Cancer Biology Overview
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Questions and Answers

What is the common feature of cancers?

Uncontrolled abnormal cell growth.

What is the primary cause of cancer?

Genetic changes (mutation).

Which of the following are hallmarks of cancer? (Select all that apply)

  • Evading growth suppressors (correct)
  • Resisting cell death (correct)
  • Deregulating cellular energetics (correct)
  • Activating invasion and metastasis (correct)
  • Enabling replicative immortality (correct)
  • Sustained proliferative signaling (correct)
  • Avoiding immune destruction (correct)
  • Genome instability and mutation (correct)
  • Inducing angiogenesis (correct)
  • Tumor-promoting inflammation (correct)
  • What are the three ways mutations can cause cancer?

    <p>Change the activity of the final coded protein</p> Signup and view all the answers

    What is a proto-oncogene?

    <p>A gene involved in normal cell growth that can be mutated into an oncogene</p> Signup and view all the answers

    What is an oncogene?

    <p>A mutated form of a gene that can cause uncontrolled cell growth</p> Signup and view all the answers

    Which of these is NOT a type of Ras GTPase?

    <p>S-Ras</p> Signup and view all the answers

    What percentage of colorectal cancers have activating mutations in the K-Ras gene?

    <p>30-50%</p> Signup and view all the answers

    What percentage of Burkitt Lymphoma cases have mutations in the Myc oncogene?

    <p>Most cases</p> Signup and view all the answers

    What is the name of the transcription factor that is upregulated in response to oncogenic stimuli in the Myc oncogene?

    <p>C-myc</p> Signup and view all the answers

    What can happen when there is a mutation in the MYC gene, especially in childhood glioblastoma?

    <p>Amplification of the N-Myc gene leading to too much Myc protein and overactivity of the Myc transcription factor.</p> Signup and view all the answers

    What is the name of the single subunit small GTPase that belongs to a family of related proteins: N-Ras, K-Ras, and H-Ras ?

    <p>Ras GTPase</p> Signup and view all the answers

    What is the name of the pathway activated by Ras GTPases?

    <p>MAP Kinase pathway</p> Signup and view all the answers

    What percentage of all cancers have mutations in the Ras gene?

    <p>20-30%</p> Signup and view all the answers

    What is the role of EGFR (Epidermal Growth Factor Receptor) in signaling pathways?

    <p>EGFR binds to epidermal growth factor and initiates a signaling cascade involving proteins like Shc, Grb2, SOS, and Ras</p> Signup and view all the answers

    What are genes that make proteins called tumor suppressor proteins?

    <p>Tumor suppressor genes</p> Signup and view all the answers

    What are the names of the proteins involved in DNA repair/stability that maintain DNA stability by repairing DNA and protecting against the accumulation of mutations?

    <p>BRCA1 and BRCA2</p> Signup and view all the answers

    What gene encodes the transcription factor P53?

    <p>TP53</p> Signup and view all the answers

    What is the most frequently mutated gene in cancer?

    <p>TP53</p> Signup and view all the answers

    What is the name of the transcription factor that regulates expression of genes involved in proliferation and apoptosis to reduce the likelihood of cancer developing, encoded by the TP53 gene?

    <p>P53</p> Signup and view all the answers

    What gene is mutated in retinoblastoma and other cancers?

    <p>RB1</p> Signup and view all the answers

    What process inhibits E2F transcription factors and cell cycle progression?

    <p>Phosphorylation of RB1</p> Signup and view all the answers

    What is the name of the family of proteins that regulate programmed cell death?

    <p>BCL-2 family proteins</p> Signup and view all the answers

    What is the name of the protein that is involved in inhibiting apoptosis?

    <p>BCL-2</p> Signup and view all the answers

    What is the name of the protein that is involved in promoting apoptosis?

    <p>BAX</p> Signup and view all the answers

    BH3-only proteins are a distinct and structurally diverse class of proteins that share one motif, the BH3 domain, with BCL-2 family proteins.

    <p>True</p> Signup and view all the answers

    The gene for BCL2 is found on chromosome 18 and is not transferred to a different chromosome in many B-cell leukemias and lymphomas.

    <p>False</p> Signup and view all the answers

    Mutations in the BCL2 gene lead to the BCL2 protein to be made in smaller amounts, which may keep cancer cells from dying.

    <p>False</p> Signup and view all the answers

    What are the names of the two processes that can trigger programmed cell death (apoptosis)?

    <p>The extrinsic and intrinsic pathways</p> Signup and view all the answers

    The extrinsic pathway starts with external signals binding to death receptors on the cell surface.

    <p>True</p> Signup and view all the answers

    The intrinsic pathway is initiated from within the cell due to stress signals, causing mitochondria to release pro-apoptotic proteins, like SMAC and cytochrome C, that activate caspases, resulting in apoptosis.

    <p>True</p> Signup and view all the answers

    Both the extrinsic and intrinsic pathways play crucial roles in maintaining cellular homeostasis and eliminating damaged or unwanted cells.

    <p>True</p> Signup and view all the answers

    Cancer survival rates have not changed much in the last 40 years.

    <p>False</p> Signup and view all the answers

    Over 50% of patients with cancer survive for more than 10 years.

    <p>True</p> Signup and view all the answers

    Cancer death rates are rising.

    <p>False</p> Signup and view all the answers

    Less than 40% of cancers are preventable.

    <p>False</p> Signup and view all the answers

    The increase in cancer rates is due to the fact that we're not dying from other causes.

    <p>True</p> Signup and view all the answers

    Study Notes

    Learning Objectives

    • Describe the key features of cancer cells
    • Understand how mutations affect protein and cell behaviour
    • Describe oncogenes and tumour suppressor genes
    • Explain their roles in cell proliferation and death

    What is Cancer?

    • Cancer is a group of >200 diseases
    • Characterized by uncontrolled abnormal cell growth
    • Life-threatening if untreated
    • Driven by genetic changes (mutations)

    Hallmarks of Cancer

    • Genome instability & mutation
    • Resisting cell death
    • Evading growth suppressors
    • Sustained proliferative signalling
    • Enabling replicative immortality
    • Inducing angiogenesis
    • Activating invasion and metastasis
    • Deregulating cellular energetics
    • Tumour-promoting inflammation
    • Avoiding immune destruction

    Cancer Caused by Mutations

    • Mutations alter bases (adding, deleting, substituting)
    • Increase promoter activity
    • Increase transcription factor function
    • Alter protein activity

    Cancer Genes

    Proto-Oncogenes

    • Genes involved in normal cell growth
    • Mutations can transform them into oncogenes, promoting cancer cell growth
    • Examples: c-Myc, K-Ras

    Oncogenes

    • Mutated forms of proto-oncogenes
    • Promote cancer cell growth
    • Examples: Activating mutations in K-Ras (found in 30-50% of colorectal cancers), mutations of c-myc (common in Burkitt Lymphoma)

    Myc Oncogenes

    • Transcription factors upregulated by oncogenic stimuli
    • Three family members: c-Myc, N-Myc, and L-Myc
    • MYC gene mutations lead to excessive Myc protein, causing overactivity
    • Amplification of N-Myc in childhood glioblastoma has poor prognosis

    Ras GTPase

    • Small GTPase protein family (N-Ras, K-Ras, H-Ras)
    • Active when bound to GTP
    • Inherent GTPase activity
    • Activates the MAP Kinase pathway
    • K-Ras mutations are found in 20-30% of all cancers (especially colorectal)

    Signalling Pathways from EGFR

    • Complex pathway involving EGFR, Ras, and multiple kinases (e.g., Raf, MEK, ERK)
    • Initiated by growth factors like EGF

    Tumour Suppressor Genes

    • Genes encoding proteins that control cell growth
    • Mutations lead to uncontrolled cell growth
    • Examples: RB1, TP53

    TP53 and P53

    • TP53 gene encodes the tumour protein p53
    • Most frequently mutated gene in cancers
    • p53 is a transcription factor
    • Regulates proliferation and apoptosis, reducing cancer development
    • P53 is vital in regulating cell division, ensuring cells don't replicate with damage

    RB1 (retinoblastoma)

    • Inhibited by phosphorylation
    • Inhibits E2F transcription factors and cell cycle progression
    • Phosphorylation of RB1 causes dissociation of RB-repressor complex; releasing E2F which controls cell cycle progression

    BCL-2 Proteins

    • Regulate programmed cell death (apoptosis)
    • Some inhibit apoptosis (e.g., BCL-2), others promote it (e.g., BAX)
    • BCL-2 gene found on chromosome 18, its amplification seen in leukemias and lymphomas, leading to increased amounts of BCL-2 (can prevent cell death)

    Propogated Cell Death (Apoptosis)

    • Extrinsic pathway: External signals activate caspase cascade
    • Intrinsic pathway: Intracellular stress signals initiate caspase activation
    • Both pathways crucial for homeostasis and eliminating damaged cells

    Cancer Optimism

    • Cancer survival has doubled in the past 40 years
    • 50% of patients survive for >10 years
    • Death rates are falling
    • ~40% of cancers are preventable

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    Description

    This quiz explores the fundamental aspects of cancer biology, covering key features of cancer cells, the impact of genetic mutations, and the roles of oncogenes and tumor suppressor genes in cell behavior. You'll enhance your understanding of how these elements contribute to uncontrolled cell growth and cancer progression.

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