Telomeres & Cancer Overview
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Questions and Answers

What role does APC play in relation to B-catenin?

  • APC functions independently of B-catenin.
  • APC enhances B-catenin-activated gene expression.
  • APC binds to B-catenin to downregulate its activity. (correct)
  • APC promotes B-catenin accumulation.
  • Which of the following statements about chromosomal instability (CIN) in colorectal cancer (CRC) is correct?

  • CIN results in increased functionality of APC.
  • CIN contributes to a mutagenic load that is beneficial for cell survival.
  • CIN is only observed in advanced stages of tumorigenesis.
  • CIN is characterized by losses of discrete chromosomal regions at the earliest stages of tumorigenesis. (correct)
  • What is the effect of the loss of functional TGF-B signaling in colorectal cancer?

  • It promotes activation of Wnt signaling pathways.
  • It is critical for the development of CRC due to inactivation of TGF-RII. (correct)
  • It enhances G1 cell cycle arrest.
  • It has no effect on tumor development.
  • What physiological role does APC play related to the mitotic spindle?

    <p>APC interacts with microtubules to maintain spindle stability. (D)</p> Signup and view all the answers

    How does the absence of Wnt signaling affect APC's interaction with B-catenin?

    <p>Absence of Wnt signaling leads to B-catenin breakdown through ubiquitination. (D)</p> Signup and view all the answers

    What is the primary function of Ang1 in angiogenesis?

    <p>Stabilizes vascular integrity (D)</p> Signup and view all the answers

    Which of the following describes the angiogenic switch?

    <p>A transition from angiogenic quiescence to an active formation of blood vessels (B)</p> Signup and view all the answers

    Which adhesion molecule is primarily involved in maintaining cell-cell adhesion?

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

    How do MMPs contribute to cancer metastasis?

    <p>They break down the ECM, creating invasive pathways (D)</p> Signup and view all the answers

    Which process describes the movement of cancer cells from a primary tumor site to distant organs?

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

    What role does Src play in integrin signaling?

    <p>It activates FAK leading to downstream signaling (D)</p> Signup and view all the answers

    What effect do anti-angiogenic factors have in relation to tumor growth?

    <p>They inhibit growth factors like VEGF (D)</p> Signup and view all the answers

    Which of the following proteins is identified to generate contractile force in cells?

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

    Which factor is known to destabilize vascular structural integrity?

    <p>Ang2 (D)</p> Signup and view all the answers

    What is the primary role of TIMPs in relation to MMPs?

    <p>Inhibit MMP activity and ECM remodeling (C)</p> Signup and view all the answers

    What is a key outcome of telomere shortening in human cells?

    <p>Replicative senescence (C)</p> Signup and view all the answers

    Which mechanism can oncogenes use to induce senescence?

    <p>Inactivation of cell cycle checkpoints (A)</p> Signup and view all the answers

    How do murine cells primarily bypass replicative senescence under culture stress?

    <p>By deletion of p16INK4A (A)</p> Signup and view all the answers

    What happens when the cell cycle checkpoints p53 and RB are bypassed?

    <p>Cells become prone to chromosomal instability (A)</p> Signup and view all the answers

    What initiates the crisis in cells with dysfunctional telomeres?

    <p>Breakage-fusion-bridge cycles (B)</p> Signup and view all the answers

    What is the role of p19ARF in relation to p53?

    <p>It stabilizes p53 by inhibiting MDM2 (C)</p> Signup and view all the answers

    Which factor is involved in the induction of senescence through telomere dysfunction?

    <p>Hypo-phosphorylated Rb (B)</p> Signup and view all the answers

    What leads cancer cells to bypass the Hayflick limit?

    <p>Induced expression of TERT (C)</p> Signup and view all the answers

    What type of mutations are observed in cells undergoing crisis due to telomere dysfunction?

    <p>Complex non-reciprocal translocations (D)</p> Signup and view all the answers

    In the context of angiogenesis, what is the primary function of vascular endothelial cells?

    <p>Line blood vessels and lymphatics (A)</p> Signup and view all the answers

    What characteristic does E-cadherin contribute to epithelial cells that is lost during epithelial/mesenchymal transition (EMT)?

    <p>Cell adhesion (C), Cell polarity (D)</p> Signup and view all the answers

    Which of the following accurately describes the Philadelphia chromosome (Ph) in relation to chronic myelogenous leukemia (CML)?

    <p>It creates a novel fusion protein BCR-ABL. (B)</p> Signup and view all the answers

    What is a significant effect of the BCR-ABL fusion protein in chronic myelogenous leukemia (CML)?

    <p>It causes uncontrolled proliferation of myeloid cells. (A)</p> Signup and view all the answers

    Why is colorectal cancer (CRC) considered one of the most common cancers in the western population?

    <p>Mutations in the APC gene and other factors. (A)</p> Signup and view all the answers

    What role does the extracellular matrix (ECM) play in the metastasis of cancer cells?

    <p>It provides essential growth factors for tumor survival. (A)</p> Signup and view all the answers

    During which phase of chronic myelogenous leukemia (CML) is there a massive proliferation of poorly differentiated cells?

    <p>Blastic phase (C)</p> Signup and view all the answers

    What is the critical flaw in mouse tumor models for studying human cancer metastasis?

    <p>Human tumor cells rarely grow in mice. (B)</p> Signup and view all the answers

    What is the primary gene associated with familial adenomatous polyposis (FAP) mutations?

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

    Which stage of chronic myelogenous leukemia (CML) is characterized by an overproduction of normal looking granulocytes?

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

    What treatment approaches are commonly used for chronic myelogenous leukemia (CML)?

    <p>Interferon alpha and STI-571 (A)</p> Signup and view all the answers

    What are the three main functions of telomeres?

    <p>Facilitate faithful replication, prevent degradation, and prevent fusion of DNA ends. (A)</p> Signup and view all the answers

    What is the repeat sequence found in human telomeres?

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

    Which model of telomere structure is characterized by the formation of a loop?

    <p>T-loop structure (A)</p> Signup and view all the answers

    What is the main function of telomerase in relation to telomeres?

    <p>It extends the 3’ overhang of telomeres for replication. (D)</p> Signup and view all the answers

    What does replicative senescence refer to in human cells?

    <p>The irreversible loss of the ability to divide in vitro. (A)</p> Signup and view all the answers

    What happens to telomeres in normal somatic cells as they age?

    <p>They shorten gradually. (A)</p> Signup and view all the answers

    What is the Hayflick limit?

    <p>The maximum number of divisions a normal somatic cell undergoes before senescence. (C)</p> Signup and view all the answers

    Which process contributes to altered cellular behaviors in senescent cells?

    <p>Senescence-associated secretory phenotype (SASP). (A)</p> Signup and view all the answers

    Flashcards

    Telomeres: Function

    Telomeres protect chromosome ends from degradation, fusion, and ensure accurate replication.

    Telomere Structure

    Telomeres have a characteristic structure: a short, repeated sequence (e.g., TTAGGG in humans), and a single-stranded 3' overhang. The structure is stabilized by t-loops and G-quadruplexes.

    Telomere Shortening

    Normal somatic cells shorten their telomeres with each division. Cancer cells and germ cells do not.

    Telomerase

    An enzyme that adds telomere sequences to the ends of chromosomes, preventing shortening.

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    Replicative Senescence

    The phenomenon where cells stop dividing due to shortened telomeres.

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    Hayflick Limit

    The limited number of cell divisions a normal cell type can undergo.

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    Telomerase's Role in Cancer

    Telomerase activity is often activated in cancer cells, allowing them to divide indefinitely and contributing to cancer growth.

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    FISH (Fluorescent in situ hybridization)

    FISH is a technique for locating and visualizing telomeres or other specific DNA sequences within cells, using fluorescent probes.

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    Cancer Bypassing Senescence

    Cancers can avoid replicative senescence by activating telomerase or using alternative mechanisms.

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    Senescence Induction

    Senescence can occur due to telomere attrition or cellular stress.

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    Check Points (Cell Cycle)

    Cellular mechanisms that verify the integrity of DNA before cell division, inducing senescence when needed.

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    Crisis

    A state where cells with severely damaged chromosomes can't avoid cell death.

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    Angiogenesis

    Formation of new blood vessels from pre-existing ones.

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    Lymphatic System

    A network of vessels that drain fluids and carry immune cells.

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    Blood Vessel Development

    The process of creating new blood vessels during embryonic and adult life.

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    VEGF

    Major signaling molecule for angiogenesis

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    Angiopoietins

    Regulate vascular integrity; Ang1 stabilizes, Ang2 destabilizes

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    Metastasis

    Cancer cell spread to new sites

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    Invasiveness

    Cancer cell's ability to penetrate surrounding tissue

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    MMPs

    Matrix Metalloproteinases; break down extracellular matrix

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    Integrins

    Cell-matrix adhesion molecules

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    Cadherins

    Cell-cell adhesion molecules

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    Extracellular matrix

    The material surrounding cells; provides support & structure

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    Angiogenic switch

    Transition from inactive to active blood vessel formation

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    APC's Role in Cell Division

    APC (Adenomatous Polyposis Coli) is a protein that helps regulate cell division. It interacts with β-catenin, a protein that promotes cell growth. APC normally keeps β-catenin levels low, preventing excessive cell growth.

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    What happens when APC is lost?

    When APC function is lost, β-catenin accumulates, leading to uncontrolled cell growth. This can contribute to the development of colorectal cancer.

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    Wnt Signaling: Promoting Growth

    Wnt signaling is a pathway that promotes cell growth. When Wnt proteins bind to their receptors, they activate β-catenin, allowing it to stimulate cell division.

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    TGF-β Signaling: Regulating Cell Cycle

    TGF-β signaling is a pathway that regulates cell growth and can either promote or inhibit cell division, depending on the context. In colorectal cancer, loss of TGF-β signaling can contribute to tumor development.

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    APC & Chromosomal Instability (CIN)

    APC plays a role in maintaining the stability of chromosomes during cell division. Loss of APC can lead to chromosomal instability (CIN), where chromosomes are miscopied or lost, contributing to cancer development.

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    Metastasis: What is it?

    The spread of cancer cells from their original location to other parts of the body.

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    EMT: Epithelial-Mesenchymal Transition

    A process where epithelial cells (tightly packed, forming sheets) transform into mesenchymal cells (more mobile, able to migrate).

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    Why is EMT important for metastasis?

    EMT allows cancer cells to break free from the original tumor, invade surrounding tissue, and travel through the bloodstream to distant sites.

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    CML Stages: Chronic Phase

    The first stage of CML characterized by a slow and gradual increase in white blood cells, mostly neutrophils. Patients may have few symptoms.

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    CML Stages: Accelerated Phase

    A more advanced stage where the number of white blood cells increases rapidly and there are abnormalities in the blood cells.

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    CML Stages: Blastic Phase

    The most advanced stage with very rapid growth of immature blood cells. This phase is often resistant to treatment.

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    Philadelphia Chromosome: What is it?

    A specific chromosomal abnormality found in CML where a piece of chromosome 9 is swapped with a piece of chromosome 22 creating a new fusion gene.

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    Philadelphia Chromosome: Importance

    The Philadelphia chromosome is a hallmark of CML and leads to the production of a fusion protein (BCR-ABL) that drives uncontrolled cell growth.

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    Gleevec: What is it?

    A targeted drug that specifically inhibits the activity of the BCR-ABL fusion protein, effectively stopping the uncontrolled growth of CML cells.

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    APC Gene: Role in Colorectal Cancer

    APC is a tumor suppressor gene. When it is mutated, it no longer effectively controls cell division, leading to the formation of polyps and eventually colorectal cancer.

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    Study Notes

    Telomeres & Cancer

    • Telomeres are the ends of eukaryotic chromosomes
    • They have three key functions: preventing degradation, preventing fusion with other DNA molecules, and facilitating faithful replication of the ends
    • Telomere sequences are short, repeating units (e.g., TTAGGG in humans)
    • They shorten with age in normal somatic cells but not in cancerous or germ cells
    • Telomeres have a single-stranded 3' overhang, which is G-rich
    • Telomere structure includes G-quadruplexes and T-loops
    • Telomerase, an enzyme with an RNA template (TERC) and a reverse transcriptase catalytic subunit (TERT), replicates telomeres
    • Telomerase activity is often activated in cancer cells; this allows for endless replication potential
    • Telomere shortening can trigger replicative senescence, an irreversible cell cycle arrest.
    • Senescence is characterized by changes in cellular behavior, marker gene expression, and the senescence-associated secretory phenotype (SASP)
    • Cancers can bypass senescence by expressing TERT or through alternative lengthening of telomeres (ALT)
    • Unprotected chromosome ends during cell division lead to chromosomal rearrangements
    • This damage, telomere dysfunction, can lead to apoptosis or activate alternative mechanisms to stabilize telomeres (e.g., telomerase or ALT).

    Angiogenesis

    • Angiogenesis is the formation of new blood vessels from existing ones.
    • Key cell types involved are vascular endothelial cells, pericytes, and smooth muscle cells.
    • Angiogenesis is critical for tumor growth and treatment delivery
    • VEGF is a major pro-angiogenic signaling molecule
    • Angiopoietins (Ang1 and Ang2) regulate vascular integrity
    • Ang1 stabilizes while Ang2 destabilizes.
    • Pro-angiogenic factors (VEGF, FGF, PDGF) promote vessel growth; anti-angiogenic factors counteract this.
    • The "angiogenic switch" is a critical transition in the availability of positive vs. negative factors leading to new vessel production
    • Statins are examples of anti-angiogenic drugs.

    Metastasis

    • Metastasis is the spread of cancer cells from a primary tumor to distant sites.
    • This involves invasion of surrounding tissues and movement to distal tissues.
    • Key proteins related to this include integrins, cadherins, and matrix metalloproteinases (MMPs).
    • Adhesion molecules, extracellular matrix (ECM), actin cytoskeleton, lamellipodia, filopodia, stress fibers, and focal contacts all contribute to cellular movement
    • Rho GTPases (Rac1, RhoA, and Cdc42) play a regulatory role on cell motility.
    • MMPs degrade the ECM, facilitating invasion
    • TIMPs (Tissue inhibitors of MMPs) inhibit MMP activity.
    • "Seed and soil" theory suggests that metastasis depends on the interaction between the cancer cell and the environment at the new site.
    • EMT (epithelial-mesenchymal transition) is a cellular process that correlates with more invasive and potentially metastatic cancer cells.
    • Several features affect cancer cell spread (e.g., venous drainage).
    • Experimental systems study metastasis using animal models but there are inherent limitations.

    Chronic Myelogenous Leukemia (CML) & Colorectal Cancer (CRC)

    • CML involves uncontrolled myeloid cell production. Stages: chronic, accelerated, and blastic.
    • The Philadelphia chromosome (a reciprocal translocation) creates the BCR-ABL fusion protein, a driver of the disease.
    • STI-571 (Gleevec) is a potent BCR-ABL inhibitor.
    • CRC is the second most common cancer.
    • Colon epithelium is organized into crypts.
    • Familial adenomatous polyposis (FAP) is a disorder characterized by many colorectal adenomas.
    • HNPCC is associated with loss of DNA mismatch repair genes.
    • APC (adenomatous polyposis coli) is a critical tumor suppressor gene involved in regulating B-catenin.
    • Wnt and TGF-β signaling pathways are crucial in CRC development and progression.

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    Explore the fascinating role of telomeres in cancer biology. This quiz covers key concepts such as telomere structure, function, and the implications of telomerase activity in cancer cells. Test your understanding of these crucial cellular components and their relationship to aging and cancer progression.

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