WEEK 3: Carcinogenesis Flashcards

1
Q

Define the following terms:
1. Mutation
2. Germ cell mutation
3. Somatic cell mutations
4. Give examples of cancers associated with each type of mutation.

A
  1. MUTATION
    Permanent change in the DNA sequence of an organism.

Germ cell mutations are transmitted to the progeny inherited diseases.

  1. GERM CELL MUTATION:
    A mutation that occurs in a germ cell (egg or sperm cell) and can be inherited by the offspring.

-Examples of cancers: breast, ovarian, colorectal cancer and retinoblastoma

  1. SOMATIC CELL MUTATION
    Somatic cell mutations do not cause hereditary diseases Cancers some congenital malformations.

Somatic mutations are a change to a person’s DNA that occurs after conception to any cell that isn’t a germ cell (egg or sperm cell).

Examples of cancers:

*Skin cancer,Lung cancer

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2
Q

What is a point mutation?

A

A point mutation is a genetic mutation that involves the change, deletion or addition of a single nucleotide base in the DNA or RNA of an organism’s genome.
e.g., single nucleotide base substitution resulting in a point mutation.

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3
Q

What is a frame shift mutation?

A

One or two base pairs inserted into or deleted from the DNA.
Alterations in the reading frame of the DNA strand.
frameshift mutation

*Deletions and insertions

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4
Q

Describe the following point mutations within coding sequences.

  1. Missense mutation
  2. Nonsense mutation
A
  1. Missense mutations

A missense mutation is a point mutation in which a single nucleotide changes results in a codon that codes for a different amino acid.

e.g., sickle mutation

  1. Stop codon (nonsense mutation)

The mutation results in the presence of a stop codon in the gene sequence, which causes premature termination of the protein.

β0- thalassemia

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5
Q

Describe a Trinucleotide -repeat mutation.

A

A trinucleotide repeat mutation is a type of DNA mutation that causes a disorder when the number of repeats of three nucleotides (a triplet) increases above a certain threshold.

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6
Q

Describe the 4 examples of Trinucleotide -repeat mutations disorders.

A
  1. Fragile-X syndrome, 250 to 4000 tandem repeats of the sequence CGG within a gene called familial mental retardation 1 (FMR1). X linked dominant.

Macro-orchidsm, intellectual disability, long ears and face.

  1. Huntingdon’s disease. CAG repeat, Autosomal dominant. High dopamine
  2. Friedreich’s ataxia, GAA repeat, Autosomal recessive, scoliosis, Ataxia (Loss of coordination of voluntary muscle movements.)
  3. Myotonic dystrophy, CTG Repeat, Autosomal dominant, Cataracts, testicular hypertrophy, Can’t terminate grip.
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7
Q

Describe 4 interference of mutations with protein synthesis.

A
  1. Suppression of transcription

*Gene deletions
* Point mutations involving promoter sequences

  1. Abnormal mRNA processing
    *Mutations affecting introns or splice junctions or both.
  2. Translation
    * Stop codon (chain termination mutation) creation within an exon.
  3. Abnormal protein production without impairing any step-in protein synthesis.
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8
Q

Describe an example of a beneficial mutation.

A
  • Uncommon
  • HIV uses a chemokine receptor, CCR5, to enter cells, a deletion in the CCR5 gene protects from HIV infection.
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9
Q

Describe the following common types of DNA damage:

  1. Depurination
  2. Deamination
  3. Pyrimidine dimers
A

Common types of DNA damage
Depurination: A, G
Deamination: C⇢ U, A⇢ Hypoxanthine
Pyrimidine dimers: UV induced

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10
Q

Describe the following DNA repair mechanisms.

  1. Reversal of damage
  2. Excision repair
  3. Mismatch repair
  4. Recombination repair
  5. Error-prone repair
A
  1. Reversal of damage
    Enzymatically un-do the damage.
    a) Photoreactivation
    b) Removal of methyl groups
  2. Excision repair

General Process:
remove damage (base or DNA backbone)
ss nick/gap provides 3’OH for DNA Pol I initiation
DNA ligase seals nick

*Nucleotide excision repair:
Cut out a segment of DNA around a damaged base.

*Base excision repair:
Cut out the base, then cut next to the apurinic /apyrimidinic site, and let DNA Pol I repair.

  1. Mismatch repair

Action of DNA polymerase III (including proofreading exonuclease) results in 1 misincorporation per 108 bases synthesized.

Mismatch repair reduces this rate to 1 change in every 1010 or 1011 bases.

Recognize mis-paired bases in DNA, e.g., G-T or A-C base pairs.

These do not cause large distortions in the helix: the mismatch repair system apparently reads the sequence of bases in the DNA.

  1. Recombination repair

Retrieval of information from a homologous chromosome.

  1. Error-prone repair
    Last resort for DNA repair
    e.g., when repair has not occurred prior to replication.

DNA polymerase III usually dissociates at a nick or a lesion.

But replication can occur past these lesions, especially during the SOS response (“Save Our Ship”).
This trans lesion synthesis incorporates random nucleotides, so they are almost always mutations (3/4 times)

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11
Q

Cancer occurs following several sequential steps of abnormalities in the target cell

e.g.,

  1. Initiation,
  2. Promotion
  3. Progression

Describe what happens in each of these steps.

A

INITIATION

  • Results from exposure of cells to a sufficient dose of a carcinogenic agent (initiator)
  • An initiated cell is altered, making it potentially capable of giving rise to a tumor (groups 2 and 3).
    Initiation alone is not sufficient for tumor formation (group 1).
  • Initiation causes permanent DNA damage (mutations) - rapid and irreversible and has “memory.”[group 3]
  1. PROMOTION
  • Can induce tumors in initiated cells, but they are nontumorigenic by themselves(group 5)
  • Tumors do not result when the promoting agent is appliedbefore, the initiating agent (group 4)
  • Cellular changes resulting from the application of promoters do not affect DNA directly and are reversible
  • Promoters enhance the proliferation of initiated cells [NB group 6]

*Promoters of carcinogenesis are substances such as phorbol esters, phenols, hormones, artificial sweeteners and drugs like phenobarbital.

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12
Q

How do promoters differ from initiators?

A

They do not damage the DNA; they enhance the effect of initiators.

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13
Q

State the 3 classes of carcinogenic agents have been identified.

A

1) chemicals
2) radiant energy
3) microbial products

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14
Q

All initiating chemical carcinogens are highly reactive electrophiles.

State their other characteristics.

A

The stages of initiation and promotion seen in the development of cancers of the liver, urinary bladder, breast, colon, and respiratory tract

  1. React with nucleophilic (electron-rich) sites in the cell.
  2. DNA, RNA, and protein targets.
  3. Initiation inflicts nonlethal damage on the DNA that cannot be repaired and is passed on to daughter cells.
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15
Q

Chemicals carcinogens can be classified into two categories.

State them.

A

Direct acting
Indirect acting.

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16
Q

Describe direct acting agents.

A
  1. Do not require metabolic conversion to become carcinogenic.
  2. Most are weak carcinogens
  • Cancer chemotherapeutic drugs (e.g., alkylating agents)
    *Cure, control, or delay recurrence of cancer [leukemia, lymphoma, and ovarian carcinoma]-May later evoke later a second form of cancer, usually acute myeloid leukemia.
17
Q

Describe the indirect acting agents.

A
  1. Require metabolic conversion to anultimate carcinogen to become active.
  2. e.g., polycyclic hydrocarbons that are created with burning of fossil fuels, plant, and animal material.
  • Present in fossil fuels
  • Benzo[a]pyrene in cigarette smoke [lung cancer]
  • Animal fats in broiled meats - present in smoked meats and fish
  • Principal active products are epoxides - form covalent adducts (addition products) with DNA [also RNA & proteins]
18
Q

Describe the activation of indirect carcinogens.

A

Metabolic activation:

Indirect-acting carcinogens are activated in the liver by the mono-oxygenase of the cytochrome P-450 system in the endoplasmic reticulum.

Oxidative activation of carcinogens by P450 enzymes leads to the formation of electrophilic reactive intermediates that can bind to DNA, giving rise to DNA adducts that potentially cause mutations.

19
Q

What metabolizes most indirect carcinogens?

Possible to assess cancer risk in individuals by genetic analysis of such enzyme polymorphisms.

e.g., Approximately 10% of the white population has a highly inducible form of the enzyme encoded by P-450 gene,_________ that is associated with an increased risk of lung cancer in light smokers who have a sevenfold higher risk of developing lung cancer, compared with smokers without the permissive genotype.

_____, _____ and ______also determine the internal dose of toxicants produced.

A

*Most carcinogens are metabolized by cytochrome P-450–dependent monooxygenase.

Polymorphic encoding genes - varying activity and inducibility of these enzymes among different individuals.

Possible to assess cancer risk in individuals by genetic analysis of such enzyme polymorphisms.

e.g., Approximately 10% of the white population has a highly inducible form of the enzyme encoded by P-450 gene,CYP1A1 that is associated with an increased risk of lung cancer in light smokers who have a sevenfold higher risk of developing lung cancer, compared with smokers without the permissive genotype.

Age, sex, and nutritional status also determine the internal dose of toxicants produced.

20
Q

Outline the molecular targets of carcinogens.

A

*Majority of initiating chemicals are mutagenic.

  • DNA is the primary target for chemical carcinogens.

*There is no single or unique alteration associated with initiation of chemical carcinogenesis.

  • Any gene may be the target of chemical carcinogens, commonly oncogenes and tumor suppressors, such asRASandp53
21
Q

What produces aflatoxin A1?

Describe the MOA of how Aflatoxin A1 causes cancer.

A

Produced by Aspergillus [Mould on improperly stored grains and nuts]

Strong correlation between the dietary level and the incidence of hepatocellular carcinoma in parts of Africa and the Far East.

Produces mutations in thep53gene; characteristic G: C➙T: A transversion in codon 249 (called249(ser) p53mutation)“signature mutation.”

p53mutations occur much less in liver tumors from areas where aflatoxin contamination is not a risk factor, and the249(ser)mutation is uncommon.

22
Q

For the change to be heritable, the damaged DNA template must be replicated, and carcinogen-altered cells undergo at least one cycle of proliferation so that the change in DNA becomes fixed.

What is the function of promoters?
Give examples.

The process of tumor promotion includes multiple steps. State them.

A

Unrepaired alterations in the DNA - first steps in the process of initiation

For the change to be heritable, the damaged DNA template must be replicated, and carcinogen-altered cells undergo at least one cycle of proliferation so that the change in DNA becomes fixed.

Promoters do not cause mutation but instead stimulate the division of mutated cells.

e.g., phorbol esters, hormones, phenols, and drugs

Application leads to proliferation and clonal expansion of initiated (mutated) cells.

The process of tumor promotion includes multiple steps:

  • Proliferation of preneoplastic cells,
  • Malignant conversion
  • Eventual tumor progression
23
Q

State the two types of radiation carcinogens.

A

Two types:

UV radiation

Ionizing radiation

24
Q

What is the main source of UV radiation?

Describe MOA by which UV radiation causes cancer.

A
  1. The main source of UV radiation is the sunlight
  2. Mechanism:

Most important biochemical effect of UV radiation is the formation of pyrimidine dimers in DNA.

Xeroderma pigmentosum predisposes to skin cancers at younger age (under 20 years of age).

25
Q

Give examples of Ionizing radiation.

Describe mechanism by which ionizing radiation causes cancer.

A

Ionizing radiation of all kinds like X-rays, α-, β- and γ-rays, radioactive isotopes, protons and neutrons

Mechanism:

Directly altering the cellular DNA-may cause chromosomal breakage, translocation, or point mutation.

26
Q

Microbial agents are types of carcinogens.

Name 2 type of carcinogens they include.

A

They include:

Viral carcinogens
Bacterial carcinogens

27
Q

Give examples of RNA and DNA viruses respectively.

A

RNA viruses:
HTLV-1 (Human T-Cell Leukemia Virus Type-1)

DNA viruses:
-Human Papilloma Virus (HPV): Cervical cancer
- Epstein-Barr Virus (EBV)
-Hepatitis B and C viruses

28
Q

Describe the mode of RNA viral oncogenesis.

A

RNA viruses or retroviruses contain two identical strands of RNA and the enzyme, reverse transcriptase (synthesize a single strand of viral DNA).

The provirus is then integrated into the DNA of the host cell genome and may induce mutation and thus transform the cell into neoplastic cell.

29
Q

Describe the mode of DNA viral oncogenesis.

A

Host cells infected by DNA oncogenic viruses may have:

Replication: The virus may replicate in the host cell with consequent lysis of the infected cell and release of virions

Integration: The viral DNA may integrate into the host cell DNA- results in inducing mutation - neoplastic transformation of the host cell

30
Q

Outline malignancies caused by HPV.

What type of HPV causes benign squamous papilloma (warts)?

What type of HPV causes cause squamous cell carcinoma of the cervix?

A

Cause of benign warts, cervical cancer (SCC) and oropharyngeal cancer:

Types 11 and 6: cause benign squamous papilloma (warts)
Types 16 and 18: cause squamous cell carcinoma of the cervix.

31
Q

What is EPSTEIN-BARR VIRUS (EBV) Implicated in the pathogenesis of?

How does it does that?

A

Implicated in the pathogenesis of Burkitt lymphoma.

CD 21 on the surface attach to and infect B cells, causing hyperproliferation of B cells,

Leading eventually to development of lymphoma.

32
Q

What do Hepatitis B and C causes?

Describe how ROS are formed due to Hepatitis B and C infection.

How does ROS promote carcinogenesis?

A
  1. HEPATITIS B AND C cause 70% to 80% of hepatocellular carcinomas worldwide.
  2. Chronic inflammation, Hepatocellular injury, Hepatocyte proliferation, ROS
  3. Reactive oxygen species (ROS)promote carcinogenesis by:
  • Inducing genetic mutations
  • Activating oncogenes
  • Raising oxidative stress

which all influence cell proliferation, survival, and apoptosis.

33
Q

HELICOBACTER PYLORI is an example of bacterial carcinogenesis.

Describe its MOA and effects in the body.

A

Colonizes the gastric mucosa.

Has been found in cases of chronic gastritis and peptic ulcer.

Implicated in the genesis of both gastric adenocarcinoma and gastric lymphomas.