Cancer Biology and Genetics Quiz
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Questions and Answers

Why does the probability of developing cancer increase significantly after the age of 60?

  • Hormonal changes occurring after 60 directly cause cancerous mutations.
  • It reflects the cumulative effect of mutations and declining DNA repair efficiency over time. (correct)
  • The immune system becomes hyperactive after 60, leading to autoimmune attacks on healthy cells, causing cancer.
  • There is increased exposure to environmental carcinogens after this age.
  • According to the content, what is the estimated number of DNA lesions that occur per cell daily?

  • 100,000 to 1,000,000
  • 1 to 10 million
  • 10,000 to 100,000 (correct)
  • 1,000 to 10,000
  • The content mentions that the probability of a single mutation hitting a cancer-critical gene per cell division is 0.008%. Why then is the overall risk of cancer still high?

  • The mutation rate increases exponentially with each cell division, rapidly escalating cancer risk.
  • The large number of cells undergoing division translates to a substantial number of cells acquiring mutations during each round of replication. (correct)
  • Cancer-critical genes are exceptionally vulnerable to mutations, increasing the likelihood of a hit.
  • Specific environmental factors selectively target and mutate cancer-critical genes.
  • Which of the following biological mechanisms does NOT reduce the likelihood of cancer development, despite frequent mutations?

    <p>Unordered mutations that bypass normal cellular checkpoints (C)</p> Signup and view all the answers

    How can the interdependence of mutations, such as an oncogene mutation paired with a tumor suppressor gene mutation, be exploited therapeutically?

    <p>By designing drugs that simultaneously target both the oncogene and tumor suppressor gene, enhancing cell death. (D)</p> Signup and view all the answers

    How does aneuploidy contribute to tumor evolution?

    <p>By leading to genetic instability and promoting rapid accumulation of mutations (B)</p> Signup and view all the answers

    If a drug were developed to enhance immune surveillance, which of the following cellular processes would be most directly affected?

    <p>Targeting and destroying abnormal cells before they proliferate. (D)</p> Signup and view all the answers

    Which of the following scenarios would most likely lead to cancer development, according to the multistep model of carcinogenesis?

    <p>A cell accumulates multiple mutations in a specific sequence: first in a DNA repair gene, then in a tumor suppressor gene, and finally in an oncogene. (B)</p> Signup and view all the answers

    What is the primary function of BRCA1 in DNA repair?

    <p>Functioning as an E3 ubiquitin ligase to promote protein degradation and facilitate DNA repair. (D)</p> Signup and view all the answers

    How does BRCA2 contribute to homologous recombination (HR) at DNA double-strand breaks (DSBs)?

    <p>It recruits and stabilizes RAD51 at DNA breaks to initiate homologous recombination. (D)</p> Signup and view all the answers

    What is a key consequence of BRCA1/2 inactivation in cells regarding DNA repair pathways?

    <p>Impaired homologous recombination (HR), leading to genomic instability. (A)</p> Signup and view all the answers

    A woman tests positive for a BRCA1 mutation. Based on the information, what is her approximate lifetime risk of developing breast cancer?

    <p>70% (D)</p> Signup and view all the answers

    What inheritance pattern is characteristic of BRCA1 mutations within a family pedigree?

    <p>Autosomal dominant (B)</p> Signup and view all the answers

    How does the RB protein regulate the cell cycle?

    <p>By controlling the G1/S checkpoint (D)</p> Signup and view all the answers

    What is the primary function of CHK1 and CHK2 in the context of the G2/M checkpoint?

    <p>To phosphorylate and inhibit CDC25, preventing CDK1 activation and halting the cell cycle. (B)</p> Signup and view all the answers

    According to the Knudson “Two-Hit Hypothesis”, what is required for retinoblastoma to develop?

    <p>Two mutations (First Hit and Second Hit) in the RB1 gene; one germline/somatic and one somatic. (A)</p> Signup and view all the answers

    What is a clinical difference between hereditary and non-hereditary retinoblastoma?

    <p>Hereditary retinoblastoma typically presents earlier in life and bilaterally. (D)</p> Signup and view all the answers

    How do BRCA1 and BRCA2 contribute to genomic stability and cancer prevention?

    <p>By facilitating homologous recombination and repairing double-strand DNA breaks. (B)</p> Signup and view all the answers

    A woman with a known BRCA1 mutation is considering prophylactic measures. Based on the information, what is the approximate lifetime risk of developing breast cancer for someone with this mutation?

    <p>Up to 70% (C)</p> Signup and view all the answers

    Which factor is LEAST likely to increase the risk of breast cancer?

    <p>Multiple pregnancies at a young age (B)</p> Signup and view all the answers

    How does BRCA1 interact with the G2/M checkpoint to maintain genomic integrity?

    <p>It enforces G2/M arrest through CHK1 activation, providing time for DNA repair. (D)</p> Signup and view all the answers

    What is the significance of RAD51 in the context of BRCA1 and BRCA2 function?

    <p>It is recruited to DNA damage sites by BRCA2 to facilitate DNA repair. (A)</p> Signup and view all the answers

    A researcher is investigating potential therapeutic targets for breast cancer. Based on the provided information, which of the following pathways would be MOST relevant to target in BRCA1/2-mutated cancers?

    <p>Homologous recombination repair pathways (C)</p> Signup and view all the answers

    Which of the following statements BEST describes the inheritance pattern of BRCA1/2 mutations?

    <p>Autosomal dominant (A)</p> Signup and view all the answers

    How does a dominant-negative mutation in p53 affect the function of the protein complex?

    <p>It partially or fully impairs the function of the entire p53 tetramer. (C)</p> Signup and view all the answers

    What is a 'gain-of-function' (GOF) mutation in the context of p53?

    <p>A mutation where p53 not only loses its tumor-suppressive role but actively promotes tumor progression. (A)</p> Signup and view all the answers

    Which of the following cellular stressors DOES NOT typically activate p53?

    <p>Normal cellular metabolism (B)</p> Signup and view all the answers

    How does p53 respond to low nutrient levels?

    <p>By regulating metabolism and autophagy. (B)</p> Signup and view all the answers

    At what concentration does p53 trigger apoptosis?

    <p>High levels. (B)</p> Signup and view all the answers

    What type of genes does p53 activate when it binds to high-affinity sites on DNA?

    <p>Cell cycle arrest genes. (A)</p> Signup and view all the answers

    If a cell is exposed to a stressor and p53 is activated, what is the initial cellular response, and what happens if the stress persists?

    <p>The cell initiates DNA repair; if stress persists, it switches to apoptosis. (B)</p> Signup and view all the answers

    How does Mdm2 regulate p53 activity?

    <p>By acting as an E3 ubiquitin ligase that targets p53 for degradation. (A)</p> Signup and view all the answers

    What is the primary mechanism by which engineered toxins in adenoviral vectors target and destroy tumor cells?

    <p>By disrupting protein synthesis, leading to selective apoptosis in transduced tumor cells. (B)</p> Signup and view all the answers

    How do fusion proteins enhance the effectiveness of adenoviral vectors in gene therapy?

    <p>By increasing vector specificity and transduction efficiency through tumor-targeting ligands. (D)</p> Signup and view all the answers

    What is the primary therapeutic outcome of delivering tumor suppressor genes like p53, RB, or PTEN via adenoviral vectors?

    <p>Restoration of growth regulation, leading to apoptosis and chemosensitization. (D)</p> Signup and view all the answers

    In the Ad-p53 trial, what key parameters were assessed to evaluate the efficacy of adenoviral p53 gene therapy?

    <p>Tumor response, p53 restoration's impact on apoptosis, and cell cycle arrest. (A)</p> Signup and view all the answers

    How does Gendicine work to treat cancer at a cellular level?

    <p>It delivers functional p53 to tumor cells, restoring apoptosis and cell cycle regulation. (B)</p> Signup and view all the answers

    Why is intratumoral injection preferred over intravenous delivery for Gendicine in treating solid tumors?

    <p>Intratumoral injection enhances transduction efficiency by directly targeting the tumor. (A)</p> Signup and view all the answers

    What is the significance of using a replication-defective adenovirus in Gendicine?

    <p>It prevents the virus from causing a systemic infection, enhancing safety. (D)</p> Signup and view all the answers

    In clinical trials, what benefit has been observed with Gendicine when treating advanced head and neck cancer?

    <p>Increased response rates when combined with chemotherapy and radiotherapy. (C)</p> Signup and view all the answers

    What is a major limitation of CAR T-cell therapy in the treatment of solid tumors?

    <p>Poor infiltration into the tumor and immunosuppressive microenvironment. (A)</p> Signup and view all the answers

    How do oncolytic viruses (OVs) enhance the effectiveness of CAR T-cell therapy against solid tumors?

    <p>By disrupting the tumor microenvironment and promoting T-cell infiltration. (C)</p> Signup and view all the answers

    What is the primary mechanism of action of Bi-specific T-cell engagers (BiTEs) in cancer therapy?

    <p>They recruit T-cells to the tumor by binding to CD3 and tumor antigens, inducing cytotoxicity. (A)</p> Signup and view all the answers

    What is autosis and how does Myxoma virus (MYXV) induce it in cancer cells?

    <p>Autosis is a unique cell death pathway driven by autophagy dysfunction, which MYXV can induce in apoptosis-resistant cells. (C)</p> Signup and view all the answers

    Which strategy exemplifies how oncolytic viruses can be used to overcome limitations in solid tumor treatment?

    <p>Combining oncolytic viruses with immune checkpoint inhibitors and CAR T-cells to enhance immune responses. (A)</p> Signup and view all the answers

    Blinatumomab, a BiTE therapy, is approved for treating which specific condition?

    <p>Acute lymphoblastic leukemia (ALL) (C)</p> Signup and view all the answers

    What is the significance of inducing autosis in cancer cells as a therapeutic strategy?

    <p>It provides a pathway to target cancers that evade apoptosis. (C)</p> Signup and view all the answers

    What is a key advantage of BiTEs over traditional antibody therapies in cancer treatment?

    <p>BiTEs offer high precision by directly activating T-cells against tumor cells. (D)</p> Signup and view all the answers

    Flashcards

    Cancer and Aging

    Cancer is primarily a disease of aging, with higher risks after age 60.

    Lifetime Risk

    Men have a 43.5% and women a 38.5% lifetime risk of cancer.

    DNA Repair Mechanisms

    DNA repair declines with age, increasing mutation risks.

    Multi-Step Carcinogenesis

    Tumor formation occurs through successive genetic alterations.

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    Immune Surveillance

    The immune system identifies and destroys abnormal cells.

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    Cumulative Mutation Rate

    Mutations accumulate due to frequent cell division over a lifetime.

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    Apoptosis

    Programmed cell death that removes cells with oncogenic mutations.

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    Aneuploidy

    Abnormal number of chromosomes, leading to genetic instability.

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    CHK1/CHK2

    Kinases that phosphorylate CDC25, halting cell cycle at G2/M checkpoint.

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    CDC25

    Phosphatase inhibited by CHK1/CHK2 to prevent CDK1 activation.

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    BRCA1/BRCA2

    Tumor suppressor genes critical for DNA repair via homologous recombination.

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    Lifetime Risk with BRCA1

    BRCA1 mutations confer up to a 70% risk of breast cancer by age 80.

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    Genomic Instability

    Loss of BRCA function leads to mutations and cancer proliferation.

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    Risk Factors for Breast Cancer

    Includes family history, reproductive factors, and lifestyle choices.

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    Functional Roles of BRCA1

    Essential for DNA repair, checkpoint regulation, and transcriptional control.

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    Prophylactic Measures

    Preventative actions, such as mastectomy, for BRCA1/2 mutation carriers.

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    Dominant-negative mutation

    A mutation that impairs the function of the entire protein complex, even with one mutant allele.

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    p53 gain of function

    Mutant p53 proteins lose tumor suppression and promote tumor progression.

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    Tumor suppressor

    A protein like p53 that helps prevent tumor formation.

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    p53 activation triggers

    Factors such as DNA damage, hypoxia, and oncogene activation that activate p53.

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    p53 dose-dependent effects

    Different levels of p53 lead to cell cycle arrest, senescence, or apoptosis.

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    Mdm2 function

    E3 ubiquitin ligase that degrades p53, regulating its levels in the cell.

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    High-affinity p53 sites

    Binding sites that promote transcription of cell cycle arrest genes.

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    Low-affinity p53 sites

    Areas where p53 activates pro-apoptotic genes like BAX and NOXA.

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    B-cell malignancies

    Cancers affecting B-cells, like leukemia and lymphoma.

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    Solid Tumor Challenges

    Difficulties in effectively treating solid tumors due to poor T-cell infiltration.

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    Cytokine release syndrome (CRS)

    A severe inflammatory response to CAR T-cell therapy.

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    Oncolytic viruses (OVs)

    Viruses that selectively infect and lyse tumor cells.

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    Bi-specific T-cell engagers (BiTEs)

    Engineered proteins that activate T-cells against tumor antigens.

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    Autosis

    A unique form of cell death resulting from autophagy dysfunction.

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    Myxoma Virus (MYXV)

    A poxvirus that infects tumor cells without harming normal tissues.

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    Combination strategies in cancer therapy

    Using combined approaches like OVs with CAR T cells to improve treatment.

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    Apoptosis Induction by Toxins

    Toxins disrupt protein synthesis, causing selective apoptosis in tumor cells.

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    Tumor-Specific Promoters

    Promoters control toxin expression specifically in tumor cells, reducing toxicity.

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    Fusion Proteins in Cancer Therapy

    Combining viral proteins with ligands enhances adenoviral vector targeting and efficiency.

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    Adenoviral Vectors

    Vectors often deliver tumor suppressor genes like p53 to restore cell growth regulation.

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    Ad-p53 Trial Goals

    Evaluate response to p53 therapy, its apoptosis impact, and combination treatments.

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    Gendicine

    First approved gene therapy for cancer, using a replication-defective adenovirus to deliver p53.

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    Administration Routes for Gendicine

    Includes intratumoral injection for solid tumors and intravenous delivery for metastatic cases.

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    Gendicine in Cancer Treatment

    Improves response in head and neck cancer when combined with chemotherapy.

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    BRCA1 function

    Acts as an E3 ubiquitin ligase, tagging proteins for degradation to aid DNA repair.

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    BRCA2 role

    Recruits and stabilizes RAD51 at DNA breaks to initiate homologous recombination.

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    Ubiquitylation of histones

    Process by which BRCA1 modifies histones for chromatin remodeling at damage sites.

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    Double-strand breaks (DSBs)

    Severe form of DNA damage that can result from BRCA1/2 dysfunction.

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    Cancer risk associated with BRCA1

    Up to 70% lifetime risk of breast cancer and 40-50% risk of ovarian cancer.

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    Cancer risk associated with BRCA2

    Carries 45-65% risk for breast cancer and 10-20% risk for ovarian cancer.

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    Knudson's Two-Hit Hypothesis

    Explains retinoblastoma development through two mutations in the RB1 gene.

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    RB protein function

    Tumor suppressor that regulates the cell cycle at the G1/S checkpoint.

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    Study Notes

    DNA Tumor Viruses - Rotheneder

    • Cancer is a significant cause of death in Austria, alongside cardiovascular disease. Cancer-related deaths are increasing as the population ages.
    • Austria has a high incidence of certain cancers, including colorectal, breast, prostate, and lung cancer. Incidence rates vary by age and gender.
    • Cancer incidence varies geographically within Austria due to lifestyle, healthcare access, and environmental factors. Mortality rates don't always reflect incidence differences.
    • Globally, cancer incidence varies widely, but mortality rates are more consistent. Infection-related cancers are more common in sub-Saharan Africa, while lifestyle-related cancers (e.g., lung and colorectal) dominate developed nations. Lung cancer is the leading cause of cancer death globally, excluding sub-Saharan Africa.
    • Cancer risk increases significantly with age. The probability of developing cancer is approximately 43.5% for men and 38.5% for women from birth to death.
    • Cancer is increasingly seen as a disease of aging, with mutations and environmental factors accumulating over time impacting the shift from childhood to adult cancers.
    • Cancer prognosis varies between types. Breast and prostate have relatively high survival rates due to advancement in detection and treatment, while lung and pancreatic cancers are more lethal.

    Cancer Risk Factors

    • Approximately 25% of cancers are attributed to genetic factors, while 75% are related to environmental and lifestyle factors (smoking, diet, and infection).
    • Cancer risk is associated with the number of stem cell divisions, higher division rates correlating to a heightened risk.
    • Lifestyle factors like tobacco use, poor diet, lack of physical activity, and alcohol contribute significantly to cancer. Specific factors with recognised links to particular cancers like smoking causing several cancers including lung, mouth, esophageal and bladder cancers.
    • Dietary habits, including high consumption of processed meats and low intake of fruits and vegetables are significant risk factors.
    • Infectious agents such as HPV, hepatitis B/C, and EBV can lead to various cancers.
    • Occupational exposures and pollution are also identified risk factors.

    Cancer Prevention and Treatment

    • Cancer prevention strategies emphasize lifestyle modifications (e.g., smoking cessation, healthy diet, physical activity, and limiting alcohol consumption).
    • Advancements in cancer treatment, such as targeted therapies and immunotherapies have significantly improved cancer survival rates.
    • Early detection by screening programs (e.g., for breast and prostate cancer) leads to better outcomes.
    • Medical procedures like radiation exposure are also risk factors.

    Cancer Biology

    • DNA mutations are frequent occurrences, and, while most are repaired, this process can't always keep pace with the rate of mutations, leading to the accumulation of mutations which contribute to increased cancer risk.
    • Various biological mechanisms, including apoptosis, immune surveillance, and DNA repair mechanisms, contribute to reducing cancer development risk.
    • Interactions between mutations affect the ability of the cell to function, divide or respond to stimuli.
    • Cellular processes like cell division, growth, and death are influenced and controlled by oncogenes and tumor suppressor molecules.

    Cancer Genomics

    • Key cancer genes, including proto-oncogenes (e.g., MYC, RAS) and tumor suppressor genes (e.g., p53, RB1) play essential roles in cellular proliferation and growth regulation.
    • Mutations in crucial genes like p53 and BRCA genes, lead to genomic instability, increasing cancer risk.
    • Several inherited conditions and syndromes increase vulnerability to cancer development.

    Cancer Therapies

    • Viruses are used in therapy to target cancer cells, including oncolytic viruses.
    • Combining oncolytic viruses with immune-based treatments (e.g., CAR T-cells, Bi-specific T-cell engagers) can enhance cancer targeting efficacy, and overcome aspects of resistance.
    • Gene therapies that target specific tumor suppressor genes.

    Specific Cancer Types

    • Breast cancer is among the most common types among women in Europe.
    • Colon cancer, characterized by polyp formation and escalating into cancer, is discussed as a critical example of cancer progression.

    Age Considerations and Cancer

    • Cancer risk significantly increases with age, attributed to cumulative mutations and environmental influences.
    • The shift from childhood to adult cancers occurs around the age of 20.
    • Increased likelihood of developing cancer after age 60 due to the accumulation of mutations in the cells over time.

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    Description

    Test your knowledge on cancer biology, focusing on the genetic factors and mechanisms that contribute to cancer development. This quiz covers topics such as DNA damage, mutation rates, and therapeutic exploitation of mutations. Dive into the complexities of tumor evolution and immune response.

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