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H2 summary of the book as a word document

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Summary of 7 pages for the course Oncologie at UU (very detailed)

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January 15, 2026
Number of pages
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Written in
2025/2026
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H2 DNA structure and stability: mutations vs
repair
Kataegis = small areas of hypermutation
Chromothripsis = many genomic rearrangements

2.1 gene structure – two parts of a gene: the regulatory
region and the coding region
5’ end of a gene:
- Promoter = regulates the expression of the gene
o TATA box = regulatory elements
 TATA box-binding proteint binds to TATA box  initiation
transcription
o Response element (RE) = recognized by transcription factors
 SRE = serum response element (production of blood serum)
 E2F RE = in promoters of cell-cycle genes (cyclin E and A)
- Enhancer = regulatory DNA element, controls tissue/stage specific
expression




2.2 mutations
Transitions = purine  purine (eg. A  G)
Transversions = purine   pyrimidine (eg. A  T)
Insertion or deletion can alter the reading frame  non functional/
truncated protein
Chromosomal translocation = exchange of one part of one
chromosome for another
Gene amplification = copy number of a gene increases

Driver mutations = cause growth advantage
Mutations in the promoter region  may alter gene regulation

2.3 carcinogenic agents
Radiation = energy
- Traveling in waves (gamma rays, X-rays)
- As atomic particles (alpha and beta particles)
Electromagnetic radiation
- Moves as energy waves (wavelengths)
- High energy = short wavelength (gamma rays, X-rays)
- Low energy = long wavelength (radio waves)
- Visible spectrum
- UV radiation (sun)
Radiation can damage DNA  carcinogen

High-LET (linear energy transfer)

, - Releases more energy over a distance
- Causes more damage: dsDNA breaks  translocations/deletions
Low-LET
- Releases less energy over the same distance

Grays (Gy) = 1joule/kg energy absorbed by tissue
Biological damage measure: Sv = Gy x LET factor

2 major carcinogeneic radiation classes:
1. ionizing radiation
- Leukemia
- alpha and beta particles, gamma rays
Molecules lose electrons  form ions
DNA damage:
- Direct  ionization of DNA atoms
- Indirect  radiolysis of water  ROS  DNA damage

2. Ultraviolet (UV) radiation
UVB damage (290-320 nm)
- Penetrates into the basal level of the epidermis
- Cyclobutene pyrimidine dimers (CPDs)
o Pyrimidine = T, C
- CPDs distort DNA  polymerase adds oppositely with A
o TT dimer  AA complementary strand  TT new strand
 repaired normally
o CC dimer  AA complementary strand  TT new strand
 Wrong repaired; C  T transition




UVA damage (320 – 380 nm)
- Penetrates into the dermis (deeper, but acellular; no cells present
only ecm)
- Water fragmentation  ROS formation
- G  T transversions

fluoroquinolone antibiotics = photosensitized carcinogens; absorb a lot
of UV light
 stay out of the sun when using
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