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Tumorigenesis and Cancer Development. Pin Ling ( 凌 斌 ), Ph.D. ext 5632; lingpin@mail.ncku.edu.tw References: 1. Chapter 23 Cancer in “Molecular Cell Biology” (Lodish et al., 5th edition) 2. Chapter13 Cancer in “Cells” (Benjamin et al., 1 st edition). Outline.
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Tumorigenesis and Cancer Development • Pin Ling (凌 斌), Ph.D. ext 5632; lingpin@mail.ncku.edu.tw • References: 1. Chapter 23 Cancer in “Molecular Cell Biology” (Lodish et al., 5th edition) 2. Chapter13 Cancer in “Cells” (Benjamin et al., 1st edition)
Outline • Overview of Tumorigenesis to Cancer -Progression, Types, & Properties • The Genetic Basis of Cancer • Metastasis 4. Cancer Stem cells 5. Cancer metabolism
Key Concepts about Cancer-I • 1. All cancer cells share certain fundamental properties. • 2. Various types of cancers have their distinctive traits • & behaviors. • => Different therapies • 3. Cancer cells and normal cells still share a lot of • properties. • => Difficult to kill cancer cells w/o hurting normal cells • 4. The Goal of Cancer therapy => increase targeting • specificity.
Overview of Tumor formation to Cancer Cancer is a complex and progressive disease. Adapted from “Cells”
Phenotypical Properties of Normal and Cancerous Cells Adapted from “Cells”
Four Major Types of Tumors • Classified by the cell type from which neoplasms arise • Caricnomas – the most frequent, transformed Epithelial cells lining organ cavities and surfaces; e.g. Lung, Colon, Breast, Prostate, ….etc. • Sarcomas – Mesenchymal tissues (Fibroblasts & related cell types); e.g. Bone, Muscle, …etc • Hematopoietic Cells & Organs – eg. Leukemias, Lymphomas, Myelomas, … etc • Neuroectodermal cells – e.g. neuroblastomas, glioblastomas, melanomas, ….etc
Outline 1. Overview of Tumorigenesis to Cancer -Progression, Types, & Properties 2. The Genetic Basis of Cancer - Oncogenes & Tumor Supressor Genes 3. Metastasis 4. Cancer Stem cells 5. Cancer metabolism
Key Concepts about Cancer-II • Early in the 20th century => Cancer as the result of viruses. • In the mid to late 20th century concept of cancer • => A complex & progressive genetic disease that requires a series of genetic mutations (at least 4-6, most >10). • Cellular genomes contain multiple proto-oncogenes & tumor suppressor genes. • Genetic mutations on these critical genes lead to dysregulated cell growth & division. • 5. Cancers mostly arise from genetic mutations in somatic cells.
Acquired Abilities for Cancer Progression: Cancer Hallmarks 2000 vs 2011
Tumor Viruses & Oncogenes-History • Avian and murine retroviruses (Rous in 1911) and DNA tumor viruses gave the first experimental handle on specific cancer causing genes. • Viruses were a way to achieve experimentally reproducible cancers before molecular techniques developed. • 3. Isolation of tumorigenic viruses in the laboratory allowed cancer causing genes to be isolated.
The Discovery of Tumor-Inducing Viruses (Rous Sarcoma Virus)
Retroviruses & Oncogenes-History II • Early 1970s RSV=> Retrovirus containing v-Src as an oncogene for tumorigenesis • In 1975 scientists found a normal version of v-Src in healthy cells • This normal version of v-Src, called c-Src, was defined a proto-oncogene, playing an essential role in cell growth. • RSV picked up c-Src => mutation => RSV w/v-Src • => tumor-inducing virus
Identification of Ras Oncogene Chiaho Shih, PhD Robert A. Weinberg, PhD
Identification of Her2/Neu Oncogene Robert A. Weinberg, PhD Mien-Chie Hung, PhD
Mechanisms of Oncogene Activation • Overexpression • Point mutation • Translocation
Many Cellular Proto-Oncogenes Proteins Cell growth & proliferation
Oncogenes vs. Tumor Suppressor Genes • Oncogenes promote cell growth & division. • Oncogene activation: (1) Overexpression & amplification, (2) Point mutation, (3) Translocation • Tumor viruses carry oncogenes. • Tumor suppressors inhibits cell growth & division. • Both copies of a tumor suppressor gene need to be mutated to see a phenotype.
DNA Tumor Viruses & Tumor Suppressor genes-History • DNA tumor viruses (SV40, EBV, HPV, …) produce cancer-inducing proteins unrelated to growth-regulating proteins. • These viral proteins bind and perturb another set of cellular proteins => Tumor suppressors => Dyregulate cell growth & division. • Large T protein (SV40) => Rb & p53 • E6 (HPV) => p53 • E7 (HPV) => Rb
Identification of 1st Tumor Suppressor Gene-Rb Robert A. Weinberg, PhD Wen-Hwa Lee, PhD
1. Two mutations to • inactivate tumor suppressor • 2. Cancer susceptibility is • increased by the inheritance • of a mutant copy of tumor • suppressor gene. • 3. Loss of heterozygosity by • mitotic recombination
Tumor Suppressor Genes in Inherited Cancer Susceptibility Syndromes
Acquired Abilities for Cancer Progression: Cancer Hallmarks 2000 vs 2011
Telomerase activity is required for immortalizating tumor cells
Outline 1. Overview of Tumorigenesis to Cancer -Progression, Types, & Properties 2. The Genetic Basis of Cancer - Oncogenes & Tumor Supressor Genes 3. Angiogenesis & Metastasis 4. Cancer Stem cells 5. Cancer metabolism
Key Concepts about Cancer-III • 1. Tumor growth is limited by access to nutrients and • waste removal. • 2. Tumors stimulate blood vessel growth (Angiogenesis), • which enables them to expand. • 3. Some tumor cells can break neighboring tissues to • move into blood and lymphatic vessels (Intravasation). • 4. Tumor cells travel and colonize into other tissues • (Metastasis). • 5. Metastasis often lead to death of the individual.
Lymphoangiogenesis & Metastasis 1. VEGFR signaling is the key player. 2. Many primary tumors express VEGFR.
Chemokines and Tumor Growth & Metastasis
Outline 1. Overview of Tumorigenesis to Cancer -Progression, Types, & Properties 2. The Genetic Basis of Cancer - Oncogenes & Tumor Supressor Genes 3. Angiogenesis & Metastasis 4. Cancer Stem cells 5. Cancer metabolism
Key Concepts about Cancer-IV • Stem cells and cancer cells share some common properties, e.g. self-renewal, survival, ..etc. • Tumors often originate from transformation of normal stem cells. • Cancer stem cells may exist among cancer cells and • possess the unique ability to self-renew and survive. • 4. Targeting cancer stem cells is the new strategy for cancer therapy.
Signaling Pathways in Stem Cell Development & Transformation
Outline 1. Overview of Tumorigenesis to Cancer -Progression, Types, & Properties 2. The Genetic Basis of Cancer - Oncogenes & Tumor Supressor Genes 3. Angiogenesis & Metastasis 4. Cancer Stem cells 5. Cancer metabolism
Factors affecting cancer metabolism TW Mak et al., Nat Rev Cancer, 2011
Metabolisms: Normal vs Cancer cells TW Mak et al., Nat Rev Cancer, 2011
PKM2 effect on Glycolysis & the Pentose Phosphate Pathway TW Mak et al., Nat Rev Cancer, 2011
Paper Discussion-I (3/20) • Papers related to following topics are suggested: • Cancer development: (1) Cancer metabolism, (2) Cancer stem cells, (3) Epigenetics in cancer, or (4) MicroRNAs in cancer • Inflammation & Cancer: (1) Inflammatory regulation in cancer, (2) TAM (Tumor-associated macrophages) in cancer, or (3) Others • Check your papers with me first