W07_03 Molecular pathogenesis of cancer 2 Flashcards

1
Q

name 4 important tumour suppressor genes

A

Rb;
pXX (cyclin dependent kinase inhibitor);
APC;
p53

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2
Q

how does Rb typically work?

A

binds to E2F transcription factor to prevent transcription. hyperphosphorylated? unbinds and allows transcription

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3
Q

what’s knudson’s two-hit hypothesis?

A

need two mutations of both alleles of Rb to produce retinoblastoma (some mix of inherited and acquired damages)

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4
Q

what’s “loss of heterozygosity” in the context of cancer?

A

when the two alleles, which were heterozygous for mutations, both become homozygous for mutations

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5
Q

why do we see upregulation of pXX enzymes in response to genetic disruptions?

A

they’re cell cycle moderators and try to control the rampant growth

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6
Q

what’s the role of APC (adematous polyposis coli)?

A

inhibitor of signal transduction; can be disinhibited by WNT signalling

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7
Q

what happens when APC breaks down?

A

regardless of WNT signalling, APC will not control beta-catenin transcription factor signalling

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8
Q

clinically, what does APC mutation cause?

A

familial adenomatous polyposis, and colon cancer

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9
Q

where does p53 act in the mitotic cycle?

A

between G1/S

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10
Q

what does p53 do to cells?

A

induces: quiescence, senescence, apoptosis

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11
Q

p53 has a short half life by itself. how does the body compensate?

A

it’s complexed to MDM. released when the cell is stressed

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12
Q

when the cell is stressed, there is induction of p21. what does this do?

A

cell cycle arrest. gives the cell more time to fix the broken dna.

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13
Q

note: 50% of human tumours show p53 mutations!

A

dangggg

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14
Q

what is li-fraumeni syndrome?

A

germline mutation in p53. the person will develop multiple cancer types

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15
Q

what are the key genes in HPV?

A

E2, E6, E7.

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16
Q

what does the HPV E2 gene do?

A

suppresses E6 and E7. promotes viral protein-making

17
Q

what does the HPV E6 gene do?

A

destroys p53 and bax. cell can’t regulate nor apoptose

18
Q

what does the HPV E7 gene do?

A

binds to Rb and displaces E2F, so E2F goes unchecked

19
Q

what are MLH1, MSH2, MSH6, PMS2?

A

mismatch repair genes that check for correct base-pairings

20
Q

what happens when mismatch repair genes are defective?

A

mutations and microsatellite instability

21
Q

what is lynch syndrome (HNPCC) caused by on the genetic level?

A

inherited mismatch repair gene mutation

22
Q

what genetic defect causes xeroderma pigmentosum?

A

nucleotide excision repair broken

23
Q

what gene fixes inter and intra-strand DNA cross-links?

A

BRCA1 or BRCA2. if these mutated, can lead to higher cancer rates

24
Q

what’s the non-homologous end-joining pathway?

A

broken DNA strands (no telomeres at the ends) are joined end-to-end