Molecular Mechanisms in Cancer Biology
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Questions and Answers

Which type of radiation exposure is known to cause DNA damage through the generation of oxygen free radicals?

  • Electromagnetic radiation (correct)
  • Beta particles
  • Alpha particles
  • Neutrons
  • Which human tissue is considered to be the most sensitive to ionizing radiation?

  • Thyroid gland
  • Bone marrow (correct)
  • Breast tissue
  • Lungs
  • What was the predicted long-term impact on cancer cases as a result of the Chernobyl disaster?

  • 70,000 cancer cases by 2065
  • 100,000 cancer cases by 2065
  • 40,000 cancer cases by 2065 (correct)
  • 15,000 cancer cases by 2040
  • Which of the following statements about children undergoing CT scans is true?

    <p>The risk of brain tumors increases significantly after a certain number of scans.</p> Signup and view all the answers

    How might normal cells in a radiation treatment field be negatively affected?

    <p>They may develop cancer-promoting DNA damage.</p> Signup and view all the answers

    What role does DNA hypermethylation typically play in tumor suppressor genes?

    <p>It causes aberrant silencing of these genes without altering DNA sequences.</p> Signup and view all the answers

    How does TET2 enzyme activity vary under certain physiological conditions?

    <p>It shows increased activity in hyperglycemia.</p> Signup and view all the answers

    Which statement best describes the effect of post-translational histone modifications?

    <p>They can either open chromatin for gene expression or close it for silencing.</p> Signup and view all the answers

    What is the relationship between stem cell divisions and cancer risk according to the information provided?

    <p>A higher number of stem cell divisions correlates with an increased risk of cancer due to methylation changes.</p> Signup and view all the answers

    What is the general status of cytosine methylation in human adult cells?

    <p>70-80% of CpGs are methylated.</p> Signup and view all the answers

    What factors contribute to altered methylation patterns and histone modifications in cancers?

    <p>Age and environmental exposures, along with mutations in epigenetic modifier genes.</p> Signup and view all the answers

    Which of the following best explains why different organs and tissues function distinctively despite having the same DNA?

    <p>The variation in function is a result of histone modifications and DNA methylation patterns.</p> Signup and view all the answers

    What outcome can result from aberrant gene expression in cancer cells?

    <p>Increased tumor-cell heterogeneity and improved survival.</p> Signup and view all the answers

    What is a characteristic of a promoter in carcinogenesis?

    <p>It stimulates cell proliferation.</p> Signup and view all the answers

    Which type of cancer is most commonly associated with alkylating agents?

    <p>Acute myeloid leukemia</p> Signup and view all the answers

    What role do polymorphisms in cytochrome P-450 enzymes play in cancer susceptibility?

    <p>They increase susceptibility to carcinogens.</p> Signup and view all the answers

    Which type of UV radiation is primarily responsible for inducing cutaneous tumors?

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

    Which of the following best describes the effect of chronic inflammation on cancer risk?

    <p>It is associated with chronic wound repair and increases cancer risk.</p> Signup and view all the answers

    What type of skin cancer is linked with intense intermittent exposure to UV radiation?

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

    How do pyrimidine dimers affect DNA?

    <p>They distort the DNA helix and prevent proper pairing.</p> Signup and view all the answers

    Which mechanism characterizes the role of microRNAs in gene expression?

    <p>Base-pairing with complementary sequences of mRNA</p> Signup and view all the answers

    Which of the following is true about Sjögren syndrome and its cancer risk?

    <p>It increases the risk of MALT lymphoma significantly.</p> Signup and view all the answers

    What type of carcinogens require metabolic conversion to exert their effects?

    <p>Indirect-acting carcinogens</p> Signup and view all the answers

    What is the effect of the UVC radiation on cancer risk?

    <p>It is filtered out by the ozone layer and does not reach the ground.</p> Signup and view all the answers

    What is a characteristic feature of Aflatoxin B1 induced hepatocellular carcinoma?

    <p>Characterized by p53 R249S mutation</p> Signup and view all the answers

    What factors contributed to the historical increase in breast cancer incidence in the 18th century?

    <p>Hormonal factors and lifestyle changes.</p> Signup and view all the answers

    Which of the following statements regarding the initiation of chemical carcinogenesis is true?

    <p>Genetic alterations due to initiation are permanent and irreversible</p> Signup and view all the answers

    How do direct-acting carcinogens differ from indirect-acting carcinogens?

    <p>Indirect-acting carcinogens require metabolic processing to become active.</p> Signup and view all the answers

    What is a consequence of mutations in the RAS or TP53 genes?

    <p>Selective growth advantages for the cell</p> Signup and view all the answers

    Which aspect of chemical carcinogens is primarily categorized as 'promotion'?

    <p>Enhancing the proliferation of already initiated cells</p> Signup and view all the answers

    What defines chemical initiators of carcinogenesis?

    <p>They require no metabolic activation to exert effects</p> Signup and view all the answers

    Which statement accurately reflects the role of carcinogens in cancer development?

    <p>Cigarette smoke significantly increases mutational burden in lung cancer.</p> Signup and view all the answers

    Which virus is predominantly associated with hepatocellular carcinoma?

    <p>Hepatitis C Virus (HCV)</p> Signup and view all the answers

    Which of the following is not a consequence of chronic Helicobacter pylori infection?

    <p>Pulmonary fibrosis</p> Signup and view all the answers

    Which state is least likely to result from decreased immune surveillance in immunocompromised patients?

    <p>Enhanced detection of abnormal cells</p> Signup and view all the answers

    What is the significance of Class I MHC antigen processing in the context of cancer?

    <p>It is essential for the destruction of abnormal cells by CD8+ T-cells.</p> Signup and view all the answers

    Which of the following infectious agents has a recognized link to carcinogenesis?

    <p>Hepatitis B Virus (HBV)</p> Signup and view all the answers

    Which type of cancer is not typically associated with immunocompromised states?

    <p>Gastric adenocarcinoma</p> Signup and view all the answers

    Which chronic condition is recognized for its pro-carcinogenic effect due to inflammation?

    <p>Chronic hepatitis</p> Signup and view all the answers

    In the context of cancer risk, which factor is most relevant in immunosuppressed individuals?

    <p>Impaired immune response to tumor antigens</p> Signup and view all the answers

    Study Notes

    DNA Hypermethylation and Demethylation

    • May lead to silencing of tumor suppressor genes without altering DNA sequence
    • May lead to over-expression of oncogenes without altering DNA sequence
    • CpG refers to cytosine-phosphate-guanine, a common site for methylation
    • TET2 enzyme is involved in demethylation and is more potent in hyperglycemia
    • High blood glucose levels are linked to higher cancer susceptibility

    Post-translational Histone Modifications

    • These modifications can alter chromatin structure, promoting gene expression (open chromatin) or gene silencing (closed chromatin)
    • Lysine rich histone tails are frequent sites for post-translational changes
    • Histone acetylation is associated with an open, active chromatin state
    • Histone methylation has more complex and diverse effects on gene expression

    microRNAs

    • MicroRNAs (miRNAs) are small RNA molecules (20-23 nucleotides) that regulate gene expression
    • miRNAs bind to complementary sequences on mRNA molecules, inhibiting translation into protein
    • This can lead to silencing of tumor suppressor genes

    DNA Methylation Patterns in Cancer

    • Cancer cells often exhibit widespread alterations in DNA methylation patterns and histone modifications, resulting in aberrant gene expression
    • Epigenetic modifiers, such as environmental exposures, aging, and genetic mutations in epigenetic modifier genes, contribute to increased, random gene expression in cancer cells
    • This contributes to tumor heterogeneity and survival

    Chemical Carcinogenesis

    • Chemical carcinogens can directly damage DNA or enhance cell proliferation
    • Mutations are generally random and may occur in critical genes such as RAS or TP53, leading to growth advantages and increased risk of malignant transformation
    • Mutations can occur in "hotspots" due to the structure of specific carcinogens
    • Aflatoxin B1, a common food contaminant, increases the risk of hepatocellular carcinoma, particularly in regions where it is prevalent

    Initiators and Promoters

    • Initiation involves a permanent, irreversible genetic alteration caused by a chemical carcinogen, necessary but not sufficient for tumor formation
    • Promotion refers to the stimulation and alteration of an initiated cell by a chemical carcinogen, leading to reversible changes and not carcinogenic without prior initiation

    Initiators - Direct and Indirect

    • Direct-acting carcinogens do not require metabolic conversion to become carcinogenic, usually weaker carcinogens
    • Some direct-acting carcinogens are used in chemotherapy
    • Indirect-acting carcinogens require metabolic conversion of a pro-carcinogen to become carcinogenic

    Polycyclic Hydrocarbons

    • Polycyclic hydrocarbons are present in fossil fuels, tobacco smoke, and grilled meats
    • These carcinogens are metabolized in the liver by cytochrome P-450-dependent enzymes
    • Polymorphisms in genes encoding these enzymes can influence cancer susceptibility

    Promoters

    • Promoters stimulate cell proliferation without being mutagenic
    • Promoter action in an initiated cell leads to clonal proliferation and increased risk of further mutations
    • Estrogen is an example of a promoter

    Chronic Inflammation

    • Chronic inflammation is associated with increased risk of cancer due to increased cell division and regeneration during wound repair
    • Examples include inflammatory bowel disease and Sjögren syndrome

    Stem Cell Divisions

    • Normal stem cell divisions can function as a promoter, contributing to the accumulation of mutations

    Radiation Carcinogenesis

    • UV and ionizing radiation are both carcinogenic
    • UV Radiation is responsible for skin cancers, including basal cell carcinoma, squamous cell carcinoma, and melanoma
    • Ionizing Radiation damages DNA through oxygen free radicals, can lead to cancer development

    Radiation Carcinogenesis - Sensitivity

    • Different tissues have different sensitivities to radiation
    • Bone marrow is most sensitive, followed by the thyroid in young people, and then breast, lungs, and salivary glands
    • Frequent CT scans are associated with increased risk of leukemia and brain tumors in children

    Microbial Carcinogenesis

    • Hepatitis B and C viruses (HBV, HCV) are responsible for 70-85% of hepatocellular carcinoma cases worldwide, particularly in areas where HBV is endemic
    • Helicobacter pylori infection is associated with increased risk of gastric ulcers, gastric adenocarcinoma, and MALT lymphoma due to sustained inflammation

    Cancer and Immunosuppression

    • Immunodeficient states increase the risk of cancer due to decreased immune surveillance
    • Immune surveillance involves the immune system's ability to identify and destroy abnormal cells
    • Antigens in tumor cells are less likely to elicit an immune response in immunosuppressed individuals, creating a favorable environment for tumorigenesis
    • MHC I antigen processing pathway is critical for immune surveillance, allowing cytotoxic T-cells to recognize and destroy abnormal cells.

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    Description

    Explore the intricate roles of DNA hypermethylation, histone modifications, and microRNAs in cancer biology. This quiz delves into how these molecular processes influence gene expression and cancer susceptibility. Test your knowledge on these critical topics in molecular genetics.

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