PART 1 : Cancer and Cell Cycle

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Questions and Answers

What is the earliest known documentation of cancer?

  • Modern pathology textbooks
  • Edwin Smith Papyrus (~3000 BC) (correct)
  • Hippocratic Corpus (~400 BC)
  • Evidence from the 17th century

Which of the following is NOT a recognized cause of cancer?

  • Chemical carcinogens
  • High-fiber diets (correct)
  • Lifestyle factors
  • Viral infections

What is the median age for cancer diagnosis?

  • 66 years (correct)
  • 40 years
  • 75 years
  • 50 years

Which type of cancer-causing agents includes asbestos and UV radiation?

<p>Physical carcinogens (A)</p> Signup and view all the answers

What triggers the activation of Cdk4-6/Cyclin D complexes during the G1 phase?

<p>Growth factor signaling through pathways like PI3K/Akt/mTOR (B)</p> Signup and view all the answers

Which transcription factor is released when Rb is phosphorylated?

<p>E2F (B)</p> Signup and view all the answers

Which checkpoint verifies that DNA replication is complete and error-free before mitosis?

<p>G2/M checkpoint (B)</p> Signup and view all the answers

Which DNA repair pathway is highly accurate and relies on a complementary DNA strand?

<p>Homologous recombination (HR) (B)</p> Signup and view all the answers

What protein recognizes mismatched bases during DNA replication?

<p>MutS proteins (A)</p> Signup and view all the answers

Why is NHEJ considered error-prone?

<p>It does not restore the original genetic sequence. (C)</p> Signup and view all the answers

What role does BRCA1 play in DNA repair?

<p>It stabilizes the repair complex for homologous recombination. (A)</p> Signup and view all the answers

In which repair pathway are Ku proteins involved?

<p>Non-homologous end joining (NHEJ) (B)</p> Signup and view all the answers

What happens to tumor suppressor genes in cancer?

<p>They are mutated or inactivated. (A)</p> Signup and view all the answers

Which is an example of a tumor suppressor gene?

<p>BRCA1 (A)</p> Signup and view all the answers

What is the inheritance pattern of BRCA1/2 mutations?

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

Which of the following is a hallmark of cells with defective BRCA1/2?

<p>Genomic instability due to impaired DNA repair (A)</p> Signup and view all the answers

What is the concept of synthetic lethality in cancer treatment?

<p>Exploiting specific vulnerabilities in cancer cells that rely on defective pathways. (D)</p> Signup and view all the answers

How does p53 respond to DNA damage?

<p>By initiating apoptosis or cell cycle arrest. (B)</p> Signup and view all the answers

What is the role of Myc in cancer?

<p>It regulates the cell cycle and is hyper-activated in cancer. (B)</p> Signup and view all the answers

What happens to cells at the metaphase-to-anaphase checkpoint if chromosomes are not properly attached to spindle fibers?

<p>Mad2 inhibits APC/C, halting progression. (A)</p> Signup and view all the answers

Which phase is characterized by DNA synthesis and replication?

<p>S phase (A)</p> Signup and view all the answers

What enzyme complex promotes chromatin condensation in mitosis?

<p>Cdk1/Cyclin B (C)</p> Signup and view all the answers

Which cyclin activates Cdk4/6 in the G1 phase?

<p>Cyclin D (C)</p> Signup and view all the answers

What molecular pathway does Ras activate in response to growth factors?

<p>MAPK pathway (B)</p> Signup and view all the answers

Which type of DNA damage is most effectively repaired by homologous recombination?

<p>Double-strand breaks (C)</p> Signup and view all the answers

What is the definition of cancer?

<p>Uncontrolled growth of cells that form a mass and invade nearby tissues. (A)</p> Signup and view all the answers

What is the purpose of the G1/S checkpoint?

<p>To verify DNA is intact and nutrients are sufficient for replication. (B)</p> Signup and view all the answers

What is the role of Cdk2/Cyclin A in the S phase?

<p>To initiate DNA replication by recruiting helicase. (B)</p> Signup and view all the answers

How does a proto-oncogene contribute to cancer when mutated?

<p>It becomes an oncogene that promotes uncontrolled cell growth. (B)</p> Signup and view all the answers

What is the therapeutic mechanism of PARP inhibitors?

<p>Blocking single-strand break repair, leading to cell death in HR-deficient cells (B)</p> Signup and view all the answers

What is the main role of tumor suppressor genes?

<p>To inhibit uncontrolled cell growth and division. (C)</p> Signup and view all the answers

Which of the following is NOT a phase of the cell cycle?

<p>Apoptosis phase (D)</p> Signup and view all the answers

How does the G1/S checkpoint function?

<p>It verifies the cell has sufficient size, nutrients, and no DNA damage to proceed. (B)</p> Signup and view all the answers

Which molecule initiates DNA replication during the S phase?

<p>Cdk2/Cyclin A (C)</p> Signup and view all the answers

What happens when BRCA1 or BRCA2 is mutated?

<p>DNA repair via homologous recombination becomes defective. (A)</p> Signup and view all the answers

Which of the following defines proto-oncogenes?

<p>Genes that control normal cell growth and division. (B)</p> Signup and view all the answers

What is the function of the APC/C complex during mitosis?

<p>Separation of sister chromatids by triggering securin degradation. (C)</p> Signup and view all the answers

What is the primary cause of genome instability in BRCA-deficient cells?

<p>Impaired DNA repair via homologous recombination (C)</p> Signup and view all the answers

Which repair mechanism is error-prone and can lead to mutations during DNA repair?

<p>Non-homologous end joining (B)</p> Signup and view all the answers

Which repair mechanism is error-free and use a complementary template DNA?

<p>Homologous recombination (A)</p> Signup and view all the answers

Which checkpoint monitors attachment of chromosomes to spindle microtubules?

<p>Metaphase-to-anaphase checkpoint (C)</p> Signup and view all the answers

What happens when the retinoblastoma (Rb) protein is phosphorylated?

<p>It allows progression from G1 to S phase. (B)</p> Signup and view all the answers

Flashcards

What is cancer?

The uncontrolled growth of cells that form a mass and invade nearby tissues.

Earliest documented evidence of cancer

The Edwin Smith Papyrus, a collection of medical texts from ancient Egypt, dating back to around 3000 BC, contains descriptions of tumors and treatments, suggesting early recognition of cancer.

Lifestyle factors and cancer

Lifestyle factors, including diet, smoking, and physical activity, can influence cancer risk.

Chemical carcinogens and Cancer

Chemical carcinogens, such as those found in tobacco smoke and certain industrial chemicals, can damage DNA and contribute to cancer development.

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Viral infections and cancer

Viral infections, such as HPV (Human Papillomavirus) and Hepatitis B/C, can increase the risk of certain cancers by directly affecting cellular processes.

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G1/S checkpoint

The G1/S checkpoint ensures that DNA is intact and nutrients are sufficient for DNA replication before the cell enters the S phase.

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Activation of Cdk4/6/Cyclin D complexes

Growth factor signaling pathways, such as PI3K/Akt/mTOR, trigger the activation of Cdk4/6 and Cyclin D complexes during the G1 phase, promoting cell cycle progression.

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Role of E2F in the Cell Cycle

E2F, a transcription factor, is released when Rb is phosphorylated, allowing the expression of genes necessary for DNA replication and cell cycle progression.

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Role of Cdk2/Cyclin A in S phase

Cdk2/Cyclin A complex plays a crucial role in the initiation of DNA replication by recruiting helicase, which unwinds the DNA double helix.

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G2/M checkpoint

The G2/M checkpoint ensures that DNA replication is complete and error-free before the cell enters mitosis.

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Homologous recombination (HR)

Homologous recombination is a highly accurate DNA repair pathway that utilizes a complementary DNA strand as a template to repair double-strand breaks, restoring the original genetic sequence.

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Role of MutS proteins in DNA repair

The MutS protein complex recognizes mismatched bases during DNA replication. This is a key step in accurate DNA repair.

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Non-homologous end joining (NHEJ)

Non-homologous end joining (NHEJ) is an error-prone DNA repair pathway that joins broken DNA ends without relying on a template, potentially introducing mutations.

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BRCA1's role in DNA repair

BRCA1 plays a crucial role in stabilizing the repair complex for homologous recombination, ensuring accurate repair of double-strand breaks.

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Role of Ku proteins in DNA repair

Ku proteins, along with DNA ligase, are involved in Non-homologous end joining (NHEJ) which is a critical step in repairing broken DNA strands.

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Proto-oncogenes and cancer

When a proto-oncogene is mutated, it can become an oncogene that promotes uncontrolled cell growth, contributing to cancer development.

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Tumor suppressor genes and cancer

Tumor suppressor genes are involved in regulating cell growth and preventing uncontrolled cell division. Mutations or inactivation of tumor suppressor genes can contribute to cancer development.

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BRCA1: A tumor suppressor gene

BRCA1 is a well-known tumor suppressor gene that plays a crucial role in DNA repair, particularly in homologous recombination.

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BRCA1/2 mutations: Inheritance pattern

Mutations in BRCA1/2 genes are inherited in an autosomal dominant pattern, meaning that inheriting a single copy of the mutated gene increases the risk of developing cancer.

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BRCA1/2 mutations: Cellular effects

Cells with defective BRCA1/2 genes exhibit genomic instability, meaning their DNA is more susceptible to damage and errors, increasing the risk of cancer development.

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PARP inhibitors: Mechanism of action

PARP inhibitors exploit the synthetic lethality concept by targeting cancer cells with defective DNA repair pathways.

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Synthetic lethality in cancer treatment

Synthetic lethality in cancer treatment involves targeting specific vulnerabilities in cancer cells due to defective pathways, leading to cell death.

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p53: DNA damage response

p53, a tumor suppressor gene, responds to DNA damage by initiating apoptosis (programmed cell death) or cell cycle arrest, preventing the proliferation of damaged cells.

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Myc: Role in cancer

Myc, a proto-oncogene, is often hyperactivated in cancer, contributing to uncontrolled cell growth and proliferation.

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Metaphase-to-anaphase checkpoint

The metaphase-to-anaphase checkpoint ensures that all chromosomes are properly attached to spindle fibers before the cell proceeds to anaphase. If chromosomes are not attached, Mad2 inhibits the anaphase-promoting complex (APC/C), halting cell cycle progression.

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What occurs during the S phase?

The S phase is the phase of the cell cycle where DNA synthesis and replication occur.

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Role of Cdk1/Cyclin B in mitosis

The Cdk1/Cyclin B complex promotes chromatin condensation during mitosis, preparing the chromosomes for separation.

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Role of Cyclin D in G1 phase

Cyclin D activates Cdk4/6 in the G1 phase, contributing to cell cycle progression.

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Ras: Pathway activation

Ras, a small GTPase, activates the MAPK pathway in response to growth factors, leading to cell proliferation and differentiation, but can contribute to cancer if it's mutated.

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Double-strand break repair by HR

Homologous recombination is most effective in repairing double-strand breaks, particularly in the S and G2 phases of the cell cycle.

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Study Notes

Part 1: General Concepts of Cancer

  • Earliest known documentation of cancer: Edwin Smith Papyrus (~3000 BC)
  • Definition of cancer: Uncontrolled growth of cells forming a mass and invading nearby tissues.
  • Non-recognized cause of cancer: High-fiber diets
  • Median age for cancer diagnosis: 66 years
  • Cancer-causing agents (examples): asbestos, UV radiation (physical carcinogens)

Part 2: Cell Cycle and Checkpoints

  • Purpose of G1/S checkpoint: To verify DNA is intact and sufficient nutrients are available for replication.
  • Triggers for Cdk4-6/Cyclin D complexes (in G1 phase): Growth factor signaling via pathways like PI3K/Akt/mTOR
  • Transcription factor released when Rb is phosphorylated: E2F

Part 3: DNA Repair Mechanisms

  • Highly accurate DNA repair pathway: Homologous recombination (HR)
  • Protein recognizing mismatched bases during replication: MutS proteins
  • Error-prone DNA repair pathway: Non-homologous end joining (NHEJ)
  • Role of BRCA1 in DNA repair: Stabilises the repair complex for homologous recombination
  • DNA repair pathway involving Ku proteins: Non-homologous end joining (NHEJ)

Part 4: Tumor Suppressor Genes and Proto-Oncogenes

  • Proto-oncogene mutation effect: Becomes an oncogene, promoting uncontrolled cell growth.
  • Tumor suppressor gene effect in cancer: Mutated or inactivated
  • Example of a tumor suppressor gene: BRCA1
  • Inheritance pattern of BRCA1/2 mutations: Autosomal dominant
  • Hallmark of cells with defective BRCA1/2: Increased genomic instability due to impaired DNA repair

Part 5: Cancer Therapies and Mechanisms

  • Mechanism of PARP inhibitors: Blocking single-strand break repair, leading to cell death in HR-deficient cells
  • Concept of synthetic lethality in cancer treatment: Exploiting specific vulnerabilities in cancer cells that rely on defective pathways

Part 6: Miscellaneous

  • Phase characterized by DNA synthesis and replication: S phase
  • Enzyme complex promoting chromatin condensation in mitosis: Cdk1/Cyclin B
  • Cyclin activating Cdk4/6 in G1 phase: Cyclin D
  • Molecular pathway activated by Ras in response to growth factors: MAPK pathway
  • DNA damage type most effectively repaired by homologous recombination: Double-strand breaks

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