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Chapter 14. Cancer and Aging Prepared by Woojoo Choi 1 Somatic mutation 1) If a mutation occurs in somatic cells, a variety of possibilities may result. 2 Somatic mutation 2) A mutation which occurs early on in embryonic development may be highly detrimental. 3) If the single precursor cell that divides, eventually giving rise to a major organ, suffers a serious mutation, the results may be serious or fatal. 4) Most somatic mutations occurring later in development will affect only one or a few cells and will be of little significance except for cancers. 3 Some somatic mutation cause cancer 1) Some somatic mutations occurring after the organism has reached maturity are still dangerous. 2) Cancer: disease due to unplanned of mutant somatic cells that damage the regulatory system controlling cell growth and division 4 Some somatic mutation cause cancer 3) Cancer occurs in several stage and requires several mutations. ① First, a cell is mutated and normal control of cell division is lost. ② Second, the mutant cell divides to form a tumor. • Benign: when a tumor stays in one place ③ Third, a cancer may gain the ability to invade other tissues and form secondary tumors. • Malignant: a cancer that has the capability of dispersing throughout the body 5 Environmental factors and cancer 1) Those chemicals and radiation which cause mutations also cause cancer. – Carcinogen: any agent that causes cancer 2) Most cancers (approximately 80 percent) are derived from epithelial cells, the cells forming the outer covering of tissues. 3) Because the outermost layers are constantly worn away, the underlying layer must keep dividing. 4) The surface cells are much more likely to suffer exposure to dangerous chemicals and harmful radiation. 6 Genes that affect cancer 1) Two general types of genes that affect cancer ① Oncogene: mutant gene that promotes cancer • Mutant oncogenes have a positive effect and promote the development of cancer cells. • Mutations in oncogenes are dominant and the second, wild-type copy of the gene cannot make up for the defect. ② Anti-oncogene (tumor-suppressor gene): gene acting to prevent unwanted cell division • Tumor suppressor genes have a negative effect on cancer development (suppress division of cancer cells). • To allow cancers to grow, both copies of a tumor suppressor gene must be inactivated by mutation (recessive mutations). 7 Oncogenes and proto-oncogenes 1) Although oncogenes were first discovered on cancer-causing viruses, they are found in all normal cells, too. 2) Oncogenes exist in three forms (the good, the bad and the ugly) ① Proto-oncogene (the good) • Original, healthy and unmutated form of gene that may give rise to an oncogene • Necessary for the growth and division of the cell to the right size 8 Oncogenes and proto-oncogenes ② The bad oncogenes • Mutations in genes that control cell division are a bad thing. • These mutant versions are the bad oncogenes. 9 Oncogenes and proto-oncogenes ③ The ugly going on due to retroviruses • These viruses occasionally pick up an oncogene from their host cells and the result is a cancer-causing virus. • v-onc: oncogene carried by a virus • c-onc: oncogene carried on a cell’s chromosome 10 Oncogenes and proto-oncogenes 3) Although quite a few cancer viruses are known, most human cancers are not due to viruses, but are due to new mutations of the cellular protooncogene to its oncogene form. 11 Detection of oncogenes 1) If oncogene or the suspect DNA is extracted and is then inserted into healthy cells, it can change them into cancer cells. 2) Transformation: conversion of a normal cell to a cancer cell 3) Normal cultured animal cells usually grow as a thin monolayer on the surface of a culture dish. 4) Contact inhibition: when normal cells prevent their neighbors from dividing by touching them 12 Detection of oncogenes 5) Cancer cells are uninhibited and they keep on dividing and piling into heaps. 6) These can be seen when DNA containing an oncogene is added to normal cells in culture. 13 Detection of oncogenes 7) Cancer cells cause tumors in mice. 14 Creating an oncogene 1) The wild type duplicate copy of the proto-oncogene does not overcome the effect of the oncogene. 2) This is because oncogenic mutations result not from loss of activity but from increased activity of the oncogene. 3) This can be due either to alteration of the sequence (structure) of protein encoded by the proto-oncogene or due to increased production of the protein. 15 Creating an oncogene 16 The ras oncogene- hyperactive protein 1) ras oncogene is the result of a single base change in the structural region of the gene. 2) Only a few very specific mutations can create a ras oncogene from the proto-oncogene. 17 The ras oncogene- hyperactive protein 3) ras protein – A protein involved in cell proliferation which, when mutated, can cause cancer – Involved in transmitting signals concerning cell division 18 The ras oncogene- hyperactive protein 4) The cancer-causing form of the ras protein is locked permanently into the signal emitting mode and never splits its GTP. 5) It constantly floods the cell with signals urging cell division, even when none are being received from outside. 6) The consequence is uncontrolled cell division and the beginnings of a possible cancer. 19 The Myc oncogene – overproduction of protein 1) Some oncogenes are created by changes that affect regulation and suffer changes that vastly increase the amount of the protein formed, although the protein itself is not changed. 2) Myc protein is a transcription factor. 20 The Myc oncogene – overproduction of protein 3) A Myc protein overdose can occur in two ways. 4) Some myc-dependent cancers result from chromosomal changes in which the myc gene is duplicated many times. - The Myc protein will be overproduced. 21 The Myc oncogene – overproduction of protein 5) It is possible to have the standard two copies of the myc gene but alter their regulation. - When myc structural gene is translocated into another regulatory region, the Myc protein is produced continuously in substantial amounts instead of being strictly regulated as before. 22 Normal role of proto-oncogenes 1) The pathway for activating cell growth and division has several stages. 2) The proto-oncogenes encode the proteins taking part in message transmission. 23 Normal role of proto-oncogenes 3) Signal transmission proteins: These pass on the signal from outside the cell to enzymes or genes needed in cell division (eg, protein kinases) – Protein kinases: an enzyme that switches other enzymes in an inactive form on or off by attaching a phosphate group to them 24 Tumor suppressor genes or anti-oncogenes 1) Tumor suppressor genes normally suppress uncontrolled cell division, so it is necessary to inactivate both copies in order to initiate cancerous growth. – Null mutation: a mutation that fully inactivates a gene – Nullizygous: when both copies of a gene are fully inactivated 25 Tumor suppressor genes or anti-oncogenes 2) There are two ways to end up with both copies of a gene inactivated. ① During division of the cells which form the body, two successive somatic mutations may occur. 26 Tumor suppressor genes or anti-oncogenes ② You inherit one defective gene and acquire a second by mutation. – The first mutation occurs in one copy of the gene in a germ line cell of one of your ancestors. – A somatic mutation which inactivates the second copy may then occur as your cells divide. 27 Tumor suppressor genes or anti-oncogenes 28 How do anti-oncogenes work? 1) They encode proteins whose job is to inhibit growth or prevent cell division. 2) Originally it was thought that chemical signals to start growing all came from outside the cell (hormones). 29 How do anti-oncogenes work? 3) More recently, in addition to hormone control, many somatic cell lines are also pre-programmed. 4) Some anti-oncogenes are part of this system and when they are defective the cell fails to stop dividing. 5) Many of the proteins encoded by anti-oncogenes are DNA-binding proteins with zinc fingers. – Zinc-finger: finger-like bulge on a protein that binds and read a short DNA sequence (three bases per each zinc finger) in the regulatory region of the genes 30 Normal cell division: the cell cycle 1) To understand further how antioncogenes work, we need to consider the process of normal cell division. 2) Cell cycle: the sequence of events required for growth and division of a cell – G1 phase: cell growth – S phase: duplication of chromosomes – G2 phase: preparation for division – M phase: cell division or mitosis 31 Normal cell division: the cell cycle 3) To move from one stage to another it requires the permission of proteins called cyclins, one for each major stage. – Cyclin • protein that controls the cell cycle • The cyclins have subordinates, the cyclin dependent kinases, or CDK protein. • Cyclin dependent kinase (CDK): subordinate proteins that transmit orders from a cyclin by adding phosphate groups to the enzymes they control 32 The p53 anti-oncogene 1) p53 gene – A notorious anti-oncogene, often mutated in cancer cells – Involved in a very large number of diverse cancers 2) The reason why p53 is so often involved is that its behavior differs from that of the standard anti-oncogene. 3) A single defective p53 allele does show effects unlike the typical antioncogene. 4) Why is this?? – The protein encoded by the p53 gene assembles in groups of four (tetramers). – When a cell has one bad copy, it will produce a mixture of good and bad p53 proteins. – These will assemble into mixed tetramers and the bad ones will mess up the whole assembly. loose activity 33 The p53 anti-oncogene 34 The p53 anti-oncogene 5) If a cell’s DNA is damaged in any way, the p53 protein activates the gene for p21. 35 The p53 anti-oncogene 6) The p21 protein then blocks the action of all of the cyclins and freezes the cell wherever it is in the cell cycle until the damage can be repaired. 36 The p53 anti-oncogene 7) p53 protein is not necessary for normal cell division. 8) The role of p53 is to shut down cell division in emergencies, when, for example, the DNA is damaged. 9) Defective p53 protein cannot stop cell division. 10)Over half of all human cancer are defective in p53. 37 Formation of a tumor 1) The actual generation of a real tumor requires several steps. 2) Cancer development goes through a series of four or more mutational stages before a full blown tumor result. 3) Many colon cancers carry ① Inactivation of the APC anti-oncogene ② Activation of the ras oncogene ③ Inactivation of the DCC anti-oncogene ④ Mutational loss of the p53 gene 38 Formation of a tumor 4) Metastasis: spreading of cancer cells from their original site to form new secondary cancers 5) Other mutations, that are not fully understood, are necessary for cancer cells to start traveling. 6) These include mutations which result in – Loss of adhesion to neighboring cells in the home tumor – Ability to bind to and penetrate the membranes surrounding other tissues of the body 39 Inherited susceptibility to cancer 1) Many of the genes involved in inherited cancer are poorly understood, but we should briefly mention three general categories. ① It is possible to inherit one dud copy of an anti-oncogene (eg, Rb gene) • This means that every one of your somatic cells starts life with one faulty copy and only a single somatic mutation is needed to completely inactivate the pair of anti-oncogenes. • Homozygous recessives for anti-oncogenes are generally lethal when inherited. ② Mutations in certain special genes affect the rate at which mutations occur during cell division. • Mutator gene: a gene that will cause an increased rate of mutation if it is mutated ③ There are indirect effects due to genetic differences between races or population (eg, skin cancer). 40 Cancer-causing viruses 1) Very few human cancers are due to retroviruses. 2) The first cancer-causing retroviruses to be discovered was Rous Sarcoma Virus. – Rous Sarcoma Virus (RSV): a retrovirus that causes cancer in chickens 41 Cancer-causing viruses 3) In fact on about 15 percent of human cancers are due to viruses and most of these are due to DNA viruses. – Papillomavirus: family of DNAcontaining viruses that sometimes cause tumor – Herpesvirus: family of DNAcontaining viruses causing a variety of diseases and sometimes tumors 4) Only rarely do they cause dangerous tumor. 42 Aggressive gene therapy for cancer: today and tomorrow 1) Two plans of attack may be used, direct and indirect. ① Direct plan: a gene that helps killing cancer tissue is used. • Tumor necrosis factor (TNF): short protein that kills cancer cells • Tumor-infiltrating lymphocyte (TIL): white blood cell which secretes TNF • TNF is quite often effective at snuffing out small cancers. 43 Aggressive gene therapy for cancer: today and tomorrow • To attack a large cancer that is out of control, we can try to hype up the TNF system. i) Clone the TNF gene. ii) Introduce extra copies of the TNF gene or improved TNF gene into the white blood cells. iii) Inject them back into the patient. 44 Aggressive gene therapy for cancer: today and tomorrow ② Indirect approach • It is to rely on the body’s natural defenses which are really quite effective at killing cancers, provided they find them in time. • We insert into the tumor cells a gene that betrays the tumor as an alien intruder to be eliminated. • Then immune system kills the tumor. • HLA gene is an example. Human leukocyte antigens (HLA): proteins found on the cell surface that allow cells to be recognized by the immune system 45 Aggressive gene therapy for cancer: today and tomorrow 46 Getting genes in by lipofection 1) In lipofection, hollow microscopic spheres of fat (liposomes) are filled with DNA. 2) These tiny fat globules will merge with the membranes surrounding most normal animal cells and whatever was inside the liposome will end up inside the cell. 3) However, it is non-specific as the liposomes tend to glop on to any cells. 4) Nonetheless, “armed” liposomes can be injected directly into tumor tissue (drug delivery). 5) They are probably of more use in delivering proteins, something not feasible when using viruses as genetic engineering vectors. 47 Immortality and the philosophers’ stone: Aging 1) The ability to repair DNA declines with the passing years. 2) Cells that get several mutations in growth regulating genes will give rise to tumors. 3) If declining of the ability to repair DNA could be somehow remedied, perhaps the number of mutations could be reduced and tumor formation could be put off a few years longer. 48 “The end is nigh” (again): Telomeres 1) Another link between aging and cancer concerns telomeres. 2) For a cell to become cancerous it must regain the ability to divide. 3) This means that the gene encoding telomerase must be reactivated by one or other of the mutations responsible for causing cancer. 4) The way to inhibit telomerase - Antisense RNA: an RNA molecule which is complementary in sequence to and so will base pair with, a target RNA molecule with some functional role in the cell - Antisense RNA should bind to and block the telomerase RNA. 5) Whether telomerase inhibitors will prove useful in treating cancer is for the future to decide. 49 “The end is nigh” (again): Telomeres 50 Older and wiser worms 1) Science has managed to lengthen the life of certain primitive worms. 2) daf-2 gene – gene involved in life length determination in nematode worms – When defective, this lowers the metabolic rate. 3) A lower metabolic rate results in less oxidative damage, especially in the mitochondria. 51 Programmed cell death 1) In the case of a frog, the cells that are no longer needed kill themselves. – Apoptosis: programmed suicide of unwanted cells for the good of the whole animal 2) Necrosis – unplanned death of cells as the result of injury – It causes inflammation that attracts cells of the immune system to the trouble spot. 52 Programmed cell death 3) Apoptosis is still important for us. 4) For example, it prevents human from being born with the webbed fingers found in early fetuses. 53 Death is only a phone call away 1) Even more amazing is that many animal cells need a constant signal to stay alive. 2) Once they no longer receive permission to stay alive, they commit suicide. 3) A cell’s fate hangs in the balance, depending on the function of just a single gene (eg, ced genes). – ced genes: genes which control apoptosis in nematode worms 54 Death is only a phone call away 4) Humans are more complex than worms and rather than just a single gene that decides whether our cell live or die, we may have a sort of molecular jury system which takes account of a variety of factors. – bcl-2 gene: a gene that probably controls apoptosis in humans and may contribute to cancer when mutated and resembles the ced-9 gene in some ways 55 Mitochondria are maternal, not eternal 1) We do not yet understand the aging process. 2) About 75 percent of human mitochondrial DNA encodes proteins involved in energy generation. 3) Mutation accumulate over the years in mitochondrial DNA as in the chromosomal DNA. 4) Gradual decrease in the energy generation, less active and alert: aging 5) Some people age faster than others. It is due to their starting life with some of their mitochondria already mutated. 6) Mitochondria are inherited only from your mother. 7) Your life expectancy depends mostly on your mother. 56 Mitochondria are maternal, not eternal 8) Mutations to mitochondria do not cause cancer since mitochondria are not in charge of their own multiplication. 57