Triple Negative Breast Cancer Overview

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Questions and Answers

What role do the BRCA1 and BRCA2 genes play in human cells?

  • They enhance blood supply to tumors.
  • They are responsible for DNA repair. (correct)
  • They trigger apoptosis directly.
  • They promote tumorigenesis.

Which gene mutation is closely associated with later stages of low-grade TNBC?

  • BRCA
  • PI3K (correct)
  • HER2
  • TP53

Where is BRCA1 located on the human chromosome?

  • Chromosome 11q13
  • Chromosome 18p11
  • Chromosome 17q21 (correct)
  • Chromosome 13q12

What is indicated by the presence of TP53 and PI3K pathways in high-grade mutations of TNBC?

<p>They are strong indicators for testing TNBC. (C)</p> Signup and view all the answers

What type of therapy is mentioned as a treatment for the M or MSL sub-types in TNBC?

<p>Anti-angiogenesis (B)</p> Signup and view all the answers

Which of the following biomarkers are considered molecular indicators for TNBC growth?

<p>PI3K and BRCA (D)</p> Signup and view all the answers

What is a strong biomarker for Triple Negative Breast Cancer (TNBC)?

<p>BRCA1 and BRCA2 genes (D)</p> Signup and view all the answers

What role does the cell cycle play in the context of TNBC?

<p>It represents the beginning of malignant evolution. (B)</p> Signup and view all the answers

Which gene plays a role in preventing tumor growth leading to apoptosis or cell cycle continuation?

<p>TP53 (A)</p> Signup and view all the answers

Which histologic types are characterized by specific genetic alterations in low-grade TNBC?

<p>Salivary gland–like tumors and solid papillary carcinoma (D)</p> Signup and view all the answers

How many exons does BRCA2 consist of?

<p>27 exons (A)</p> Signup and view all the answers

What can occur if the TNBC biomarkers are non-functioning or malfunctioning?

<p>Metastasis if left untreated (C)</p> Signup and view all the answers

What is the primary function of anti-angiogenesis in TNBC treatment?

<p>To prevent blood supply development to tumors (B)</p> Signup and view all the answers

How can TNBC tumor growth be identified?

<p>By immunological studies of cell pathways (A)</p> Signup and view all the answers

What location on chromosomes can mutations in BRCA1 and BRCA2 genes be identified?

<p>On chromosome 17 and 13 (D)</p> Signup and view all the answers

Which of the following statements regarding treatment options for TNBC is true?

<p>Therapeutic options are based on genetic markers. (B)</p> Signup and view all the answers

What defines Triple Negative Breast Cancer (TNBC)?

<p>The lack of estrogen, progesterone, and HER2 production (B)</p> Signup and view all the answers

According to the Irish Cancer Society, how many people are diagnosed with TNBC in Ireland each year?

<p>More than 250 (A)</p> Signup and view all the answers

What does a high number of highlights in a draft indicate about the content?

<p>Areas need rephrasing or rearranging (B)</p> Signup and view all the answers

What is the primary purpose of the assignment mentioned in the document?

<p>To review literature on TNBC and molecular markers (A)</p> Signup and view all the answers

What should sections highlighted in light blue within the draft indicate?

<p>They are direct quotations needing rephrasing (B)</p> Signup and view all the answers

What does the lack of information highlighted indicate regarding the draft?

<p>Additional data or better alternatives may be needed (A)</p> Signup and view all the answers

Which of the following is NOT mentioned as a marker for TNBC?

<p>Androgen Receptor (AR) (C)</p> Signup and view all the answers

What does the draft primarily consist of regarding its progress?

<p>It is a work in progress with several areas needing adjustments (B)</p> Signup and view all the answers

What is the primary benefit of TNBC gene analysis as indicated in the study?

<p>It helps to stratify patients for personalized treatment. (D)</p> Signup and view all the answers

What role do predictive biomarkers play in the treatment of TNBC?

<p>They guide the design of clinical trials. (C)</p> Signup and view all the answers

Which technology is emphasized for modern mutation detection in cancer?

<p>Next-generation sequencing. (B)</p> Signup and view all the answers

What is the meaning of overexpression in a cancer context?

<p>An increase in protein production from specific genes. (C)</p> Signup and view all the answers

What aspect does the study highlight regarding Tamoxifen?

<p>It is utilized in treatment strategies for certain breast cancer subtypes. (A)</p> Signup and view all the answers

What percentage of PIK3CA somatic mutations are classified as hot-spot mutations?

<p>80% (A)</p> Signup and view all the answers

Which mutations are the most common single nucleotide changes identified in the PIK3CA gene?

<p>E542K and E545K (D)</p> Signup and view all the answers

What does the PIK3CA gene encode?

<p>The catalytic alpha subunit of class I PI3K (B)</p> Signup and view all the answers

In which exons are the most common PIK3CA mutations located?

<p>Exon 9 and Exon 20 (D)</p> Signup and view all the answers

What type of genetic engineering technique is mentioned as being used to investigate PI3K mutations?

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

How is the expression of PI3K mutations represented in the research data?

<p>In a lollipop plot (B)</p> Signup and view all the answers

What is noted as a characteristic of the PI3K protein in relation to its therapeutic potential?

<p>Strong selectivity (C)</p> Signup and view all the answers

Where were the data about the PIK3CA mutations sourced from?

<p>The Cancer Genome Atlas and cBioportal (A)</p> Signup and view all the answers

Which gene is identified as a significant biomarker in the treatment of Triple Negative Breast Cancer?

<p>PI3K (C)</p> Signup and view all the answers

What occurs in healthy cells when DNA is damaged in relation to the TP53 protein?

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

What is the relative importance percentage of hot mutations of PI3KCA in the RNAi model as mentioned?

<p>23.9% (B)</p> Signup and view all the answers

What does the TP53 gene primarily regulate in cells?

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

What is the outcome when TP53 is non-functional?

<p>Damaged DNA is left unrepaired (A)</p> Signup and view all the answers

In the context of CRISPR and RNAi models, which measurement was used to visualize the data?

<p>Logarithmic scale (C)</p> Signup and view all the answers

What percentage of alteration is noted for the TP53 gene in Triple Negative Breast Cancer cases?

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

What kind of data was represented in the heatmap regarding immuno-regulatory genes?

<p>Expressions ranked by correlations (C)</p> Signup and view all the answers

Flashcards

Triple Negative Breast Cancer (TNBC)

A type of breast cancer that lacks estrogen receptor (ER), progesterone receptor (PR), and HER2 protein production.

Estrogen Receptor (ER)

A protein that responds to estrogen.

Progesterone Receptor (PR)

A protein that responds to progesterone.

Human Epidermal Growth Factor 2 (HER2)

A protein involved in cell growth and division.

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Triple Negative Test

A test that identifies the lack of ER, PR, and HER2 production in cancer cells.

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Breast Cancer

A common form of cancer that develops in the breast tissue.

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Irish Cancer Society (ICS)

An organization that provides information and support regarding cancer in Ireland.

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TNBC Metastases

TNBC (Triple-Negative Breast Cancer) tumor growth can spread if not treated, identified through studying the cell pathways.

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TNBC Biomarkers

PI3K, BRCA, and TP53 are molecular markers in TNBC that can cause growths if dysfunctional and can metastasize.

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TNBC Pathways

The pathways are the series of actions/processes in cells leading to TNBC. Changes such as mutations in genes occur along these pathways.

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TP53 Pathway

The TP53 pathway is a crucial signaling pathway in TNBC that becomes more prominent in high-grade mutations.

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PI3K Pathway

The PI3K pathway is a signaling pathway in TNBC and is more prevalent in later stages of low-grade mutations.

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Low-Grade TNBC

Early stages of TNBC with particular histologic types (e.g., salivary gland-like tumours or solid papillary carcinoma).

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High-Grade TNBC

More advanced stages of TNBC, showing distinguished TP53 and PI3K pathways.

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Treatment Deduction

Treatment for TNBC can be deduced and designed based on the observed pathways (TP53, PI3K).

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TNBC Gene Analysis

Analyzing genes in TNBC (Triple-Negative Breast Cancer) to find specific subtypes and molecular targets.

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Next-generation Sequencing

Modern DNA sequencing technology that can analyze a large number of DNA sequences rapidly.

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Illumina Sequencing

A specific type of next-generation sequencing technology frequently used in modern labs.

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Predictive Biomarkers

Molecular markers identified from gene analysis associated with a certain trait or response to treatment

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Overexpression (gene)

When a gene is producing more protein products than usual, often at a percentage much higher than the typical.

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Tamoxifen

A medication that interferes with hormone receptor function, frequently used to treat certain cancers.

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CRISPR/RNAi

Gene editing and silencing techniques to understand gene function and target cancer.

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PIK3CA gene

A gene that encodes the catalytic alpha subunit (p110α) of PI3K, a protein frequently mutated in cancers, affecting tumour growth and survival.

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PI3K

A protein family with many roles in cell growth, survival, including mutation in cancer development. It is often a mutation target.

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Hot-spot mutation

A common mutation location in a gene, often in a cancer-related gene like PIK3CA, typically leading to amino acid substitutions.

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E542K and E545K mutations

Specific mutations of PIK3CA, found in Exon 9, leading to amino acid substitutions causing cancer.

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H1047R and H1047L mutations

Specific PIK3CA mutations found in exon 20, causing amino acid changes and contributing to cancer.

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Exon 9 and Exon 20

Specific sections (exons) of the PIK3CA gene that are frequently mutated in many cancers, including breast cancer.

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TCGA

Cancer Genome Atlas, a database of genomic data used to study cancer.

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CRISPR

A gene-editing technology that allows scientists to edit genetic material directly, for example, targeting PI3K.

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DepMap Portal

A cancer research database that provides information on cancer cell lines and genomic engineering.

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BRCA1/BRCA2 Genes

Tumor suppressor genes responsible for DNA repair, crucial for preventing cancer. Mutations in these genes can severely impact DNA repair mechanisms, increasing risk of cancer, particularly TNBC.

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TNBC

Triple-Negative Breast Cancer; a breast cancer subtype lacking specific receptors (estrogen, progesterone, and HER2) making it harder to treat.

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TP53 Gene

A tumor suppressor gene, crucial in the DNA repair pathway of cells. It halts the cell cycle or triggers apoptosis (programmed cell death) when DNA damage is detected.

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Chromosome Alterations

Changes in the structure or number of chromosomes, can lead to various diseases, including cancer. Specifically, alterations can affect TNBC development by impacting immune response or angiogenesis.

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Anti-angiogenesis

A treatment approach that obstructs the cancer's blood supply, limiting its growth and spread. Used in some TNBC subtypes.

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Chromosome Location (BRCA1)

BRCA1 is located on chromosome 17q21, containing 24 exons and encoding a protein of 1863 amino acids.

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Chromosome Location (BRCA2)

BRCA2 is located on chromosome 13q12, containing 27 exons, encoding a protein of 3418 amino acids.

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Genomic Integrity

The state where the complete genome of a cell is correctly maintained and properly replicated during any cell division.

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Apoptosis

Programmed cell death, triggered by damaged DNA and regulated by proteins, an important mechanism to prevent abnormal cell growth

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Cell Cycle Continuation

The process by which cells progress from one stage of their life cycle to the next, leading to cell division and replication. TP53 can influence the cell cycle.

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Triple Negative Breast Cancer (TNBC)

A type of breast cancer that lacks the estrogen receptor, progesterone receptor, and HER2 receptors.

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PI3K

A strong biomarker for TNBC, often mutated in these cancers, affecting treatments.

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PI3KCA mutation

A mutation in the PI3K gene, highly important in the diagnosis and treatment of TNBC.

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CRISPR

A gene editing tool used to analyze gene expression in TNBC cell lines.

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RNAi

A technology to study gene expression by interfering with the target gene's effectiveness.

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TP53 gene

A tumor suppressor gene vital for healthy cell regulation and preventing uncontrolled growth in TNBC.

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TP53 mutation

A mutated TP53 gene that often occurs in TNBC making cells unresponsive or damaged, leading to uncontrolled growth.

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Somatic mutation

Mutations that occur in body cells that can lead to cancer. Occur in TNBC.

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Cancer Genome Atlas (TCGA)

A comprehensive database of cancer genomics data.

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Gene Prevalence

Frequency of specific gene mutations in different cancers, like TNBC.

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Immuno-regulatory genes

Genes involved in regulating the immune system. Important in TNBC studies.

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Study Notes

Triple Negative Breast Cancer

  • Breast cancer is a common cancer
  • Triple Negative Breast Cancer (TNBC) is a type of breast cancer that lacks estrogen receptor (ER), progesterone receptor (PR) and HER2 protein production
  • TNBC accounts for more than 250 diagnoses annually in Ireland
  • TNBC diagnosis is based on the absence of ER, PR, and HER2
  • TNBC is more aggressive than other breast cancers
  • Important genes for TNBC include PI3K, BRCA, and TP53, which have mutations potentially impacting treatment

Histopathology

  • Histopathology studies the microscopic appearance of tissues
  • TNBC shows different levels of lymphocyte infiltration, ranging from mild to intense, correlating with aggressiveness
  • Figure 1 (and Figure related to it) illustrates different levels (Mild, Moderate, and Intense).
  • The microscopic appearance varies greatly between TNBC subtypes

TNBC Subtypes

  • TNBC is not a single entity, but is classified into subtypes based on gene expression patterns.
  • Key subtypes: Basal-like 1, Basal-like 2, Luminal androgen receptor (LAR), Mesenchymal, Mesenchymal stem cell-like (MSL). Immunomodulatory
  • Figure 4 illustrates the subtypes (with a table on it) and histopathology

Molecular Pathways and Biomarkers

  • Key genes like PI3K, BRCA1, BRCA2, and TP53 are involved in DNA damage repair and cell cycle regulation
  • Mutations in these genes can accelerate tumour growth and metastasis
  • Figure 6 illustrates the classification and treatment options
  • Figure 8 illustrates the DNA repair pathways
  • Key mutations are associated with Figure 8; including TP53 (6%), BRCA1, (11.7%), BRCA2 (10.2%) and PI3K (12.9%)
  • Figures 9 and 10 show gene and exon mutations and their prevalence

Testing and Detection

  • Testing methods like next-generation sequencing are used to identify genetic mutations in TNBC
  • Illumina sequencing and related methods are crucial for identifying specific genetic mutations leading to a more accurate diagnosis.
  • The role of molecular biomarkers in stratifying patients for treatment and predicting outcome.
  • Figure 12 explores predictive modeling for treatment response based on mutation profiles

Treatment

  • Treatment options for TNBC include chemotherapy, radiation, and surgery.
  • Treatment options are explored in Figure 15
  • Drug therapies like Tamoxifen along with their mechanisms and implications are referenced throughout the document
  • Figure X (related) further explores treatment pathways

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