22. theraputic stratergies Flashcards Preview

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Flashcards in 22. theraputic stratergies Deck (60):
1

what is oncogene addiction

when the cell relies on a dominant oncogene and they will die without this

2

give an example of an oncogene which as cancer is addicted to

BCR-abl

3

what is mutated in 80% of lung cancer?

k-ras

4

what do lots of haematopoietic cancers upregulate?

myc - this is a TF

5

you can carry out experiments were a cancer is expressing myc and then switch this expression off, what can be seen?

haematopoietic cancers went into senescence
>p16 levels rapidly rose (myc is supressing this in some way)

6

how does Myc function

heterodimer with Max

7

describe myc and max, are they good therapeutic targets?

>long alpha helices to interact with each other
>alpha helix to interact specifically with DNA.
- no, not much to target, although blocking protein-DNA and protein-protein interactions are being developed

8

in lung cancer, what mutation occurs in 10% of K-ras and how can this be targeted?

>mutants introduce a cysteine into an important part of the protein
>drug can irreversible covalently bind this cysteine and block these forms
- this adds selection pressure for resistance

9

in terms of oncogene addition what do we need to do for the future?

identify better oncogenes which tumour are addicted to target and combine these with existing therapies

10

what is synthetic lethality?

two genes:
- both WT - no affect
- KO either separately - no affect
- KO both - death

11

Rb null cells are deregulated in proliferation. name a target of E2F that can be targeted and potentially with what?

topoisomerase II - this is upregulated in Rb null cells
>etoposide

12

what does topoisomerase II do?

unwinds DNA and prevents it becoming tangled - especially in replicating cells

13

what does etoposide do?

It binds topoisomerase II and holds it in its DNA cleaving complex this prevents break from reforming and results in double stranded DNA breaks

14

what happens when you treat Rb null cells with etoposide?

they have more double strand DNA breaks than they cannot repair - this results in apoptosis

15

what are more single stranded breaks seen in Rb null cells treated with etoposide?

these cells upregulate topoisomerase II

16

what is PARP?

poly(ADP ribose) polymerase

17

what does PARP do?

poly-ADP ribosylates proteins, it builds up huge chains of ADP ribose onto proteins
>has a role in transcription where it poly-ADP ribosylates histones and this allows histones to open up and allow TF to bind
>it predominantly binds to single strand breaks

18

in what cells is PARP synethically lethal?

cells defective in homologous recombination repair e.g. BRCA mutant

19

when there is a single strand break in DNA one of the first things that is recruited to this break is PARP. what then happens?

PARP recruits repair complex around itself and repairs the damage

20

if there is a ssDNA break in DNA and replication is occurring, when the machinery gets to this point what occurs? what type of cells cannot do this? and what do they do?

this looks like a double strand break and so homologous recombination pathway is triggered, replication continues
>BRCA mutants, they use PARP

21

what happens when you inhibit PARP in normal cells?

they use homologous recombination

22

what is the second proposed mechanism of how PARP inhibition in BRCA mutants causes synthetic lethality?

>PARP binds single strand break trapped to this strand in inhibited form
>normal cells use HR to move around blockage and continue replication
>these are ss breaks that BRCA mutants cant repair

23

why is using targeting by synthetic lethality good?

this target is only lethal in cells where the tumour suppresser is mutated
>normal tissue is resistant and so this gives you a bigger therapeutic window to achieve efficacy

24

what can synthetic lethality also be used in?

activated oncogenes - look for genes that when inhibited function in cells with oncogenes you get a death response

25

RNAi library was transfected into cells with activated k-ras, what gene was identified as synthetically lethal? when this genes is inhibited in WT Ras cells what happens? what also causes decreased in K-Ras cells?

GATA2
>these cells do not die
>K-ras KO

26

give two examples of two things that are downstream of GATA2? how is this used therapeutically?

- proteasome complex
- Rho signalling
>GATA2 is a transcription factor and is not drugable. some of the things downstream of it are.

27

what two types of inhibitors can be used with K-ras cells?

- proteasomes inhibitor (bortezomid)
- Rho kinase inhibitor (Fasudil)
>either alone works well
>when used together and they target two braches of GATA2 pathway this works better

28

if we cannot target something in synthetic lethality what can we target?

>something downstream

29

name 3 ways to perform gene correction, and what may these be used for?

- zine finger nucleases
- TALENs
- CRISPR/Cas9
>edit the genome to remove key oncogenes or install key tumour suppresser

30

what did a nature paper do in terms of cancer and gene correction

used Cas9 system to remove mutations in human cancer, put these cells back into patients to try and improve immune response for that tumour

31

why is gene editing in tumours going to be hard?

delivering Cas9 bits to the appropriate site
>viral delivery is currently the only method we have

32

name a DNA viral vector

adenovirus

33

name 2 RNA viral vectors

MLV and HIV

34

discuss DNA viral vectors

- don't integrate into DNA
- transient
- might be lost in replication
- due to this they are give lost of times and so immune response will be developed against them

35

what may happen if someone is given adenovirus too many times ?

they might have an anaphylactic shock and die

36

discuss RNA viral vectors

- integrate into genome
- implications on where virus integrates
MLV integrates randomly

37

what have RNA viruses been useful in

delivering p53 to p53 null cells

38

name the three proteins encoded for by viral vectors

GAG
POL
ENV

39

what specificity does ENV give?

specific tissue type - binds to sodium phosphorus symporter which is present on many cells in our body and it is internalised into cells

40

how large is MLV viral genome? and what implication does this have?

8kb
>this is relevant in dictating the load in which this virus can carry

41

describe retroviral life cycle

- binds receptor and is internalised
- RT makes DNA and integrates into genome
- RNA used to make viral particles and packaged into virus

42

if you want to convert MLV into a delivery system for things like Cas9 or a tumour suppresser, what is the simplest thing to do?

remove everything in the virus apart from LTR and the packaging sequence (comes straight after 1st LTR)
>add a strong promoter in front of gene in virus

43

what is the packaging sequence?

specific 3D stem loop structure which GAG proteins bind and locks the viral genome into GAG encased capsid
>ensures genome is incorporated into the viral particle

44

when you have the recombinant viral genome, then what do you do?

convert it to DNA
insert into plasmid - this needs origin and antibiotic resistance

45

what are packaging cells?

- typically mammalian cells
- have promoter that drives ENV
- and promoter that drives GAG and POL
- proteins come together and release viral particle from cell

46

once you have plasmid encoding viral genome what do you do?

transfect this into packaging cells
>recombinant plasmid produces RNA genome
>this has packaging sequence and so is incorporated into viral particles and released from cells

47

why are packaging cells used?

- this is one of the safest ways to use HIV which is a good virus for viral therapy
- don't want WT HIV particles contaminating recombinant particles

48

why are GAG and POL on difference chromosomes from ENV?

so that there is no way that they can come together and make a viral genome
>in addition neither of these have packaging sequence
>only particles produces are out recombinant ones

49

how are the recombinant viral particles generated?

harvest the supernatant of tissue culture cells

50

how can we optimise tropism of viral delivery? give an example

using different packaging cells that have different ENV proteins which target different cells
>if we want to target lung cells then using the Evn from Ebola virus is very efficient

51

what is changing the tropism of a virus called?

Pseudotyping

52

what is another parameter you can optimise in viral delivery? give an example, and a way this can enhance safety

the promoter that you use to drive gene expression
e.g. EMV is a strong promoter that does not have tissue specificity
>tissue specific promoter could be used to enhance safety

53

what give you very good tissue specific expression?

combing tropism with tissue specific promoter

54

what is a big issue with viral gene therapy?

integration - if you want long term expression then you want integration.

55

what is the adeno-associated viruses?

this is a DNA virus that integrates into a single site on chromosome 17
>as sign that is known to be benign

56

what has a biotech company in china managed to do?

delivered a WT copy of p53 to patients with head and neck cancer
>success associated with this was limited

57

describe another way that viruses can be used as therpautics?

viruses themselves can be manipulates to specifically target the tumour tissue
>dampen down immune response to allow these to have therapeutic affect

58

what is E6 function in HPV?

targets p53 and recruits Ub machinery to cause p53 degradation

59

what does the equivalent dominant oncoproteins of adenovirus do?

E1a binds Rb and E1b binds p53

60

how can adenovirus be used therapeutically?

>they lacks E1b, still have E1a to binds Rb and cause proliferation.
>lots of viral particles will be made in S phase.
>in WT cells p53 will top replication in cells.
>50% of tumours have mutant p53
>these cells will die due to errors in fast viral driven replication as virus takes over cells
>this has shown reasonable results in the clinic but was shelved due to financial reasons