Molecular Basis of Cancer: Genetic Alterations

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Questions and Answers

What is the significance of monoclonality in tumors, and how does it differentiate them from non-neoplastic tissues?

Monoclonality signifies that tumors originate from a single progenitor cell line, unlike non-neoplastic tissues which are polyclonal, indicating diverse cell origins.

Describe the multistep process of carcinogenesis and its implications for cancer development.

Carcinogenesis is a multistep process involving the accumulation of multiple genetic alterations that lead to the transformed phenotype and associated hallmarks of cancer.

How does tumor heterogeneity arise in cancer, and what impact does it have on treatment strategies?

Tumor heterogeneity arises from continuous mutations, resulting in genetically diverse tumor cells that can exhibit varying behaviors and resistance to treatments.

Explain the role of genetic abnormalities in cancer development and their origins.

<p>Genetic abnormalities can arise from inherited mutations or induced mutations caused by carcinogenic agents such as chemicals, viruses, or radiation.</p> Signup and view all the answers

What are the functions of regulatory genes in cell cycle control, and how can their damage lead to cancer?

<p>Regulatory genes control cell mitosis, aging, and apoptosis; when damaged, they can disrupt these processes, resulting in uncontrolled cell growth and malignancy.</p> Signup and view all the answers

Discuss the concept of the 'two-hit theory' in relation to tumor suppressor genes.

<p>The 'two-hit theory' posits that both alleles of a tumor suppressor gene must be inactivated for cancer to develop, highlighting the necessity of genetic mutations for carcinogenesis.</p> Signup and view all the answers

In what way does tumor progression involve ongoing mutations, and how does this affect the cancer's aggressive behavior?

<p>Ongoing mutations during tumor progression lead to increasingly malignant phenotypes, enhancing traits like excessive growth and invasiveness.</p> Signup and view all the answers

What are the hallmarks of cancer, and why are they critical for understanding cancer biology?

<p>The hallmarks of cancer include traits like sustained growth, evasion of apoptosis, and metastasis; they are critical for recognizing the fundamental mechanisms that enable tumor survival and proliferation.</p> Signup and view all the answers

What are proto-oncogenes and what role do they play in cell proliferation?

<p>Proto-oncogenes are growth-promoting genes that facilitate cell proliferation and inhibit differentiation, essential for maintaining healthy tissues.</p> Signup and view all the answers

How do oncogenes differ from proto-oncogenes?

<p>Oncogenes are mutated or overexpressed versions of proto-oncogenes that promote uncontrolled cell growth and proliferation.</p> Signup and view all the answers

What is the significance of the Ras gene in cancer development?

<p>The Ras gene encodes a signal-transduction protein, and its mutations can lead to uncontrolled growth signals associated with various cancers.</p> Signup and view all the answers

Describe the primary functions of tumor suppressor genes.

<p>Tumor suppressor genes control cell cycle progression, repair DNA, inhibit replication, and signal for apoptosis in response to DNA damage.</p> Signup and view all the answers

What is the dominant inheritance pattern observed in oncogenes?

<p>Oncogenes exhibit a dominant inheritance pattern, where mutation in a single allele can drive the oncogenic process.</p> Signup and view all the answers

What role does the BCL2 gene play in follicular lymphoma?

<p>BCL2 is an anti-apoptotic gene that is overexpressed in follicular lymphoma, contributing to cancer cell survival.</p> Signup and view all the answers

How does the P53 gene function as a tumor suppressor?

<p>The P53 gene prevents genome mutations by regulating the cell cycle and inducing apoptosis in response to DNA damage.</p> Signup and view all the answers

How do DNA repair genes contribute to cancer prevention?

<p>DNA repair genes regulate the repair of DNA damage and maintain the integrity of DNA during replication.</p> Signup and view all the answers

What is the role of apoptosis regulatory genes in cancer?

<p>Apoptosis regulatory genes control programmed cell death, and their mutations may inhibit apoptosis, allowing abnormal cells to survive and proliferate.</p> Signup and view all the answers

In what way are growth suppressor genes considered recessive?

<p>Growth suppressor genes are considered recessive because both normal alleles typically need to be damaged to enable cancerous transformation.</p> Signup and view all the answers

Describe one hallmark of cancer that demonstrates self-sufficiency in growth signals.

<p>One hallmark is the ability of tumors to proliferate without external stimuli, often due to oncogene activation.</p> Signup and view all the answers

Identify the role of the HER2 gene in breast cancer.

<p>The HER2 gene encodes protein receptors that play a significant role in the growth and division of breast cancer cells.</p> Signup and view all the answers

What is the significance of evasion of apoptosis in cancer cells?

<p>Evasion of apoptosis allows tumor cells to resist programmed cell death, leading to increased survival and proliferation.</p> Signup and view all the answers

What types of cancers are associated with mutations in the Retinoblastoma (RB) gene?

<p>Mutations in the RB gene are primarily associated with retinoblastoma and osteosarcoma.</p> Signup and view all the answers

What is the effect of point mutations on proto-oncogenes and tumor suppressor genes?

<p>Point mutations in proto-oncogenes typically produce a gain-of-function, while point mutations in tumor suppressor genes reduce or disable the function of the encoded protein.</p> Signup and view all the answers

Explain how sustained angiogenesis supports tumor growth.

<p>Sustained angiogenesis provides tumors with a vascular supply, delivering nutrients and oxygen necessary for growth.</p> Signup and view all the answers

Describe the significance of the BCR-ABL fusion gene in chronic myeloid leukemia.

<p>The BCR-ABL fusion gene results from a balanced reciprocal translocation between chromosomes 9 and 22, leading to the production of a tyrosine kinase that drives malignancy.</p> Signup and view all the answers

What is meant by 'limitless replicative potential' in the context of cancer?

<p>Limitless replicative potential refers to a tumor's ability to proliferate indefinitely, bypassing normal cellular senescence.</p> Signup and view all the answers

How do cancer cells evade the host immune response?

<p>Cancer cells exploit various alterations in their surface markers and signaling pathways to evade detection by the immune system.</p> Signup and view all the answers

How do gene deletions impact tumor suppressor genes, particularly TP53?

<p>Deletions can lead to the complete loss of tumor suppressor genes like TP53, which is crucial for controlling cell growth and preventing cancer.</p> Signup and view all the answers

What metabolic alteration occurs in tumor cells, and why is it important?

<p>Tumor cells undergo a metabolic switch to aerobic glycolysis, enabling them to produce necessary macromolecules for rapid growth.</p> Signup and view all the answers

Explain the role of gene amplification in oncogenesis, using HER2 as an example.

<p>Gene amplification can convert proto-oncogenes into oncogenes, as seen with HER2 in breast cancer, leading to overexpression and increased cancer cell growth.</p> Signup and view all the answers

Identify a mechanism by which mutations can lead to oncogene activation.

<p>One mechanism is point mutations, which involve an alteration of a single base in the DNA chain.</p> Signup and view all the answers

What is the clinical value of targeting oncogenes rather than tumor suppressor genes in cancer therapy?

<p>Targeting oncogenes allows for the development of drugs that specifically attack cancer cells while minimizing damage to healthy cells.</p> Signup and view all the answers

Flashcards

Cancer Development: A Multi-Step Process

Cancer development is a complex process where normal cells transform into cancer cells. It involves multiple genetic alterations that accumulate over time and lead to the development of cancer's characteristics.

Monoclonality of Tumors

Tumors originate from a single progenitor cell, unlike normal tissues that are made up of various cell types.

Multi-Step Process of Cancer Growth

Cancer development is a result of several genetic changes happening in the cells over a significant period.

Tumor Heterogeneity

Cancer cells within a tumor are genetically diverse, accumulating different mutations as they multiply, leading to varied growth patterns and responses to treatments.

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Tumor Progression

Continued mutation in cancer cells can lead to more aggressive behavior, increased growth, and spread to other parts of the body.

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Genetic Theory of Cancer

Cancer arises from either abnormal genes or normal genes with irregular expression. These abnormalities can be inherited or induced by carcinogens like chemicals, viruses, or radiation.

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Genetic Regulators of Cell Cycle & Cancer Genes

Certain genes control the cell cycle, preventing uncontrolled growth. Damage or abnormalities in these genes can contribute directly to cancer development.

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Two-Hit Theory

The idea that two genetic hits are required for a cell to become cancerous. For example, a person might inherit one copy of a mutated gene and a second mutation in the other copy might be acquired during their lifetime, leading to cancer development.

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Proto-oncogenes

Genes that normally promote cell growth and division. They encode proteins involved in various stages of the cell cycle, including signal transduction and transcription.

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Oncogenes

Mutated or overexpressed versions of proto-oncogenes. They contribute to uncontrolled cell growth and proliferation.

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Tumor suppressor genes

Genes that normally act as brakes to control cell growth and division. They prevent uncontrolled proliferation by halting the cell cycle, repairing DNA damage, and triggering programmed cell death.

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p53

A crucial tumor suppressor gene involved in preventing genome mutations. It plays a role in regulating cell cycle progression and promoting DNA repair.

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RB gene

Another important tumor suppressor gene involved in regulating cell cycle progression and preventing uncontrolled proliferation.

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Apoptosis

A type of programmed cell death that eliminates damaged or unwanted cells. It's a critical process for maintaining healthy tissues and preventing cancer.

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Apoptosis regulatory genes

Genes that regulate the process of apoptosis.

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Ras gene

A proto-oncogene that encodes a signal transduction protein involved in cell growth pathways. When mutated, it can cause uncontrolled cell growth.

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HER2 gene

A gene that encodes a protein receptor involved in cell growth and division in breast tissue. Mutation or overexpression of this gene can contribute to breast cancer.

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Myc gene

A gene associated with lymphoma and other types of cancer. It plays a role in cell growth and proliferation.

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Self-sufficiency in growth signals

Tumors are able to grow without relying on external stimuli, often due to the activation of oncogenes.

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Insensitivity to growth-inhibitory signals

Tumors may not respond to signals that normally inhibit cell growth, often due to the inactivation of tumor suppressor genes.

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Evasion of apoptosis

Tumors resist programmed cell death (apoptosis), allowing them to survive and proliferate.

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Limitless replicative potential

Tumor cells possess an unlimited ability to divide, similar to stem cells, preventing them from aging and dying.

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Sustained angiogenesis

Tumors induce the formation of new blood vessels to supply them with nutrients and oxygen for their growth.

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Ability to invade and metastasize

Tumors have the ability to invade surrounding tissues and spread to distant sites, a major cause of cancer deaths.

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Ability to evade the host immune response

Cancer cells evade the immune system, allowing them to avoid detection and destruction.

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Altered cellular metabolism

Cancer cells switch to a different energy-producing process called aerobic glycolysis, enabling rapid growth.

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Point mutation

A single base change in the DNA sequence can lead to gene alterations.

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Proto-oncogenes and tumor suppressor genes

Mutations in proto-oncogenes can lead to uncontrolled cell growth, while mutations in tumor suppressor genes can hinder cell growth regulation.

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Gain-of-function Mutations

They turn proto-oncogenes into oncogenes, leading to uncontrolled cell growth. An example is the RAS gene mutation.

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Loss-of-function Mutations

These mutations reduce or completely disable the function of the tumor suppressor gene, leading to uncontrolled cell growth. An example is the TP53 gene mutation.

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Philadelphia (Ph) Chromosome

A piece of chromosome 9 with the ABL gene and a piece of chromosome 22 with the BCR gene swap places. This creates a new tyrosine kinase with powerful transforming activity, leading to chronic myeloid leukemia.

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MYC Gene Translocation

The MYC gene on chromosome 8 is moved next to a very active regulatory gene on chromosome 14. This causes the MYC gene to be overexpressed, leading to Burkitt lymphoma.

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Study Notes

Molecular Basis of Cancer: Genetic Alterations

  • Cancer development is a complex multi-step process arising from the accumulation of genetic alterations in a single progenitor cell
  • Tumors are monoclonal (originate from a single cell) in contrast to non-neoplastic tissues which are polyclonal
  • Carcinogenesis involves multiple genetic alterations leading to the transformed phenotype
  • Tumor progression involves continuous mutations, leading to increased genetic heterogeneity, malignant potential, and aggressive behavior
  • Cancer can arise from inherited or induced mutations (chemicals, viruses, radiation)
  • Normal genes can become oncogenes by mutation
  • Cell cycle regulation is controlled by specific genes that regulate mitosis and apoptosis. Damaged genes can affect cell growth, resulting in uncontrolled cellular proliferation
  • Proto-oncogenes are normal genes that promote cell growth. When mutated, they become oncogenes, driving uncontrolled cell growth
  • Tumor suppressor genes are critical regulatory genes that inhibit cell growth. Loss of function or mutation results in uncontrolled cell growth
  • Apoptosis is cell programmed cell death, mutations in apoptotic genes impede cell death
  • Hallmarks of cancer include self-sufficiency in growth signals, insensitivity to anti-growth signals, evasion of apoptosis (cell death), limitless replicative potential, sustained angiogenesis, ability to invade and metastasize, capacity to evade the immune system, and altered metabolism
  • Point mutations, gene rearrangements, and gene amplifications are all mechanisms that can cause genetic alterations in normal genes and contribute to oncogenesis
  • Targeted gene therapies use drugs to treat cancer by targeting oncogenes without harming healthy cells
  • Genetic testing can be used to assess inherited cancer risks

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