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in the Teaching Material of

Medical Biotechnology Master’s Programmes

at the University of Pécs and at the University of Debrecen

Identification number: TÁMOP-4.1.2-08/1/A-2009-0011

(2)

CELL CYCLE AND CANCER

Zoltan Balajthy

Molecular Therapies- Lecture 12

in the Teaching Material of

Medical Biotechnology Master’s Programmes

at the University of Pécs and at the University of Debrecen

Identification number: TÁMOP-4.1.2-08/1/A-2009-0011

(3)

Learning objectives of chapter 12 and 13 . The purpose of this chapter is to describe the processes and regulations of both cell cycle and cell death, explain the unregulated cell division, and to point out the

therapeutic intervention in cancer at molecular levels.

Topics in chapter 12.

12.1. Interpretation of cell cycle

Constitutive and Inducible Cell Cycle Kinase Inhibitors

12.2. Mitogen-activated Protein (MAP) Kinase Cascade

Transcriptional Events in G1 Phase of Cell-cycle

Mechanisms of Gene-suppression by the Retinoblastoma Protein 12.3. Biochemical Events of Cell-cycle – in M Phase

12.4. Cancer Causing Genes in Mitotic Signal Pathway Proto-oncogenes and Oncogenes

12.5. Different Families of Receptor Tyrosine Kinases (RTK)

Proto-oncogenes are normal genes that can become oncogenes

12.6. Therapeutic Targets

Monoclonal antibodies and specific inhibitors

(4)

Checkpoints controll The conventional cell cycle is modified to indicate :

- G1 activities, those preparatory for S phase, may begin during the previous cycle, concurrently with G2 and mitotic events.

- early preparation for mitosis (G2) may overlap with S

- exit from G1 into the G0 quiescent state and reentry into the cycle

The critical points:

C (indicating competence), V (end of entry) R (restriction point, end of progression)

12.1. The Functional Cell Cycle

(5)

Cyclin-CDK Regulators of Cell-Cycle

G1 S G2 M G1

INTERPHASE MITOSIS KINESISCYTO-

Methaphase Anaphase cyclin D

CDK

cyclin E CDK

START

cyclin A CDK

cyclin B

CDK APC

G2/M

START G2/M

Metaphase - Anaphase

G0 P27

CDK:cyclin-dependent protein kinases, APC: anaphase promoting complex, P27:cyclin-dependent protein kinases inhibitor,

(6)

cell divison cycle: CDC,

cyclin-dependent protein kinases: CDK

cyclin-dependent protein kinases inhibitor: CDI

, CDK1

CKIs

DNA damade, starvation or factor inducible

DNA-damage inducible

Constitutive CKI Constitutive

CKI APC

Constitutive and Inducible Cell Cycle Kinase Inhibitors

, and are check points at the „s”, „gm”, and „m” stable states

(7)

12.1. Mitogen-activated Protein (MAP) Kinase Cascade

SOS: guanine nucleotide exchange factor GAP: GTPase activating protein

ERK: extracellular signal-regulated kinases

RAF, MEK, ERK: protein kinase phosphorilation cascade FOS: transcription factor

MEK

ERK

FosP P

Raf

P P P P

P P Shc

SOS GRB2

Receptor tyrosine kinase

L

ERK

P P RAS

GDP

RAS GTP

GDP Pi

target

Active Inactive

GAP

GTP Incoming

signal

Incoming signal

Outgoing signal

Fatty acid and farnesyl modification of ras

SH3 SH3

MEK

ERK ERK

FosPP PP

Raf Raf Raf Raf

P PPP PP PP PP

P P PP PP Shc

SOS GRB2

SOS GRB2

Receptor tyrosine kinase

L L

ERK ERK

P P PP PP RAS

GDP

RAS GTP

GDP Pi

target

Active Inactive

GAP

GTP Incoming

signal

Incoming signal

Outgoing signal

Fatty acid and farnesyl modification of ras

SH3 SH3

(8)

CDK inhibitors

CDK inhibitors CDK inhibitors

Dihydrofolate reductase Thymidine kinase Thymidilate synthase DNA polymerase

E2F: transcription factor E2F1 EGF: epidermal growth factor

CDK: cyclin-dependent protein kinase Rb: retinoblastoma protein

D1, A, E: Cyclin D1, A és E

DNS replication machinery

Start of S phase

pozitív erősítés

transzkripció leállítás

Transcriptional Events in G1 Phase of Cell-cycle

DNS replication machinery

(9)

E2F Rb HDAC

Pol II

Off

Pol II

On

Ac Ac

Ac

Ac Ac

Ac Ac Ac Ac

Ac Ac Ac

E2F

Ac

Rb

HDAC

G1 CDK

active p

p

p p

HAC

TF

Ac Ac

Ac

Cyclin E, A Cyclin E

Active CDK2

Cyclin E, A

E2F Rb HDAC

Pol II

Off

Pol II

On

Ac Ac

Ac

Ac Ac

Ac Ac Ac Ac

Ac Ac Ac

E2F

Ac

Rb

HDAC

G1 CDK

active p

p

p p

HAC

TF

Ac Ac

Ac

Cyclin E, A Cyclin E

Active CDK2

Cyclin E, A

Mechanisms of Gene-suppression by the Retinoblastoma Protein

(10)

11.3. Biochemical Events of Cell-cycle – in M Phase

T

T Y

cyclin B

T

T Y

CKI p

cyclin B CDK p

p

p p

p T

T Y

cyclin B CDK

p T

T Y

CDK

C i

y kl n

T

T Y

CDK p p Inhibitory

P-ation

Stabilizing

P-ation CDC 25

CKI

Proteolytic degradation

APC

Inactive protein kinase Active protein

kinase

Proteolytic degradation

Substrats Substrats

p

Histone H1 Lamin Vimentin caldesmon

Chromatin condensation Cytoskeleton rearranged Mitotic spindle formation Nuclear membrane dissolved

Cell shape changes

Substrats phosphatases

p +

G2 M G1

CDK

T

T Y

cyclin B

T

T Y

CKI p

cyclin B CDK p

p

p p

p T

T Y

cyclin B CDK

p T

T Y

CDK

C i

y kl n

T

T Y

CDK p p Inhibitory

P-ation

Stabilizing

P-ation CDC 25

CKI

Proteolytic degradation

APC

Inactive protein kinase Active protein

kinase

Proteolytic degradation

Substrats Substrats

p

Histone H1 Lamin Vimentin caldesmon

Chromatin condensation Cytoskeleton rearranged Mitotic spindle formation Nuclear membrane dissolved

Cell shape changes

Substrats phosphatases

p +

G2 M G1

CDK

(11)

12.4. Cancer Causing Genes in Mitotic Signal Pathway

Shc

SOS GRB2

Receptor tyrosine kinase

L

RAS GTP

SH3 SH3

L

RAF

MEK

ERK

Fos

ERK

NUCLEUS P

Transcription factor (activator) Protein kinases phosphorilation cascade

Gene expression

Proteins that stimulate the cell cycle

G protein

Receptor

NUCLEUS Transcription factor (sucs as p53) Protein kinases

phosphorilation cascade

Gene expression

Proteins that inhibit the cell cycle

G protein

GTP GTP

Growths-stimulating pathway Growths-inhibiting pathway L

Defective or missing transcription factor, such as p53, can’t activate transcription

Protein overexpressed Protein absent X

Cell cycle overstimulated Cell cycle not inhibited Effect of abnormalities X

Shc

SOS GRB2

Receptor tyrosine kinase

L

RAS GTP

SH3 SH3

L

RAF

MEK

ERK

Fos

ERK

NUCLEUS P

Transcription factor (activator) Protein kinases phosphorilation cascade

Gene expression

Proteins that stimulate the cell cycle

G protein

Receptor

NUCLEUS Transcription factor (sucs as p53) Protein kinases

phosphorilation cascade

Gene expression

Proteins that inhibit the cell cycle

G protein

GTP GTP

Growths-stimulating pathway Growths-inhibiting pathway L

Defective or missing transcription factor, such as p53, can’t activate transcription

Protein overexpressed Protein absent X

Cell cycle overstimulated Cell cycle not inhibited Effect of abnormalities X

(12)

Proto-oncogenes and Oncogenes

Proto-oncogenes code for growth factors.

Mutation cause overpro- duction of growth factors.

Proto-oncogenes code for growth factor

receptors.

Mutant receptor no longer requires growth factor binding.

Proto-oncogenes code for proteins that

transmit external

stimuli for cell division.

Stimulation no longer needed.

Proto-oncogenes code for transcription factors.

Factors always bind to their target gene promotor.

(13)

Possible Biochemical Mechanisms of Protooncogene - oncogene Conversion

- promoter insertion - enhancer insertion

- chromosomal translocation - gene amplification

- single point mutation or deletion

Out the 5 mechanisms described above, the first 4 involve an increase in amount of the product of an oncogene due to increased transcription but no alteration of the structure of the product of the oncogene. Thus it appears that increased amounts of the product of an oncogene may be sufficient to push a cell becoming malignant. The fifth mechanism, single point mutation, involves a change in the structure of the product of the oncogene but not necessarily any change in its amount. This implies that the presence of a structurally abnormal key regulatory protein in a cell may be sufficient to tip the scale toward malignancy.

(14)

EGFR (HER 2,3,4

TGF-a EGF

IGF-1R

P P

P P IGF-1 IGF-2

PDGFR

PDGF

VEGF-A VEGF-B

VEGFR

HER2

None

EGFR/HER2

P P

P P

Receptor Heterodimerization and Activation

12.5. Different Families of Receptor Tyrosine Kinases (RTK) Recognize a Diverse Set of Different Ligands

Transmembrane Lipophilic Segment

Intracellular Protein Tyrosine Kinase Domain

Extracellular Binding Domain

(15)

EGFR-s (HER3,4)

TGF-a EGF

EGFR

Kinase Catalytic Site Cytosolic

Domein Extracellular

Domein

Receptor Homodimerization Ligand-binding Site

Ligand

P P

P P

ATP ADP

Ligand Binding Activates RTKs by Dimerization

(16)

Proto-oncogenes are Normal Genes That Can Become Oncogenes

EGFR HER2HER2 EGFR

Plasma membrane Val

Oncogenic

Mutation (Val → Glu)

(Deletion)

Glutamine

Ligand-independent Receptoer Oncoprotein Activating mutations

in RTKs take several forms but all lead to ligand-independent dimerization and thus activation.

Proto-oncogene receptor protein

ErbB Neu

(17)

mAbs

L

X X

Signal transductiom

X

L

X X

Signal transductiom

X

L Tyrosine kinase

inhibitors (TKI)

TKI TKI

L L

✝ ✝

Cell death Toxin-induced

cell death

L L

RNA interference

Protein synthesis

X

Neu, EGFR-targeting Methods

(18)

Expression of HER2 Receptor on the Surface of Normal and Tumor Cells Herceptin Binds to the HER2 Receptor on the Surface of Tumor Cells

Normal expression of HER2 receptor

Increased expression of HER2 receptor

Herceptin attaches itself to HER2 receptor Herceptin flags the cancer cells for destruction by the immune system

(19)

1, blocking signalization on cell surface receptor

2, inhibition of TK activity of TKR

3, inhibition of protein kinases phosphorilation cascade

4, activation of growths-inhibiting pathway (Rb) or restoration of p53 function

5, inhibition of angiogenesis 6, inhibition of methastasis

In addition to the classical form of cancer treatment: like surgery, chemotherapy and radiotherapy, there are new therapeutic targets at molecular level against cancer cells.

1

2 TKI

3

Shc

SOS GRB2

SOS GRB2

Receptor tyrosine kinase

L L

RAS GTP

SH3 SH3

L L

RAF RAF

MEK MEK

ERK ERK

Transcription factor (activator) Protein kinases phosphorilation cascade

Gene expression

Proteins that stimulate the cell cycle

G protein

GTP GTP

Growths-stimulating pathway

Protein overexpressed

NUCLEUS Transcription factor (sucs as p53)

Gene expression

Rb

E2F 4

TKI

12.6. Therapeutic Targets

(20)

Blocking of Oncoproteins of EGFR and Mitogen-activated Protein Kinase Signalization via Monoclonal abs. and Specific Inhibitors

MEK

ERK

Fos

Raf

SOS GRB2

RAS GDP

Ligand binding blocked by antibodies

TKI: Tyrosine kinase inhibitor

SOS: guanine nucleotide exchange factor GAP: GTPase activating protein

ERK: extracellular signal-regulated kinases RAF, MEK, ERK: protein kinase

phosphorilation cascade FOS: transcription factor

Fatty acid and farnesyl modification of ras

SH3 SH3

P P

X X inactive

inactive

inactive inactive

L L

Signal transduction cascade blocked

Gene activation and cell cycle progression inhibited TKI TKI

Ras farnesyltransferase Inhibitors(BMS-214662)

MEK inhibitor

CI-1040

Raf inhibitor

BAY 43-9006

Tyrosine kinase inhibitor

MEK

ERK ERK

Fos

Raf Raf

SOS GRB2

RAS GDP

Ligand binding blocked by antibodies

TKI: Tyrosine kinase inhibitor

SOS: guanine nucleotide exchange factor GAP: GTPase activating protein

ERK: extracellular signal-regulated kinases RAF, MEK, ERK: protein kinase

phosphorilation cascade FOS: transcription factor

Fatty acid and farnesyl modification of ras

SH3 SH3

P P

X X inactive

inactive

inactive inactive

L L

Signal transduction cascade blocked

Gene activation and cell cycle progression inhibited TKI

TKI TKI TKI

Ras farnesyltransferase Inhibitors(BMS-214662)

MEK inhibitor

CI-1040

Raf inhibitor

BAY 43-9006

Tyrosine kinase inhibitor

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