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5.1.65 · The Mitotic Cell Cycle

How Tumours Form — Cambridge AS & A Level Biology 9700 Revision Notes & Topical Questions

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5.1.6 How Tumours Form — CAMBRIDGE AS & A LEVEL BIOLOGY 9700 — REVISION NOTES notes: Explain how mutations in proto-oncogenes and tumour suppressor genes disrupt the cell cycle to form tumours, and distinguish benign and malignant tumours.

  • Normal control
  • Several mutations
  • Common events
  • Fate of mutated cells
  • Cancer-causing mutations
  • Both together

Section 1 of 10Uncontrolled cell division

Tumour
Tumour an irregular mass of cells formed by uncontrolled mitosis.
Normal control
  • Normal control checkpoints and signals from other cells balance cell division and cell death.
Escape
  • Escape a tumour forms when a cell escapes these controls, divides repeatedly and passes its abnormal characteristics to its daughters,
    • forming a clone.
Several mutations
  • Several mutations tumour formation almost always needs several mutations in the same cell line, which is why cancer is more common in older people.
Mutation
  • Mutation a change in any gene, and one that causes cancer is called an oncogene.

Section 2 of 10Why most mutations do not cause cancer

Common events
  • Common events mutations are common and usually do not lead to cancer.
Fate of mutated cells
  • Fate of mutated cells most die early or are destroyed by the immune system, and since most cells are easily replaced there is no harm.
Cancer-causing mutations
  • Cancer-causing mutations they avoid early death and destruction by the immune system, so the mutation passes to all the cell's descendants.

Section 3 of 10Genes that control the cell cycle

FeatureProto-oncogene / oncogeneTumour suppressor gene
Normal roleCodes for proteins that stimulate the cell cycle in a controlled way, such as growth factor receptors, signalling proteins and cyclinsCodes for proteins that slow or stop the cycle, repair DNA or trigger apoptosis if damage cannot be repaired
Effect of mutationThe gene becomes an oncogene that is permanently active, so the cell gets a continual signal to divideThe gene is inactivated, which removes the brake
Copies neededOne mutated copy is enough (dominant at cell level)Both alleles must be lost or mutated (recessive at cell level)
ExampleRASTP53 (p53), mutated in more than half of human cancers, and BRCA1
AnalogyStuck acceleratorFailed brakes
  • Both together
    • a cell with both problems divides rapidly and fails to repair DNA, which raises the rate of further mutation.

Section 4 of 10Causes of the mutations

Inherited
  • Inherited for example an inherited faulty BRCA1 allele increases the risk of breast cancer.
Carcinogens
  • Carcinogens agents that may cause cancer, such as ultraviolet light, ionising radiation (X-rays), tar in tobacco smoke and aflatoxins.
  • A carcinogenic agent is one that causes cancer.
Viruses
  • Viruses oncoviruses such as HPV cause cancer and so are carcinogens.
    • (HPV causes cervical cancer)
Chance
  • Chance mistakes occur during DNA replication.
Lifestyle
  • Lifestyle smoking and diet can raise the risk.

Section 5 of 10Benign and malignant tumours

FeatureBenign tumourMalignant tumour (cancer)
GrowthSlowRapid
BoundaryOften enclosed in a capsule; well definedIrregular; invades surrounding tissue
CellsResemble normal cells (differentiated)Undifferentiated, abnormal shapes, large nuclei
SpreadDoes not spread to other organs (for example warts)Spreads by metastasis via blood or lymph
DangerUsually not life-threatening unless pressing on organsLife-threatening; can block the intestines, lungs or blood vessels

Section 6 of 10Metastasis

1
Malignant cells lose adhesion to their neighbours.
2
They secrete enzymes that digest the surrounding matrix.
3
They break off and enter blood vessels and lymph.
4
They settle in other tissues and form secondary tumours.
Angiogenesis
  • Angiogenesis tumours stimulate new blood vessels to supply their large mass of cells.
Danger
  • Danger metastasis is hard to detect, locate and remove.

Section 7 of 10Treatment and prevention

Treatment
  • Treatment surgery, radiotherapy, chemotherapy and targeted therapies that block growth-factor receptors.
  • Many treatments damage DNA or block the spindle in dividing cells,
    • so they also affect healthy dividing cells and cause side effects.
      • (hair follicles, gut lining, bone marrow)
Prevention
  • Prevention avoid mutagens, vaccinate against HPV, and screen to find tumours early.
    • (not smoking, protecting skin from UV)
Cancer data
  • Cancer data incidence rises steeply in older age groups, consistent with the need for several mutations,
    • and lung cancer is more common in smokers with risk falling after quitting.
Relative risk
  • Relative risk the rate in the exposed group divided by the rate in the unexposed group.

Section 8 of 10More from the specification

1
The Eukaryotic Cell Cycle and Interphase
  • The cell cycle comprises interphase (G1 growth phase, S phase for DNA replication,
  • and G2 phase for organelle duplication) followed by mitotic cell division (M phase) and cytokinesis.
2
Chromosome Structure and Sister Chromatids
  • Following DNA replication in S phase, each chromosome consists of two genetically identical sister chromatids held together at the centromere until separated during anaphase.
3
Role of Telomeres in Mitotic Aging
  • Telomeres are repetitive non-coding DNA sequences at chromosome ends that protect essential genes from degradation during successive replication cycles in adult somatic tissues.
4
Oncogenesis and Tumour Formation
  • Uncontrolled mitotic division triggered by mutations in proto-oncogenes or tumour suppressor genes bypasses cell cycle checkpoints,
  • leading to an abnormal mass of cells called a tumour.
5
Asexual reproduction
  • Reproduction from one parent giving genetically identical offspring.
6
Chromatid
  • One of the two identical copies of a replicated chromosome.
7
Telomere
  • Repetitive non-coding DNA at the ends of a chromosome that prevents loss of genes during replication.
8
Interphase
  • The stage when the cell grows and DNA is replicated.
9
Chromosome
  • A thread-like structure of DNA carrying genes.
10
Organism
  • A living thing, such as a plant or an animal.
11
Genetically identical
  • Having the same alleles
12
Sister chromatids
  • The two identical DNA copies of a replicated chromosome joined at the centromere.
13
Multicellular organism
  • An organism made of more than one cell.

Section 9 of 10Key terms

TermMeaning
TumourMass of cells formed by uncontrolled division.
Proto-oncogeneNormal gene that stimulates cell division.
OncogeneMutated proto-oncogene that is permanently active.
Tumour suppressor geneGene whose product slows division, repairs DNA or triggers apoptosis.
MetastasisSpread of cancer cells to other parts of the body.
CarcinogenAgent that increases the chance of cancer.
MalignantCancerous; invasive and able to spread.
BenignNon-cancerous; does not spread.

Section 10 of 10Exam technique

1
Saying proto-oncogenes cause cancer — only the mutated oncogene does.
2
Mixing up the two gene types — oncogenes act like an accelerator and tumour suppressors like a brake.
3
Stating that all tumours are cancerous — benign tumours do not metastasise.
4
Stating that cancer is caused by a single mutation.

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