Week 3 Flashcards

(42 cards)

1
Q

What is oncogenes and causes of it?

A

-mutated gene, has the potential to cause cancer

Cause of oncogene:

  • Virus
  • Chemicals
  • Radiation
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2
Q

Explain what the Rous Sarcoma Virus is

A

It is a retrovirus ( any of a group of RNA viruses which insert a DNA copy of their genome into the host cell in order to replicate)

Gene v-src

  • Involved in regulation of cell growth and differentiation
  • Not needed for viral replication, but transforms cell leading to cancer

Something in the DNA inserted by the Rous sarcoma virus made the host cells cancerous, but what was it?

  • virus picked up a passenger gene called V-src
  • V-src was unmistakably similar, but not identical to a gene- C-src- that was discovered in the normal vertebrate genome. C-src had evidently been caught up accidentally by the retrovirus from the genome of a previously infected hostcell, and it had undergone mutation in the process to become an oncogene (V-src)

V-src oncogene
Virus v-src (oncogene, mutated)
- V-src is dominant= only need one copy
- Gain of function

V-src constitutively active tyrosine kinase
- Signalling molecule
- Cannot be regulated
○ Activates kinase signalling cascades
○ Decreased adhesion of cell to surface
○ Growth to high density
○ Loss of contact inhibition
○ Increased transport of metabolites
- Triggers uncontrolled growth
- Original proto-oncogene from vertebrates, cellular src (c-src)
○ C-src expression activated in human tumours

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3
Q

Explain Avian Leukosis virus

A

Cancer caused by a different mechanism from Rous
- Oncogene

Inserts viral DNA into host genome next to a proto-oncogene
- C-myc (DNA- binding protein) > transcription factor

Viral DNA
- Long tandem repeat sequences
○ Act as strong promoters or enhancers
○ Induces increased expression of c-myc

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4
Q

Receptors

What receptor and function?

A

Receptor Tyrosine kinases (RTKs)
- Receptors for growth factors
○ Transmembrane protein, intra- and extra-cellular domains
○ Signal transduction pathway
○ May be defective in cancers
§ Mutations can result in continually active receptors
§ i.e. Receptor activity in absence of ligand

Defective receptor tyrosine kinases:
- Erb-B family
○ Her2 (aka ErbB2= 25% of breast tumors)

Function

  • Tyrosine kinase domains
  • Binding of ligand > phosphorylation of tyrosine
    ○ Phosphorylate other intracellular signalling proteins
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5
Q

What is Erb-B

A
  • Family of receptor tyrosine kinases related to epidermal growth factor receptor
    ○ Name derived from viral oncogene: erthyroblastic leukemia viral oncogene
  • When extracellular domain is missing
    ○ Receptor is always switch on….
    = Uncontrolled growth
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6
Q

What is P53 (tumour suppressor)

A
  • Regulates cell cycle
  • Activates other transcription factors
  • DNA binding site
  • Recognises DNA damage
  • “Guardian of the genome”
  • can trigger growth arrest, DNA repair, or apoptosis
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7
Q

APC protein ( Adenomatous polyposis coli)

A
  • Tumour supressor protein
  • Inhibits myc gene expression
  • Myc protein (transcription factor)
    Induces expression of many genes required for cell to progress from G1 to S phase
  • Degradation of beta-catenin
  • Beta catenin has 2 roles
  • Cell-cell adhesion
  • Drives transcription of target genes involved in cell proliferation
  • Mutations that activate beta-catenin found in many cancers (oncogene)

APC mutations also cause cancer
- No control of myc or beta-catenin

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8
Q

Colorectal cancer

A
  • Slow developing (over 10-35 years)
  • Pre- cancerous growths
  • Polyps - form on the inside of colon wall
  • Cells in polyp contain mutations in APC gene
  • If cells in polyp undergo mutation in Ras
  • More uncontrolled cell division
  • Another mutation occurs in p53
    Malignant carcinoma

three mutations required

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9
Q

Colorectal cancer

A
  • Inherit mutation in one APC gene (Familial adenomatous polyposis)
    • Only one more mutation= formation of polyps
    • Hereditary disposition to colonic cancer
      • 10% cancer patients
      • Develop cancer at an early age
    • Other patients acquire 2 mutations during their life
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10
Q

Skin

A
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11
Q

Two types of skin cancer

A
  • Melanoma of the skin
    • Starts in melanocytes
  • Non-melanoma skin cancer
    • Basal cell carcinoma (BCC) and squamous cell carcinoma
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12
Q

Non-melanoma skin cancer (NMSC)

Basal cell carcinoma

A
  • Most often found on head, neck and arms
    • Due to exposure to UV radiation
    • Leads to formation of thymine dimers, a form of DNA damage
  • Basal cells invade the dermis
  • Slow growing, usually do not spread
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13
Q

Non-melanoma skin cancer (NMSC)

Squamous cell carcinoma

A
  • Scaly red patches, open sores, warts or elevated growths with a central depression; they may crust or bleed
  • Mostly found on head, neck and arms
  • Fast growing can spread
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14
Q

Diagnosis

A

Asymmetry, irregular

Boards (uneven)

Colour ( variegated)

Diameter (greater than 6mm)

Evolving (changing, growing over time)

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15
Q

Characteristics of cancer cells

A
  • Grow continuously
    • Lack of control, increased rate
  • De-differentiated
    • Loss of specialised function
  • Lack contact inhibition
  • Altered cell surface characteristics
    • Less adhesive
    • Invade other tissues
  • Metastasis
    • Break through basal lamina and enter circulation
    • Secrete a protease > digests basal lamina
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16
Q

Metastasis

A
  • Development of secondary malignant growths at a distance from a primary site of cancer (via blood supply)
    • Reduced cell to cell adhesion and cell-matrix adhesion molecules
  • Mechanism of metastasis
    • If cell-cell or cell-matrix contacts are disrupted
    • Tumour cells degrade extracellular matrix and then get between endothelial cells and into capillary
    • Cancer cells secrete proteases to digest matrix and establish themselves at new site
    • Selectins on endothelial cells recognise carbohydrate groups on cancer cells and allow cancer cells to adhere to endothelial cell at new site in body
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17
Q

Stages of metastasis

18
Q

E-cadherin

A
  • Cell linker molcules
  • Links cells together at side
  • Also connects to cytoskeleton
  • Also connects to cytoskeleton within cell
    • Beta catenin links E-cadherin to cytoskeleton
19
Q

What happens to E-cadherin in cancer cells

A

In many cancers

  • E-cadherin expression is reduced, OR
  • E-cadherin is located in the cytoplasm, not the membrane
20
Q

Intergins

A
  • Allow cell to attach to extracellular matrix
  • Linker molecules
  • form heterodimers
  • enable cells to link to extracellular matrix at basal surface (keep cells in position)
  • Recognise different extracellular matrix components such as collegen, laminin, fibronectin, vitronectin
  • Also bind to cytoskeleton
21
Q

Integrins and their role in cancer

22
Q

What happens to cells with lost e-cadherin or integrins?

A
  • Loss of E-cadherin or integrins can lead to cultured cells becoming more motile
23
Q

What are the two main types of proteases?

A

Two main types

  • Serine proteases; eg.plasminogen
  • Metalloproteinases (require zinc and calcium) e.g. Collagenase and stromelysin
  • Also secrete protease inhibitors

There is a balance to regulate the composition of the extracellular matrix

24
Q

How are proteases secreted and example?

A

Both types of proteases are secreted in an inactive form as proenzymes

Serine protease precursor plasminogen > active protease plasmin by plasminogen activators

25
How metalloproteinases classified?
Metalloproteinases are classified by substrate specificity
26
What happens to proteases in cancer?
27
What is angiogenesis?
The development of new blood vessels
28
Whats the connection between tumours and angiogenesis?
29
What are the benign forms of cancer?
* Fibrodenoma * lobular or ductal hyperplasia (can develop into carcinoma in situ)
30
What are the malignant?
* Invasive lobular carcinoma (ILC) * Invasive ductal carcinoma (IDC)
31
What are the 5 main molecular subtypes of breast cancer?
32
What are some cancer treatments?
Traditional * surgery * chemotherpay * radiation therapy Systemic * angiogenesis inhibitors * immunotherapy Targeted * horomone therapy * monoclonal antibody
33
Chemotherapy
* non-specific intracellular poisons * Systemic therapy * cytotoxic by means of interfering with cell division (mitosis) Effects: damage to normal cells that divide rapidly * Bone marrow, digestive tract and hair follicles
34
Radiation Therapy and cons with using it
Used in conjunction with chemotherapy * Ionizing radiation (leads to the formation of free radicals) Damage DNA -Has both indirect and direct action
35
What are the characteristics of a tumour microenvironment?
* Decreased blood supply * Deficient in oxygen * Decreased effectiveness of radiation therapy
36
What is avastin and what does it do?
Cancer drug treatment * Approved for certtain tumours- glioblastoma, colorectal * inhibits growth of blood vessels * Adverse events - bleeding, pulmonary embolism * Adaptive resistance
37
Name the hormonal and antibody drug selection for breast cancers
38
What are benign tumours?
* Remain localised and do not spread * Usually do not cause problems unless they grow in a confined space i.e. the brain
39
What is malignant tumours?
* Often have irregular structures, large variable nucleus, little cytoplasm * Invade surrounding tissues
40
What are the two hormones involved in human breast?
* Estrogen * Progesterone
41
Name two beign breast cancers
* Fibrodenoma * Lobular or ductal hyperplasia (can develop into carcinoma in situ)
42
Name malignant breast cancers
* invasive lobular carcinoma (ILC) * Invasive ductal carcinoma (IDC)