Tumour Supresssor Genes Flashcards

1
Q

Characteristics of TSG

A

Protein products of TSG generally function to negatively regulate cell growth and/or cell cycle checkpoints that ensure genomic integrity in response to genotoxic stress
Loss of TSG function means loss of growth suppression and or check point control enhancing proliferative potential

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2
Q

Are TSG dominant or recessive in cancer

A

Recessive so both alleles must be inactives/removed to stop tumour suppression

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3
Q

This is explained by what hypothesis

A

Knudson’s two hit hypothesis
Example of retinoblastoma
There is one mutation in the germ line -found in every cell
Only needs 1 random mutation to occur to cause cancer
Tends to cause bilateral retinoblastoma
Early onset of disease
Also increased risk of other cancers such as osteosarcomas
In non hereditary forms - 2 mutation are needed -somatic mutations in a single cell for it to lose its TSG properties and become cancerous
Tends to cause unilateral retinoblastoma

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4
Q

De novo mutations

A

These can occur in the germ line these lead to familial patterns of inheritance in future generations

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5
Q

What is retinoblastoma

A

Cancer of the retina
Tumour displaces normal retina
Optic nerve used to metastasise
Symptoms - white light reflection, squint
90% cure rate in developed countries
Bilateral diagnosed early unilateral later diagnosed

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6
Q

Familial inheritance

A

Large deletions
Single base mutations
Small length mutations
Most mutations are associated with almost complete penetrance
Autosomal dominant
Autosomal dominant at gene level so both alleles need to be inactivated but it is an autodominant disease very likely to get it
Multiple tumors

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7
Q

Somatic mutations

A
Gene deletions 
Base substitutions 
Small length mutations 
Single tumours, unilateral, later onset 
Fewer people
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8
Q

How the second mutation occurs

A

Hypermethylation of the 5’ end affecting RB1
There is inactivation of the promoter that drives expression of Rb
Leads to loss of Rb
Or
Loss of heterozygosity more common
Due to mitotic recombination, mitotic nondysjunction and large deletions

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9
Q

Function of Rb protein in the cell cycle

A

Rb is important for restriction point control between G1 and S where the cell becomes committed to completing the cell cycle

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10
Q

What drives the cell cycle

A

Cyclins and CDKs (cyclin dependent kinases)
In the G1 phase CDK4/6 and E-CDK2 are active
pRb is a target for CDK activity

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11
Q

What is pRB function

A

Transcriptional depressor

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12
Q

What does pRB complex with and what does that do

A

PRB complexes with E2F family of transcription factors and suppresses their activity

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13
Q

What is HDAC and what does it do?

A

Histone deacetylases

These down regulate transcription by removing acetyle groups from histones

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14
Q

P300 what is it what does it do

A

It is an acetylase and oppose the action of HDAC

Add acetyle groups to histones

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15
Q

What happens in early G1 phase

A

PRB becomes phosphorylated by CDK4/6
This causes dissociation of HDAC
Allow for p300 to act
This then primes the promoter elements for genes that are important in the S phase of the cell cycle
Transcription of these S phase genes are activated

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16
Q

What happens in late G1 phase

A

CDK2 phosphorylates pRB
This makes pRB move away from E2F
E2F factors drive transcription

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17
Q

What regulates pRb preventing it from allowing the cells cycle move forward into s phase

A

P16
P16 inhibits CDK 4 dependent phosphorylation of pRb
So pRb remains dephosphorylated and associated with E2F
Inhibiting transcription
Leads to growth and cellular senescence

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18
Q

What is p16ink4a

A

It is a TSG that can be inactivated in human cancer
If inactivated it cannot inhibit pRb
Leading to its phosphorylation and dissociates from E2F
Activating transcription
Usually happens via a mutation and then epigenetic silencing (both alleles are targeted)

So there is no block to transcription

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19
Q

P53 and what does it do

A

Protects against genetic instability
Between 30-50% of all human cancers carry missense mutations that lead to mutant p53
p53 may be inactivated but not necessaryily it that is mutated
This can be done by inactivating signals upstream and downstream to p53

20
Q

P53 germline mutations cause

A

Li-Fraumeni and Li-Fraumeni like syndrome

21
Q

What are germ line p53 mutations associated with

A

Clinically and genetically heterogeneous
Autosomal dominant
Causes early onset and multiple tumours within an individual
Soft tissue sarcomas and breast cancer
Also leads to multiple affected family members
Very rare

22
Q

At what stage in cancer progression is p53 inactivated

A

Late stages
E.g. Epithelial cancer
Late stage adenoma before becoming a carcinoma
Not required for the initiation of the cancer but for its progression.

23
Q

What is p53 activated by

A
DNA damage 
Oncogenes expression 
Hypoxia 
Loss of adhesion 
Ribosomal 
Reactive oxygen species
24
Q

What do cellular stressors do to p53 to activate it

A

Phosphorylate it by mediators such as ATM and Chk2 from DNA damage

25
Q

P53 is

A

A sequence specific functional transcription factor

It activates the transcription of proteins that are needed for its roles

26
Q

P53 roles

A

Pro-apoptotic activity
Growth arresting activity
Induces cellular senescence
Inhibits angiogenesis

27
Q

When mutated what does p53 lose the ability to do

A

Loses the ability to activate transcription

Loses growth suppressive activities

28
Q

When p53 has a gain of function mutation what can it do?

A

Has oncogenic potential
And can promote genetic instability
Also increase drug resistance

29
Q

How does p53 act alone or?

A

Acts as a tetramer to activate gene transcription
Binds to the response element of the promoter
Drives transcription of genes that are important in growth arrest and apoptosis

30
Q

How do p53 activity regulated by cellular stresses

A

Regulated by post translational modification

31
Q

What determines p53 activity

A

The cellular stress appropriately modifies p53 - acetylation, ubiquitylation, phosphorylation
This makes p53 go to a certain promoter region
Here it can activate the appropriate gene to achieve the desired effect
This is done via mediators - ATM, Chk2
These are protein kinases that cause phosphorylation of p53, also TSG which may. E inactivated in cancers

32
Q

What inhibits p53

A

Mdm2
This can also be inhibited by p19ARF
Which means p53 will become activated

33
Q

Role of p53 in G1-S checkpoint control after a DNA double strand break

A

Activation of protein complexes that recognise DNA DSB
ATM kinase recruitment to the DSB
Internal phosphorylation activates ATM

ATM can then phosphorylate p53 directly enhancing its transcription activity
Phosphorylate CHK2 activating it which then phosphorylates p53 and prevents mdm2 inhibition of p53

P53 prevents CDK4/6 CDK2 so prevents the cell cycle continuing

34
Q

How does p53 induce apoptosis

A

Transcriptional and non- transcriptional mechanisms
Express proapoptotic molecules such as puma and Bax
Regulation of BCL2 proteins by post transcriptional mechanisms
Activate apoptosomes and caspases which lead to cell death

35
Q

P53 mdm2 regulatory feedback loop

A

Active p53 induces mdm2 expression
Mdm2 promotes the ligation of many ubiquitin molecule to p53
This targets the p53 for degradation in the proteosome
Reduces level of p53
P53 controls its own activity

36
Q

Where do most of the p53 mutations occur

A

Occur in the sequence specific DNA binding area
This prevents p53 from binding to DNA
Leads to loss of p53 transcriptional activity in cancer

37
Q

What does BRAC1 gene do?

A

Predisposes women to early onset breast carcinoma and ovarian tumours
Greater incidence in breast than ovarian
1/500 woman have germ line mutation in the BRCA1 gene
Accounts for 60% of inherited breast cancer
5% of all breast cancer and 12% of early onset
May be associated with some prostate cancers

38
Q

What is BRCA1 important founder mutation

A

185delAg

Found in 1% of the Ashkenazic Jewish population

39
Q

Role of BRCA1

A

Interacts with lots of anti-apoptosis proteins
c-Myc, ATM, ATR, CHk2
Also regulates ubiquitylation, thought that via this pathway BRCA1 can control DNA damage response, DNA repair, transcription, chromatin remodelling etc.

40
Q

BRCA1 role in the DNA damage checkpoint signalling

A

In DNA damage
ATM and ATR are activated they phosphorylate BRCA1
ATM dependent phosphorylation of BRCA1 prevents the progression of the cell into S phase
ATR dependent phosphorylation of BRCA1 stops the cell progressing from G2 to mitosis
Loss of BRCA1 loss of damage checkpoint

41
Q

BRCA1 role in repair

A

Encourage homologous recombination and DNA repair
Phosphorylation of BRCA1 can promote gene conversion
Most high fidelity form of DNA repair
Inhibits more error prone NHEJ mechanism of DNA repair

42
Q

BRCA2 ( Franconi anaemia complementation group D1)

A

Predisposes to early onset breast cancer and ovarian tumours
Breast more than ovarian
Inc risk of prostate cancer, gall bladder, and bile duct cancer, stomach cancer and malignant melanoma

43
Q

BRCA2 mutation found in the Ashkenazic Jewish women

A

6174delT

44
Q

Role of BRCA2 in DNA repair

A

Associates with RAD51
After damage you need to resect one strand away allowing binding of RPA (single strand binding protein, stabilises)
Associates with RAD51 and promotes association of RAD51 onto the single strand stretch of DNA so RAD51 nucleoprotein filaments form on the DNA allowing binding to the homologous chromosome and form recombinations for DNA recombination and repair

45
Q

BRCA1 and BRCA2

A

Make equal contribution to early onset breast cancer
Somatic mutations in either gene are not a major feature of sporadic breast cancer
Differences in histology between BRCA1 and 2
1 - higher mitotic rate and more lymphatic infiltration
2 - higher tubule formation
Loss of either result in increased sensitivity to ionising radiation