molecular cell biology of cancer Flashcards

1
Q

Define neoplasia

A
  • Abnormal growth of cells which persists after initiating stimulus has been removed
  • cell growth escaped from normal regulatory mechanims
  • two types –> benign vs malignant
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2
Q

Define benign neoplasia and malignant

A

Benign –> cells grow as compact mass and remain at site of origin

malignant –> invasion and metastases

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3
Q

What types of cell are neoplastic cell?

what have they acquired?

A

Neoplastic cells = transformed cells

they have acquired a series of changes that permit them to form tumours

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4
Q

What underlies cellular transformation in neoplastic cells?

A

genetic and epigentic changes underlie this transformation

there has to be a change to DNA or gene expression

change must be non lethal and passed onto daughter cells

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5
Q

what happens during invasion and metastasis?

A

cell- cell interactions disrupted

cell -stromal interactions disrupted

interactions are important for cell and tissue differentiation, embryogenesis and growth regulation (cell signalling disruption)

abnormalities allow invasiveness and metastases

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6
Q

Describe cell cycle checkpoints

A
  • G1 –> S phase –> G2 –> mitosis –> two daughter cells
  • G1 checkpoint (prior to S phase) –> halted if DNA is damaged, also are conditions favourable, correct EC signals? Once cell has passed G1 checkpoint, this is the last point at which EC signals have any impact.
  • G2 checkpoint (prior to G2 and Mitosis) –> Is all DNA replicated? Is the cell correct size to divide?
  • M phase checkpoint –> are chromosomes attatched to spindle? Aligned at metaphase at equator?
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7
Q

Describe the proteins involved in cell cycle regulation

A
  • Cyclins are proteins that show cyclical variation in levels during the cell cycle
  • Cyclin - dependent kinases (CDK’s) = constant levels throughout the cycle but are only active with specific cyclins
  • CDK’s phosphorylate target proteins to drive forward the cell cycle
  • CDK inhibitor proteins can delay/ pause progression through the cell cycle
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8
Q

What is cancer?

What are the six hallmarks?

A

Cancer = genetic disease at cellular level

Six hallmarks:

  • Growth signal autonomy
  • evasion of growth inhibitory signals
  • evasion of apoptosis
  • unlimited replicative potential
  • angiogenesis (formation of new blood vessels)
  • invasion and metastasis
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9
Q

What are some potential other hallmarks of cancer?

A
  • dysregulation of metabolism
  • avoiding immune destruction
  • tumour promotion by inflammation
  • genomic instability and mutation
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10
Q

What are the cellular factors involved in sustained proliferation?

A
  • Oncogenes (mutated form of proto oncogene) –> e.g. gene encoding GF, or GF receptors, signal transduction proteins within the cell, transcription factors
  • Every stage of signalling:
    • GF’s
    • receptors
    • signal transduction proteins
    • transcription factors
    • Cell cycle entry proteins
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11
Q

What are examples of proteins invovled in growth suppression?

A

Normally protiens physiologically curb cell growth, loss of function –> tumour growth

Examples = Rb (retinoblastoma) and p53

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12
Q

How is telomerase involved in cancer biology?

A

Telomerase expression keeps chromosome length –> telomere remains long enough for cell to keep dividing

avoid senscence

seen in stem cells and cancer cells

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13
Q

How is genomic instability involved in MB of cancer?

A
  • Genomic instability caused by defects in DNA repair mechanism –> e.g. mutation in protein involved in DNA repair –> leads to more muations
  • often seen in inherited syndromes, sporadic cancer
  • DNA remains susceptible to genetic damage
  • DNA repair defects
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14
Q

How is clonality involved in MB of cancer?

A
  • Tumours develop from a single cell – >form a monoclonal population arising from single cell
  • if clonality can be proved , strong evidence for neoplasia
  • further mutations lead to other charactersitics of neoplasia
  • mutations passed from cell to cell; all progeny have mutation and accumulation of these mutations leads to adaptation of developing tumour
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15
Q

What DNA alterations may be involved in cancer?

A
  1. Genetic mutations:
    • point
    • insertion
    • deletion
    • large chromosomal aberrations (abnormal) – >deletions/ chromosomal translocations/ copy numbers
  2. Epigenetics –> DNA methylations and acetylation of histone
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16
Q

define germline mutation

define somatic mutation

A

germline mutation –> a change in DNA seq which can be inherited from either parent in all cells (mutation affects gametes, concieved from egg/sperm w mutation that then affects all cells).

Somatic mutation –> change in DNA seq in cells other than egg/ sperm OR mutation is present in the cancer cell and its offspring, but not in the patient’s healthy cells

17
Q

How do mutations arise?

A
  • germline mutation (inherited)
  • spontaneous copy errors during DNA replication
  • carcinogens (e.g. UV light, viral infection).
  • Leads to DNA repair –> outcome can be 1) apoptosis 2) Normal division 3) division with mutated gene to daughter cells
  • Now cell w mutated/ Damaged DNA –> more mutations (3 to 7 more)
  • Targeted by immune system (may be removed)
  • or could be exposed to carcinogen and risk factors (age, diet etc..)
  • leads to clonal expansion of mutated cell –> cancer
18
Q

What is a carcinogen?

Examples?

What is are some risk factors for cancer development?

A

Carcinogen = directly responsible for damaging DNA, initiating, promoting or aiding cancer

Examples:

Tobacco/ asbestos/ arsenic

radiation (gamma/ xray/ uv)

compounds in car exhaust (free radicals/ ROS)

viruses and parasites

Risk factors: age/ sex/ diet etc..

19
Q

How can UV light lead to DNA damage?

A
  • UV light leads to development of cyclobutane pyrimidine dimer
  • DNA polymerase now recognises two cysteines as a TT –> then adds AA
  • subsequent rounds of DNA replication –> leads to further mutations with knock on effects
20
Q

Describe normal gene structure

A
  • exons = coding regions of gene –> encodes protein –> mutation within these genes could have no effect, protein with changed function or truncated protein/ no protein
  • (intron spliced out)
  • Promoter sequences –> mutation here could have no effect, or increase or decrease expression
21
Q

Which genes are involved in cancer development?

A
  • Positive (accelerators) = oncogenes
    • singlas from outside cell (growth factors)
    • receptors (EGFR/HER2)
    • coupling molecules –> RAS, BRAF –> Ras only active when GTP bound, can mutate to become active in abscence of GTP
    • phosphorylation reactions -> CDK’s, cyclin complexes
  • Negative (tumour suppressor geners)
    • singlas outside the cell (loss of growth inhibitor)
    • cyclin kinase inhibitors
    • checkpoint (loss of proteins invovled)
22
Q

What is a key tumour suppressor protein?

what are its roles?

A

p53 = Master guardian of the genome

roles:

1) Detect DNA damage
2) abbertant