General Concepts of Cancer and Cell Cycle

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Questions and Answers

What is the earliest known documentation of cancer?

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

What is the definition of cancer?

  • Controlled growth of cells in tissues.
  • Uncontrolled growth of cells that form a mass and invade nearby tissues. (correct)
  • Normal cell proliferation in response to growth signals.
  • Overactive immune cells attacking healthy tissue.

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

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

What is the median age for cancer diagnosis?

<p>66 years (D)</p> Signup and view all the answers

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

<p>Physical carcinogens (C)</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 triggers the activation of Cdk4-6/Cyclin D complexes during the G1 phase?

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

Which transcription factor is released when Rb is phosphorylated?

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

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

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

What role does BRCA1 play in DNA repair?

<p>It stabilizes the repair complex for homologous recombination. (D)</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

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 happens to tumor suppressor genes in cancer?

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

Which is an example of a tumor suppressor gene?

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

What is the inheritance pattern of BRCA1/2 mutations?

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

How does p53 respond to DNA damage?

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

What enzyme complex promotes chromatin condensation in mitosis?

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

Which cyclin activates Cdk4/6 in the G1 phase?

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

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

<p>MAPK pathway (A)</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

Flashcards

Earliest cancer documentation

The earliest known documentation of cancer, dating back to ~3000 BC.

What is cancer?

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

Cancer-causing agents

Factors that contribute to the development of cancer. These can include lifestyle choices, exposure to carcinogens, and viral infections.

Median age for cancer diagnosis

The average age when people receive a cancer diagnosis.

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Physical carcinogens

A type of cancer-causing agent that includes things like asbestos and UV radiation.

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G1/S checkpoint

A checkpoint that makes sure there are enough nutrients and that the DNA is intact before entering the S phase.

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Cdk4-6/Cyclin D complexes

These complexes are activated during the G1 phase, triggered by growth factor signaling pathways (like PI3K/Akt/mTOR).

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Transcription factor released by phosphorylated Rb

This transcription factor is released when Rb is phosphorylated, allowing cells to enter the S phase.

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Cdk2/Cyclin A in the S phase

This complex plays a role in the initiation of DNA replication by recruiting helicase during the S phase.

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The G2/M checkpoint

The checkpoint that verifies that DNA replication is complete and free of errors before mitosis.

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Homologous Recombination (HR)

A highly accurate DNA repair pathway that relies on a complementary DNA strand as a template.

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MutS proteins

A protein that recognizes mismatched bases during DNA replication in the process of mismatch repair.

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Non-Homologous End Joining (NHEJ)

A DNA repair pathway considered error-prone because it doesn't always restore the original genetic sequence.

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BRCA1 role in DNA repair

BRCA1 plays a role in stabilizing the repair complex for homologous recombination, ensuring accurate DNA repair.

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Ku proteins in DNA repair

Ku proteins are involved in Non-Homologous End Joining (NHEJ), a repair pathway that uses a quick and often error-prone approach.

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Proto-oncogene mutation

A proto-oncogene, when mutated, becomes an oncogene that promotes uncontrolled cell growth, contributing to cancer.

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Tumor suppressor gene inactivation

Tumor suppressor genes, when mutated or inactivated, lose their ability to control cell growth, leading to cancer development.

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Tumor suppressor gene example

An example of a tumor suppressor gene that plays a role in DNA repair, especially in homologous recombination.

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Inheritance pattern of BRCA1/2 mutations

BRCA1/2 mutations are inherited in an autosomal dominant pattern, meaning that a single copy of the mutated gene is enough to increase cancer risk.

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Hallmark of BRCA1/2-defective cells

Cells with defective BRCA1/2 experience genomic instability due to impaired DNA repair, increasing their likelihood of acquiring mutations and forming tumors.

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Mechanism of PARP inhibitors

PARP inhibitors work by blocking single-strand break repair, leading to cell death in cells that rely on a broken homologous recombination repair system.

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Synthetic lethality in cancer treatment

The concept of exploiting specific vulnerabilities in cancer cells that are dependent on defective pathways to target them with treatment.

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p53's response to DNA damage

p53, a tumor suppressor gene, responds to DNA damage by initiating apoptosis (programmed cell death) or cell cycle arrest to prevent further mutations.

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Myc in cancer

Myc, a key regulator of cell growth and proliferation, is often hyper-activated in cancer, leading to uncontrolled cell division.

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Metaphase-to-anaphase checkpoint

At the metaphase-to-anaphase checkpoint, if chromosomes aren't properly attached to spindle fibers, Mad2 inhibits APC/C, halting cell division to ensure proper chromosome segregation.

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The S phase

The phase in the cell cycle where DNA synthesis and replication takes place, ensuring a copy of the genetic material for each daughter cell.

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Chromatin condensation in mitosis

A complex called Cdk1/Cyclin B promotes chromatin condensation in mitosis, making sure chromosomes are organized for proper cell division.

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Cyclin D activation

Cyclin D activates Cdk4/6 in the G1 phase, allowing the cell to enter the S phase for DNA replication.

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Ras activation

Ras, a signaling protein, activates the MAPK pathway in response to growth factors, promoting cell growth and proliferation.

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Optimal repair method for double-strand breaks

Homologous recombination is the most effective repair pathway for double-strand breaks, using a complementary DNA strand as a template to restore the original sequence.

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Study Notes

General Concepts of Cancer

  • Earliest known documentation of cancer: Edwin Smith Papyrus (~3000 BC)
  • Cancer definition: Uncontrolled growth of cells forming a mass and invading nearby tissues.
  • Not a recognized cancer cause: High-fiber diets
  • Median age for cancer diagnosis: 66 years

Cell Cycle and Checkpoints

  • G1/S checkpoint purpose: To verify DNA integrity and sufficient nutrients for replication.
  • Cdk4-6/Cyclin D complexes activation trigger: Growth factor signaling through PI3K/Akt/mTOR pathway during G1 phase.

DNA Repair Mechanisms

  • Highly accurate DNA repair pathway: Homologous recombination (HR)
  • Protein recognizing mismatched bases: MutS
  • Error-prone DNA repair pathway: Non-homologous end joining (NHEJ)

Tumor Suppressor Genes and Proto-Oncogenes

  • Proto-oncogene mutation effect: Promotes uncontrolled cell growth by becoming an oncogene.
  • Tumor suppressor gene effect in cancer: Mutation or inactivation.
  • Example of a tumor suppressor gene: BRCA1

Inheritance Pattern of BRCA1/2 Mutations

  • Inheritance pattern: Autosomal dominant

Hallmarks of Defective BRCA1/2

  • Hallmark: Increased homologous recombination repair.

Cancer Therapies and Mechanisms

  • PARP inhibitors mechanism: Blocking single-strand break repair in HR-deficient cells, leading to cell death.

Synthetic Lethality in Cancer Treatment

  • Concept: Exploiting specific vulnerabilities in cancer cells relying on defective pathways to kill tumor cells

p53 Response to DNA Damage

  • p53 response: Initiates apoptosis or cell cycle arrest.

Myc Role in Cancer

  • Myc role: Regulates the cell cycle and is hyper-activated in cancer.

Metaphase-to-Anaphase Checkpoint

  • Checkpoint failure: Mad2 inhibits APC/C, halting progression.

Cell Cycle Phase Characterized by DNA Synthesis

  • Phase: S phase

Enzyme for Chromatin Condensation in Mitosis

  • Enzyme: Cdk1/Cyclin B

Cyclin Activating Cdk4/6 in G1 Phase

  • Cyclin: Cyclin D

Ras Pathway Activation

  • Pathway: MAPK pathway in response to growth factors.

DNA Damage Repair by Homologous Recombination

  • DNA damage type: Double-strand breaks

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