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Cancer as a genetic chapter 21 pp 627-637 & lecture notes
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What is cancer? Epidemiology statistics Phenotype of the cancer cell Cancer genes Tumor suppressor genes oncogenes How cancer genes do alter a cell’s phenotype? Molecular multi-step process and cancer P53 and Rb genes: specific example
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Cancer is abnormal cell growth. TUMORS
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MalignantBenign
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Most cancers fall into one of these groups Carcinomas Sarcomas Leukemias Lymphomas
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2009 Estimated US Cancer Deaths* ONS=Other nervous system. Source: American Cancer Society, 2009. Men 292,540 Women 269,800 26%Lung & bronchus 15%Breast 9%Colon & rectum 6%Pancreas 5%Ovary 4%Non-Hodgkin lymphoma 3%Leukemia 3%Uterine corpus 2% Liver & intrahepatic bile duct 2%Brain/ONS 25% All other sites Lung & bronchus30% Prostate9% Colon & rectum 9% Pancreas6% Leukemia4% Liver & intrahepatic4% bile duct Esophagus4% Urinary bladder3% Non-Hodgkin 3% lymphoma Kidney & renal pelvis3% All other sites 25%
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Characteristics of Cancer Loss of contact inhibition Loss of apoptosis Growth in soft agar Tumor growth “in vivo”
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2 broad groups of cancer causing genes 1. Tumor suppressor genes 2. Oncogenes
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1. Tumor Suppressors Normally requires 2 “hits” Mutations cause loss of function haploinsufficiency
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Alfred Knudson: 2 hit model of cancer
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1. Loss of Heterozygosity
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Examples of tumor suppressors Retinoblastoma gene (rb) p53 gene
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Retinoblastoma: Rb gene and Retinal tumor P53 gene and breast cancer
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osteoclastsneutrophils P53 and the bax gene Example
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Nobel Prize in 2002 for their discovery of apoptosis Brenner Horvitz Sulston
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2. Oncogenes ■ Second group of cancer causing genes ■ Mutations cause a gain of activity ■ Requires only one “hit”
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2.
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Where do Oncogenes originate?
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Hypothesis of origin of oncogenes Viruses recombine with proto- oncogenes Michael Bishop and Harold Varmus
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Proto-oncogenes Oncogene virus mutated in virusControl by viral promotermutated by virus In host cell DNA Possible outcomes of recombination
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Here are some examples of how tumor suppressors and oncogenes stimulate cell growth.
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1. Genes controlling the cell cycle For example: cyclic dependent kinases
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2. Genes controlling DNA repair Colon cancer For example: HNPCC: colon cancer and DNA repair mutations
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Breast cancer susceptibility genes (BRCA1 and BRCA2) & DNA repair Breast Cancer Tumors
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3.Genes affecting chromosome segregation apc gene and p53 gene required for proper chromosomal separation metaphase
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Van Hippel-Landau disease ▪ Extensive vascularization ▪ Dominant mutation 4. GENES that promote vascularization
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5. Telomerase may with cancer Genes that regulate telomerase
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6. Genomic Instability Hypomethylation (?)
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Hypermethylation Gene repression
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Let’s summarize some key points
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These Cancer Causing Genes may affect The cell cycle DNA repair Chromosome segregation Changes in chromosome number Telomerase regulation Vascularization Genomic Instability DNA hypomethylation (?)
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Cancer : Multi-step process Normal Loss of functionGain of function Cancer Many mutations Multiple mutations
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The relationship of p53 and Rb to the cell cycle
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Cyclins are the control proteins that keep the cell cycle moving. But how??
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(and late G1) Cell cycle & cyclins I get it!
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Release of Wt Rb protein are changed by cyclins. Rb mutations prevent E2F binding
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(and late G1) Requires E2F Another look at the cell cycle
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But you said p53 is also involved in the cell cycle. Where is it in the picture?!
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Under normal (wt) conditions P53 and Rb communicate 1 2 3 p21 inhibits phosphorylation step by Preventing cyclin/Cdk complex 4
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