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The molecular biology of cancer

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The definition of cancer The 6 hallmarks Oncogenes Tumour suppressor genes

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  • October 27, 2021
  • 8
  • 2021/2022
  • Lecture notes
  • Terry roberts
  • All classes
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chandnisolanki
1) The Molecular Biology of Cancer
What is ‘Cancer’? –
 Disease characterised by uncontrolled cellular proliferation leading to invasion of
surrounding tissues & spread/metastasis to distant regions of the body

Benign tumour (non-cancerous) ‘Gentle & kind’


Neoplasm

Malignant tumour (cancerous) ‘Evil’




What makes normal cells cancerous? –
 6 properties that underlie the development of almost all cancer cells




1) Self-sufficiency in growth signals –
 Normal cells are required to grow + divide in a controlled manner
E.g. during development, tissue homeostasis, wound healing,
immune reactions
 They receive external signals (e.g. growth factors, hormones, cytokines)
Tell them to activate growth pathways
 FGF
 PDGF
 When signals stop, normal cells stop growing
 Cancerous cells can produce their own signals or have permanently active receptors
+ growth pathways
E.g. EGFR, MAPK pathway
 They no longer need external stimuli to grow – they are SELF SUFFICIENT
 Many pronto oncogenes fall into this category

, 2) Insensitivity to anti-growth signals –
 Control of cell growth = multi-layered
Growth (+) signals
Anti-growth (-) signals
 Anti-growth signals activate cell cycle checkpoints
Stop cell from dividing
 Checkpoints act as ‘brakes’ to stop cell division if there is problem (e.g. DNA
damage, chromosomal instability)
 TGF-β = anti-growth signal
 These signals usually act to keep the Retinoblastoma protein active
Keeps brakes on cell division
 Rb = tumour suppressor gene


3) Evading apoptosis –
 Apoptosis = programmed cell death
 Organised & efficient
Gets rid of damaged/unwanted cells
 Signals come extrinsically (outside the cell) or intrinsically (inside the cell)
Cell bsc commits suicide
 Cancerous cells normally disrupt + evade intrinsic apoptosis pathway
Frequently by mutation of p53 (a gatekeeper)
Or overexpression of anti-apoptotic proteins (BCL2)
 p53 = ‘guardian of the genome’ = tumour suppressor gene (is mutated in half of all
cancers)


4) Limitless replicative potential –
 Cells contain a timer
Keeps track of their age (how many times they’ve divided)
 Most cells only divide a limited number of times
HAYFLICK NUMBER
 After 40-60 divisions the cell stops dividing + enters senescence
 Molecular clock = telomeres that cap the chromosome ends
 With each replication, some telomere DNA is lost
When all the telomere is lost, the cell stops dividing
 Cancerous cells reverse telomerase loss by activating ‘Telomerase’ enzyme or
‘alternative lengthening of telomeres’ pathway
 Immortality comes at a price as DNA damage increases

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