Genetics Ch 19 – Flashcards

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Possible genomic alterations due to cancer?
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Single nucleotide substitutions Chromosomal rearrangements Amplifications Deletions
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What cells cause cancer?
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Somatic cells Only 5% associated w/ germ line
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Cancer is a ____ disease at the level of ____ cells
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Genetic, somatic
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Cancer is a result of?
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Mutated gene products or abnormally expressed genes
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2 properties of cancer cells?
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Unregulated cell proliferation Metastatic spread
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Benign tumors?
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Unregulated cell growth that forms a multicellular mass - removed by surgery and causes no serious harm
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Malignant tumors?
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Metastasized cells invading other tissue -life-threatening
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Clonal cell?
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Common ancestral origin cell in tumors
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What demonstrates that cancer cells are clonal?
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Reciprocal translocations (same translocations) and X-inactivation (same inactivated X)
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Burkitt's lymphoma clonal cells?
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Lymphoma cells have identical translocation breakpoints
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Ratio of people who suffer from cancer in a lifetime?
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1/3
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Age-related incidence of cancer indicates what?
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That cancer develops from accumulation of sever mutagenic events in a single cell
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What is necessary for a cell to become malignant?
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Both independent and random mutations
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Delay b/w exposure to carcinogen and appearance of cancer is an indication of what? Ex?
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Cancer is a multi-step process Ex: Leukemia from Hiroshima incubated 5-8 years
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Tumorigenesis?
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Development of a malignant tumor resulting from 2 or more genetic alterations
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APC gene?
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Tumor-suppressor gene that encodes protein involved in differentiation of intestinal cells - controls cell-cell contact and growth inhibition
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Due to APC, what is necessary for colorectal cancer?
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Inactivating mutations in the APC gene
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Types of mutations in tumors?
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Driver Mutations - Give growth advantage to tumor cells Passenger Mutations - Have no direct contribution to cancer phenotype
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Common genetic defects of cancer cells?
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Mutation Genomic Instability Chromosomal Abnormalities Change in DNA methylation patterns Change in chromatin modifications
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How does genomic instability manifest in cancer cells?
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Translocations Aneupoloidy DNA Amplification Chromosome loss Chromosomal deletions
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Double Minutes? Found in?
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DNA amplification of two cancer genes (MYCN and MYDM2) - amplified as small DNA fragments separate from DNA Neuroblastoma Cells
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Heterogeneous staining? Found in?
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Multiple copies of the MYCN gene are amplified within one large region called a heterogeneous staining region Neuroblastoma Cells
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Inherited cancers? Examples?
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Defects in genes that control DNA repair Xeroderma pigmentosum CML (Leukemia) HNPCC (Colorectal cancer)
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CML?
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Translocation b/w chromosomes 9 and 22 which creates a chimeric protein - Caused by defect in DNA repair Constantly stimulates proliferation
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HNPCC? Increases chance of what cancers?
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Autosomal Dominant - Mutations to 6 DNA mismatch repair genes Increases chances of developing colon, ovary, uterine, and kidney cancers
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Epigenetics? Ex?
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Study of factors that affect gene expression but do not alter sequence of DNA - may be somatic or germ cells Histone acetylation and phosphorylation in DNA
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DNA methylation is responsible for?
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Gene silencing Heterochromatin gene expression X chromosome inactivation
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Histone modifications?
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Histones disrupted in cancer cells Genes that encode histone acetylases, deacetylases, methyltransferases, and demethylases are often mutated or aberrantly expressed in cancer cells
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Possible chromatin modifications?
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Location or Promoter mutations Repair genes hypermethylated Transcriptionally silenced areas Mutated acetylation genes
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Purpose of cell cycle? How is it regulated? How are these regulations affected in cancer cells?
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To replace dead/damaged tissue Checkpoints (G1/S, G2/M, and M) Mutations lead to uncontrolled proliferation
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What is signal transduction? Are pathways functional in cancer?
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The process of transmitting growth signals from the external environment to the cell nucleus. Cancer cells have defective pathways
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Cyclins and CDKs?
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Responsible for cell cycle control Complex phosphorylates proteins to advance cell cycle. CDK breaks down Cyclins.
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Apoptosis?
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Programmed cell death - occurs when DNA or chromosomal damage is too severe to repair and prevents cancer
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Caspases?
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Proteases that initiate apoptosis and digest intracellular components
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Control of apoptosis?
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Heterodimers w/ BAX and Bcl2 BAX-BAX promotes apoptosis, BAX-Bcl2 is inactive, and Bcl2-Bcl2 blocks apoptosis
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Proto-oncogenes? Ex?
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Genes promoting cell growth and division Cyclins, c-kit
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What do proto-oncogenes encode?
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TFs that stimulate expression of other genes Signal transduction to stimulate cell division Cell-cycle regulators
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Oncogene?
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Mutated proto-oncogene that contributes to cancer - stimulates cell division
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Oncogene mutation is what kind of mutation?
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Gain-of-Function
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Functions of tumor suppressor genes?
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Regulate cell cycle checkpoints Initiation of apoptosis Mutations to these lead to cancer
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Most frequently mutated genes in human tumors?
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ras family genes
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ras genes?
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Encode signal transduction - regulate cell growth/division
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Oncogene mutations to ras genes cause what functional mutation?
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Prevention of ras to hydrolyze GTP which leads to constant cell proliferation (GDP inactive, GTP active)
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Most frequently mutated gene?
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p53 Tumor-Suppressor Gene
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Function of p53 TSG?
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Encodes TF that represses/stimulates transcription of genes
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p53 TSG mechanism?
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Bound to Mdm2 and is activated by ds breaks or chemical DNA damage so Mdm2 dissociates Will either arrest cell cycle or initiate apoptosis
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p53 action of arresting cell cycle in G1/S? S? Apotosis?
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G1/S - stimulates p21 which prevents cyclin activation S phase - activates proteins that slow DNA replication, giving it time to repair Apoptosis - Increases BAX gene, represses Bcl2 gene
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Guardian of the Genome?
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p53 TSG
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Cells lacking p53?
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Cannot arrest cell cycle or enter apoptosis No p21 stimulation and No BAX gene activation
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RB1 TSG mechanism?
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Mutation to both alleles causes cancer (RB1/RB1 instead of +/+)
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Familial retinoblastoma? Sporadic retinoblastoma?
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Mutated RB1 inherited so only 1 independent mutation is necessary Requires 2 independent mutation events in the same cell
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RB1 controls what checkpoint?
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G1/S
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What can cancer cells digest? START
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Extracellular matrix and basal lamina
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How many metastatic cells become metastatic tumors?
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0.01%
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Metastatic tumors are controlled by what genes?
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Cell adhesion and Proteolytic enzymes
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Proteolytic enzymes? Ex?
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Present at higher than normal levels in highly malignant tumors - not susceptible to normal controls and regulatory molecules Metalloproteinases
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Philadelphia Chromosome? Causes?
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Translocation b/w 9 and 22 - causes Leukemia (CML)
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What 3 things does p53 bind to?
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p21 - no transcription Bax - apoptosis Mdm2 - prevents conversion to active form
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Gene expressed when Breast cancer cells metastasize to bone? Lung?
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MMP1 MMP1 and MMP2
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Level of aggressiveness of a tumor correlates with?
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Levels of proteolytic enzyme activity expressed by the tumor
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Metastasis suppressor genes in metastatic tumors? Ex?
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Are mutated/disrupted in metastatic tumors - less than a dozen identified CD82 - expression lost in metastatic tumors by epigenetic mechanism (not nucleotide mutation)
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Most cancers result from?
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Somatic cell mutations
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How many forms of hereditary cancer have been identified?
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50
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Essential first step in expression of inherited cancers?
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Loss of Heterozygosity - Phenomenon where second wild-type allele is mutated in tumor
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Predisposition? Exs?
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Predisposition to some cancers can be inherited by somatic mutation in the gene, usually other mutations necessary for cancer to be expressed Familial Adenomatous Polyposis (FAP), Breast cancer w/ mutation to BRCA1, Familial Retinoblastoma
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FAP?
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Familial Adenomatous Polyposis - genetic disposition to cancer caused by mutant copy of APC gene on long arm of chromosome 5 - may cause deletions/frameshift/point mutations Causes proliferating epithelium of colon leading to cancer
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Heterozygous APC gene?
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Causes rectal polyps or adenomas in early life - second mutation leads to later stage of cancer
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Retroviruses? Enzyme necesary?
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RNA viruses - cause cancer Reverse transcriptase - copies RNA to DNA
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Retrovirus mode of action in cell?
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Integrates into genome as provirus which is replicated with host DNA during cell cycle
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Ways to stop retroviruses?
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Inhibit reverse transcriptase, prevent binding/entering cell, prevent integration into genome
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Most animal viruses that cause cancer are?
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Retroviruses
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Acute transforming retroviruses? What do they carry?
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Transform cells into cancer cells - carry cell-derived oncogenes and transfer proto-oncogene from host to viral genome
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3 ways a retrovirus can cause cancer?
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Proviral DNA integrates near proto-oncogenes and stimulates high levels of transcription Acute Transforming Retroviruses Normal retrovirus w/ normal viral gene can stimulate inappropriate cell growth
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Acute retroviruses in humans?
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None have been identified
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Occurrence of cancer due to viruses in humans?
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15% of cancer - 2nd most after tobacco
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Human retrovirus examples?
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HIV Human T-cell Leukemia Virus (HTLV-1)
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Human DNA virus examples?
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Epstein-Barr virus Hep B/C Human Papilloma viruses Herpesvirus
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What makes a substance carcinogenic?
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Causing mutations to proto-oncogenes or tumor-suppressor genes
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Environmental carcinogen examples?
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Tobacco smoke, red meat/animal fat (colon, prostate, breast), and alcohol (liver)
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Natural carcinogen examples?
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Aflatoxin - mold on bread/corn Nitrosamines - meat preservative Pesticides Asbestos
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Ionizing radiation causes cancer how?
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X-rays and Gamma rays
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Radon gas? Contributes to what kind of cancer?
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Responsible for 50% of ionizing radiation exposure to the US population and contributes to lung cancer
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The genetic basis for cancer is usually?
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The accumulation of several mutations
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The most significant general defect of cancer cells is?
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Inability to repair DNA damage
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What marks the completion of mitosis?
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Cyclin B degraded
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Examples of Tumor-Suppressor Genes?
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RB1 APC p53 BRCA1, BRCA2
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Ras gene pathway?
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Growth factor binds to plasma membrane and causes release of GDP-GTP exchange factor in cytoplasm. Ras exchanges GTP for active or GDP for inactive. GTP leads to cascades of activated proteins ending with Map kinase which activates transcription factors in the nucleus.
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Difference between Retinoblastoma that inactivates TFs and Retinoblastoma that allows active TFs? What causes activation of TFs?
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RB binds to TFs in its normal state, but when RB is bound to 2 PO4 molecules then it allows activity of TFs. CDK4/Cyclin complex phosphorylates RB
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Why are cyclins expressed at different times and at different levels during the cell cycle? Examples?
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Different cyclins combine with protein kinases at different stages of the cell cycle to affect the cell cycle. Cyclin B combines with CDK1 to move the cell cycle past the G2/M transition. Other cyclins combine with CDK4 (and CDK1?) to move the cell cycle from G1 to S
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The function of the ras gene family involves ________.
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Signal Transduction
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What is the role of the p53 protein in the cell cycle in normal cells?
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It temporarily arrests the cell cycle in G1 before entering S.
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How do we know that cancer cells contain defects in DNA Repair?
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Cancers such as xeroderma pigmentosum and HNPCC
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How do we know cancer development requires more than one mutation?
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Process such as tumorigenesis and age dependence in cancer - also events like hiroshima
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Is there more or less DNA methylation in cancer cells? Cancer promoters?
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Less in cancer cells Cancer promoters, however, are hypermethylated
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Are there more genetic mutations or epigenetic mutations in cancer cells?
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Epigenetic
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Function of kinases? What regulates kinases in the cell cycle?
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Regulates proteins by phosphorylating them Cyclins bind to kinases switching them on and off (cyclins activate CDKs to phosphorylate M phase proteins at G2/M)
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What is the function of the pRB tumor-suppressor? Mechanism?
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Controls the G1/S checkpoint When it is not phosphorylated, pRB binds to E2F arresting the cell cycle. When phosphorylated, E2F is released and if Cyclins bind to CDK4 then the cycle proceeds to the S phase.
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Inheritance vs. Predisposition?
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Inheritance is if the genetic circumstance is present, the phenotype will be expressed. Predisposition is a pattern in a phenotype being expressed but it may manifest in different ways or not manifest at all.
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Husband has a sister with retinoblastoma in both eyes, wife is normal. RB has 90% penetrance. Probability of husband getting gene? Probability husband has gene and does not express? Probability of child having gene? Probability of child having RB?
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0.5 0.05 0.025 0.0225
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Why is a mutated single copy of a tumor-suppressor gene expected to behave as a recessive gene? Why is oncogene dominant?
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If the mutated gene was dominant, it would be impossible to be transported to the offspring, since the organism that carries this gene would not survive because of cancer. Loss of function. Gain of function - leads to continuous division.
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How does the Ras protein transmit a signal from outside the cell into the cytoplasm? What happens in cases where the ras gene is mutated?
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Activated ras proteins transduce a signal which activates transcription of genes that start cell division. It continually signals cell division.
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BRCA1 function? Ex?
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Repairing DNA damage - often w/ BRCA2 and mRAD51 Does this in S phase arresting w/ p53
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Kinases that activate p53?
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ATM or Chk2
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How do translocations such as the Philadelphia chromosome contribute to cancer?
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Genetic mapping established that certain genes were combined to form a hybrid oncogene ( BCR/ABL ) that encodes a 200kDa protein that has been implicated in the formation of chronic myelogenous leukemia.
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What does the transcription of p21 do?
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Arrests the cell cycle at the G1/S checkpoint by inhibiting the CDK4/Cyclin D! complex.
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How might hypermethylation of the p53 gene promoter influence tumorigenesis?
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The concentration of the p53 will be decreased, the process of tumorigenesis will be stimulated.
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Mechanism for repairing breaks in DNA during cell cycle?
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Breaks activate kinases (Chk2), which phosphorylates BRCA1 and p53. p53 arrests the cell cycle while BRCA1, BRCA2, and mRAD51 repair the DNA.
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Genes associated with HNPCC include?
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MSL1, MSH2, MLH3, MSH6 (DNA mismatch repair)
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