Genetic Basis of Cancer

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Questions and Answers

Cancer is solely caused by environmental factors, not genetics.

False (B)

Most cancers originate from multiple cells rather than a single cell.

False (B)

The development of cancer is a multistep process that begins with benign growth.

True (A)

Metastatic cancer refers to cancer that has not invaded surrounding tissue.

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

Tumor viruses have been identified as direct causes of cancer in humans.

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

Hepatitis B virus is associated with liver cancer in humans.

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

Rous sarcoma virus is a type of DNA virus that causes cancer.

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

Chemical carcinogens can contribute to cancer by damaging DNA and inducing mutations.

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

Epstein-Barr virus is a known cause of Burkitt lymphoma primarily in immunocompetent individuals.

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

Approximately 80% of human cancers are induced by viruses.

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

Oncogenes can transform normal cells into cancerous cells when mutated.

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

The first oncogene identified was the Rb gene.

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

Proto-oncogenes mutate to become tumor suppressor genes.

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

Tumor suppressor genes promote tumor development by enhancing cell growth.

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

The p53 gene product plays a role in apoptosis when DNA damage occurs.

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

Loss of function in tumor suppressor genes like Rb and p53 contributes to the development of cancer.

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

Rb and p16 are classified as oncogenes.

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

Wild-type p53 is necessary for inducing apoptosis after DNA damage.

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

Cdk4 and cyclin D promote the passage through the G1 restriction point by activating Rb.

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

Mutations in tumor suppressor genes have no impact on cancer development.

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

Gain-of-function mutations in proto-oncogenes typically increase protein activity.

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

Ras protein is a type of tumor suppressor.

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

The Bcl-2 family members PUMA and Noxa are inhibitors of cell cycle arrest.

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

Proto-oncogenes are normal genes that can become oncogenes through mutation.

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

Cyclin D functions solely as a tumor suppressor in the cell cycle.

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

Accumulated damage to multiple oncogenes is sufficient to cause cancer.

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

Missense mutations are a type of genetic change that can lead to the activation of tumor-suppressor genes.

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

The retinoblastoma gene was the first identified tumor-suppressor gene in humans.

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

Knudson's two-hit model suggests that only one mutation is necessary for retinoblastoma to develop.

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

The p53 gene is associated with 50% of all human cancers due to defects.

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

The Rb protein promotes cell cycle progression by activating transcription factor E2F.

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

Apoptosis is a process that helps in the formation of new cells by suppressing caspases.

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

Inherited retinoblastoma typically appears in later stages of life compared to non-inherited forms.

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

Tumor-suppressor genes are responsible for promoting uncontrollable cell division.

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

Proteases known as caspases play a role in apoptosis by facilitating cell shrinkage and DNA degradation.

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

Gene amplification leads to the inactivation of tumor-suppressor genes.

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

Inhibition of E2F promotes the transcription of genes required for DNA replication and cell division.

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

The protein kinase p16 regulates cyclin-dependent kinases to control the transition from G1 to S phase of the cell cycle.

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

Loss of NF1 function leads to the deactivation of the Ras protein.

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

P53 acts as a sensor of DNA damage and can promote apoptosis if necessary.

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

BRCA1 and BRCA2 proteins are involved in promoting DNA damage by inhibiting DNA repair processes.

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

Tumor-suppressor genes are responsible for promoting cell division.

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

Epigenetics refers to stable changes in cell function without alterations to the DNA sequence.

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

Checkpoint proteins have no role in detecting genetic abnormalities and preventing cell division.

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

DNA methylation is a mechanism that alters gene expression without changing the underlying DNA sequence.

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

Epigenetic changes can only contribute directly to disease symptoms and cannot arise from them.

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

Histone modification can involve the addition of acetyl groups to histones.

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

Chromatin remodeling does not play a role in cancer.

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

Environmental agents can affect the functions of chromatin-modifying proteins.

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

Tobacco smoke is associated with epigenetic changes that can lead to lung cancer.

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

Mutations in genes that encode chromatin-modifying proteins can influence gene expression.

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

All environmental agents associated with cancer directly cause epigenetic changes.

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

5-azacytidine and decitabine are scholars known to inhibit cancer cell growth through DNA methylation modulation.

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

Benzene exposure has been linked to multiple myeloma and lymphoma.

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

Histone kinases add phosphate groups to histones as part of histone modification.

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

Chromatin modifications have no relevance to cancer pathology.

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

The presence of toxic agents can indirectly cause disease without altering genetic changes.

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

Histone demethylases are involved in removing methyl groups from histones.

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

Flashcards

Cancer definition

Uncontrolled cell division, originating from a single cell, progressing through benign to malignant stages and potentially metastasizing.

Cancer origin

Most cancers arise from one single cell, forming a clonal growth through cell division, becoming cancerous from benign growth through genetic alterations.

Malignant cancer

A cancerous growth that invades surrounding tissue.

Metastatic cancer

Malignant cancer cells that move to other parts of the body.

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Oncogene vs. tumor suppressor gene

Oncogenes promote cell growth and division. Tumor suppressor genes inhibit uncontrolled cell division and growth. Alterations in either can lead to cancer.

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Cancer causes

Radiation, chemical carcinogens, and viruses can damage DNA, inducing mutations and promoting cell proliferation, leading to cancer development.

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Tumor Viruses

Specific viruses that directly cause cancer in animals and/or humans by affecting cell divisions

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Cancer classifications

Cancers are categorized by the type of cell that becomes cancerous, with over 100 identified types.

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Oncogenes

Genes capable of inducing cell transformation, leading to cancer development.

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Proto-oncogenes

Normal genes that can become oncogenes through mutation.

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Tumor suppressor genes

Genes that normally stop tumor development by inhibiting cell growth.

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Rb gene (retinoblastoma)

A classic tumor suppressor gene, important for regulating cell growth.

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p53 gene

A crucial tumor suppressor gene involved in cell cycle control and apoptosis.

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Cell transformation

The process where normal cells become cancerous.

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Retroviruses

Viruses that convert RNA to DNA, which can cause cancer.

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Mutation

A change in a gene's DNA sequence that alters gene function.

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Rb protein's role in cell cycle

Rb inhibits cell cycle progression past a specific point (G1 restriction point)

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Cdk4/6-cyclin D complex

This complex activates cell cycle progression by inactivating Rb.

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p16's inhibition effect

p16 blocks Cdk4/6-cyclin D activity thus inhibiting Rb inactivation.

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Ras protein

A GTPase protein, involved in cell signaling – a proto-oncogene.

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Ras mutations

Mutations in Ras often lead to uncontrolled cell division.

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p53's Role

Mediates cell cycle arrest and apoptosis in response to DNA damage.

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Cell Cycle Arrest vs. Apoptosis

Cell cycle arrest prevents cell division, while apoptosis is programmed cell death.

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E2F Inhibition

The process where E2F, a transcription factor, is prevented from activating genes essential for DNA replication and cell division.

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p16 Function

p16 protein acts as a brake on the cell cycle, preventing the transition from G1 to S phase, where DNA replication occurs, by inhibiting cyclin-dependent kinases (CDKs).

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NF1 and Ras

NF1 protein controls Ras, a key signaling protein, by helping it switch off. When NF1 is defective, Ras stays active, promoting cell division.

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APC Function

APC (Anaphase-Promoting Complex) acts as a negative regulator, limiting the activation of genes that drive cell division.

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p53 Function

p53 acts as a guardian of the genome, monitoring DNA damage. It can stop cell division or trigger cell death (apoptosis) if damage is unrepaired.

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BRCA1 and BRCA2

These proteins function as DNA repair specialists, fixing damaged DNA. They can also activate cell death if repair is impossible.

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Genome Integrity

Maintaining the integrity of genetic information by preventing mutations and ensuring proper functioning of mechanisms that detect and fix DNA mistakes.

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Epigenetics

Epigenetics explores how cellular function can change through mechanisms beyond alterations in DNA sequence. These changes can be inherited.

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Retinoblastoma Gene (Rb)

The first human tumor suppressor gene discovered, responsible for suppressing cancer growth in the retina. Mutations in this gene lead to retinoblastoma, a type of eye cancer.

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Two-Hit Model

A theory explaining how retinoblastoma develops. It requires two separate mutations in the Rb gene for cancer to occur. One hit can be inherited, the other acquired later.

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Rb Protein's Role

The Rb protein regulates the cell cycle by controlling the activity of a transcription factor called E2F. Rb essentially acts as a 'brake' on cell division, preventing uncontrolled growth.

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p53 Protein's Actions

The p53 protein, when activated, initiates various responses to DNA damage, including DNA repair, cell cycle arrest, and programmed cell death (apoptosis). It prevents damaged cells from replicating and spreading mutations.

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Apoptosis

A programmed cell death process where damaged or mutated cells are eliminated in a controlled manner, preventing them from becoming cancerous.

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Caspases

A family of proteases (enzymes that break down proteins) involved in triggering and executing apoptosis. They play a critical role in 'executing' damaged or cancerous cells.

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Genetic Changes Affecting Tumor Suppressor Genes

Mutations, deletions, or inactivation of tumor suppressor genes can lead to cancer. The loss of function of these genes allows uncontrolled cell growth and division.

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How Loss of Tumor Suppressor Genes Leads to Cancer

When tumor suppressor genes are inactivated, the cellular safeguards against uncontrolled growth are removed. This allows cells with mutations to proliferate, eventually leading to tumor formation.

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Epigenetic changes and diseases

Changes in gene expression that affect disease development in three primary ways: directly contributing to disease symptoms, stemming from disease symptoms, or linked indirectly by a third factor.

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Chromatin modifications in cancer

Abnormal alterations in chromatin structure are prevalent in cancer cells, involving DNA methylation, histone modification, and chromatin remodeling.

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Causes of chromatin modifications in cancer

Mutations in genes that encode chromatin-modifying proteins or environmental agents that alter the functions of these proteins can lead to abnormal chromatin modifications in cancer.

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Mutation in chromatin-modifying genes

Changes in genes that encode chromatin-modifying proteins can have significant consequences for gene expression, potentially leading to cancer.

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Environmental agents and chromatin modifications

Exposure to certain environmental agents can directly alter the functions of chromatin-modifying proteins, potentially leading to cancer development.

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Cancer treatments targeting epigenetics

Researchers are exploring drugs that inhibit cancer cells by influencing DNA methylation or histone modifications, aiming to restore normal gene expression.

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DNA methyltransferase inhibitors

Drugs that block the activity of DNA methyltransferase enzymes, which add methyl groups to DNA, have shown promise in leukemia treatment.

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5-azacytidine and decitabine

Two DNA methyltransferase inhibitors that have demonstrated some effectiveness in leukemia treatment, although their precise mechanisms of action are not fully understood.

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Epigenetic changes and cancer

Epigenetic changes, particularly DNA methylation and histone modifications, play a significant role in the development and progression of cancer by altering gene expression.

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Cancer cells and abnormal chromatin

Cancer cells often exhibit abnormal chromatin modifications, leading to changes in gene expression that promote uncontrolled cell growth and division.

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Environmental exposure and cancer

Exposure to certain environmental agents can directly alter chromatin-modifying proteins, leading to epigenetic changes that can contribute to cancer development.

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Epigenetics and cancer therapy

Epigenetic mechanisms are becoming increasingly important targets for cancer therapy, with drugs that modify DNA methylation and histone modifications showing promising results.

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Epigenetic modifications and gene expression

Epigenetic modifications, such as DNA methylation and histone modifications, directly influence gene expression, potentially leading to disease.

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Study Notes

Genetic Basis of Cancer

  • Cancer is a disease characterized by uncontrolled cell division.
  • It's a genetic disease at the cellular level.
  • Human cancers are classified according to the type of cell that becomes cancerous, with over 100 identified types.
  • Most cancers originate from a single cell; growth is clonal in origin.
  • A cancer cell divides to produce two cancer cells
  • Cancer is a multistep process.
  • Begins as a benign growth (not invasive).
  • Additional genetic changes lead to cancerous growth.
  • Cancers can be staged (malignant - invasive - Invades surrounding tissue; metastatic - Moves to a different site in body).

Characteristics of Cancer

  • Cancer development is a multistep process, starting from a single cell to uncontrolled growth.
  • Cancer initially develops as a benign growth that isn't invasive.
  • Further genetic changes transform the growth into a cancerous one.
  • Cancer cells can spread locally and distantly (metastasize), showcasing malignant behavior.

Causes of Cancer

  • Radiation and many chemical carcinogens damage DNA, inducing mutations.
  • Other chemical carcinogens stimulate cell proliferation, contributing to cancer development.
  • Viruses can cause cancer in both humans and other species.

Tumor Viruses

  • Some animal viruses, called tumor viruses, can directly cause cancer in animals and humans.
  • Different viral families exhibit various genome sizes and cause diverse human cancers.
  • Around 80% of human cancers aren't caused by viruses and arise from other causes like radiation and chemical carcinogens.

Oncogenes

  • Specific genes (oncogenes) induce cell transformation, providing insight into cancer's molecular basis.
  • Studies of viral oncogenes helped identify cellular oncogenes involved in non-virus-induced cancers.
  • Retroviruses are crucial in linking viral and cellular oncogenes.
  • The first oncogene identified was the src gene of Rous sarcoma virus (RSV).
  • Subsequent research recognized dozens of distinct oncogenes.

Proto-Oncogenes

  • Proto-oncogenes are normal genes that can become oncogenes through mutations.
  • Proto-oncogene mutations manifest as increased protein amounts, altered protein structures (overactivity), or protein expression in inappropriate cell types.

Tumor Suppressor Genes

  • Tumor suppressor genes play a vital role in regulating growth control, inhibiting cell division and tumor development.
  • The prototypical tumor suppressor gene, Rb, was identified through retinoblastoma studies
  • The loss or inactivation of tumor suppressor genes can lead to various human cancers.
  • The proteins encoded by most tumor suppressor genes act as inhibitors of cell proliferation or survival, mainly negative regulators of cell cycle progression.
  • Some examples are Rb, p16, NF1, APC, p53, and BRCA-1 / BRCA-2.

p53 Gene

  • A prominent role of p53 is its ability to detect DNA damage and promote cellular pathways. Some of these pathways include DNA repair, arresting cell division, and promoting apoptosis.
  • About 50% of cancers display defects in the p53 gene function.

Apoptosis

  • Apoptosis is a process of programmed cell death, facilitated by proteases (caspases).
  • Apoptosis's role involves shrinking cells, condensing chromatin, and breaking down DNA.
  • Consequently, the cell is broken into small vesicles and then removed by the immune system.

Epigenetics

  • Epigenetics is the study of heritable traits controlled by changes in cell function. These changes occur without alteration in the DNA's nucleotide sequence.
  • Epigenetic changes, which include mechanisms such as DNA methylation, histone modification, and chromatin remodeling, might contribute to various health issues.

Association Between Epigenetics and Disease

  • Epigenetic changes in various ways can influence disease in humans from directly contributing to symptoms to symptoms leading to changes, and ultimately indirect involvement via third factors.

Environmental Agents and Cancer

  • Some environmental agents alter chromatin-modifying proteins' function, potentially leading to cancer.

Cancer Treatments

  • Researchers are exploring DNA methylation or covalent histone modification-inhibiting drugs, especially 5-azacytidine and decitabine.

Mutations Changing Proto-oncogenes to Oncogenes

  • Four types of mutations frequently convert proto-oncogenes to oncogenes:
  • Missense mutations
  • Gene amplification
  • Chromosomal translocation
  • Viral integration

Rb Protein Regulates Cell Division

  • Recent studies demonstrate how the Rb protein's activity impacts cancer-cell proliferation by regulating the transcription factor E2F.
  • Rb's interaction with E2F inhibits the activation of genes related to cell-cycle progression.

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