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  • All cancers result from changes in the DNA sequence of our genome. These changes occur throughout life because the genome within our cells is exposed to mutagens like UV radiation and accumulates mistakes during replication. These changes result in a progressive, subtle divergence of the DNA sequence from the original copy from the fertilised egg. Occasionally, one of these mutations alters the function of a critical gene, providing a growth advantage to the cell in which it has occurred. This means that this cell and its offspring divide at a faster rate than that of their neighbours. The result is tumour formation, invasion of surrounding tissue and eventually ‘metastasis’, or spread of the cancer to other parts of the body. The image in the slide shows a human melanoma cell undergoing cell division. The chromosomes (blue) have separated and the two daughter cells have almost split apart – only a small bridge of cytoplasm remains. The green staining labels the endoplasmic reticulum and the red labels the mitochondria.
  • Two key terms that students will encounter are presented on this slide. They may have come across the terms ‘somatic’ and ‘germline’ in discussions of gene therapy previously.
  • Cancer genes are causally implicated in oncogenesis – the cellular changes that result in malignant tumour formation Somatic mutations are defined as mutations or other alterations in DNA that occur after conception. Somatic mutations can occur in any of the cells of the body except the germ cells (sperm and egg) and therefore are not passed on to children. These alterations can (but do not always) cause cancer.
  • An example of germline cancer mutations inherited from parents are mutations in the BRCA1 and BRCA2 genes. These are breast cancer susceptibility cancer genes. They are rare and the risk of cancer is high.Women who have inherited a mutation in one of these genes from a parent will have a life time risk of breast cancer of approximately 70% , compared to 10% in the rest of the population. However, even in those cases where someone has inherited a susceptibility, additional somatic mutations are required.
  • COSMIC: Catalogue Of Somatic Mutations In Cancer was created by the Cancer Genome Project at the Wellcome Trust Sanger Institute.
  • Tumour suppressor genes (TSG) code for proteins that slow down cell growth. They can halt the cell growth cycle to stop unnecessary division or promote apoptosis (cell death) if the cell’s DNA is damaged.Different tumour suppressor proteins carry out the following functions: Repression of genes which are essential to the cell cycle, therefore inhibiting cell division. Linking the cell cycle to DNA damage; if there is damage to the cell it will not allow it to divide. Identifying where the DNA damage is irreparable and initiating apoptosis (cell suicide).The animated chromosome diagram illustrates that both copies of the TSG have to be inactivated by mutation or other alteration for there to be a loss of cell cycle control. If one functional copy remains, there is still a “brake” on the cell’s growth. The “cell as a car” analogy: One way to think about TSGs is to see them as the brakes of a car. There is a gene on both chromosomes so in a sense there are two brakes. If one gene is mutated and its protein loses its function, the cell can still halt and prevent unregulated cell growth as the other copy of the gene (or brake) is still functioning. However if that back up copy also changes and no longer codes for a functioning protein, the cell cycle is no longer under control and this can lead to cancer.
  • Proto-oncogenes code for proteins that drive cell division. When these genes acquire mutations that result in continually active proteins they become oncogenes and cause uncontrolled cell growth and division.  The “cell as a car” analogy: If you are using the car analogy, oncogenes can be seen as the accelerator. When one healthy copy of the proto-oncogene is altered it is the equivalent of the accelerator pedal being stuck – speeding up cell growth and division. Notice in the case of oncogenes that it only takes one copy of the gene to undergo changes to lead to cancer, rather than both copies as is the case with TSGs.
  • Cancer development is a gradual process where genetic changes are accumulated over a period of time. The different stages of cancer progression are shown:Benign tumour: A cell begins to divide more rapidly than it’s neighbours and a localised mass of cells forms. In situ cancer: A cell begins to divide in an uncontrolled way. Invasive cancer: The tumour gets bigger and cells begin to invade surrounding tissue. In this case the illustration is showing the tumour arising from a cell within a villi of the large intestine, expanding outwards into the surrounding area.Metastatic cancer: Tumour cells travel to other parts of the body through the bloodstream and deposit in other organs leading to secondary tumours, known as metastasis.Before you click to the next slide, you can ask students what kinds of factors can trigger the formation of a cancerous cell.
  • The chemicals in cigarette smoke have been causally linked to the development of lung cancer. Lung cancer causes around one million deaths worldwide every year, almost all of which are associated with smoking.Tobacco smoke contains more than 60 mutagens that bind and chemically modify DNA. These brand the lung cancer genome with characteristic mutational patterns. For example research* has show that the tobacco smoke carcinogens polycyclic aromatic hydrocarbons (PAH) and the nicotine-derived nitrosamines cause G – T mutations. Globally, lung cancer claims more than one in six cancer deaths each year. Of the two major types, small cell lung cancer is found in 15% of cases, but has much the worse prognosis with only one in 20 patients surviving for five years. Cancer of the respiratory tract (lung, trachea, bronchus) is the most common cause of death from cancer in Europe and the USA.*Pfeifer GP et al. Tobacco smoke carcinogens, DNA damage and p53 mutations in smoking-associated cancers. Oncogene 2002; 21, 7435 –7451. Pleasance ED et al. A small-cell lung cancer genome with complex signatures of tobacco exposure. Nature 2010; 463 (7278) :184 –190.Available online at doi: 10.1038/nature08629
  • Overeating leads to obesity. Obesity is known to be associated with bowel and stomach cancers.If obesity can be reduced then the number of cancer cases will be reduced.
  • Biological factors can also be linked with cancer. For example, Human papilloma virus (HPV) is recognised as a cause of cervical cancer.HPV is a sexually transmitted virus which has more than 100 different strains. Thirty of these can cause cervical cancer and genital warts. When HPV enters cells of the cervix proteins made by the virus activate and inactivate oncogenes and tumour suppressor genes respectively. It is like a machine for turning on lots of cancer genes. The image shows a lesion in a human cervical epithelium infected with human papilloma virus (HPV16). Early viral proteins (green) bind to and re-organise the keratin filaments (red) towards the edge of the cell. Cell nuclei are stained with Dapi (blue).In 2007, there were more than 550,000 new cases of cervical cancer, and approximately 260,000 deaths from cervical cancer worldwide. The overwhelming majority of these women were in developing countries, where cervical cancer screening programmes are often unavailable and healthcare infrastructure weak.The role of HPV in cervical cancer has led to the development of vaccines against HPV. Vaccination against HPV dramatically reduces cases of cervical cancer. The development of the vaccine is regarded by cancer experts as a stunning advance in the prevention of cancer. A HPV vaccine is available and vaccination and screening programmes are being introduced in the UK. Since 2008, the vaccine has been offered to 12- to 13-year-old girls (school year 8). A three-year catch-up programme was started in 2008 and offers the vaccine to older girls aged 13-18 years old. If time: you could discuss the students’ thoughts on this.
  • Meiosis

    1. 1.  Definition of Meiosis Importance of Meiosis Discovery of Meiosis Stages of Meiosis Meiosis I Meiosis II Formation of Gametes Oogenesis Spermatogenesis Difference in Mitosis and Meiosis
    2. 2.  Cancer- Abnormal CellDivision Carcinogenesis Causes of Cancer Treatment and prevention ofCancer.
    3. 3.  Define what meiosis is. Give the importance of meiosis. State the discovery of meiosis. Identify the stages of meioticdivision and it’s distinctcharacteristics. Understand how gametes areformed.
    4. 4.  Differentiate mitosis and meiosis. Define and understand what canceris. Understand what carcinogenesis. Know the causes of cancer. Have insights about how cancer willbe treated and prevented.
    5. 5. Meiosis – A Source of DistinctionWhy do you share some but not all characters of each parent?At onelevel, theanswers lie inmeiosis.
    6. 6. Meiosis is a special type of cell divisionnecessary for sexual reproduction ineukaryotes. The cells produced by meiosisare gametes or spores. In many organisms,including all animals and land plants (but notsome other groups such as fungi), gametesare called sperm and egg cells.
    7. 7. Meiosis does two things -1) Meiosis takes a cell with two copies of everychromosome (diploid) and makes cells with asingle copy of every chromosome (haploid).This is a good idea if you’re going to combinetwo cells to make a new organism. This trickis accomplished by halving chromosomenumber.In meiosis, one diploid cells produces fourhaploid cells.
    8. 8. • Meiosis is necessary to halve thenumber of chromosomes going intothe sex cellsWhy halve the chromosomes in gametes?• At fertilization the male and femalesex cells will provide ½ of thechromosomes each – so the offspringhas genes from both parents
    9. 9. 2) Meiosis scrambles the specific forms ofeach gene that each sex cell (egg or sperm)receives.This makes for a lot of genetic diversity. Thistrick is accomplished through independentassortment and crossing-over.Genetic diversity is important for the evolutionof populations and species.
    10. 10. Parent cell –chromosome pairChromosomescopied1st division - pairs split2nd division – produces4 gamete cells with ½the original no. ofchromosomes
    11. 11.  Oscar Hertwig -A Germanbiologist firstdiscovered anddescribedmeiosis in seaurchin eggs in1876.
    12. 12. LeptonemaZygonemaPachynemaDiplonemaDiakinesisSynchronous processes
    13. 13.  The first stage of prophase I is the leptotenestage, also known as leptonema, from Greekwords meaning "thin threads".In this stage ofprophase I, individual chromosomes—eachconsisting of two sister chromatids—changefrom the diffuse state they exist in during thecells period of growth and geneexpression, and condense into visible strandswithin the nucleus.
    14. 14.  However the two sister chromatids are still sotightly bound that they are indistinguishablefrom one another. During leptotene, lateralelements of the synaptonemal complexassemble.
    15. 15.  The zygotene stage, also known aszygonema, from Greek words meaning"paired threads", occurs as thechromosomes approximately line up witheach other into homologous chromosomepairs. This is called the bouquet stagebecause of the way the telomeres cluster atone end of the nucleus.
    16. 16.  At this stage, the synapsis (pairing/comingtogether) of homologous chromosomestakes place, facilitated by assembly ofcentral element of the synaptonemalcomplex. Pairing is brought about in azipper-like fashion and may start at thecentromere (procentric), at the chromosomeends (proterminal), or at any other portion(intermediate).
    17. 17.  Individuals of a pair are equal inlength and in position of thecentromere. Thus pairing is highlyspecific and exact. The pairedchromosomes are called bivalent ortetrad chromosomes
    18. 18.  The pachytene stage, also known aspachynema, from Greek words meaning"thick threads", is the stage whenchromosomal crossover (crossing over)occurs. Nonsister chromatids of homologouschromosomes may exchange segments overregions of homology. Sexchromosomes, however, are not whollyidentical, and only exchange information overa small region of homology. At the siteswhere exchange happens, chiasmata form.
    19. 19.  The exchange of information between thenon-sister chromatids results in arecombination of information; eachchromosome has the complete set ofinformation it had before, and there are nogaps formed as a result of the process.Because the chromosomes cannot bedistinguished in the synaptonemalcomplex, the actual act of crossing over isnot perceivable through the microscope, andchiasmata are not visible until the next stage.
    20. 20.  During the diplotene stage, also known asdiplonema, from Greek words meaning "twothreads", the synaptonemal complexdegrades and homologous chromosomesseparate from one another a little. However,the homologous chromosomes of eachbivalent remain tightly bound at chiasmata,the regions where crossing-over occurred.The chiasmata remain on the chromosomesuntil they are severed in anaphase I.
    21. 21.  In human fetal oogenesis alldeveloping oocytes develop to thisstage and stop before birth. Thissuspended state is referred to as thedictyotene stage and remains so untilpuberty.
    22. 22.  Chromosomes condense further during thediakinesis stage, from Greek wordsmeaning "moving through". This is the firstpoint in meiosis where the four parts of thetetrads are actually visible. Sites of crossingover entangle together, effectivelyoverlapping, making chiasmata clearlyvisible.
    23. 23.  Other than this observation, the restof the stage closely resemblesprometaphase of mitosis; the nucleolidisappear, the nuclear membranedisintegrates into vesicles, and themeiotic spindle begins to form
    24. 24.  During these stages, two centrosomes,containing a pair of centrioles in animalcells, migrate to the two poles of the cell.These centrosomes, which were duplicatedduring S-phase, function as microtubuleorganizing centers nucleating microtubules,which are essentially cellular ropes andpoles.
    25. 25.  The microtubules invade the nuclear regionafter the nuclear envelopedisintegrates, attaching to thechromosomes at the kinetochore. Thekinetochore functions as a motor, pullingthe chromosome along the attachedmicrotubule toward the originatingcentriole, like a train on a track.
    26. 26.  There are four kinetochores oneach tetrad, but the pair ofkinetochores on each sisterchromatid fuses and functions asa unit during meiosis I.
    27. 27. • The chromosomesline up at theequator attached bytheir centromeresto spindle fibersfrom centrioles.– Still in homologouspairs
    28. 28. • The spindle guides themovement of thechromosomes toward thepoles– Sister chromatids remainattached– Move as a unit towards thesame pole• The homologouschromosome moves towardthe opposite pole– Contrasts mitosis –chromosomes appear asindividuals instead ofpairs (meiosis)
    29. 29. • This is the end of the firstmeiotic cell division.• The cytoplasmdivides, forming two newdaughter cells.• Each of the newly formedcells has half the number ofthe parent cell’schromosomes, but eachchromosome is alreadyreplicated ready for thesecond meiotic cell division
    30. 30. • Occurssimultaneouslywith telophaseI–Forms 2daughter cells
    31. 31. • Each of thedaughter cellsforms a spindle,and the doublestrandedchromosomesmove toward theequator
    32. 32. • Thechromosomesare positioned onthe metaphaseplate in amitosis-likefashion
    33. 33. • The centromeres ofsister chromatidsfinally separate• The sisterchromatids of eachpair move towardopposite poles– Now individualchromosomes
    34. 34. • Nuclei form atopposite poles ofthe cell andcytokinesis occurs• After completion ofcytokinesis thereare four daughtercells– All are haploid (n)
    35. 35. One Way Meiosis Makes Lots ofDifferent Sex Cells (Gametes) –Independent AssortmentIndependent assortment produces 2ndistinct gametes, where n = the numberof unique chromosomes.That’s a lot of diversity by thismechanism alone.In humans, n = 23 and 223 = 6,000,0000.
    36. 36. Another Way Meiosis Makes Lots of DifferentSex Cells – Crossing-OverCrossing-over multiplies the already huge number of different gametetypes produced by independent assortment.
    37. 37. The Key Difference Between Mitosis and Meiosis isthe Way Chromosomes Uniquely Pair and Align inMeiosisMitosis The first (anddistinguishing)division of meiosis
    38. 38. Boy or Girl? The Y Chromosome “Decides”X chromosomeY chromosome
    39. 39. Boy or Girl? The Y Chromosome “Decides”
    40. 40.  All cancers derivefrom single cells thathave acquired thecharacteristics ofcontinually dividingin an unrestrainedmanner and invadingsurrounding tissues.Human melanoma cell undergoing cell divisionCredit: Paul Smith & Rachel Errington, Wellcome Images
    41. 41.  Cancer cells behave in thisabnormal manner because ofchanges in the DNA sequence ofkey genes, which are known ascancer genes. Therefore allcancers are genetic diseases.
    42. 42.  Germline mutation◦ A change in the DNA sequence that can beinherited from either parent Somatic mutation◦ A change in the DNA sequence in cells other thansperm or egg◦ The mutation is present in the cancer cell and itsoffspring, but not in the patient’s healthy cells
    43. 43.  Cancer genes are causallyimplicated in oncogenesis Mutations in cancer genes canoccur somatically or can beinherited.
    44. 44.  Mutations in some cancer genes can beinherited from parents, in which case theyare present in every cell of the body. Suchpeople are at a higher risk of developingcancer. Somatic mutations can occur in any of thecells of the body except the germ cells(sperm and egg) and therefore are notpassed on to children.
    45. 45. SomaticInheritedBothOnly 5 –10% of cancer cases have a clear hereditary component,e.g. BRCA1 and BRCA2 in breast cancerEven in those cases where susceptibility is clearly inherited, somatic changesare required for cancer to develop
    46. 46.  There are two types of cancer genes:◦ Tumour suppressor genes◦ Oncogenes To date, we know of approximately 400somatic ―cancer genes‖ * but there arealmost certainly more to be found
    47. 47. Tumour suppressor geneTSCancerThese genes normally function to PREVENT cellgrowth/division
    48. 48. OncogeneCancerRasGenes which normally function to PROMOTE cell growth/division in acontrolled manner
    49. 49. Cancer progressionBenign TumourIn situ cancerInvasive cancerMetastaticcancerMutations in multiple cancer genes are required for the development andprogression of a single cancer
    50. 50. lastexitExternal causes of cancer:ultraviolet radiation
    51. 51. External causes of cancer:tobacco smoke
    52. 52. Lifestyle factor: diet
    53. 53.  HPV is a cause ofcervical cancer Proteins from the virusactivate and deactivatecancer genes The role of HPV incervical cancer has ledto the development ofvaccinesHPV in cervical epitheliumCredit: MRC NIMR, Wellcome Images