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Development of transformed cell Seminar of Molecular and Cell Biology Mgr. Jan Šrámek [email protected] Syllabi • • • • • • Cell transformation Characteristic of tranformed cells Mechanisms of transformation Cancerogenes Tumors nad their classification Cancer therapy Cell transformation • Process of transformation of normal cell that react to feedback homeostatic mechanisms to cell with autonomous growth and ability of invasion. • All cancer cell are transformed cell • But! Not all transformed cells are cancer cells (e.g. cells of cell cultures) Characteristic of tranformed cells Abnormal proliferation in space and time represents basic characteristic of transformed (tumor) cells. • • • • • • • • • • Independence on stimulatory cytokines Loss of ‘anchorage dependence’ Capability of non-regulated clonal growth and loss of contact inhibition Immortality (no dependence on ‘lifespan limit’) and resistance to apoptosis Inability to differentiate Increase activity of telomerase Ability of angiogenesis Different cell surface molecules and chromosomal reconstruction Genetic instability (ability to survive in host organism) Mechanisms of transformation • Multistage process (cancer incidence correlates with age) • Non-returnable process • Under selection stress • Spontaneous x induced • Genetic changes (mutations): ▫ Cancer incidence is 10-8 (includes 4 mutations, spontaneous mutation incidence is 10-6 per one cell division, number of cell divisions in human life is 1016; 10(-6)x4/1016 = 10-8) 1 human per 100 milion x reality ▫ Influence of other factor: mutagenes, immune system Multistage process sequential acumulation of genetic changes (4–7 mutations), according to dozens of different genes Cancer cell 1. mutation 2. mutation 3. mutation 4. mutation Mechanisms of transformation • Multistage process (cancer incidence correlates with age) • Non-returnable process • Under selection stress • Spontaneous x induced • Genetic changes (mutations) ▫ Cancer incidence is 10-8 (includes 4 mutations, spontaneous mutation incidence is 10-6 per one cell division, number of cell divisions in human life is 1016; 10(-6)x4/1016 = 10-8) 1 human per 100 milion x reality ▫ Influence of other factor: mutagenes, immune system Process under the selection stress Mechanisms of transformation • • • • • Multistage process (cancer incidence correlates with age) Non-returnable process Under selection stress Spontaneous x induced Genetic changes (mutations) ▫ ▫ Cancer incidence is 10-8 (includes 4 mutations, spontaneous mutation incidence is 10-6 per one cell division, number of cell divisions in human life is 1016; 10(-6)x4/1016 = 10-8) 1 human per 100 milion x reality Influence of other factor: carcinogens, immune system Immune system Cancer incidence Cancer incidence 10-8 10-8 Carcinogens Theory of immune survailence Cancer incidence is higher due to loss of immune system efficiency ▫ Majority of cancer cells is eliminated by immune system in organism (Tclymphocytes). ▫ Sooner, mean lifespan was about 35–40 years. Nowadays, mean lifespan increased markedly in western countries. ▫ Maximum efficiency of immune system is between 30–40 years of life. The main role of genetic changes ▫ Accumulation of genetic changes (mutations) ▫ Primary role of oncogenes and antioncogenes (tumor-supressor genes) ▫ Change of function (quality) and/or level of expression (quantity) of onco/antioncogenes via: Point mutations Deletions Chromosomal translocations Gene amplifications (c-abl) (c-abl) (c-ras) (c-ras) (c-myc, c-myb, c-myb, N-ras) N-ras) (c-myc, Philadelphia chromosome Regulation domain Tyrosin-kinase domain Reciprocal translocation between the 9th and 22nd chromosome. Fusion of Bcr (22nd Chromosome) and of Abl genes (proto-oncogene [tyrosin kinase] of 9th chromosome). Bcr protein is extensively produced in lymphocytes and has unclear function. Bcr/Abl fusion protein p210 has encrease tyrozin-kinase activity (no regulation domain) no regulation of signaling. Responsible for many types of leukemia. Point mutation of c-ras gene Ras Ras protein has GTP function Signaling molecule Mutation of c-ras gene leads to continuous activation of Ras protein increase expression of proteins stimulating cell division tumor development Carcinogens Cause genetic changes via interactions with DNA leading to cell transformation. Factors causing cell transformation: • Chemical • Physical • Biological Chemical carcinogens Cause transitions, transversions, bases modifications or covalentely bind to DNA Cause 80 % of all human tumors Bases analogs: 5-bromuracil (BU) – supersede T base transition Agens modifying bases: HNO2: deamination of C on U, A on hX, G on X transition HSO-3: deamination of C on U transition NH2OH H2N-O-CH3 Alkyl agent: alkylsulfates, N-alkyl-N-nitrosamines (nitrates). Alkyl C, T and G block or change base pairing, cause between- and interchain crossbonds block of replication and trancription Psoralenes: intercalar agens, furocumarin, 8-metoxypsoralene Pre-carcinogens: metabolic activation via specific enzymes (cyt. P450) is necessary N-acetyl-2-aminofluoren (AAF), α-Nafthylamine, Benzo(a)pyren, Aflatoxins, Nitrates and others Examples from history • 1761: John Hill – polyps in snuffers of tabacco • 1775: Sir Percival Pott – scrotal carcinoma in chimney sweepers (first documented work disease), long-term exposition to carcinogens (asbest, benzen, nitrosamins….) • 1795: Samuel von Soemmering – smoking of pipe as a carcinogen. Sir Percival Pott Samuel von Soemmering Benzo(a)pyren activation P450 P450 Tumorigenesis of aromatic hydrocarbons „fjord“ Non-planar Diolepoxides React with DNA (A) More carcinogenic „bay“ Planar Less reactive Less carcinogenic α-Nafthylamine activation • • • • Used in weld industry Strong carcinogen having latence 15-20 years In liver tranformed to carcinogen, than conjugated to glykoside Hydrolysis in bladder: release of active carcinogen bladder carcinomas OR OH NH2 NH2 NH2 Bladder NH-OH NH-OR Physical carcinogens • Ionize radiation: ▫ dsDNA breaks. ▫ generate crossbonds (covalent bond between antiparalel nucleotids) ▫ base modifications (8-hydroxyguanin, 5-hydroxymetyluracil…). • UV radiation: atom excitation generate thymin dimers block of replication and transcription processes. crossbonds Breaks crossbond strand strand Biological carcinogens • Viruses: ▫ Oncogene RNA viruses: retroviruses (classical oncogenes) HIV – probably supporting function only, Kaposi sarcoma… Human lymphotropic virus type I and II (HLTV-1, HLTV-2) – T-leukemia, lymphomas HCV – hepatocarcinomas ▫ Oncogene DNA viruses: Papovaviruses (HPV) – anogenital tumors Herpesviruses - Epstein-Barr virus (EBV) – lymphomas (BL, HD), nasopharingeal carcinomas (NPC); and others (HCMV; HSV-2; KSHV) Hepadnaviruses - hepatitis B virus (HBV) - hepatocarcinomas Adenoviruses (animals) HPV • Virus genome is circular dsDNA (8 kb) • Protein E7 ▫ Inhibition of Rb-proteinu ▫ Inactivation of p21Cip and p27Kip ▫ Abolishes inhibition effect of TGF- on growth of cells ▫ Causes development of multiple centrosomes • Protein E6 ▫ p53 degradation (using of ubiquitin ligase E6AP) ▫ interact with Bak (inhibition of apoptosis) ▫ activate hTERT expression (activation of telomerase) • Genome is integrated in several places of host genome • Integration is specific according to genome of the virus – leads to disorder of protein E2 expression (regulate E6 and E7 expression) Effect of Papillomaviruses (Papovaviruses) proteins E6 and E7 on cell transformation Effect of Papillomaviruses (Papovaviruses) proteins E6 and E7 on cell transformation proliferation Unlimited replication capacity Loss of polarity Loss of cell adhesion invasion Apoptosis, cell cycle arrest Biological carcinogens • „Infectionous cancer“: ▫ Dogs CTVT (Stickers sarcoma) ▫ Non-viral parasitic cancer of Swan cells (DFTD) of Tasmanian devil (Sarcophilus harrisii) Histiocytes Tumor • Structure consists of cancer and connective cells that are under the controle of cancer cells (stroma and blood cells). • No physiological function in an organism. • Its growth is not in conformity with surrounding tissue and organism homeostasis • Developed in places with high proliferating activity that are simultaneously the most displayed to carcinogenes, i.e. mainly epithels (skin, lung, digestive tract, but breast gland) • The only one transformed cell is sufficient to develope tumor! (clonal character) Tumors classification I According to its infiltration ability: • Benign: solid bordered structure, located in one place, slow proliferation, symtoms of local character. • Malign: infiltrate surrounding tissues and using blood and lymphatic system the whole body, in „infected“ tissues produce secondary tumors (metastases) • primary x secondary tumors. Tumors classification II According to type of source cells: • Carcinomas – tumors of epithelial cells (ca 89 % of human tumors) • Sarcomas – solid tumors developed from supporting or connective cells (tissue) – muscle, bone, cartilage (ca 2 % of human tumors) • Leukemias and lymphomas – developed from hematopoietic cells and immune cells (ca 8 % of human tumors) • Gliomas – developed from nerve tissue (ca 1 % of human tumors) Tumors classification III According to affected organ (tissue): • Breast carcinoma • Colorectal carcinoma • Cervical carcinoma • Gland carcinoma • Stomach cancer • Ovarian carcinoma • Leukemia • And many others Process of tumor development Process of metastasis development Primary tumor Secondary tumor - metastasis Cancer therapy Classical approach: Local therapy – surgical strike, local radiation ( radiation) Systematical approach (combinated with surgical strike and radiation) – Chemotherapy Chemotherapy: Cytotoxic agents: cyclophosphamide, cisplatinum, methotrexate, doxorubicin (interaction with DNA) Cytostatics: Vinca alcaloides (vinblastine, vincristine) Application of cytokines: Inhibitors of cell proliferation and inductors of apoptosis: Interferones, TNF Support influence of cytokines: IL-2, GM-CSF Biological therapy (targeted therapy, [Gene therapy]) ‘Antisense’ oligonucleotides: target to specific oncogenes Transfection: functional anti-oncogenes …. Biologicac therapy (targeted therapy) Use defensive capacity of immune system and/or targeted drugs (modificators of immune response) – cause specificaly only (or mainly) on specific type of cells (e.g. cancer cells or immune cells): • Blocks, restore or reduce precesses that are responsible for tumor progression • Marks cancer cells to be well recognizable by immune system • Improve ability of some immune cells (T-lymphocytes, macrophags) to destroy cancer cells • Changes growing ability of cancer cells • Blocks or restore processes responsible for cell tranformation • Improves ability of organism to repair or replace damaged cells injured by other types of cancer therapy • Blocks cancer cells spreading Biological therapy (targeted therapy) Preparation: ▫ ▫ ▫ ▫ ▫ Monoclonal antibodies Differenciacal therapy Inhibitors of proteasom, tyrosinkinases Anti-angiogene therapy Antisense oligonucleotides High prices Limited usage depending on these criterias: ▫ Tumor subtype ▫ Other types of cancer therapies are non-effective ▫ Undesirable effect of other types of cancer therapies Monoclonal antibodies Biological therapy (targeted therapy) Preparation: ▫ ▫ ▫ ▫ ▫ Monoclonal antibodies Differenciacal therapy Inhibitors of proteasom, tyrosinkinases Anti-angiogene therapy Antisense oligonucleotides High prices Limited usage depending on these criterias: ▫ Tumor subtype ▫ Other types of cancer therapies are non-effective ▫ Undesirable effect of other types of cancer therapies Differential therapy Developmental line Differentiated cell Progenitor cell Mutations Differentiated cell Cancer cell Specific drug Biological therapy (targeted therapy) Preparation: ▫ ▫ ▫ ▫ ▫ Monoclonal antibodies Differenciacal therapy Inhibitors of proteasom, tyrosinkinases Anti-angiogene therapy Antisense oligonucleotides High prices Limited usage depending on these criterias: ▫ Tumor subtype ▫ Other types of cancer therapies are non-effective ▫ Undesirable effect of other types of cancer therapies Inhibition of proteasome Biological therapy (targeted therapy) Preparation: ▫ ▫ ▫ ▫ ▫ Monoclonal antibodies Differenciacal therapy Inhibitors of proteasom, tyrosinkinases, Anti-angiogenesis therapy Antisense oligonucleotides High prices Limited usage depending on these criterias: ▫ Tumor subtype ▫ Other types of cancer therapies are non-effective ▫ Undesirable effect of other types of cancer therapies Anti-angiogenesis therapy Cancer cells release angiogenesis factors (VEGF) Vessel reaction Tumor has nutrition support and can grow and invade throught blood system Using of angiogene drugs blocks angiogenesis effect Biological therapy (targeted therapy) Preparation: ▫ ▫ ▫ ▫ ▫ Monoclonal antibodies Differenciacal therapy Inhibitors of proteasom, tyrosinkinases, Anti-angiogene therapy Antisense oligonucleotides High prices Limited usage depending on these criterias: ▫ Tumor subtype ▫ Other types of cancer therapies are non-effective ▫ Undesirable effect of other types of cancer therapies Antisense oligonucleotides Biological therapy (targeted therapy) High prices Limited usage depending on these criterias: Tumor subtype Other types of cancer therapies are non-effective Undesirable effect of other types of cancer therapies Biological therapy (targeted therapy) Suitable types of tumors for biological therapy: • Kidney tumors • Prostate tumors • Intestine tumors • Lung tumors • Breast gland tumors • Female genital tumors • Melanoma • Kaposi’s sarkoma Thank you for your attention