Cancer Genetics Flashcards

1
Q

What do all cancers result from?

A

Result from changes in the DNA sequences of our genome (these changes occur throughout life because the genome within our cells has been exposed to mutagens like UV radiation)

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2
Q

What type of disease are all cancers?

A

Genetic diseases

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3
Q

A mutation in what type of gene causes cancer?

A

Cancer gene (mutation alters the function of cancer genes)

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4
Q

List some factors that can cause cancer

A

Chemicals (e.g. from smoking) and radiation from environment can damage genes [ENVIRONMENT]

Viruses can introduce their own genes into cells [EXOGENOUS factors]

Heredity, alteration in genes that make a person more susceptible to cancer [GENETICS]

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5
Q

What types of cancer has eating a large amount of fried or barbecued meat been linked to?

A

Increased risk of colorectal, pancreatic and prostate cancer

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6
Q

What is a benign tumour and give a common example?

A

Mass of well-differentiated cells that grow slowly, is capsulated and lacks the ability to invade neighbouring tissue or metastasise

e.g. skin moles or uterine fibroids

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7
Q

What is a malignant tumour?

A

Cells are poorly differentiated and capable of invading into adjacent tissues and may be capable of spreading to distant tissues (metastases)

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8
Q

How can a malignancy be detected?

A

Doctor can take sample of cells via biopsy

Biopsy is analysed under a microscope by a pathologist

If sample shows multiple cells with atypical morphology it may be categorised as malignant

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9
Q

What do cancer cells look like under a microscope?

A

Abnormally large shaped nuclei

Disorganised arrangement

Cytoplasm may also display abnormality such as invaginations

Large nucleus to cytoplasm ratio

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10
Q

What form the structural basis of the nuclear pore?

A

Nuclearporins

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11
Q

What does an increase in the number of nuclear pores lead to in advanced cancer?

A

Abnormal influx of beta-cotinine onto the nucleus

beta-cotinine - important transcription factor that is often mutated in colorectal cancer

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12
Q

What are lymphomas?

A

Cancers of the immune system that arise in lymph nodes and tissues of the body’s immune system

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13
Q

What are leukaemia’s?

A

cancers of the immature blood cells that grow in the bone marrow and tend to accumulate in large numbers in the bloodstream

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14
Q

What are carcinomas?

A

most common types of cancer arising from cells that cover external and internal body surfaces. Lung, breast and colon are the most frequent cancers of this type (epithelial)

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15
Q

What are sarcomas?

A

cancers arising from cells found in the supporting tissues of the body such as the bone, cartilage, fat, connective tissue and muscle

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16
Q

What type of cancer accounts for the most number of cancer death in the UK?

A

Lung cancer

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17
Q

What are the most common cancers in young people?

A

Leukaemia, ALL, AML, germ cell tumours (testicular cancer), brain tumours (glioma and medulloblastoma)

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18
Q

What are the 6 hallmarks of cancer?

A

Evading apoptosis

Insensitivity to anti-growth signals

Sustained angiogenesis

Limitless replicative potential

Tissue invasion and metastasis

Self-sufficiency in growth signals

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19
Q

What does the lifetime risk of developing cancer in a particular tissue correlate with?

A

How often stem cells divide in that tissue

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20
Q

What are the 2 emerging cancer hallmarks?

A

Dis-regulated metabolism

Evading the immune system

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21
Q

What are somatic cells?

A

All cells that form building blocks of the body other than gametes

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22
Q

What are the difference between germline and somatic mutations?

A

Germline are present in egg or sperm whereas somatic occur in non-germline tissues.

Germline is heritable and rare whereas somatic are non-heritable and very common

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23
Q

Can somatic cells undergo cell division via meiosis and mitosis?

A

NO, they can only divide via mitosis

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24
Q

What type of mutation is the most common cause of cancer?

A

Somatic mutation

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25
Q

Why are somatic mutations non-heritable?

A

Because they only occur in somatic cells and not gametes. Only germline mutation in gametes can be passed onto offspring

26
Q

Name a mutation in which gene leads to an increased risk for breast cancer as a part of hereditary breast ovarian cancer syndrome?

A

BRCA-1 gene

27
Q

List the different types of mutation

A

Deletions

Duplications

Inversions

Translocations

Single base mutations (point mutations - silent, nonsense, missense)

28
Q

What does ‘chromosomal instability’ refer to?

A

Higher than normal rate of mis-segregation of chromosomes or part of the chromosomes

29
Q

Is one single mutation enough to give rise to a cancer cell?

A

No

accumulation of mutations involving oncogenes, TSG and DNA repair genes

30
Q

What 3 steps can multi-step carcinogenesis be divided into?

A

Initiation - results from an irreversible genetic alteration. Most likely it is a simple mutation in a tumour suppressor gene

Promotion - excessive cell proliferation and subsequent accumulation of other mutations

Progression - tumour becomes a carcinoma and progress to metastasise in an event

31
Q

What does 1 mega base equate to?

A

1 million bases

32
Q

What does DNA damage from UV radiation lead to?

A

Formation of covalent bonds between 2 adjacent pyrimidines (CC,TC,CT or TT) in the DNA molecules

33
Q

What is the signature mutation of UV light?

A

C to T transition dipyrimidine context

34
Q

What does ‘passenger mutation’ refer to?

A

Mutations that provide no proliferative benefit

many mutations can be tolerated by somatic cells (often in heterozygote state)

35
Q

What does ‘driver mutation’ refer to?

A

Confer a selective advantage to somatic cells in their microenvironment (in homozygote state)

36
Q

What are oncogenes defined as?

A

Cancer genes in which driver mutations are activating or resulting in new functions

most cancer-causing mutations involving oncogenes are acquired, NOT inherited

37
Q

What are oncogenes generally activated by?

A
  1. Chromosome rearrangements
  2. Gene amplification
  3. Mutation
38
Q

What are tumour suppressor genes defined as in terms of ‘driver mutations’?

A

Cancer genes in which driver mutations are inactivating the function

39
Q

When may a passenger mutation be associated with clonal expansion?

A

When they occur in the same genomes, carrying a driver mutation

40
Q

Are most cancer causing mutations involving oncogenes acquired or inherited?

A

Acquired (mainly in somatic cells and very rarely inherited through the germline)

41
Q

What specific chromosomal abnormality is associated with CML?

A

(Reciprocal) Translocation between chromosome 9 and 22, which create an elongated chromosome 9 and truncated chromosome 22

Fuses BCR and ABL

42
Q

What is Myc?

A

Potential transcription factor acting as a proto-oncogene

43
Q

What cellular processes does Ras protein control?

A

Growth, migration, adhesion, cytoskeleton integrity, survival and differentiation

44
Q

When Ras protein is mutated what happens?

A

Cell proliferation is disrupted and the cell start to divide in an uncontrolled manner

45
Q

What is the specific Ras oncogene that is mutated?

A

k-Ras

46
Q

What is the activity of Ras governed by?

A

Its binding to GTP in the active state

Or to GDP in its inactive state

47
Q

What is a tumour suppressor gene (TSG)?

A

A gene that regulates a cell during cell division and replication

48
Q

What happens when a TSG is mutated?

A

Results in a loss or reduction of its function and in combination with other genetic mutation or with the loss of a second allele, it could allow the cells to grow abnormally

Loss of functions of these genes is often recessive

49
Q

What was the first tumour suppressor protein discovered?

A

Retinoblastoma protein Rb, in human retinoblastoma (cancer of the retina)

50
Q

Explain the two-hit hypothesis

A

In the first event there is an inherited mutation, however inheriting one germline copy of a damaged gene present in every cell in the body is not sufficient to enable this cancer to develop

A second hit to the good copy in the gene pair could occur somatically, producing cancer

51
Q

Give one function of retinoblastoma and explain how it carries out this function

A

Prevents excessive cell growth by inhibiting cell cycle progression until a cell has made all checks necessary in G1 phase

52
Q

What phosphorylates retinoblastoma leading to its inactivation?

A

Cyclin dependent kinase

53
Q

Retinoblastoma belong to the pocket protein family whose members have a pocket in the structure for the functional binding of other proteins. What binds to the pocket in retinoblastoma?

A

E2F (important transcription factor essential for activation of the transcription programme of a cell moving onto S phase from G1)

54
Q

What gene encodes the TSG p53?

A

TP53

55
Q

In what syndrome can abnormality of the p53 gene be inherited?

A

Li-Fraumeni syndrome; abnormality can increase the risk of developing various types of cancer

56
Q

What is the overall function of p53?

A

To bind DNA and regulate gene expression to prevent the accumulation of mutations in the genome

57
Q

Genetic variations in which genes increases the risk of breast cancers?

A

BRCA1 and BRCA2

58
Q

Explain the roles of BRCA1 and BRCA2 in DNA repair?

A

BRCA1 is phosphorylated by ATM and CHK2 in response to breaks in double-stranded DNA.

BRCA1 binds to BRCA2 which interacts with RAD51 to form a complex which is involved in DNA repair

59
Q

What virus is responsible for 99% of cervical cancer?

A

HPV (human papilloma virus) (However, not every viral infection leads to cancer and most HPV infections are lower risk and produce a localised disturbance)

60
Q

Which HPV proteins confer a selective growth advantage to the host cells by interfering with the normal function of retinoblastoma and p53?

A

E6 and E7

61
Q

What 3 possible states can a cell that has accumulated a large amount of DNA, or one that no longer effectively repairs damage incurred to its DNA enter into?

A

An irreversible state of dormancy

Cell suicide, AKA apoptosis (programmed cell death)

Unregulated cell division, which can lead to the formation of a tumour that is cancerous