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2. Cancer Genetics

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    An example of an extracellular signal that ismediated by cell-to-cell contact

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Hormones transmit signals into cells throughreceptors that span the cellular membrane

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Signaling systemscan stimulate or

    inhibit growth

    Signal transduction -

    activation or inhibition ofintracellular targets afterbinding of growth factorto its receptor

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    RAS is an intracellular signaling molecule

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Phenotypic changes that produceuncontrolled cell growth

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Cancer is thought to arise by successivemutations in a clone of proliferating cells

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Cancer-producing mutations areof two general types

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Oncogenes are members of signaltransduction systems

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    The retinoblastoma tumor-suppressor gene

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    The normalcontrol of cell

    divisionFour phases of the cellcycle:

    G1

    , S, G2

    , and M

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Some important cell-cycle andDNA repair genes

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    CDKs mediate the transition from the G1to theS phase of the cell cycle

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    CDK activity in yeast is controlled byphosphorylation and dephosphorylation

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    The G1-to-S checkpoint is activatedby DNA damage

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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)

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Disruption of the G1-to-S checkpoint inp53-deficient cells can lead to many types of

    chromosome rearrangements

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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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

    Copyright The McGraw-Hill Companies, Inc. Permission required to reproduce or displayHartwell et al., 4th edition, Chapter 17

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    Chromosome painting can be used to detectchromosome rearrangements

    Chromosomes from normalcells

    Chromosomes from tumorcells


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