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Evidence that the development of cancer is a multistep process includes the:


A) observation that certain tumor-suppressor genes and oncogenes are involved in a sequential manner in the development of colon cancer
B) fact that proto-oncogenes are widely conserved in evolution
C) usual occurrence of retinoblastoma at a young age
D) development of a cancer as a result of activation of a single oncogene by any of a variety of mechanisms
E) fact that there are many genetic and epigenetic mechanisms that lead to inactivation of the same tumor-suppressor gene

F) A) and D)
G) A) and E)

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Which of the following statements is TRUE concerning the function of proto-oncogenes?


A) They make products that act as signals to initiate cellular apoptosis.
B) Their products are components of cell growth pathways.
C) Proto-oncogenes make products that act as cell checkpoint regulators.
D) Proto-oncogenes make products that scan the genome for DNA damage.
E) Proto-oncogenes make products that repair DNA at sites of lesions.

F) A) and D)
G) B) and D)

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Human papilloma virus (HPV) is a DNA virus that is associated with cervical cancer. Despite the high prevalence of HPV in the population, the incidence of cervical cancer in the United States has decreased 75% in the past 40 years. a. What are some reasons that cervical cancer has decreased in the United States? b. How can cervical cancer rates be lowered in countries where the rates are still high? c. Based on what you know about some different types of cancers and their genetic bases, can you suggest ways in which some of these other cancers might be addressed with respect to treatment and prevention?

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a. Some reasons for the decrease in cerv...

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Many viruses that are associated with cancers in animals are _____ that use reverse transcriptase.


A) papilloma viruses
B) Epstein-Barr viruses
C) retroviruses
D) hepatitis B viruses
E) None of the answers is correct.

F) D) and E)
G) B) and D)

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Retinoblastoma (RB) protein is important in regulating the cell cycle. It must be completely phosphorylated before the cell can move from the G1 phase to the S phase of the cell cycle. Retinoblastoma is a type of cancer. Based on this information, what do you think goes wrong in retinoblastoma?

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Use the following to answer questions A new form of kidney cancer was identified in a family in which many of the family members were affected. This family's pedigree is shown below. * Use the following to answer questions  A new form of kidney cancer was identified in a family in which many of the family members were affected. This family's pedigree is shown below. *   -Upon genetic analysis of the cancerous tissue, a mutated form of a gene, named the kid gene, was discovered in all affected individuals but not in the unaffected individuals. Because so many members of the family are affected, the female (age 60) , indicated with a  * , is concerned that although she has not developed the disease yet she still may develop the cancer later in life. What would a genetic counselor tell her? A)  All members of the family carry one mutant version of the kid gene, but those with cancer gained a second mutation of the kid gene. Therefore, it is highly likely that she will develop the kidney cancer. B)  While it is unlikely that she will develop the form of kidney cancer seen in her family, the mutant form of the kid gene she carries puts her at an increased risk of all types of cancer. C)  Because her parents did not develop kidney cancer, it is highly unlikely that they had a mutant form of the kid gene, and thus it is highly unlikely that she has a mutant kid gene. Therefore, she is not at risk of developing this form of kidney cancer. D)  While she carries a mutant copy of the kid gene, it is highly unlikely that she will develop kidney cancer because two mutant copies are required to be affected with the cancer. E)  Her father was a carrier of the mutant kid gene, and thus she is also a carrier of the mutant kid gene. She will likely not be affected, but her children will be at a high risk of developing the cancer. -Upon genetic analysis of the cancerous tissue, a mutated form of a gene, named the kid gene, was discovered in all affected individuals but not in the unaffected individuals. Because so many members of the family are affected, the female (age 60) , indicated with a "*", is concerned that although she has not developed the disease yet she still may develop the cancer later in life. What would a genetic counselor tell her?


A) All members of the family carry one mutant version of the kid gene, but those with cancer gained a second mutation of the kid gene. Therefore, it is highly likely that she will develop the kidney cancer.
B) While it is unlikely that she will develop the form of kidney cancer seen in her family, the mutant form of the kid gene she carries puts her at an increased risk of all types of cancer.
C) Because her parents did not develop kidney cancer, it is highly unlikely that they had a mutant form of the kid gene, and thus it is highly unlikely that she has a mutant kid gene. Therefore, she is not at risk of developing this form of kidney cancer.
D) While she carries a mutant copy of the kid gene, it is highly unlikely that she will develop kidney cancer because two mutant copies are required to be affected with the cancer.
E) Her father was a carrier of the mutant kid gene, and thus she is also a carrier of the mutant kid gene. She will likely not be affected, but her children will be at a high risk of developing the cancer.

F) A) and B)
G) A) and D)

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Many tumors exhibit:


A) abnormally high levels of telomerase expression.
B) abnormally high levels of tumor-suppressor gene expression.
C) translocations that move a tumor-suppressor gene to a new location that increases its normal expression.
D) deletions that remove an oncogene from the genome.
E) DNA replication that is inhibited when it would normally occur.

F) A) and C)
G) C) and D)

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Explain how hypermethylation and hypomethylation may be associated with cancers.

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Mutant forms of tumor-suppressor genes typically behave in a recessive manner. However, a recent study of patients with multiple myeloma revealed that approximately 10% of these patients have one normal p53 gene and one mutant p53 gene. If it is the mutant p53 gene that is responsible for this group's cancer, which of the following statements would most likely be TRUE?


A) The p53 gene can act in a haploinsufficient manner.
B) The p53 gene is not a tumor-suppressor gene in these patients but rather an oncogene.
C) The mutant p53 gene most likely is involved in DNA-repair pathways.
D) The mutant p53 gene is having epigenetic effects in these patients.
E) The mutant p53 gene is being overexpressed in these patients.

F) A) and C)
G) B) and E)

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Briefly describe the role that the genes APC, p53, and Ras may have in the development of colon cancer.

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The genes APC, p53, and Ras all play imp...

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Consider the Ras signal-transduction pathway. Suppose a mutation occurred in the gene that encodes the transmembrane receptor to which a growth factor binds. The mutation no longer allows the growth factor to bind to the receptor. Which of the following methods could be used to overcome this mutation and allow the pathway to move forward?


A) Inject extremely high levels of growth factor into the cell.
B) Inject normal levels of nonmutated growth factor into the cell.
C) Inject only the growth factor binding domain of the transmembrane receptor into the cell.
D) Inject the activated form of Ras into the cell.
E) Inject nonmutated tumor-suppressor genes into the cell.

F) B) and D)
G) A) and C)

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Which of the following is not a typical mechanism by which a proto-oncogene is converted to an oncogene?


A) a chromosomal translocation resulting in the bringing together of two different genes that make a fusion protein
B) a chromosomal translocation resulting in enhanced regulation of the proto-oncogene
C) complete deletion of the proto-oncogene
D) a point mutation in the proto-oncogene
E) All of these are mechanisms of converting proto-oncogenes to oncogenes.

F) A) and C)
G) C) and D)

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Which of the following result(s) directly from metastasis?


A) primary tumors
B) secondary tumors
C) tumor vascularization
D) decreased DNA repair
E) increased apoptosis

F) A) and D)
G) B) and D)

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What is unique to the DNA changes observed in the Apaf-1 gene in malignant melanoma cells? What are such changes to DNA called, and why do you think these types of changes in cancer have caught researchers' attention?

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The DNA changes observed in the Apaf-1 g...

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Mutations in proto-oncogenes are generally _____ whereas mutations in tumor-suppressor alleles are generally _____.


A) deletions; duplications
B) recessive; dominant
C) duplications; deletions
D) dominant; recessive
E) deletions; base-pair substitutions

F) All of the above
G) B) and E)

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A drug is injected into a cell that inhibits the removal of phosphate groups from MPF. Which of the following would result?


A) MPF would remain in its active state.
B) The cell would not be able to transition into mitosis.
C) Cyclin B levels would not be able to increase.
D) The cell would not be able to progress through the G1/S checkpoint.
E) Cyclin D could no longer be activated.

F) C) and D)
G) A) and B)

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Which of the following chromosomal abnormalities is associated with chronic myelogenous leukemia?


A) a deletion
B) an inversion
C) a duplication
D) a reciprocal translocation
E) an aneuploidy involving one of the shorter autosomal chromosomes

F) A) and B)
G) A) and D)

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In Burkitt lymphoma patients, despite translocation, the oncogene c-MYC remains nearly intact in its new location. Yet c-MYC is believed to be responsible for the lymphoma because the c-MYC:


A) DNA sequence undergoes hypermethylation
B) DNA sequence is nearly intact but is inverted in the new position
C) gene is released from inhibition by miRNAs
D) gene is placed under the control of B-cell-specific gene regulatory sequences and is highly expressed
E) DNA sequence undergoes several point mutations

F) A) and E)
G) D) and E)

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Which of the following statements BEST characterizes many cancers such as colon cancer?


A) They result from the activation of one critical tumor-suppressor gene.
B) They result when the transition from G2 to M in the cell cycle is inhibited.
C) They result when DNA replication during the S period of the cell cycle is inhibited.
D) They result from a series of sequential mutations in a number of genes.
E) They result from decreased expression in a series of cellular oncogenes.

F) C) and D)
G) D) and E)

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The development of colon cancer is relatively well understood. Describe the steps of the development of colon cancer, including any genetic components.

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The development of colon cancer involves...

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