Unit 3 Flashcards
Five properties of malignant cells
1) Unresponsive to normal signals for proliferation control
2) De-differentiated (lack specialized function of neighboring tissues)
3) Invasive (capable of outgrowth into neighboring tissues)
4) Metastatic (capable of shedding cells that can drift through circulatory system and proliferate at other sites
5) Clonal in origin (derived from a single cell)
Benign tumors
- Not metastatic and not invasive
- HAVE lost growth control and specialized function
Four steps of carcinogenesis
Tumor initiation, promotion,
conversion and progression are four of these steps.
Burkitt Lymphoma
dysregulation of c-myc gene by one of three chromosomal translocations
Autosomal dominant inherited cancer susceptibility
Familial Adenomatous Polyposis (FAP-APC gene), Familial Retinoblastoma (RB gene), familial Breast and Ovarian Cancer (BRCA1 and BRCA2 genes) and Wilms tumor syndromes.
Autosomal recessive inherited cancer susceptibility
cancers that are inherited as autosomal recessive disorders are Xeroderma pigmentosa (XP
genes), Ataxia-telangiectasia (AT gene), Bloom’s syndrome and Fanconi’s congenital aplastic
anemia (FA genes).
Retinoblastoma protein locus
13q14
Animal Tumor viruses that inactivate RB
HPV E7 and SV40T antigen
HPV proteins in HeLa cells that allow unlimited proliferation
HPV E7–> inactivates RB
HPV E6–>inhibits p53
Other cancers involving Retinoblastoma protein
- Survivors of RB w/inherited susceptibility have a higher chance of developing a second, neoplasm, usually mesenchymal (ie osteosarcoma)
- many small lung tumors and some breast tumors carry RB mutations
- Rb KO mice have pituitary tumors with 100% penetrance
Events leading to loss of heterozygosity
Chromosome loss
Duplication of oncogenic chromosome
Rearrangements
Local events
Sporadic vs. inherited retinoblastoma
Sporadic is highly likely to occur in only one eye–> It’s extremely unlikely that double KO will occur sporadically in both eyes.
Viruses that inactivate p53 and RB in humans
Adenovirus E1B and HPV E6 –> Major route to cancer!
G-Actin vs. F-Actin
G Actin= One strand helical filament
F Actin= Double stranded
Arp 2/3
- Looks like an actin dimer
- attaches to an actin monomer, which creates the trimer necessary for nucleation and creation of an actin strand.
- Creates new filaments at angles –>Branched network!
- key for cell motility
Formin (FH2)
- Binds 2 actin monomers
- long, parallel actin cable filaments
- Key for cell division
Phalloidin
Extracted from death cap mushroom, binds and stabilizes F actin which leads to increased actin polymerization
Actin in epithelial polarity
Anchors Tight Junctions and Adherens Junctions ( Decreased association of AJ proteins with actin can lead to loss of cell to cell adhesion, a prerequisite for epithelial-to-mesenchymal (EMT) transition (cancer)
Also plays a key role in microvilli
Actin in Microvilli
Actin bundles form in the microvilli, with plus ends anchored in the apical protein cap.
Microvilli inclusion disease
Myosin V is mutated (like kinesin)
Loss of microvilli is observed
Binding of a given myosin head
10% of time attached to actin (ATP bound)
90% not. Works because of multiple heads. - too much binding would cause stiffness.
Cell motility (leading edge)
Arp 2/3 polymerize at head and grow. Protrusion of fillopodia ad lamellipodia is driven by polymerization of actin meshworks at leading edge
Cell motility (retracting edge)
Formin Filaments and Myosin 2 cause retraction
Rho GTPases
control cell migratory activity
Active when bound to GTP, inactive when bound to GDP
Cell motility in development
-Very important for neural crest cells, axons
Wiskott-Aldrich syndrome
x-linked immunodeficiency resulting from WASp mutation. symptoms include thrombocytopenia and infections. Symptoms may result from defective lamellipodia/platelt formation
Lissencephaly
Severe defect of brain development resulting in smooth cortical surface. Caused by loss of function of n-cofilin, an actin filament
Metastasis
Cell motility is key in allowing metastasis to occur
Actomyosin ring and cytokinesis
Active Rho (GTP bound) activates Formin (–> forms contractile ring) and activates kinase ROCK (phosphorylates myosin and activates it) Everything then contracts! (Formation is dependent on the rho’s that are attached to tips of astral MT’s)
4 examples of asymmetric cell division
- RBC’s (nucleus moved to side and pinched off with actomyosin ring)
- Megakaryocytes keep dividing but never undergo cyotkinesis (up to 128 n)–> efficient for platelet making
- Sperm
- Epithelial cell divisions (cells must divide along the long axis, not the short one
Paracrine vs. Autocrine
Paracrine= local mediator, ligand sent out by one cell and detected by another receptor Autocrine= receptor on the signaling cell itself Endocrine= long distances, released in bloodstream
Signal termination (5 mxns)
1) Initiation by another signal (phosphorylation or dephosphorylation)
2) elimination of extacellular signaling molecule (diffusion, inactivation, uptake into cells by transporter)
3) Receptor - reduction of binding, receptor internalization
4) 2nd messenger removal (Ca2+ ATP-dependent pumps, cAMP and cGMP breakdown by PDE’s
5) Protein binding/targeting (lack of inducing stimulus, protein degradation)
Phosphodiesterase
cXMP–> XMP
PDE5 is for cGMP
Negative feedback- allosteric cGMP binds and enhances PDE, and cGMP activates PKG, which phosphorylates and activates PDE
Viagra mxn
PDE5 inhibitor
o NO stimulates guanylyl cyclase –> PKG activation –> reduces intracellular Ca levels –> smooth muscle relaxation –> vasodilation –> penile erection
A competitive pathway is cGMP breakdown and inhibiting PDE 5 favors that pathway
FAP and RB inheritance
autosomal dominant ssusceptibility
APC function
degrades any unbound, free beta catenin in the cytoplasm. When APC is lost, Unbound betacatenin goes to the nucleus to produce transcription of oncogenes (c-myc)
BRCA1 and BRCA2
key tumor suppressing behavior is DNA repair.
Fanconi’s anemia
Caused by homozygous mutation in BRCA2
p53 activity
p53 is a transcription factor that expresses genes that prevent cells from replicating damaged or foreign DNA. p53 is also required for apotosis
Viruses that inactivate p53
Adenovirus E1B and HPV (E6 protein)
What do gag pol and env encode? (From retrovirus genome)
gag= internal virion proteins, pol-=viral polymerase; env= virus emembrane glycoproteins (envlope proteins)
RNA genome
2 strands or RNA held together by a tRNA
Example v-onc segments
v-src, v-erb, v-abl, v-myc
v-src function
v-src codes for a kinase protein that phosphorylates tyrosine residues
v-erb function
Similar to EGFR structure, also a tyrosine kinase
v-abl
similar to tyrosine kinase found in human c=abl
differences between v-onc’s and c-onc’s
c-src has different carboxy terminal and introns than v=src; c-myc has additional introns
C-onc genes that can directly mediate cell transformation when introduced via retroviral promoters
some, not all. Ex. c-ras
Example supporting qualitative model of c-onc genetic changes
c-ras mutations in bladder cancer lead to a constituitively active protein (poor prognosis)
Examples of gene amplification in cancers (supports quantitative model)
- N-myc is amplified in neuroblastoma, copy number is associated with prognosis (more is bad)
- HER2/neu=ErbB2 –> amplified in 20% of breast cancers (encodes membrane protein kinase) (increased copy number=bad prognosis)
Herceptin
Monoclonal antibody for protein product of HER2/Neu/erbB2 oncogene (extend life in breast cancer!)
Gene therapy for RB
Injection of RB gene into a RB neg lung cancer cell inhibited tumorgenesis
E1b mutant adenovirus
Preferentially kills p53 mutated cancer cells because it can’t inactivate p53 and hence can’t kill WT cells.
Oncogene hypothesis
Why do drugs that inhibit “normal” cellular proteins (c-myc, c-abl, etc.) kill only the
cancer cells? One idea is that cancer cells but not normal cells have become dependent or
“addicted” to the overexpressed oncogene. This referred to as “oncogene addiction”
Li Fraumeni Geneics
Autosomal dominant
70% of cases associated with p53 mutation
40% of LFLS patients have o53 mutations
Li Fraumeni syndrome Diagnostic criteria
1) proband with sarcoma dx before age 45 AND
2) Primary relative with any cancer uner age 45 AND
3) A primary or secondary relative with a cancer before 45 or a sarcoma at any age
LFLS diagnostic criteria
1) Proband with any childhood cancer or sarcoma, brain tumor, or adrenal cortical tumor dx before age 45 and
2) Primary or secondary relative with a typical LFS cancer at ANY age and
3) Primary or secondary relative with any cancer before age 45
Genetic testing for Li fraumeni
Direct p53 sequencing. OR only include hot spots in exon 5-9
Functions of p53
-regulates protein and miRNA
-apoptosis
-cell cycle arrest in G1 o G2
Inhibition of angiogenesis and metastasis
DNA repair and damage prevention
mTOR inhibition, exosome secretion
p53 negative feedback
cellular senescence
DNA Damage and p53
ATM activates check 2 which activates p53
ATR activates Check 1 and p53. Chk 1 also interacts with p53.
p53 activates MDM2, which inhibits p53
MDM2 inhibits its activator, MDMX
cyclosporin
calcineurin inhibitor, immunosupressant
inhibits about 50% of all protein kinases
must bind immunophilin before it is active
rapamycin
mTOR (Ser/Thr kinase) inhibitor, immunosupressant
(mTOR and IL2 together activate CDK2, leading to T-Cell proliferation)
must bind immunophilin before it is active
4 sites likely to be distorted in the inactive state of a kinase
- Activation loop
- C-helix
- Glycine-rich loop
- ATP binding pocket
PKA
Inactive–> a pair of catalytic subunits is bound to a pair of regulatory subunits
Active–> cAMP binds to the regulatory subunit, releasing the catalytic subunit, which is phosphorylated automatically allowing it to catalyze rxns.
CDK2 Activation
- Cyclin must bind
- Phosphorylation required
- Inhibitor must be removed
PDK1
Phosphorylates PKB and PKC to activate them
CAMKK
Phosphorylates CAMK1 and CAMKIV to allow it to be active when calmodulin binds
MAPK
MAPK is phosphorylated by MAPKK, which is phosphorylated by MAPKKK (great example of multiple layers of regulation by kinases)
VHL genetics
Autosomal dominant condition caused by a mutation in VHL tumor suppressor gene. Highly penetrant. 80% of cases are inherited, 20% are de novo.
Other alterations include BAP1, PRBM1,
VHL associated lesions
- Cerebellar/spinal cord hemangioblastoma
- Retinal hemangioblastoma
- Pheochromocytoma
- Pancreatic cysts and neuroendocrine tumors
- Endolymphatic sac tumors
- RCC’s
- Genitourinary tumors
Dx of VHL
A) 1 VHL-associated lesion + family hx
2) 2 VHL-associated lesions
(RCC, HB, and PHEO are 3 that are particularly likely to merit a referral)
Type 1 VHL
Total or partial VHL loss (improper folding)
High risk of HB, ccRCC
Low risk PHEO
Type 2 VHL
missense mutation
high risk of PHEO
VHL gene
Tumor suppressor, part of a complex that targets proteins for ubiquitin mediated degradation
-regulates HIF, suppresses aneuploidy, stabilizes microtubules
ccRCC genetics
4% familial (VHL is the most common inherited type)
96% sporadic (solitary, unilateral, late onset)
3 therapies for RCC
1) Immunotherapy- High dosage IL2 upregulates immune response, which is depressed in RCC. High toxicity
2)VEGF inhibitor–> tries to prevent angiogenesis. AE’s: GI, HTN, fatigue
3) mTOR inhibitors
mTOR is upregulated in 20% of ccRCC’s
Cholesterol functions in membrane
increase membrane stiffness and thickness (equally distributed in exoplasmic and cytoplasmic layer)
Lipids on exoplasmic surface
Phosphatidyl choline, sphingomyelin, glycolipids
Lipids on cytoplasmic surface
Phosphatidyl inositol, Phosphatidyl serine, Phosphatidyl ethanolamine
Glucosylphosphatidylinositol (GPI)
Extracellular linker that attaches many proteins to the cell membrane
Cholesterol synthesis
Made from Acetate by a 30-step synthesis pathway. The first step is catalyzed by HMG CoA reductase, which is blocked by statins
Every enzyme has a sterol regulatory element (SRE) (A few aa’s where a regulatory protein can bind)
SREBP
A Protein containing a transcription factor that regulates both LDLR and all 30 uptake receptors. If cholesterol is low, the Transcription factor is cleaved in the golgi and released to the nucleus.
TF has a short lifetime
Location of Cholesterol senseing
ER! (it has the lowest cholesterol ER
SCAP
Regulates whether SREBP tf is cleaved and released. Insig binds SCAP to block CopII site when cholesterol is high, but when cholesterol is low insig is released and SREBP can be transported to the Golgi
S1P and S2P
2 Proteins that cleave the transcription factor. S1P–> luminal cut S2P==> membrane cut
Volumes of Intracellular and Extracellular fluids in a normal body
IC: 27 L
Extracellular= 18 L (13 L + 5 L “third space”)
Plasma= 3L
[Na+] in ICF and ECF
ICF: 14 mM
ECF: 140mM
Functionally impermeable due to pump
[K+] in ICF and ECF
ECF= 145 mM
ICF= 5 mM
Permeable
[Cl-] and [HCO3-]
ECF: Cl= 115 HCO3= 25 (145 total)
ICF: Total= 5 mM
Permeable
[big anions]
ECF: 0 mM
ICF: 126 mM
Not permeable
[H20]
ECF: ~55k
ICF: ~55k
[Ca++]
ECF: 1 mM
ICF: ,0001 mM
[H+]
ECF: ,00004 mM
max urine mosM
1200
Plasma osmolarity
300 mM
Osmotic pressure
=reflection coefficient * RT (change in concentration)
Coefficient=1–> nonpermeable
=0–> as permeable as water
Equivalents
number of “combining-weights” of an ion per liter; calculated by a two step process: for each ion – convert to mosM; multiply mosM by the valence of the ion
Tonicity
effect of a solution on a cell; depends on the permeability of the membrane; solution that makes cell shrink is hypertonic; solution that makes a cell burst is hypotonic
‘Third space’
Eyes, gut lumen, sweat glands, kidneys
Butolantoxin
Prevents NT vesicle fusion by cleaving SNARE proteins
Syntaxin
3 amphipathic helices with transmembrane domain at very end, on plasma membrane, not in middle
SNAP-25
Pamitoylation sequence gets fatty lipid attached which anchors it to the plasma membrane
VAMP
Sits on synaptic vesicle and helps with NT release into cleft, huge amphipathic helix in the middle.
NSF
A triple ATP-ase that disassembles the SNARES using alpha snap as an adaptor protein.
Every unwinding hydrolyzes 6 ATP’s
nsec1
Binds to stabilize syntaxin in the closed conformation. When it diffuses away nucleation is possible (NSec1= brakes)
Viral Envelope fusogenic protein
COOH side - Transmembrane domain
N side- fusogenic peptide (very hydrophobic) Typically buried in the proein, but when the conformation changes and FP gets activated it embeds in the host plasma membrane
Influenza envelope protein activation
pH ~6 automatically opens the FP
This typically occurs in a lysosome, where the pH is low
HIV envelope protein activation
Receptor binding activation!
FP is a 2 protein dimer: Gp120 and Gp41
Gp120 sits on top of gp41 and blocks it.
There is a receptor on T-cells that bind gp120 and change conformation allowing gp41 to initiate viral membrane fusion
Membrane potential determination
It’s all about relative permeability!!
Number of excess anions in a cell if Vm =-80 mV
For every 100,000 cations in a cell there are 100,001 anions
Nernst equation at body temp
E= 60/z*log(Cout/Cin)
Donnan’s rule
[K]o[Cl]o=[K]in[Cl]in
Sodium pump
3 Na out, 2 K in
Driving force on an ion
Driving Force = Vm – Eion
Law of Mass action
Le Chatlier’s principle
Acute Hyperkalemia
Just a small leakage of K+ can lead to hube problems (20-30 mV depol in heart cells–> cardiac arrest)
Causes of Acute Hyperkalemia
Trauma, crush injuries, burns, immunological attack of RBC’s leading to hemolysis