

What evidence is there for functional redundancy of p53?

A

p53 null mice develop tumours at a very young age. p53( +/-) mice are also susceptible to tumors, but these arise later.

Chimeric mice produced by injection of p53 null ES cells into the blastocyst showed high rates of embryonic lethality (Kawamata et al, 2012), indicating that unlike for Rb there is no functional redundancy here.

37
Q

What early finding cemented the idea that p53 was a tumour supressor?

A

Demonstration that a high fraction of individuals a€ected by a familial cancer predisposition called Li-Fraumeni syndrome had germ line p53 mutations.

38
Q

To what extent does p53 obey the ‘two-hit’ hypothesis?

A

An extensive survey of Li Fraumeni tumors has revealed that roughly half of these appear to retain an intact wild type p53 allele (Varley et al., 1997).

Thus, p53 may be an exception to the two hit model in that the mere reduction of p53 dosage level may be sufficient to promote cancer formation.