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Cancer
collection of related diseases; dysregulated cell growth + uncontrollable division
Cancer requires
multiple hits → mutations
Cells can become
neoplastic and acquire hallmark characteristics → leads to tumor formation and metastases
Original Hallmarks of Cancer
resists death, sustains proliferative signaling, evading growth suppressors, activates invasion and metastasis, enables replicative immortality, induces angiogenesis, resists cell death
Normal Cells control
growth-promoting signals and entry into cell cycle → maintains homeostasis
____play an essential role in regulating cell growth
growth factors and tyrosine kinases
Cancer cells cause
continued entry into the cell cycle, autocrine proliferative stimulation, changes RTK abundance and responsiveness (constitutive action), somatic mutations, disruption of negative feedback mechanisms
Growth Factors
regulate cell cycle progression, G1/S transition, G2/M transition by modulating cell size
Restriction Point (Start) Influences
growth factors, nutrients, cell size, DNA damage
G2-M Transition Influences
cell size, DNA damages, DNA replication
Metaphase-Anaphase Transition Influences
chromosome attachments to spindle
Restriction Point Model
textbook model of cell cycle progression; irreversible commitment to complete the cell cycle and become independent of mitogens at G1-S phase transition (the restriction point)
____ are important for regulating the cell cycle
CDK/Cyclin complexes
CDK/Cyclin Complexes are regulated by
p16, p21, and p27
CDKS are only active when
in complex with cyclins
When a cyclin and CDK form a complex
the complex will bind to a target protein and modify it through phosphorylation → phosphorylated target protein will trigger a specific event in the cell cycle → after event occurs cyclin is degraded and the CDK is rendered inactive
Cyclin degradation
tightly regulated during the cell cycle
RB Tumor Suppressors
pocket proteins that exist in pocket domain; paralogs; pocket domain is conserved between different RBs
KRAS Oncogene
most frequently mutated oncogene in human cancer and first confirmed human oncogene in 1982
Three genes
HRAS, NRAS, KRAS encode four major RAS isoforms HRAS, NRAS, KRAS4A, and KRAS4B
KRAS encodes
two variants derived from alternative splicing of exon 4 → divergent C-terminal sequences
KRAS4B
more dominant in human cells
KRAS4A
low expression levels and more similar to viral KRAS
Sotorasib drug
first therapy to directly target the KRAS oncoprotein cancers by inhibiting the switch II pocket which causes the G12C mutation
RAS Proteins
small, membranebound guanine, nucleotide binding GTPases; binary switches that cycle between GTP bound active and GDP bound inactive to regulate signal transduction
GEF Proteins
guanine nucleotide exchange factors
GAP Proteins
GTPase-activating proteins
Missense gene mutations at
aa resides G12, G13, and Q61 have unique structural and functional consequences on the RAS protein; increase RAS activation through locking it in GTP active form → bypass upstream signaling from RTK
Substitution of glycine at G12 or G13 by anything other than P
causes a steric block that stops the arginine finger of GAP from entering GTPase site of RAS → stops hydrolysis
Q61 mutations
abolish intrinsic and GAP mediated GTP hydrolysis
MYC Transcription Factor
regulates various cellular processes and has been implicated in tumorigenesis and drug resistance; tightly regulated in normal cells through proliferative arrest, apoptosis, and cellular senescence
MYC encodes
nuclear phosphoprotein that regulates growth, cell cycles, differentiation, apoptosis, and angiogenesis
c-MYC, L-MYC, N-MYC
all contain domain, N-terminal region with the MYC boxes, central region, stability control, and C-terminal with the helix-loop leucine zipper
P53
tumor suppressor, guardian of the genome; regulates DNA damage, cell cycle regulation, and apoptosis
TP53 gene family
can generate multiple transcript variants and isoforms that vary in properties → TP63 and TP73
Full length p53
393 amino acids; N-terminal transactivation domain, DNA binding central domain, C terminal tetramerization domain
Activation of RTKs Step 1
Dimerization; ligand binding causes receptor dimerization bringing the two cytoplasmic domains together and promoting activation by cross-phosphorylation at specific tyrosine residues by activated kinase domains
Adaptor/Docking Proteins
do not have kinase activity → cannot phosphorylate proteins; multi-domain structures that CAN assemble signaling networks
Adaptor/Docking Examples
Grb2, Crk, Nck, Shc
Sh2 vs Sh3 Binding
phosphotyrosine vs proline rich regions
IGF-IR Receptor
heterotetramer; two alpha subunits linked by disulfide bridges; K1003 is important for ATP binding → if mutated it cannot become activated bc it loses kinase activity
Pleckstrin Homology Domain (PH)
binds phosphorylated inositol phospholipid at membrane
Phosphotyrosine Binding Domain (PTB) and Src Homology 2 Domain (SH2)
both bind phosphotyrosine
Src Homology 3 Domain (SH3)
binds proline rich motifs (PXXP)
EphA1 binds
ephrinA1 → anti oncogenic (promotes degradation) and progranulin → oncogenic (promotes phosphorylation)
In the presence of EphrinA1 (canonical signaling)
EphA2 has desphosphorylated Ser897 → inhibition of cancer cell motility and invasion
EphrinA1-independent progranulin Akt or RSK activation (noncanonical signaling)
EphA2 phosphorylation at Ser897 → enhances EphA2 oncogenic activity
Bladder Cancer Theory
progranulin-induced MAPK and Akt-dependent EphA2 phosphorylation on S897 drives progranulin/EphA2 signaling and tumorigenesis
Ubiquitination regulates
RTK trafficking (endocytosis → clatrin-independent or clatrin-dependent)
Internalization of RTK
clatrin-coated or lipid raft → internalized in endosome → eventually degraded; surface and internal levels are equal