Oncogenes Flashcards

1
Q

What is an oncogene?

A

A gene normally involved with controlling cellular proliferation.

When altered/over-activated, they help transform normal cells > tumour cells by promoting uncontrolled cell growth and/or inhibiting apoptosis (GAIN OF FUNCTION)

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2
Q

What are the five main pathways for activation of oncogenes?

A
  1. Point mutations
  2. Gene amplification
  3. Chromosomal translocations
  4. Local DNA rearrangements
  5. Insertional mutagenesis
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3
Q

Can you provide some info on point mutations in the activation of oncogenes?

A

Lead to hyper-activated protein usually produced in normal amounts.
Can occur spontaneously or as a result of environmental influences (e.g. UV or carcinogens).

Example 1: RAS family (HRAS/KRAS/NRAS)
Mutations in these lead to activation of downstream GTP signalling by blocking integral GTPase activity (= molecular switch) - mainly colorectal cancer (plus lung, breast, bladder)

Example 2: BRAF
Val600Glu activating mutation found in malignant melanomas/colorectal

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4
Q

Can you provide some info on gene amplification in the activation of oncogenes?

A

Multiple copies of growth factor or transcription factor receptors on wild type cell surface, which leads to over-production of coding protein

HER2 - breast cancer cells often have multiple copies of HER2 causing over-production of the protein. Each copy is structurally wild-type and the oncogenic effect comes from the increased copy number (detected by FISH/array/NGS).

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5
Q

Can you provide some info on chromosomal translocation in the activation of oncogenes?

A

Two types:

  1. Translocation to create novel chimeric gene (e.g. BCR-ABL) - Philadelphia chr (90% of CML) arising from balanced trans t(9;22)(q34;q11) creating a fusion oncogene (BCR-ABL1)
  2. Translocation into a transcriptionally active region - there are over 700 known recurrent trans in cancer involving over 400 gene pairs - thought to be linked to DNA breakage/fragile sites. One characteristic example = Burkitt lymphoma - t(8;14)(q24;q32) seen in 75% of patients - involves the MYC gene.
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6
Q

Can you provide some info on local DNA rearrangements in the activation of oncogenes?

A

Insertion/deletion/inversion of intervening region between each contributing gene can result in fusion genes = abnormal hyperactive proteins

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7
Q

Can you provide some info on insertional mutagenesis in the activation of oncogenes?

A

Viral oncogenes insert near cellular genes such as MYC and aberrantly activate it to initiate unchecked cellular proliferation.

E.g. Hep B in hepatocellular carcinoma

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8
Q

What are the five broad classes of oncogenes?

A
  1. Secreted growth factors
  2. Growth factor receptors
  3. Signal transducers
  4. Inhibitors of apoptosis
  5. Transcription factors
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9
Q

Provide some info on secreted growth factor oncogenes

A

Constitutive activation of a growth factor gene can contribute to malignant transformation by inducing cell proliferation.

Example: Platelet-derived growth factor (PDGF) is released from platelets during coagulation and wound healing and can induce proliferation of various adjacent cell types (SIS oncogene = mutated version of PDGF-Beta chain)

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10
Q

Provide some info on growth factor receptor oncogenes

A

Growth factor receptors are altered in many cancers where they transduce signals for cell growth and proliferation

Example: activating mutations in EGFR in NSCLC cause increased kinase activity

Example: activating mutation in RET oncogene cause multiple endocrine neoplasia type 2 (MEN2)

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11
Q

Provide some info on signal transducer oncogenes

A

Mutations/truncations can impact ligand-independent signalling, leading to the upregulation of various oncogenic processes (incl. chronic cell cycle proliferation).

Example: PIK3CA activating mutations

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12
Q

Provide some info on apoptosis inhibitor oncogenes

A

Overexpression of inhibitors of apoptosis has been repeatedly reported in various cancers and is associated with tumourigenesis, treatment resistance and poor prognosis.

Example: Overexpression of BCL2 protein (e.g. via t(8;14) trans) is involved in the initiation of follicular lymphomas - thought to impact stress pathway of apoptosis

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13
Q

Provide some info on transcription factor oncogenes

A

Translocations resulting in a fusion protein and producing transcription factors are a well-established malignancy (leukaemic or solid tumour) disease driver.

Example: t(11;22) in Ewings sarcoma results in novel chimeric oncoprotein EWS/Fli1, acts as an aberrant transcription factor with strong transforming capabilities.

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