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BLOK ONCOLOGY
Cellular transformation.
morphologic changes, loss of contact inhibition,
anchorage independent growth, ability to form
tumors when transplanted into nude mice.
• Proto-oncogene.
– Potential to become activated into a cancer
causing oncogene.
– Have been found in all multicellular organisms.
– Would be involved : basic essential functions of
the cell related to control of cell proliferation and
differentiation.
– In normal cell : expression is tightly controlled.
Protooncogen products
SIS
ABL
FMS Nucleus
SRC
Orga FOS
FMS
RAS nella MYC
JUN
MOS
ERB-B1
Cell Cycle
• Cell-cycle control system is based on cyclically
activated protein kinases :
• -Cdks ( cyclin dependent kinases )
• -Cyclins ( cdk regulator protein ),without
cyclins cdk is inactive.
Proto-oncogenes
• 1.Growth Factors
– Stimulate cells in stationary stage to enter the cell
cycle.
– Occurs in a two stage process :
• Stimulation to proceed into G1 provided by
PDGF,EGF,followed by progression factors :IGF to
progress through the cell cycle.
– Action via autocrine and paracrine model.
• 2.Growth factor receptors
– Link the information from extracellular
environment (GF) to a number of different
intracellular signaling pathways.
– The most important : transmembrane receptor
tyrosine kinases.
• 3. Signal transducers.
– Cytoplasmic nonreceptor tyrosine kinases.
– Proteins with enzyme activity such as
phospholipase Cγ, PI3-K
– Adaptor proteins : Grb2
– SH2 and SH3 domain.
– Three major pathways : PI3-kinase (PI3-K/AKT
pathway, RAS/mitogen-activated protein kinase
(MAPK) pathway, JAK/STAT pathway.
• 4. Nuclear proto-oncogene and transcription
factors.
– Involved in the control of gene expression by their
action on DNA itself
– Final site of action for messages sent from GF.
– Level at which control of growth and proliferation.
Apoptosis
• Programmed cell death
• Intracellular machinery responsible for
apoptosis is called caspases.
• Caspases
• Synthesized in the cell as inactive precursor
called procaspases
• Usually activated by cleavage at aspartic acids
by other caspases.
Mechanisms of oncogene activation
• 1. Structural alteration.
– Point mutations
– Chromosomal translocation
– Truncated form of protein (transition mutation)
• 2. Amplification
• 3. Deregulated expression
– Insertional mutagenesis
– Translocation.
Tumor suppressor genes
• Play an important role in tumorigenesis.
• Involved in the control of abnormal cell
proliferation.
• Loss or inactivation : association with the
development of malignancy.
Viral Oncogene
• Three major mechanisms by which an
infectious agent can cause cancer :
• 1. Persistent infection chronic
inflammation repeated cycles of cell
damage and cellular proliferation
accumulate genetic mutations initiation
and promotion of cancer .
• 2.Direct participation of infectious agents in
the transformation of the cell through
activation of cellular oncogene pathway.
• 3. Relevant to HIV : infection may result in
immunosuppression and decreased
recognition of infected or transformed cell by
host immune system.
Retroviruses
Gene
TRANSCRIPTION
Primary
Degradation
transcript
mRNA Degradation
Transport
CYTOPLASM TRANSLATION
Protein Degradation
Mechanisms of retroviral
oncogenesis.
• 1. Slowly transforming viruses.
– Insertional mutagenesis
• 2. Acutely transforming viruses.
– Oncogene transduction
• 3. Trans-acting retroviruses.
– Affect expression or function of cellular growth
and differentiation genes.
• HTLV1 ( the only human retrovirus known to directly
cause cancer).
Normal Epithelium
APC Mutations (>95%)
Hyperploriferative epithelium
Early adenoma
K-RAS Mutations (30-40%)
Intermediate adenoma
Late adenoma
p53 Mutations ≈ 50%
Carcinoma insitu
Other changes
Metastasis
• http://www.intechopen.com/books/
oncogene-and-cancer-from-bench-to-clinic