Neoplasia molecular pathology: Chromosomal change

14 important questions on Neoplasia molecular pathology: Chromosomal change

What do we use for numerical alterations and copy number ....?

Numerical alterations -> FISH
Copy number -> MPLA

Niet af

Sequence is done on RNA not DNA, Why?

DNA still contains introns, which are not of value for the fusion transcript. In the RNA the introns are already pliced out and thus only the axons are left.

zoietssss

Oncogenic mutations can be induced by:

Mutations
translocation
zoietssss
  • Higher grades + faster learning
  • Never study anything twice
  • 100% sure, 100% understanding
Discover Study Smart

To which family of membrane receptors does the ErbB2 receptor belong?

To the ErbB family
ERBB2 = HER2

On which biomarker does Transtuzumab work, and which pathway is inhibited?

In unperturbed conditions ErBB2-dependent activation of AKT inhibits the cyclin E/CDK2 inhibitor p27

Where does FISH stand for, and what is it?

  • Fluorescent In Situ Hybridization
  • use of: tissue slides, well defined probes, a hybridisation protocol and a visualisation tool such as fluorescence microscopy
  • focus on a specific gene
  • mainly used for detection of amplifications, numerical alterations

What is HER2 amplification?

HER2 amplification is a predictive biomarker in breast and gastric cancer for targeted therapy with trastuzumab

What is in the pathology FFPE tissue?

Formalin fixed and paraffin embedded tissue blocks

What does MLPA stand for, and what does it mean?

  • Multiplex Ligation Dependent Probe Amplification
  • Amplification of MLPA probes, not of sample DNA
  • Probes are composed of synthetic oligonucleotides complementary to the target sequence, primers sequence X and Y that are needed for PCR after probe hybridization and a stuffer sequence which differs in length between the different probes in the assay.
  • up to 50 probes are present in one DNA sample
  • Detection of chromosomal deletions (losses)
  • Multiplex ligation dependent probe amplification
  • focus on multiple genes

How do MLPA result look like?

Intensity of 1 meaning normal

Translocation, gene fusion > Biological effect

  • By the fusion; the coding region of gene X fuses to the coding region of gene Y
  • Generation of a chimeric fusion gene
    • chimaera transcript
    • chimaera protein
  • Oncogenic properties, by merge of protein domains that originate from both fusion partners
  • examples: gene fusions/translocations that are associated with sarcoma or with lung cancer.

Are break points in fusion genes mostly in intronic or exotic?

  • Breakpoints in fusion genes are mostly intronic
  • different breakpoints in an intron and / or breakpoints in different introns
  • RT-PCR:
    • chromosomal translocations (in sarcoma) result in a fusion transcript
    • analysis of mRNA > cDNA (and need for 1 forward primer to detect multiple breakpoints.

What should be kept in mind by using DNA/RNA from tissue?

  • Sufficient tissue, DNA/RNA
  • DNA/RNA quality (from FFPE) sufficient for the analysis?
  • from tissue that is representative

To what can chromosomal translocations lead ?

To a fusion gene

The question on the page originate from the summary of the following study material:

  • A unique study and practice tool
  • Never study anything twice again
  • Get the grades you hope for
  • 100% sure, 100% understanding
Remember faster, study better. Scientifically proven.
Trustpilot Logo