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Essential Cell Biology 5th edition

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724 CHAPTER 20 Cell Communities: Tissues, Stem Cells, and Cancer

Figure 20–46 Genes that are critical

for cancer are classified as protooncogenes

or tumor suppressor

genes, according to whether the

dangerous mutations are dominant

or recessive. (A) Oncogenes act in a

dominant manner: a gain-of-function

mutation in a single copy of the protooncogene

can drive a cell toward

cancer. (B) Loss-of-function mutations

in tumor suppressor genes generally

act in a recessive manner: the function

of both copies of the gene must be

lost to drive a cell toward cancer. In this

diagram, normal genes are represented

by light blue squares, activating

mutations by red rays, and inactivating

mutations by hollow red squares.

(A) dominant mutation (gain of function)

normal cell

MUTATION INACTIVATES

ONE COPY OF TUMOR

SUPPRESSOR GENE

tumor suppressor

gene

normal cell

MUTATION IN ONE COPY OF PROTO-ONCOGENE

CREATES ONCOGENE

proto-oncogene

(B) recessive mutation (loss of function)

no effect of

mutation in one

gene copy

SECOND MUTATION

INACTIVATES

SECOND GENE

COPY

hyperactive oncogene

complete loss of

tumor suppressor

gene activity

excessive cell

survival,

proliferation,

or both

excessive cell

survival,

proliferation,

or both

mutations have a dominant effect: only one gene copy needs to be

mutated to promote the development of cancer. The resulting mutant

gene is called an oncogene, and the corresponding normal form of the

gene is called a proto-oncogene (Figure 20–46A). Figure 20–47 shows

a variety of ways in which a proto-oncogene can be converted into its

corresponding oncogene.

For other cancer-critical genes, the danger lies in mutations that destroy

their activity. These loss-of-function mutations are generally recessive:

both copies of the gene must be lost or inactivated to contribute to cancer

development; the normal gene is called a tumor suppressor gene

(Figure 20–46B). In addition to such genetic alterations, tumor suppressor

genes can also be silenced by epigenetic changes, which alter gene

expression without changing ECB5 e20.48-20.49

the gene’s nucleotide sequence (as discussed

in Chapter 8). Epigenetic changes are thought to silence some

tumor suppressor genes in most human cancers. Figure 20–48 highlights

a few of the ways in which the activity of a tumor suppressor gene can

be lost.

proto-oncogene

MUTATION

IN CODING SEQUENCE

GENE AMPLIFICATION

CHROMOSOME REARRANGEMENT

DNA

or

DNA

RNA

RNA

protein

hyperactive mutant

protein made in

normal amounts

normal protein overproduced

nearby regulatory

DNA sequence causes

normal protein to

be overproduced

fusion with actively

transcribed gene

produces hyperactive

fusion protein

Figure 20–47 Several kinds of gain-of-function mutations can convert a proto-oncogene into an oncogene. In each case, the

change leads to an increase in the gene’s function.

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