Breast Cancer Study Flashcards

(36 cards)

1
Q

Inherited cancer

A

inherited mutations increase the RISK of developing cancer, events after birth will trigger the cancer development

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2
Q

Sporadic

A

no inheritance pattern; caused by environmental issues

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3
Q

Oncogenes

A

class of genes whose presence initiates the development of cancer by excessive proliferation

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4
Q

Oncogene - point mutation

A

RAS – abnormal protein

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5
Q

RAS point mutation may result in

A

bladder, lung, colon, or pancreas cancer

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6
Q

Oncogene - gene amplification

A

Myc – over expression of Myc that controls proliferation

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7
Q

Myc gene amplification may result in

A

Breast, ovary, pancreas, lung, and esophagus cancer

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8
Q

Oncogene - chromosomal translocation

A

CML – breakage on chromsome 9 and 22 ends are switched –> production of abnormal fusion protein, over expression of CML

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9
Q

CML chromosome translocation may result in

A

Chronic myelogenous leukemia (CML)

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10
Q

Oncogene - DNA rearrangements

A

TRK – rearrangement -> fusion protein -> codes for GF -> stimulated cellular activity

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11
Q

Oncogene - insertional mutagenesis

A

Avian leukosis virus inserts LTRs next to Myc -> overproduction of normal cellular protein

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12
Q

Viral conversion (insertional mutagenesis) can result from

A

EBE, HCV, HPV, HTL-1, KSHV

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13
Q

TRK DNA rearrangement may cause

A

hereditary colon cancer

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14
Q

Retinoblastoma

A

loss of function (allows cells to pass into S phase without phosphorylation from GFs) TUMOR-SUPPRESSOR

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15
Q

LOF of Retinoblastoma causes

A

hereditary retinoblastoma

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16
Q

Why is a sporadic tumor rarely caused by tumor suppressor genes

A

because without hereditary influence, 2 mutations must spontaneously arise to k/o gene

17
Q

p53

A

role in preventing cell cycle progression when DNA damage is present, mutation allows aberrant cell cycle progression TUMOR-SUPPRESSOR

18
Q

BRCA-1 -2

A

repair DNA damage, mutations have impaired DNA repair –> subsequent mutation –> cancer

19
Q

Gene mutations seen in both hereditary and non-hereditary

A

RB and p53 (gatekeepers)

20
Q

Gene mutations seen primarily in hereditary tumors

A

BRCA1,2 (caretakers)

21
Q

Repairing dsDNA breaks

A

is more difficult than ssDNA breaks, because there is no template

22
Q

Homologous recombination of dsDNA breaks

A

use of the homologous chromosome as a template to repair the broken chromosome; BRCA-1,2, ATM kinase -> repair

23
Q

Non-homologous end joining

A

broken fragments are ligated in any way, rearranged, translocated, etc -> instability

24
Q

Gain of function mutations

A

mutations produce proteins with new or excessive activity; MENII

25
Multiple endocrine neoplasia type II (MEN-II)
developmental abnormalities associated with benign and malignant tumors of the endocrine glands
26
MEN-II is associated with the inheritance of
a single RET gene (TKR)
27
Breast cancer risk factors
environment- hormones, lifestyle (exercise, smoking)
28
Penetrance
of carriers who develop the disease
29
BRCA1-2 penetrance
30-90%
30
BRCA1 is associated with
ovarian cancer
31
BRCA2 is associated with
ovary cancer, male breast cancer
32
BRCA1 and 2 associated with
epithelial and pancreatic cancer
33
2008: BRCA-2 variant I2527F results in
substitution of phenylalanine for isoleucine, may or may not affect the function of the protein, cannot establish link to CA
34
2009: BRCA-2 variant I2527F results in
confirmed protein function disruption and connection to CA established
35
Probability of breast cancer associated with a mutation in BRCA1-2 increases if
Multiple 1st degree relatives affected, individuals affected before menopause, 1st degree relative with male breast cancer or 1st degree relative with ovarian cancer
36
lifetime breast cancer risk in women with germ line mutations of BRCA1-2 is
85%, median age onset 20y/o