Most normal cells undergo a preprogrammed rapid cell death (apoptosis) if critical functions are altered and then malfunction. Activated oncogenes can cause those cells designated for apoptosis to survive and proliferate instead.[3] Most oncogenes began as proto-oncogenes: normal genes involved in cell growth and proliferation or inhibition of apoptosis. If, through mutation, normal genes promoting cellular growth are up-regulated (gain-of-function mutation), they predispose the cell to cancer and are termedoncogenes. Usually, multiple oncogenes, along with mutated apoptotic ortumor suppressor genes, act in concert to cause cancer. Since the 1970s, dozens of oncogenes have been identified in human cancer. Many cancer drugs target theproteins encoded by oncogenes.[2][4][5][6] Oncogenes are a physically and functionally diverse set of genes, and as a result, their protein products havepleiotropic effects on a variety of intricate regulatory cascades within the cell.
Genes known as proto-oncogenes are those that normally encourage cell growth and division in order to generate new cells or sustain the viability of pre-existing cells. When overexpressed, proto-oncogenes can be inadvertently activated (turned on), which changes them to oncogenes.[7]
There are numerous ways to activate (turn on) oncogenes in cells:
Gene changes or mutations: A person's genetic "coding" may differ in a way that causes an oncogene to always be activated. These types of gene changes can develop spontaneously throughout the course of a person's life or they might be inherited from a parent when atranscription error occurs during cell division.[8]
Cells can frequently switch genes on or off via epigenetic mechanisms rather than actual genetic alterations. Alternately, different chemical compounds that can be linked to genetic material (DNA or RNA) may have an impact on which genes are active. An oncogene may sporadically become activated due to these epigenetic modifications. Visit Gene Alterations and Cancer to learn more about epigenetic alterations.
Chromosomal rearrangement: Every living creature has chromosomes, which are substantial strands ofDNA that contain the genes for a cell. A chromosome's DNA sequence may alter each time a cell divides. This could cause a gene to be located near to a proto-oncogene that acts as an "on" switch, keeping it active even when it shouldn't. The cell can develop irregularly with the aid of this new oncogene.[9]
Gene duplication: If one cell has more copies of a gene than another, that cell may produce too much of a certain protein.
The first human oncogene (HRAS), a crucial finding in the field of cancer research, was discovered more than 40 years ago, and since then, the number of novel pathogenic oncogenes has increased steadily. The discovery of specific small-molecule inhibitors that specifically target the different oncogenic proteins and a comprehensive mechanistic analysis of the ways in which oncogenes dysregulate physiological signaling to cause different cancer types and developmental syndromes are potential future advances in the field of cancer research. Investigating the quickly expanding field of oncogene molecular research, the goal of this special issue was to generate practical translational indicators that could be able to meet clinical needs.[10]
Genes that are considered crucial for cancer can be divided into two categories based on whether the harmful mutations in them result in function loss or gain. Gain-of-function mutations of proto-oncogenes drive cells to proliferate when they shouldn't, while loss-of-function mutations of tumor suppressor genes free cells from inhibitions that typically serve to control their numbers. The ability of the mutant genes, known as oncogenes, to steer a specific line of test cells toward malignant proliferation can occasionally be used to identify these later mutations, which have a dominating effect.
Many of them were initially found to induce cancer in animals when they are introduced through viral vector infection, which carries genetic information from a prior host cell. Another method for identifying oncogenes is to look for genes that are activated by mutations in human cancer cells or by chromosomal translocations that may indicate the presence of a gene that is crucial for cancer.[11]
Cancer patients are generally categorized according to clinical parameters in order to tailor theircancer therapy. For example, the separation of patients withacute leukemia into those withlymphocytic leukemia and those withmyelocytic leukemia is important, because the optimal treatment for each form is different. Even in a particular disease, the identification of patients with good and poorprognostic potential is helpful, since more aggressive therapy may be needed to achieve a cure in the poor prognostic group. Oncogenes areprognostic markers in certain human cancers.N-myc amplification is an independent determinant in predicting a poor outcome in childhoodneuroblastoma. Those children with amplification of N-myc, regardless of stage, will have shortened survival. Thus, therapeutic efforts are concentrated on intensifying treatment in this poor prognostic group.[12]
The theory of oncogenes was foreshadowed by the German biologistTheodor Boveri in his 1914 bookZur Frage der Entstehung Maligner Tumoren (Concerning the Origin of Malignant Tumors) in which he predicted the existence of oncogenes(Teilungsfoerdernde Chromosomen) that become amplified(im permanenten Übergewicht) during tumor development.[13]
The first confirmed oncogene was discovered in 1970 and was termedSRC (pronounced "sarc" as it is short for sarcoma). SRC was first discovered as an oncogene in a chickenretrovirus. Experiments performed by Dr. G. Steve Martin of theUniversity of California, Berkeley demonstrated that SRC was indeed the gene of the virus that acted as an oncogene upon infection.[15] The firstnucleotide sequence ofv-Src wassequenced in 1980 by A.P. Czernilofsky et al.[16]
Dr.Robert Weinberg is credited with discovering the first identified human oncogene in a humanbladder cancer cell line.[18][19] The molecular nature of the mutation leading to oncogenesis was subsequently isolated and characterized by the Spanish biochemistMariano Barbacid and published inNature in 1982.[20] Dr. Barbacid spent the following months extending his research, eventually discovering that the oncogene was a mutatedallele ofHRAS and characterizing its activation mechanism.
The resultant protein encoded by an oncogene is termedoncoprotein.[21] Oncogenes play an important role in the regulation or synthesis of proteins linked to tumorigenic cell growth. Some oncoproteins are accepted and used as tumor markers.
Aproto-oncogene is a normal gene that could become an oncogene due to mutations or increasedexpression. Proto-oncogenes code forproteins that help to regulate thecell growth anddifferentiation. Proto-oncogenes are often involved insignal transduction and execution ofmitogenic signals, usually through theirprotein products. Upon acquiring an activating mutation, a proto-oncogene becomes a tumor-inducing agent, an oncogene.[22] Examples of proto-oncogenes includeRAS,WNT,MYC,ERK, andTRK. The MYC gene is implicated inBurkitt's lymphoma, which starts when achromosomal translocation moves anenhancer sequence within the vicinity of the MYC gene. The MYC gene codes for widely used transcription factors. When the enhancer sequence is wrongly placed, these transcription factors are produced at much higher rates. Another example of an oncogene is theBcr-Abl gene found on thePhiladelphia chromosome, a piece of genetic material seen in Chronic Myelogenous Leukemia caused by the translocation of pieces from chromosomes 9 and 22. Bcr-Abl codes for a tyrosine kinase, which is constitutively active, leading to uncontrolled cell proliferation. (More information about the Philadelphia Chromosome below)
The proto-oncogene can become an oncogene by a relatively small modification of its original function. There are three basic methods of activation:
Amutation within a proto-oncogene, or within a regulatory region (for example the promoter region), can cause a change in the protein structure, causing
There are 2 different types of chromosomal translocations that can occur:
translocation events which relocate a proto-oncogene to a new chromosomal site that leads to higher expression
translocation events that lead to a fusion between a proto-oncogene and a 2nd gene (this creates afusion protein with increased cancerous/oncogenic activity)
the expression of a constitutively activehybrid protein. This type of mutation in a dividingstem cell in thebone marrow leads to adultleukemia
Philadelphia Chromosome is an example of this type of translocation event. This chromosome was discovered in 1960 byPeter Nowell and David Hungerford, and it is a fusion of parts of DNA from chromosome 22 and chromosome 9. The broken end of chromosome 22 contains the "BCR" gene, which fuses with a fragment of chromosome 9 that contains the "ABL1" gene. When these two chromosome fragments fuse the genes also fuse creating a new gene: "BCR-ABL". This fused gene encodes for a protein that displays high protein tyrosine kinase activity (this activity is due to the "ABL1" half of the protein). The unregulated expression of this protein activates other proteins that are involved in cell cycle and cell division which can cause a cell to grow and divide uncontrollably (the cell becomes cancerous). As a result, the Philadelphia Chromosome is associated with Chronic Myelogenous Leukemia (as mentioned before) as well as other forms of Leukemia.[23]
The expression of oncogenes can be regulated bymicroRNAs (miRNAs), smallRNAs 21-25 nucleotides in length that control gene expression bydownregulating them.[24] Mutations in suchmicroRNAs (known asoncomirs) can lead to activation of oncogenes.[25]Antisense messenger RNAs could theoretically be used to block the effects of oncogenes.
There are several systems for classifying oncogenes,[26] but there is not yet a widely accepted standard. They are sometimes grouped both spatially (moving from outside the cell inwards) and chronologically (parallelling the "normal" process of signal transduction). There are several categories that are commonly used:
colorectal and breast cancers, melanomas, ovarian cancers, gastric cancers, head and neck cancers, pancreatic cancer, lung cancer, brain cancers, and blood cancers[29]
mediate the responses to, and the activation receptors of cell proliferation, migration, differentiation, and survival[30]
Growth factors are usuallysecreted by either specialized or non-specialized cells to induce cell proliferation in themselves, nearby cells, or distant cells. An oncogene may cause a cell to secrete growth factors even though it does not normally do so. It will thereby induce its own uncontrolled proliferation (autocrine loop), and proliferation of neighboring cells, possibly leading to tumor formation. It may also cause production of growth hormones in other parts of the body.
Receptor tyrosine kinases add phosphate groups to other proteins in order to turn them on or off. Receptor kinases add phosphate groups to receptor proteins at the surface of the cell (which receives protein signals from outside the cell and transmits them to the inside of the cell). Tyrosine kinases add phosphate groups to the amino acid tyrosine in the target protein. They can cause cancer by turning the receptor permanently on (constitutively), even without signals from outside the cell.
Ras is a small GTPase that hydrolyses GTP into GDP and phosphate. Ras is activated by growth factor signaling (i.e., EGF, TGFbeta) and acting as a binary switch (on/off) in growth signaling pathways. Downstream effectors of Ras include three mitogen-activated protein kinases Raf a MAP Kinase Kinase Kinase (MAPKKK), MEK a MAP Kinase Kinase (MAPKK), and ERK a MAP Kinase(MAPK), which in turn regulate genes that mediate cell proliferation.[37]
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^Press RD, Misra A, Gillaspy G, Samols D, Goldthwait DA (June 1989). "Control of the expression of c-sis mRNA in human glioblastoma cells by phorbol ester and transforming growth factor beta 1".Cancer Research.49 (11):2914–2920.PMID2655888.
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^Thomas SM, Brugge JS (1 November 1997). "Cellular functions regulated by Src family kinases".Annual Review of Cell and Developmental Biology.13 (1):513–609.doi:10.1146/annurev.cellbio.13.1.513.PMID9442882.