grape seed proanthocyanidins reactivate silenced tumor suppressor genes.pptx

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    Grape seed proanthocyanidinsreactivate silenced tumor

    suppressor genes in human

    skin cancer cells by targeting

    epigenetic regulators

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    Skin Cancer

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    Skin Cancer

    Long-term sun exposure can result in skin cancer.

    Malignant melanoma is the deadliest form ofskin cancer.

    Ultraviolet radiation (UVR) is a proven human

    carcinogen.24

    The sun emits three types of harmful rays

    UVA

    UVB UVC

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    Types of Ultraviolet Rays

    Copyright 2010 Pearson Education, Inc.

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    Skin Cancer

    The major factor in skin cancer formation is

    sun exposure

    Skin type is also important in dictating how

    the skin reacts to the sun

    Pale Celtic skin is most at risk

    Dark afrocaribean skin is least at risk

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    Stratosphere - Ozone Layer

    UVC

    100-280

    UVB

    280-315

    UVA

    315-400X-ray Visible Light

    400-700

    Dead Sea Level Sea Level

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    Definition of Skin Cancer:

    Cancer that forms in tissues of the skin.

    Skin cancer begins in cells, the building blocksthat make up our skin. Normally, skin cells grow

    and divide to form new cells. Every day skin cellsgrow old and die, and new cells take their place.

    When this orderly process goes wrong new cellsform when the skin does not need them, and old

    cells do not die when they should. They formgrowths or tumors which can be benign ormalignant.

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    Skin Cancer

    Not all races have an equal risk of developing skin cancer

    Skin cancers overwhelmingly develop in white people

    The following slide has the incidences of NMSC in differentraces in different parts of the world

    The highest incidence found was in white Australian menliving in tropical Queensland

    The incidence in coloured people was lower, even when they

    lived in the tropics.

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    Malignant skin tumors:

    Genetic factors: Xeroderma pigmentosum, neurofibroma may change toneurofibrosarcoma.

    Enviromental factors:

    Ultraviolet light is the most important factor especially in those with fairskin.

    Tar, arsenic, mineral oils.

    X-ray: diagnostic or therapeutic.

    Long standing scars, fistulas, sinuses.

    Viruses: Burkuit lymphoma ----------- EBV

    HPV may cause Ca cervix

    Kaposi sarcoma is thought to be caused by herpessimplex virus- 8.

    Drugs: long lasting use of immunosuppressant like azathioprime,cyclophosphamide, cyclosporine or even steroids.

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    Skin cancer represents approximately two to four percent of all cancers in Asians.36

    Skin cancer comprises one to two percent of all cancers in African Americans andAsian Indians. 36

    Melanomas in African Americans, Asians, Filipinos, Indonesians, and native

    Hawaiians most often occur on non-exposed skin with less pigment, with up to 60-75 percent of tumors arising on the palms, soles, mucous membranes and nailregions.36

    Basal cell carcinoma (BCC) is the most common cancer in Caucasians, Hispanics,Chinese Asian and the Japanese.36

    Squamous cell carcinoma (SCC) is the most common skin cancer among AfricanAmericans and Asian Indians.36

    Squamous cell carcinomas in African Americans tend to be more aggressive andare associated with a 20-40 percent risk of metastasis (spreading).36

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    Types of Skin Cancers

    Copyright 2010 Pearson Education, Inc.

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    Types of Skin Cancer

    Melanoma-forms in melanocytes (skin cells

    that make pigment).

    Basal Cell Carcinoma-forms in basal cells

    (small, round cells in the base of the outer

    layer of skin).

    Squamous cell carcinoma-forms in squamous

    cells (cells that form the surface of the skin).

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    Skin Cancer

    The most common skin cancer is the Basal Cell Carcinoma(BCC)

    The next most common is the Squamous Cell Carcinoma(SCC)

    The least common is the Melanoma (MM)

    BCC and SCC are often grouped together as non-melanomaskin cancer (NMSC)

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    Basal Cell Carcinomas

    Commonest skin cancer in Caucasian

    populations

    Major cause is sun exposure

    Common sites on face and trunk

    Not metastatic

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    Squamous cell carcinoma

    Second most common skin cancer in Caucasianpopulations

    Caused by sun exposure - chronic sun exposure

    Most at risk are those with pale skin who burn inthe sun

    Commonest on sun exposed areas

    Pre-cancerous lesion is the solar keratosis Metastatic potential - to regional lymph nodes,

    then liver, lungs etc

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    Melanoma

    Third most common skin cancer

    Caused by severe intermittent bouts of sun

    exposure

    Found on sun exposed and non-exposed sites

    Second most common cancer to affect young

    women

    High metastatic potential - local, lymph nodes,

    lung, liver and brain

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    Melanoma

    30% arise in a pre-existing mole

    Features to look out for are asymmetry of the

    mole, irregular shape and irregular colour

    Most commonly arise in normal skin in renal

    transplant patients

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    Tumor Suppressor Genes

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    Tumor suppressor genes Stop cell growth and division; prevent cancer

    formation

    May prevent expression of oncogenes

    p53: codes for a regulatory protein that turns off

    cell division when the cell is stressed or damaged

    If mutated, runaway cell division

    More than half of cancers has a mutated or missing p53gene

    Cancer Usually Involves Several Genes

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    Types of cancer genes

    Types of proteinsMutated functionNormal functionType of gene

    Enzymes for

    mismatch or excision

    repair

    Fail to repair DNA

    mutations

    Repair DNA

    mutations

    DNA repair

    gene mutation

    Checkpoint

    molecules

    Fails to suppress

    division

    Suppresses cell

    division

    Tumor

    suppressor

    gene

    Growth factorsPromotes division -

    abnormal time or

    cell type

    Promotes divisionOncogene

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    Epigenetics

    Epigenetics - On or over the geneticinformation encoded in the DNA

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    Skin cancer is the manifestation of a series of geneticand epigenetic events.

    Epigenetic processes result in heritable phenotypical

    changes in gene expression that do not involvealterations in the actual DNA sequence.

    Involve variations in DNA methylation, chromatinstructure or microRNA profiles

    The hallmarks of epigenetic gene regulation are DNAmethylation and histone modifications.

    Reversible and can be manipulated pharmacologically,

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    Epigenetic inactivation of genes by promoter

    hypermethylation has been recognized as an

    important mechanism by which tumor

    suppressor genes are shut down duringdevelopment of cancers

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    Epigenetics

    The study of reversible heritable changes in

    gene function that occur without a change in

    the sequence of nuclear DNA

    Gene-regulatory information that is not

    expressed in DNA sequences is transmitted

    from one generation (of cells or organisms) to

    the next

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    Epigenetics and

    Different Aspects of Life Development of multicellular organism

    Environment-organism interaction

    For examples: Nutrition supplements and environmental toxins

    Image: Randy Jirtle

    Pathogenesis of diseases

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    Molecular Mechanisms that Mediate

    Epigenetic Phenomena

    DNA methylation (CpG dinucleotides)

    Histone modifications

    Nucleosome

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    Epigenetic Regulation of Gene Expression

    Epigenetic information modulates gene

    expression without modifying actual DNA

    sequence

    Histone modifications change the chromatin

    structure and affect the accessibility of DNA to

    regulatory proteins

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    Histone

    Methylated

    DNA

    Epigenetic Regulation of Gene Expression

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    Histone Modification Status Correlates with

    Transcriptional Activity

    Gene activation correlated with H3-K9 acetylation

    Gene silencing associated with H3-K9 methylation

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    Epigenetic Inheritance

    Transmission of non-DNA sequence informationthrough either meiosis or mitosis

    When a methylated DNA sequence replicates, onlyone strand of the next-generation double helix has

    all its methyl markers intact; the other strand needsto be remethylated

    Maintenance methylase theory DNA methyltransferases (DNMTs): Enzymes that bind

    methyl groups to cytosine nucleotides

    DNMTs bind methyl groups to the naked cytosines basedon the methylation template provided by the other strand-

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    Epigenetics and Cancer

    Chromosomal infrastructure is essential for gene control,determining both active and repressed states

    It is important not only to turn the right genes on but also toturn the right genes off

    Histones and chromatin components have key roles in thisdecision making process

    If as few as three inappropriate genes are turned off, a normalcell can be converted into a cancer cell

    This epigenetic silencing of genes underlies a new approach tocancer therapy

    Mistargeting of these enzymes leads to tumorigenesis, butinhibition of their activity presents a novel approach totherapy

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    Grape seed proanthocyanidins

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