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Cancer Biology Molecular Genetics: Meshari Alzahrani
Cancer Biology Molecular Genetics: Meshari Alzahrani
Cancer Biology Molecular Genetics: Meshari Alzahrani
James Watson
Basic Molecular Genetics
Somatic cell is any biological cell forming the body of an organism
Germ cells are cells that give rise to gametes
Gametes : is a cell that fuses with another cell
during fertilization (conception) in organisms that sexually
reproduce, witch carry half the genetic information of an individual.
Stem cells are cells that can divide through mitosis and differentiate
into diverse specialized cell types.
Basic Molecular Genetics
• somatic cells contain DNA arranged
in chromosomes.
• If a somatic cell contains chromosomes arranged
in pairs, it is called diploid and the organism is
called a diploid organism.
• The gametes of diploid organisms contain only
single unpaired chromosomes and are
called haploid.
• Each pair of chromosomes comprises one
chromosome inherited from the father and one
inherited from the mother
Basic Molecular Genetics
• In humans, somatic cells contain 46 chromosomes
organized into 23 pairs.
• By contrast, gametes of diploid organisms contain
only half as many chromosomes.
• In humans, this is 23 unpaired chromosomes.
• When two gametes (i.e. a spermatozoon and an
ovum) meet during conception, they fuse together,
creating a zygote.
• Due to the fusion of the two gametes, a human
zygote contains 46 chromosomes (i.e. 23 pairs)
Basic Molecular Genetics
• Chromosome: A distinct segment of linear DNA
containing a large number of genes. In humans
there are 23 such segments, each containing
hundreds to thousands of genes.
• Gene: A segment of DNA that contributes to the
formation of a protein, including both the introns
(noncoding regions) and the exons (coding
regions), as well as the regulatory regions
preceding and following the coding regions.
Mitosis & Meiosis
Basic Molecular Genetics
DNA is composed of 3 basic components:
Base : Pyrimidine or purine
Sugar : (2-deoxyribose)
Phosphate
The Nucleic Acid alphabet consists of 4
bases:
1. purines adenine (A)
2. purines guanine (G)
3. pyrimidines thymine (T)
4. pyrimidines cytosine (C).
5. There is a fifth base that can be
found in DNA known as 5-
nucleoside methylcytosine (5-mC).
Uracil (U) is substituted for thymine
in the case of RNA.
The combination of a base and a
sugar (deoxyribose) is referred to as
a nucleoside
DNA : deoxyribonucleic acid
Nucleobases
Hydrogen bonding occurs specifically between
the purine adenine (A) and the pyrimidine
thymine (T) and between the purine guanine
(G) and the pyrimidine cytosine (C)
The connection between repeating
phosphates and sugars creates a Helical
Chain.
In the RNA molecule, adenine base pairs with
uracil (U).
The combination of a sugar phosphate
group and a base constitutes a
nucleotide.
The double helix is made from two
polynucleotide chains, each of which
consists of a series of 5′– to 3′–sugar
phosphate links that form a backbone
from which the bases protrude.
The double helix maintains a constant
width because purines always face
pyrimidines in complementary A-T and G-
C base pairs, respectively.
Transcription
Transcription is the first step in converting DNA into protein
↓
During the process of transcription, linear DNA is converted to linear messenger RNA (mRNA)
↓
The process of translation consists of the conversion of linear mRNA to a linear set of
amino acids that will eventually form a functional protein
↓
Single strand of RNA is copied from one of the strands of DNA.
↓
The sugar element in the RNA molecule is ribose and the pyrimidine uracil substitutes for thymine
↓
RNA polymerase II is the enzyme that synthesizes the first copy of RNA
This primary strand of RNA is called heterogeneous nuclear RNA (hnRNA)
↓
hnRNA contains coding sequences (exons) of DNA and noncoding sequences (introns).
RNA : ribonucleic acid
During transcription, a section of
one DNA strand, or the other, is
used as a template for the
synthesis of mRNA.
This synthesis always occurs in a
5′ to 3′ direction.
Protein Translation
Translation of mRNA into protein occurs in the
cytoplasm where ribosomes are located.
Two other forms of RNA are important for
protein translation: transfer RNA (tRNA) and
ribosomal RNA (rRNA)
The mRNA message is translated in segments
of three adjacent nucleotides called a codon
Each codon is translated into one of 20 amino
acids
Key Points
GSTP1 glutathione-S-transferase Pi
RASSF1A RAS association domain-containing protein 1
Pca Prostate Cancer
PIN prostatic intraepithelial neoplasim
Role of DNA Methylation
in Bladder Cancer
Abnormal Mutation % Type Recourse
methylation
gene
TP53 C→T 24 urothelial dysplasia (Greenblatt et al, 1994)
transition carcinoma (Rideout et al, 1990;
in situ (CIS) Tornaletti and Pfeifer, 1995).
invasive bladder Ca (Spruck et al,1994b)
TP16 TP16 allele 27-60 primary urothelial (Chan et al, 2002; Chang et
carcinomas al,2003)
CDH1 Hypermeth - high-grade urothelial (Graff et al, 1995; Horikawa et
ylation carcinoma, al, 2003)
RASSF1A RASSF1A 97 primary bladder tumors (Lee et al, 2001)
High tumor grade, (Maruyama et al, 2001).
nonpapillary
growth pattern
muscle invasive disease
DNMT1 Hypomethy Bladder Ca. (Kimura et al,2003)
DNMT3A, lation (Jurgens et al, 1996).
DNMT3B
Key Point
Methylation occurs specifically at CpG dinucleotides in
the genome.
The presence of 5-methylcytosine in DNA can result in
spontaneous deamination to thymine and formation of
C→T transition mutations.
DNA methylation can affect gene function by
mutational events or epigenetic mechanisms.
Methylation of CpG islands associated with the
promoter region of genes may result in down-
regulation of transcription and suppression of gene
expression.
Loss of methylation of normally methylated genes can
lead to the potential for gene expression.
DNA damage & repair
DNA damage does not often lead to malignancy,
because the cell possesses multiple repair
mechanisms.
Defects in DNA repair facilitate the accumulation
of the mutations critical for tumor formation and
progression.
The cell cycle and the DNA damage response
(DDR) are closely integrated. In response to DNA
damage, the first step is to arrest the cell cycle so
that the DNA can be repaired. TP53 plays a key
role at this interface.
Key Point
Nucleotide excision repair (NER) is a major
defense against
DNA damage caused by ultraviolet radiation
and chemical exposure.
Base excision repair (BER) repairs damage
caused by spontaneous
deamination of bases, radiation, oxidative
stress alkylating agents, and replication errors.
Key Point
Mismatch repair (MMR) removes nucleotides
mispaired by DNA polymerase.
Double-stranded break repair (DSBR) is a
major defense against DNA damage caused by
ionizing radiation, free radicals, and chemicals.
Many syndromes involving inherited defects in
DNA repair exhibit marked increases in cancer
susceptibility; strongly linking genomic
instability and cancer.
Key Point
Chromosome Abnormalities &
Genetic Instability
The chromosomal changes seen in solid
tumors can be broken down into two main
classes:
1. changes in the number of whole
chromosomes
2. changes in chromosomal structure.
Specific Chromosomal Rearrangements
in Genitourinary Malignancies
Recurrent Gene Rearrangements
Cancer oncogene Recourse
Pca •ETS transcription Tomlins and
factor family members colleagues (2005),
RCC MITF/TFE family translocation (Hemesath et al, 1994; Argani et
carcinomas al, 2005).
Testicular Cancer short (Atkin and Baker, 1982; Rodriguez
arm of chromosome 12 et al,
1993; Rosenberg et al, 1998;
Verdorfer et al, 2004).
Hereditary Prostate Cancer HPC families (Smith et al, 1996).
Sporadic Prostate Cancer chromosome 8
sporadic ccRCC germ line mutations (Gnarra et al, 1994; Shuin et al,
VHL gene 1994).
von Hippel-Lindau syndrom
Bladder Ca. transitional cell chromosome 9 (Tsai et al, 1990; Cairns et al, 1993;
typ (urothelial cell RAS family Linnenbach
carcinomas) et al, 1993)
Cancer Risk factor
HPC Family history is one of the strongest prostate cancer
risk factors
Bladder Cancer • first degree relatives of patients with bladder cancer are at
increased risk of developing the disease
• high-risk families are very rare and lack clear mendelian
inheritance patterns, precluding classical linkage analysis.
• Bladder cancer is therefore not considered a familial
Disease
Key Point
structural rearrangements, as well as
intratumoral heterogeneity in these
aberrations, are hallmarks of most human
solid tumors.
The extent of chromosomal abnormalities
typically correlates with disease severity and
aggressiveness.
Recurrent structural rearrangements occur in
prostate (ETS
Key Point
family gene fusions), renal (MITF/TFE family
translocation carcinomas), and testicular
cancers (isochromosome 12p).
Copy number alteration in a particular gene,
coupled with changes in the other allele is
strong evidence for that gene functioning as a
disease-relevant oncogene or tumor
suppressor gene.
Key Point
Genes discovered to have germ line
mutations that cause familial forms of cancer
may also be involved in the sporadic form of
the disease (e.g., VHL in ccRCC).
High-density single nucleotide polymorphism
(SNP) microarrays have been used in genome-
wide association studies (GWAS) to identify
DNA sequence variants associated with cancer
risk.
Telomere & Telomerase
• Telomeres contain stretches of terminal,
noncoding, repetitive DNA that cap the ends
of each chromosome, thereby stabilizing
them.
• Telomere DNA repeats are progressively lost
as cells divide and as a result of oxidative DNA
damage at the telomeres.
• Normal cells monitor their telomere lengths and
permanently exit the cell cycle (cellular
senescence) or commit suicide (apoptosis) in
response to telomere shortening. This tumor-
suppressive telomere length checkpoint involves
TP53 and pRB.
• Loss of telomere length checkpoints can lead to
critical telomere shortening that initiates
chromosomal instability, thus contributing to
carcinogenesis.
• A majority of cancers and premalignant
lesions have abnormally short telomeres.
• Most cancers express the enzyme telomerase,
which restabilizes the telomeres and allows
unlimited cell division potential
(“immortalization”), thus telomerase
represents an attractive therapeutic target.
Apoptosis
• Apoptosis:programmed cell death
• Apoptosis is a rapid, orderly, programmed
form of cell death that is used by multicellular
organisms to eliminate unwanted cells.
Through this process, cells are
preprogrammed to commit suicide in
response to various internal and external
signals.
• Apoptosis is believed to play an important role in
tumor suppression because many of the signals that
induce apoptosis arise from potentially tumorigenic
cell stresses such as DNA damage.
• Cancer is characterized by interruptions in the
normal process of apoptosis, resulting in
inappropriate cell survival.
• Apoptosis is mediated by a conserved family
of proteases known as caspases. Initiator
caspases begin caspase proteolytic cascades
that result in the activation of downstream
executioner caspases, which, in turn, target
several cellular proteins.
• Two main apoptotic pathways have been
identified:
In the intrinsic pathway, BCL-2 family members
modulate the release of cytochrome c from
mitochondria, which then participates in the
activation of initiator caspases.
The extrinsic pathway activates caspases in
response to signals from extracellular “death
receptors.”
• In addition to its functions in cell cycle arrest
and DNA repair, TP53 also plays a key role in
apoptosis.
• BCL-2 is a classic inhibitor of the
mitochondrial pathway of apoptosis and is
overexpressed in some genitourinary
malignancies.
• Therapeutic response is often dependent
upon the integrity of apoptotic pathways in
cancer cells. Most TGCT retain intact DDR,
wild-type TP53, and apoptotic responses,
providing high cure rates with DNA-damaging
agents.
• Novel agonists and antagonists of apoptosis,
such as ceramide and clusterin, may be
successfully controlled to combat cancer.
Cancer Stem Cells
Stem cells are defined by their ability to
differentiate along multiple lineages and their
immortality.
Cancer is believed to be a stem cell disease in
which a small population of cancer stem cells
maintains the larger tumor.
The hedgehog signaling pathway is required
for regeneration of prostate epithelium and
has been implicated in transformation of
prostate progenitor cells.
Cancer may ultimately be eradicated by
targeting only the cancer stem cell.
References
• Campbell-Walsh Urology – 10th Edition -
Chapter 18 page 530