Oncogenes And Tumour Suppressor Genes Flashcards

(31 cards)

1
Q

Function of a proto-oncogene?

A

Control differentiation and proliferation to regulate homeostasis

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2
Q

What are Ras - tumour suppressor or oncogenes?

A

Oncogenes

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3
Q

How are Ras genes activated and what do they cause?

A

Ras are G-proteins which are activated by the GPCR tyrosine kinase
Activation of Ras activates the MAPK(kinase) pathway causing cell proliferation and growth

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4
Q

What happens if there is a mutation to the Ras protein?

A

Switched on all the time causing constant proliferation. Doesn’t need the tyrosine kinase receptor to activate it.

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5
Q

Why are Ras mutations easy to detect?

A

Only nine bases can be changed

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6
Q

What kind of cancers are Ras mutations common in?

A

Epithelial cancers such as

  • colon
  • bladder
  • lung
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7
Q

Where can mutations be found for Ras?

A

Codons 12, 13 and 61

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8
Q

How can the type of Ras mutation be an indicator of prognosis in colorectal cancer?

A

Eg there are two mutations which are highly significantly associated with a high risk of recurrence and a lower two year survival rate than other mutations

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9
Q

What is insertional mutagenesis?

A

When a DNA virus incorporates a viral oncogene into the host DNA.

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10
Q

What can cause insertional mutagenesis?

A

HPV 16 and 18 - cervical cancer

Hep B - hepatocellular cancer

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11
Q

What is a chromosomal translocation?

A

When a fragment of one chromosome attaches to another non-homologous chromosome

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12
Q

Give some examples of chromosome translocations that can lead to cancer

A

9;22 - chronic myeloid leukaemia leading to abnormal tyrosine kinase activity (Philadelphia chromosome)

8;14 - burkitt’s lymphoma leading to constitutive MYC expression

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13
Q

What is an example of gene amplification and in which cancer is it seen?

A

Human epidermal growth factor receptor 2 (HER-2).
Amplified and over-expressed in 20-30% of breast cancers
Linked to poor prognosis

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14
Q

What can gene amplification be detected by?

A

FISH

Immunohistochemistry

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15
Q

What can breast cancer with HER-2 amplification be treated with?

A

Herceptin - a monoclonal antibody which binds to the receptor and prevents growth by preventing downstream signalling.
Also flags HER2+ cells for destruction by the immune system

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16
Q

What is seen when HER-2 positive cells are stained?

A

Dark membranes because HER-2 is found on the membrane

17
Q

Normal function of tumour suppressor genes?

A

Maintain genetic stability by

  • DNA repair
  • carcinogen detoxification
  • cell cycle control
  • apoptosis
  • senescence
18
Q

What causes senescence?

A

Telomeres shortening

19
Q

What are the different types of retinoblastoma?

A

Familial - seen bilaterally - 40%

Sporadic - unilateral - 60%

20
Q

What is the two hit hypothesis for retinoblastoma?

A

Tumour triggered by two mutation events

  • first recessive mutation inherited and seen in all cells
  • only need one more mutational event to affect the other allele to initiate a tumour
21
Q

Why is sporadic retinoblastoma normally only seen unilaterally?

A

Need two hits and the chances of two hits happening in the same cell is very small

22
Q

What makes a cell population more heterozygous?

A

The more alleles for a gene there are

23
Q

What is loss of heterozygosity?

A

When there is a mutation leading to deletion of an allele, can cause LOH.

24
Q

Where does LOH normally involve on the DNA?

A

The flanking chromosomal region near the 5’ end

This area of DNA is not normally transcribed into RNA

25
Why can LOH lead to cancer?
Only have one remaining copy of a tumour suppressor gene which can be inactivated by a point mutation, leaving no tumour suppressor gene.
26
What is the most commonly mutated gene in cancer?
p53 (seen in 50% of cancers)
27
What is the function of p53?
Cell cycle G1 arrest in response to DNA damage | Can trigger both cell differentiation and apoptosis.
28
What is DNA CpG methylation?
Addition of methyl groups to cytosine (where cytosine is found next to a guanine base)
29
What can promoter methylation cause?
Tumour suppressor gene inactivation - silences the gene
30
When does promoter methylation normally arise?
Ageing of cells
31
What possible mutations can you get to genes?
``` Deletion of base pairs, genes, chromosomes Insertion of base pairs or viruses Substitution of base pairs Amplification of genes/chromosomes Translocation of a chromosome ```