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Cancer Definition
Result of uncontrolled division of abnormal cells, failure of cell cycle checkpoints and lack of regulation
Some Hallmarks of Cancer
Evading apoptosis, self-sufficiency in growth signals, insensitivity to antigrowth signals, genome instability, ability to avoid immune detection, tissue invasion and metastasis, limitless replicative potential, sustained angiogenesis
What are Driver Mutations?
Increase the probability of later mutations and epigenetic changes by conferring a growth advantage on cells or destabilizing the genome
How do cancer cells change the balance to cell proliferation?
Disrupt/Inhibit the negative regulators or increase the action of or activate the positive regulators
What are Tumor suppressor genes?
Negative regulators of cell proliferation or genes that induce apoptosis
What are Oncogenes?
Positive regulators of cell growth and proliferation or genes that are anti-apoptosis
What are gatekeeper genes?
Directly restrain cell proliferation by regulating the cell cycle
What are caretaker genes?
Indirectly restrain cell proliferation by maintaining integrity of genome
What are landscaper genes?
Indirectly restrain cell proliferation by controlling the environment around cells
What is Knudson’s Two-Hit Hypothesis?
If a person inherits a LOF allele for a Tumor Suppressor Gene, then they already have one “hit”. This increases the probability of getting a second somatic mutation or “second hit” completely inactivating the TS gene
What cells does Retinoblastoma affect?
Ganglion cells in eye during early childhood
What are Familial Cancer Syndromes?
Nearly always involve inheriting one loss-of-function allele for a Tumor Suppressor Gene, inheritance pattern is dominant, and typically lead to an earlier onset
What is Lynch syndrome?
Autosomal dominant transmission and increased risk for colon and rectal cancers (and other types)
What is an Oncogene?
Mutated proto-oncogene that allows for tumor growth/development
What is a Proto-oncogene?
The “normal” functioning gene
Categories of Function for Proto-oncogenes
Growth Factors, Growth Factor Receptors (Membrane Receptors), Proteins that phosphorylate, Transcriptional control in the nucleus
How are Proto-oncogenes activated?
Proto-oncogenes must be activated to become oncogenes through gene amplification, chromosomal rearrangement, or mutation
Oncogene Activation through Gene Amplification
Increasing copy number in a cell
Oncogene Activation by Chromosomal Rearrangement
Oncogene is relocated close to an enhancer sequence leading to abnormal activation
Genome Instability at the DNA Level
Clustered hypermutation or mutations in different types of DNA repair mechanisms
DNA Methylation profiles in Cancer Cells
General hypomethylation of DNA or hypermethylation of promoter sequences of cancer genes