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The Genetics of Cancer
1
PARTIV
4.1 Cancer: A Failure of Control over Cell Division
4.2 Common signaling molecules
4.3 Cell Cycle Regulation
OUTLINE
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The relative percentages of new cancers in theUnited States that occur at different sites
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Two unifying themes about cancer genetics
Cancer is a disease of genes
Multiple cancer phenotypes arise from mutations ingenes that regulate cell growth and division
Environmental chemicals increase mutation rates andincrease chances of cancer
Cancer has a different inheritance pattern than other geneticdisorders
Inherited mutations can predispose to cancer, but themutations causing cancer occur in somatic cells
Mutations accumulate in clonal descendants of asingle cell
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Overview of the initiation of cell division
Two basic types of signals that tell cells whether to divide,metabolize, or die
Extracellular signalsact over long or short distances
Collectively known as hormones
Steroids, peptides, or proteins
Cell-bound signalsrequire direct contact between cells
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An example of an extracellular signalthat acts over large distances
Thyroid-stimulatinghormone (TSH) producedin pituitary gland
Moves through blood to
thyroid gland, whichexpresses thyroxine
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An example of an extracellular signal that ismediated by cell-to-cell contact
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Each signaling system has four components
Growth factors Extracellular hormones or cell-bound signals that
stimulate or inhibit cell proliferation
Receptors
Comprised of a signal-binding site outside the cell, atransmembrane segment, and an intracellular domain
Signal transducers
Located in cytoplasm
Transcription factors
Activate expression of specific genes to either promoteor inhibit cell proliferation
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Hormones transmit signals into cells throughreceptors that span the cellular membrane
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Signaling systemscan stimulate or
inhibit growth
Signal transduction -
activation or inhibition ofintracellular targets afterbinding of growth factorto its receptor
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RAS is an intracellular signaling molecule
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Cancer phenotypes result from theaccumulation of mutations
Mutations are in genes controlling proliferation as well asother processes
Result in a clone of cells that overgrows normal cells
Cancer phenotypes include:
Uncontrolled cell growth
Genomic and karyotypic instability
Potential for immortality
Ability to invade and disrupt local and distant tissues
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Phenotypic changes that produceuncontrolled cell growth
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Au tocr ine st imulation:
Cancer cells can maketheir own stimulatory
signals
Loss of con tact inhib i t ion:
Growth of cancer cellsdoesn't stop when thecells contact each other
a.1
a.2
Most normal cells Many cancer cells
Most normal cells Many cancer cells
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Phenotypic changes that produceuncontrolled cell growth (cont)
Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17
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Loss o f cel l death:
Cancer cells are moreresistant to programmedcell death (apoptosis)
Loss of gap junct ions:
Cancer cells lose channelsfor communicating withadjacent cells
a.3
a.4
Most normal cells Many cancer cells
Most normal cells Many cancer cells
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Phenotypic changes that producegenomic and karyotypic instability
Defects in DNA repl icat ionmachinery:
Cancer cells have lost the abilityto replicate their DNA accurately
Increased mutation rates canoccur because of defects inDNA replication machinery
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b.1
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Phenotypic changes that producegenomic and karyotypic instability (cont)
Inc reased rate of
chrom osom al aberrations:
Cancer cells often havechromosome rearrangements
(translocations, deletions,aneuploidy, etc)
Some rearrangements appearregularly in specific tumortypes
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Fig. 17.4b.2
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Phenotypic changes that enable a tumor todisrupt local tissue and invade distant tissues
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Ab i l i ty to m etastasize:
Tumor cells can invadethe surrounding tissueand travel through thebloodstream
Angiogenesis:
Tumor cells can secretesubstances that promotegrowth of blood vessels
d.1
d.2
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Evidence from mouse models that cancer iscaused by several mutations
Transgenic mice with dominantmutations in the mycgene andin the rasgene
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Fig. 17.5a
(b)(a)
Mice with recessive mutationsin the p53 gene
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The incidence of some common cancersvaries between countries
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The role of environmental mutagens in cancer
Concordance for the same type of cancer in first degreerelatives (i.e. siblings) is low for most forms of cancer
The incidence of some cancers varies between countries
When a population migrates to a new location, the
cancer profile becomes like that of the indigenouspopulation
Numerous environmental agents are mutagens and increasethe likelihood of cancer
Some viruses, cigarette smoke
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Some families have a genetic predispositionto certain types of cancer
Example: retinoblastoma
caused by mutations in RBgene
Individuals who inherit onecopy of the RBallele areprone to cancer of the retina
During proliferation of retinalcells, the RB+allele is lost or
mutated
Tumors develop as a cloneof RB/RB cells
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Cancer is thought to arise by successivemutations in a clone of proliferating cells
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Cancer-producing mutations areof two general types
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Oncogenes act dominantly and causeincreased proliferation
Oncogenes are produced when mutations cause improperactivation a gene
Two approaches to identifying oncogenes:
Tumor-causing viruses
Many tumor viruses in animals are retroviruses
Some DNA viruses carry oncogenes [e.g. Humanpapillomavirus (HPV)]
Tumor DNA
Transform normal mouse cells in culture with human tumorDNA
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Cancer-causing retroviruses carry a mutant oroverexpressed copy of a cellular gene
After infection, retroviral genome integrates into hostgenome
If the retrovirus integrates near a proto-oncogene, the proto-oncogene can be packaged with the viral genome
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The RAS oncogene is the mutant form of theRAS proto-oncogene
Normal RAS is inactive until it becomes activated bybinding of growth factors to their receptors
Oncogenic forms of RAS are constitutively activated
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Oncogenes are members of signaltransduction systems
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Cancer can be caused by mutations thatimproperly inactivate tumor suppressor genes
Function of normal allele of tumor suppressor genes is tocontrol cell proliferation
Mutant tumor suppressor alleles act recessively and causeincreased cell proliferation
Tumor suppressor genes identified through genetic analysisof families with inherited predisposition to cancer
Inheritance of a mutant tumor suppressor allele
One normal allele sufficient for normal cell proliferationin heterozygotes
Wild-type allele in somatic cells of heterozygote can belost or mutated abnormal cell proliferation
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The retinoblastoma tumor-suppressor gene
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The normalcontrol of cell
divisionFour phases of the cellcycle:
G1
, S, G2
, and M
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Some important cell-cycle andDNA repair genes
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CDKs interact with cyclins and control the cellcycle by phosphorylating other proteins
Cyclin-dependent kinases (CDKs)family of kinases thatregulate the transition from G1 to S and from G2 to M
Cyclinspecifies the protein targets for CDK
Phosphorylation by CDKs can activate or inactive a protein
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CDKs control the dissolution of thenuclear membrane at mitosis
Laminsprovide structural support to the nucleus
Form an insoluble matrix during most of the cell cycle
At mitosis, lamins are phosphorylated by CDKs and becomesoluble
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CDKs mediate the transition from the G1to theS phase of the cell cycle
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CDK activity in yeast is controlled byphosphorylation and dephosphorylation
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Cell-cycle checkpoints ensuregenomic stability
Checkpoints monitor the genome and cell-cycle machinerybefore allowing progression to the next stage of cell cycle
G1-to-S checkpoint
DNA synthesis can be delayed to allow time for repair
of DNA that was damaged during G1
The G2-to-M checkpoint
Mitosis can be delayed to allow time for repair of DNAthat was damaged during G2
Spindle checkpoint
Monitors formation of mitotic spindle and engagementof all pairs of sister chromatids
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The G1-to-S checkpoint is activatedby DNA damage
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Disruption of the G1-to-S checkpoint inp53-deficient cells can lead to amplified DNA
Tumor cells often have homogenously staining regions(HSRs) or small, extrachromosomal pieces of DNA (doubleminutes)
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Disruption of the G1-to-S checkpoint inp53-deficient cells can lead to many types of
chromosome rearrangements
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The necessity of checkpoints
Checkpoints are not essential for cell division
Cells with defective checkpoints are viable and divide atnormal rates
But, they are much more vulnerable to DNA damage
than normal cells
Checkpoints help prevent transmission of three kinds ofgenomic instability
Chromosome aberrations
Changes in ploidy
Aneuploidy
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Chromosome painting can be used to detectchromosome rearrangements
Chromosomes from normalcells
Chromosomes from tumorcells