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11 Cards in this Set

  • Front
  • Back

What are the key features of cancer cells?

- Uncontrolled proliferation


- angiogenesis


-chemo/radiotherapy resistance


- evasion of apoptosis


- invasion and metastasis

What are some factors responsible for the progression and development of cancer?

- oncogenic activation of proto-oncogenes - overactivation of GFs or proliferation proteins




- mutations in ant/pro-apoptotic proteins




- mutations in key regulatory proteins (tumour suppressor genes)

What is the function of p53?

- Tumour suppressor gene


- Works as a TF (of Apaf1, Fas, Bax, BCL2 etc. mostly intrinsic pathway proteins)


- Can bind at least 300 promoter regions


- As result of stress or damage p53 can arrest cell cycle or induce apoptosis


- mutations lead to cancer

What is the structure of p53?

- has 4 domains


- Trans-activation region


- DNA binding domain


- Oligomerisation domain


- regulatory domain


- binds DNA as a tetramer

How are protein levels of p53 regulated?

- regulated by degradation not synthesis


- Main regulator - MDM-2:


1) proteosome-mediated degradation


2) inhibits transactivation domain


3) transports p53 into cytoplasm


4) preventr transcriptional activity)

There are three independent molecular pathways that signal cellular distress to p53:

- DNA damage - indicated by kinases (phosphorylation of p53)


- Oncogene activation - Arf sequesters MDM2


- Cell stress - - kinase phosphorylates p53

Mutations of p53 are the most common mutation found in tumours. On what domain ar they usually found?

- DNA binding domain


- however, there are a range of synthetic peptides that can restore mutant p53 transcriptional activity e.g. PRIMA-1

What mutations affecting the extrinsic pathway can lead to cancer?

- FAS and TRAIL receptor mutations




- Caspase-8 (various different mutations of different effect; epigenetic silencing of gene promoter)

What mutations affecting the intrinsic pathway can lead to cancer?

- p53 - upstream regulators or targets - MDM-2


- BCL-2 oncogenic activation = decreased apoptosis (lung, breast, gastric cancers); deletions in BAK or BID


- Apaf-1 = decreased expression in melanoma


- XIAP - increased expression in many cancers


- Growth factor (survival) receptors - resutls in over stimulation of PI3-kinase/Akt pathway - inactivation of BAD = suppressed apoptosis

Anti apoptotic strategies used by cancer cells (2):

- decrease in levels or activity of pro-apoptotic molecules




- increase in levels or activity of anti-apoptotic molecules

Antiapoptotic drugs strategies:

- activate caspases - inhibiting XIAP (overexp in many cancers) with polyphenylureas




- target BCL-2 family




- use TRAIL - differential activity of killin in normal cells vs cancer cells - 80% of cancer is sensitive to TRAIL