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Mistakes in DNA

Recall that cancer is at its foundation a genetic disease. Whether inherited or developed, mutations in a person's DNA result in abnormal cells, which, when given enough time, result in cancer. There are a number of things that can go wrong in a cell. This page seeks to explain a few of them.

Type Definition Relation to Cancer
Point Mutation the change, insertion, or deletion of a single base in DNA the mutation can make a proto-oncogene, the normal form of a potentially cancer causing gene, into an oncogene, a cancer causing gene, usually making the Ras oncogene
DNA Rearrangement In the lymphatic system, DNA on chromosome 6 naturally rearranges to form different white blood cell types. This can make an oncogene, or inappropriately move one next to a promoter
Gene Amplification repeats of segments of proto-oncogenes, or even whole proto-oncogenes, occur in the DNA too much of "bad" protein is produced resulting in too much growth and/or cell division
Transcription Factors proteins that control gene expression when the genes that code for transcription factors are muted, genes are expressed that shouldn't be and it can activate the proteins which signal the beginning of mitosis
Fusion Proteins a proto-oncogene is moved next to another gene by translocation an oncogene is formed and expressed
Viral Oncogenes a portion of viral dna that incorperates itself into the human genome, and can put gene expression under viral control because of strong promoters in the viral DNA the viral oncogene results in abnormal cell division or the expression of a human oncogene next to the viral promoters
Inability to Repair Damaged DNA tumor supressor genes such as p53 and other repair mechanisms don't work mutations that result are not fixed, the cell is allowed to reproduce, and the mistakes propagate, resulting in abnormal cells and eventually cancer

An interesting characteristic of cancer cells is their immortality. This is because they turn on the gene that results in the production of telomerase, an enzyme that fixes the telomeres at the ends of the chromosomes, thus avoiding the Hay Flick Limit. Normally, telomerase is only expressed in stem cells.