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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