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Biology 207 Biology of Cancer Spring 2004 Lecture 10 "Cell Growth" Readings: King, Chap. 10 Lecture Outline: 1. Cell Cycle 2. Cancer as error in controlling cell cycle 3. Growth of normal cells vs. cancer cells 4. Cell death pathways Cancer definition: Cells growing "out of control". What are the normal constraints on cell growth? Some cells divide continuously hematopoietic (blood-forming) cells intestinal epithelia skin cells Some cells divide often Epithelia of various types Some connective tissue cells Some cells never divide in adults Nerve cells Cardiac muscle These tissues not subject to cancer in adults, but childhood cancers possible, such as neuroblastoma. 1. Cell Cycle What happens when cells divide? Interphase: Preparation for next cell division. Distinct phases: G1 Gap 1 S G2 Synthesis phase Gap 2 1 can vary for different cells, cell growth occurs DNA replication occurs cell growth occurs Mitosis: Cell division of somatic (body) cells. Replicated chromosomes are equally distributed among two daughter cells. Length of Gap1 is highly variable. Slowly dividing cells exit G1 into G0. They wait for a signal to promote re-entry into the cell cycle. Checkpoints: Before proceeding around the cell cycle, the cell checks its state. G1/G0 checkpoint Assess whether nutrients and growth factors are available for growth Rb (retinoblastoma) protein and its metabolic state is involved in decision o Acts like a molecular switch to decide whether the cell proceeds through the cell cycle. o If Rb has a phosphate group added to it, the cell cycle can move forward. o If Rb has the phosphate group removed, the cell stalls in G 0 of the cell cycle. G2/M checkpoint Is all DNA replicated? Is environment good? Are conditions in the cell favorable? p53 plays a critical role in checking for DNA damage Mitotic metaphase checkpoint Are chromosomes correctly aligned in center of the cell for cell division? Cancer as a defect in cell cycle control: Many tumor suppressor genes and oncogenes encode proteins important for controlling the cell cycle. Some examples: Component PDGF (platelet derived growth factor, encoded by oncogene c-sis) Rb (retinoblastoma, tumor suppressor protein) p53 (tumor suppressor protein) Role in cell cycle Regulates cell growth Cyclin D (cyclins are unstable proteins involved Helps cell proceed through cell cycle Needed for quiescence Surveys for DNA damage, triggers cell death if needed 2 Defect in cancer Signal cell to reenter cell cycle when cell should be quiescent Cell can proceed through cell cycle Allows cell division to proceed, often leading to abnormal chromosomes Unregulated cell growth in the cell cycle) Growth of cells in culture as model for cancer. In vitro: " In glass". Experiments on cells conducted outside the whole organism. Primary cultures: Animal tissue culture dish + growth media + hormones + growth factors Most cells grow for several generations, then eventually die: Secondary cultures: Primary culture many passages, cells that grow are said to be immortalized Some cultures more cancer-like, others more normal. "Normal cells" After several cell divisions, cells become quiescent Require growth factors to grow Require surface to grow Die after 50-100 divisions Chromosome # mostly stable Tumor cells Cells continue to divide Reduced need for growth factors Become anchorage independent Cells become immortalized Chromosome # may vary--unstable Other differences between normal cells and cancer cells observed in animal studies of cancer (in vivo): Observation* Protease secretion Secretion of angiogenic factors Can terminally differentiate Able to undergo programmed cell death Normal cells Low Low Cancer cells (in vivo) High High Able Unable Able Unable *Key terms: Protease secretion refers to the release of protein digesting enzymes by cancer cells. Angiogenesis refers to the growth of blood vessels. Cancer cells stimulate the growth of blood vessels to help obtain nutrients for the tumor. 3 Terminal differentiation refers to the ability of cells to mature into specialized forms. Specialized cells usually do not divide. Cancer cells lose the ability to terminally differentiate. Most normal cells provide cues to the body that they belong; when things go wrong, a cell death pathway is initiated. The body often loses the ability to recognize cancer cells as abnormal and they escape the cell death pathway. 4. Cell death pathways Apoptosis=Programmed cell death--Precise sequence of intracellular events that kill a cell when it is no longer needed by the body or it has been found to contain a foreign (non-self) antigen. A distinct category of oncogenes relate to the cell death pathway. Example: bcl-2 (associated with leukemias and lymphomas) Under normal conditions, bcl-2 encodes a mitochondrial protein that promotes cell survival. In cancer, altered bcl-2 or too much bcl-2 results in not enough cell death. Leads to proliferation of cells. Lack of cell death is an important mechanism of cancer promotion among cells of the immune system. Pathways promoting apoptosis (Fig. 10.12) DNA damage ↓ withdraw growth factors (EGF) ↓ p53 death promoting signals (TNF) ↓ caspase cell death signals (bcl-2 family proteins) ↓ cytochrome c release from mitochondria ↓ activate caspases ↓ activate endonucleases destroy nuclear matrix proteins 4 destroy cytoskeleton