Cancer and the Cell Cycle : An overview Ken Wu Disclaimer • This tutorial is a simple and conceptual guide to the cancer module and the cell cycle • If there are any conflicts between my slides and the lecturers, THE LECTURER IS ALWAYS RIGHT… • …maybe not always but they set your exams so if in doubt, refer back to their teaching The Cell Cycle • Most adult cells, without growth stimulus, will go into the G0 phase of the cell cycle • However, when a growth factor binds to its receptor on the cell membrane, a cascade starts and the cell prepares to enter G1 Growth stimulus • Growth factors – Epidermal Growth Factor (EGF) – Platelet-Derived Growth Factor (PDGF) • Binds to Receptors Protein Tyrosine Kinase (RPTK) Preparing the cascade • Grb2 (adaptor protein) binds to phosphorylated tyrosine – Recruits SoS (Ras activating protein) • SoS exchanges GDP for GTP – Activates Ras • Ras must be membrane bound to be active The ERK Cascade • RAS – Raf • MEK – ERK • Causes gene expression changes via proteins such as c-Myc Cyclin dependent kinases (Cdk) • Cyclically activated protein kinases • Activation depends on – Cyclin – Cdk interaction – Phosphorylation • Cyclins – Expressed at different points in cell cycle – Transiently expressed and degraded Cyclin – Cdk interation • Cdk 4,6 + cyclin D (up regulated by c-Myc) – G0 – G1 – Also stimulates cyclin E synthesis • Cdk 2 + cyclin E – S phase entry • Cdk 2 + cyclin A – Metaphase of mitosis entry • Cdk 1 + mitotic cyclin (cyclin B) – Promotes mitosis Cell cycle timing and direction • Due to sequentially active Cdk, and synthesis of Cdk for the next phase of cell cycle Cyclin – Cdk function • Phosphorylate pRb protein • Phosphorylated pRb ‘releases’ E2F transcription factor • E2F is now free to facilitate gene transcription D pRb Cdk4/6 E2F pRbP E Cdk2 E2F pRbPP A Cdk2 TF P pRb P B Cdk1 Mitosis Cdk inhibition • INK4 family – Inhibit Cdk 4,6 – G1 phase inhibitors • CIP/KIP family – Inhibit all Cdks – S phase inhibitors • Degradation allows cell cycle progression The Big Picture • G0 + EGF – RAS, Raf, MEK, ERK, c-Myc • Cyclin – Cdk – D + 4,6 (G0 – G1) – E + 2 (G1 – S) – A + 2 (Metaphase) – B + 1 (Anaphase) Cancer – when it goes wrong • Overexpressed EGFR • Mutant RAS – Does not dephosphorylate GTP – Constantly bound to GTP thus constantly active • Overexpressed c-Myc, cyclin D • Inactive pRB Apoptosis vs Necrosis - basics • Necrosis – Unregulated – Trauma, cellular disruption – Inflammatory response • Apoptosis – Regulated – Controlled disassembly – No inflammatory response Apoptosis vs necrosis - process • Necrosis – – – – – Plasma membrane becomes permeable Cell swelling Membrane rupture Protease autodigestion Localised inflammation • Apoptosis – – – – – – Activate death pathway Cell shrinkage Nuclear condensation DNA fragmentation Apoptotic bodies Macrophages Caspases • Activation – Proteolysis – Cascade • Initiator caspases – CARD or DED domain • Effector caspases Caspase function • Initiator caspase – Activation via proteolytic cleavage – Caspase cascade • Effector caspase – Cleave and inactive proteins – Activate enzymes in apoptosis Receptor mediated caspase activation (extrinsic pathway) • Fas receptor – Fas – Fas ligand interation – Has DD intracellular domain • Recruits FADD FADD – DD of FADD attaches to DD of Fas DED DD • DED domain of FADD interacts with DED domain of caspase • Recruits caspase 8 – Caspase cascade – Cleaves Bid – mitochondrial pathway • Process inhibited by FLIP FLIP DED DED Mitochondrial death pathway (intrinsic pathway) • Loss of mitochondrial membrane potential – Releases cytochrome c + other factors • Forms apoptosome complex – Apaf 1 • Binds to cytochrome c • CARD domain binds to CARD of caspase 9 – Caspase cascade • Needs ATP – Therefore energy levels decide apoptosis vs necrosis Apoptosis modulators • Bcl – 2 family – Anti – apoptotic • Bcl – 2 • Bcl –xL – Pro – apoptotic • Bid • Bad • Bax Mechanism of apoptosis modulation • Growth factor presence – PI3 – K pathway • PKB/Akt production – Inactivates Bad, caspase 9 • Inhibited by PTEN • Bax – Forms pore on mitochondrial matrix Cancer – when it goes wrong • Overexpressed Bcl – 2 • Overexpressed PKB/Akt • Inactive PTEN Any questions? • Email me at ken.wu09@imperial.ac.uk • Visit the ICSM Year 1+2 past paper bank Facebook group/the note bank on the ICSMSU website • Good luck with exams next term!