Oncogenes and tumor suppressor genes
Two of the main
types of genes that play a role in cancer are oncogenes and tumor suppressor genes.
Oncogenes
Proto-oncogenes
are genes that normally help cells grow. When a proto-oncogene mutates, it
becomes a "bad" gene that can become permanently turned on or
activated when it is not supposed to be. When this happens, the cell grows out
of control, which can lead to cancer. This gene is called an oncogene. It may
be helpful to think of a cell as a car. For it to work properly, there need to
be ways to control how fast it goes. A proto-oncogene normally functions in a
way that is much like a gas pedal. It helps the cell grow and divide. An
oncogene could be compared with a gas pedal that is stuck down, which causes
the cell to divide out of control.
A few cancer
syndromes are caused by inherited mutations of proto-oncogenes that cause the oncogene
to be turned on. But most cancer-causing mutations involving oncogenes are acquired,
not inherited. They generally activate oncogenes by:
·
Chromosome
rearrangements: Changes in chromosomes that put one gene next to another, which
allows one gene to activate the other
·
Gene
duplication: Having extra copies of a gene, which can lead to it making too
much of a certain protein.
Tumor suppressor genes
Tumor
suppressor genes are normal genes that slow down cell division, repair DNA
mistakes, or apoptosis or programmed cell death. When tumor suppressor genes
don't work properly, cells can grow out of control, which can lead to cancer. A
tumor suppressor gene is like the brake pedal on a car. It normally keeps the
cell from dividing too quickly, just as a brake keeps a car from going too
fast. When something goes wrong with the gene, such as a mutation, cell division
can get out of control.
An important
difference between oncogenes and tumor suppressor genes is that oncogenes
result from the activation (turning on) of proto-oncogenes, but tumor
suppressor genes cause cancer when they are inactivated (turned off).
Inherited
abnormalities of tumor suppressor genes have been found in some family cancer syndromes.
They cause certain types of cancer to run in families. But most tumor
suppressor gene mutations are acquired, not inherited.
For example,
abnormalities of the TP53 gene (which codes for the p53 protein) have been
found in more than half of human cancers. Acquired mutations of this gene
appear in a wide range of cancers.
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