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CBIO 2: oncogenes and tumour suppressor genes

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Lecture notes from Imperial College London, Medical Biosciences BSc, 2nd year, Cancer Biology (CBIO) module For a cancer to be initiated, certain changes must take place within the genes of a cell. These genes usually control the process of cells growing and reproducing only as required, in an orderly and controlled way (cell proliferation, differentiation, and survival). Studies of tumour viruses revealed that specific genes (called oncogenes) are capable of inducing oncogenic cell changes, providing the first clues into the molecular basis of cancer. However, the majority (approximately 80%) of human cancers are not induced by viruses but arise from other causes, including radiation and chemical carcinogens (substances capable of causing cancer in a living cell). The key link between viral and cellular oncogenes was provided by studies of highly oncogenic retroviruses. There are two distinct types of genetic changes involved in tumour development: 1) activation of oncogenes and 2) inactivation of tumour suppressor genes.

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Oncogenes & tumour suppressor genes
- tumour dvlp: activation of oncogenes, inactivation of tumour suppressor genes

Key concepts
- proto-oncogene = normal gene which, when changed by a mutation becomes an oncogene
- oncogene = encodes for a p whose activation, overexpression or mutation promotes oncogenesis
- oncogenesis = carcinogenesis = process through which healthy cells become cancer cells
- oncovirus = virus that can cause cancer
- retrovirus = copy & integrate their genome into the chr of a host cell (HIV, virus of AIDS...)

Tumour suppressor genes TP53, APC, pTEN, BRCA1, Bax, RB-1

- normal gene which can slow down cell growth/ division, repair DNA mistakes & promote apoptosis
=> if absence, repression, inactivation, loss-of-function mutation: cancer
=> like a brake pedal of a car
- 1 functional copy of the gene produces enough p to prevent oncogenesis
=> both copies need to be mutated to inactivate gene
=> mutations in tumour suppressor genes are recessive


- inherited abnormalities in familial cancer syndromes (APC gene mutation => colon cancer)
=> BUT most are acquired (TP53 mutation => codes for p53 => more than half human cancers)


- gatekeeper tumour suppressor gene: negatively regulate cell growth (ex: Rb)
=> inhibit proliferation or angiogenesis, induce apoptosis or cell adhesion
- caretaker tumour suppressor gene: maintain chr integrity (ex: p53)
=> repair DNA damage




Retinoblastoma
- rare, affects children: cancerous tumour of the retina (specifically in light-sensitive lining)

, (or deletion long arm chr 13: 13q deletion)
- during dvlp: retinal cells grow rapidly but stop => when continue: retinoblastoma
- 40%: mutation in RB1 gene (inherited/ acquired in early dvlp) => bilateral (affects both eyes)
60%: no mutation (not understood) => unilateral (affects 1 eye)


- if detected early: 95% treatment success (can be fatal)



- G1 checkpoint before replication (S)
=> transcription factor E2F allow cells to enter S-phase
=> start the building of proteins/ enzymes for replication
=> E2F inactivated by Rb protein (1 is sufficient)
=> replication IF Rb inactivated by phosphorylation
=> if mutation => continuous replication => cancer
(can’t bind E2F) Cyclini
(Dk4/6

- “two-hit” Knudson hypothesis of tumour suppressor genes:
=> both copies need to be mutated to inactivate gene
=> inherited: inherited mutation = 1st hit ; mutation of normal copy = 2nd hit
=> spontaneous: 2 mutations (lower chances and require more time: older & only 1 tumour)


- at cellular level: recessive BUT if inherited mutation => predisposition passed as a dominant trait
(only need 1 mutation in the normal allele)


- RB1 mutated in most cancers:


- Loss of Heterozygosity (LOH)
involved in cancer dvlp: loss of a
wild type allele, loss/ inactivation
of a gene, duplication allele...




P53 tumour suppressor - guardian of the genome
- transcription factor p53: encoded by TP53 on chr 17
=> prevents mutations + stabilises genome

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