1. Chapt. 18 Cancer Molecular Biology of Cancer Student Learning Outcomes : Describe cancer – diseases in which cells no longer respond Describe how cancers come from genomic mutations (inherited or somatic) Explain how some gain of function mutations in proto-oncogenes cause oncogenes Growth factors, receptors, Ras, cyclins Explain how loss of function of tumor- suppressor genes leads to cancer P53, Rb, regulators of Ras

2. Karyotype analysis can reveal translocation Karyotype analysis reveals transloction of chromosome 22 to 9 in CML chronic myelogenous leukemia has fusion protein Bcr-Abl Fig. 18.1

3. Cancers involve sequential mutations Fig. 18.1 Cancer involves sequential accumulation of mutations in genes involved in normal cell growth and differentiation: cancer cells do not respond to normal constraints cancer cells are immortal increasing abnormalities, lack attachment Can inherit one bad gene

4. Damage to DNA can lead to mutaitons Fig. 18.2 nitrosoamine causes GC -> AT mutations A. Chemical and physical agents can damage DNA: Break DNA chains Cause translocations Modify bases DNA damage can be repaired; mutations if not repaired Carcinogens are mutagens (see chapter 13)

5. B. Gain-of-function mutations in Proto-ongogenes Fig. 18.3 Proto-oncogenes have normal roles for cell growth, proliferation: Mutate to Oncogenes Mutate so function better. in absence of normal activating signals: Overexpress Hyperactive protein Fusion protein Controlled by other promoter (inappropriate)

6. Mutations in DNA repair enzymes can cause cancer: DNA repair enzymes can correct damage They are tumor-suppressor genes (need to mutate both) Breast cancer linked to Brca1, Brca2 mutations Xeroderma pigmentosum to excision repair HNPCC (hereditary nonpolyposis colorectal cancer) linked to mutations in mismatch repair enzymes

7. Table 1 examples of oncogenes Classes of oncogenesgenemechanism Growth factor platelet-derived growth factorsisoverexpression Growth factor receptor platelet-derived gf receptorPDGFRtranslocation Signal transduction G-proteinsRaspoint mutation tyr kinaseabltranslocation Hormone receptors retinoid receptorRARatranslocation Transcription factorsMycamplification Cell-cycle regulators cyclinscyclin Damplification cyclin-dependent kinaseCDK4point mutation

8. Oncogenes and signal transduction pathways Growth factor signaling pathways provide sites for proto-oncogene transforming mutations: Only need to mutate one allele (one gene) Dominant effect See Table 1 Fig. 18.4

9. Signal transduction proteins and phosphorylation cascade Fig. 18.5 Phosphorylation cascade from activated Ras (Ras-GTP) Ras activates ser/thr kinase Raf Raf is a MAPKKK (mitogen-activated protein Kinase kinase kinase) Raf activates MEK (a MAPKK) MEK activates MAP kinase MAP kinase phosphorylates many proteins Transcription factors can mutate to oncogenes Mutations that keep proteins active cause cell proliferation

10. Oncogenes and the Cell cycle Fig. 18.6 Cyclins and cyclin-dependent kinases (CDK) control passage through cell cycle: Different cyclins and CDKs control different points Cyclins transient; cdks persist Go is quiescent cell G 1 -> S transition is critical Commits to replication Responds to hormones G 2 -> M spindle check

11. Cyclin-CDK Cyclins are synthesized, function to bind CDK, and degraded CKIs are cyclin-dependent kinase inhibitors CDKs are also regulated: activated by PO 4 (by CAK cyclin- activating kinases) inhibited by additional PO 4 Oncogenes include: Overactive cyclins, mutant cdks Fig. 18.7

12. Control of G1/S transition in cell cycle: Fig. 18.8 Control of G1/S is critical: regulation of E2F by Rb, CDK, cyclin CKI include p21, p16 (INK)

13. IV. Tumor-suppressor genes Tumor-suppressor genes encode proteins that inhibit cell proliferation: mutate both copies Table 18.2 classproteinlocation Adhesion proteinE-cadherincell surface Signal transductionNF-1under membrane Transcription factor cell-cycle regulatorp16 (INK4)nucleus Rbnucleus Cell cycle/ apoptosis p53nucleus DNA repairBRCA1nucleus

14. A. Some tumor suppressors regulate cell cycle directly Retinoblastoma (Rb) protein binds E2F, prevents transcription and G1/S until signal: (Fig. 18.8) Mutate both copies Cell loses control Hereditary cancer tendency Fig. 18.9

15. Phosphorylation controls transition G1 to S: cycD-Cdk inactivates Rb ->E2F activates transcription Genetics 15.12A

16. Phosphorylation controls transition G1 to S: E2F activated transcription: cyclins A, E and Cdk2 activate prereplication complexes Genetics Fig 15.12 B

17. P53 is guardian of genome P53 responds to DNA damage: stops cell cycle to permit repair (or cell suicide – apoptosis) P53 mutated in 50% of tumors Induction of p21 stops cyclin-CDK Induction of GADD stops replicaiton, permits repair Fig. 18.10

18. Some tumor suppressors affect receptors, signal transduction Fig. 18.11 1. Regulators of Ras are tumor suppressors: GAP proteins (GTPase) bind active Ras, stop signal NF-1 (neurofibromin) is GAP for RAS in neuronal tissue Mutated NF-1 give neurofibromatosis

19. 2. Tumor suppressors and proto-oncogenes Tumor suppressors and proto-oncogenes in path: Patched inhibits Smoothened, coreceptor HH ligand binding releases inhibition, activating signal S is proto-oncogene; mutation can keep active P is tumor suppressor; mutations ruining keep S active Fig. 18.12

20. Tumor suppressor genes can affect cell adhesion Tumor cells metastasize, lose cell adhesion: Normal adhesion from cadherins, link cytoskeleton Mutated cadherins promote cell migration  -catenin also transcription factor; Bound by inhibitor APC APC is tumor suppressor Fig. 18.13

21. Cancer involves sequential mutations Cancer involves sequential mutations that increase aberrant cell activity: 2-hit model: mutations in at least two different types of genes (tumor suppressor, oncogene) (also lack of apoptosis) Fig. 18.18

22. Cancer is many different diseases Fig. 18.19 Cancer is many different diseases at the molecular level: not all colon cancers have same defect defects in particular signaling pathways can cause cancers in different tissues

23. Viruses can also cause cancer RNA retroviruses: HTLV-1 adult T cell luekemia HIV immunosuppression non-Hodgkins lymphoma Hepatitis C liver DNA viruses: HPV: cervical cancer Epstein Barr (a herpesvirus) – interfere apoptosis

24. Review questions 2. The mechanism through which Ras becomes an oncogenic protein is which of the following? A.Ras remains bound to GAP B.Ras can no longer bind cAMP C.Ras has lost its GTPase activity D.Ras can no longer bind GTP E.Ras can no longer be phosphorylated by MAP kinase