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    Microorganism & Human Cancer

    Riyani Wikaningrum

    Bag. Mikrobiologi

    FK Universitas YARSI

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    Viruses and Human Cancer

    Virus acts as a cofactor

    Viruses act as initiators of neoplastic processvarious mechanisms

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    Interaction Tumor Virus - Host

    1. Persistent infection

    2. Host immune response

    3. Mechanisms of action by Human CancerVirus

    4. Cell susceptibility to viral infection

    5. Retention of tumor virus nucleic acid in host

    cell

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    Genesunrestrained cell growth

    genes that are stimulatory for growth and whichcause cancer when hyperactiveoncogenes

    genes that inhibit cell growth and which cause

    cancer when they are turned off

    anti-oncogenes or tumor-suppressor genes

    Virusescancersvirus carry a copy of one of these genes

    virus alter expression of the these genes

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    Malignant transformation

    Changes Details

    Morphology Loss of shape; rounding

    Decreased adhesion to surface

    Growth, contact Loss of contact inhibition of growth and movement

    Increased ability to grow from a single cell

    Increased ability to grow in suspension

    Capacity for continued growth (immortalization)

    Cellular properties DNA synthesis induced

    Chromosomal changes

    Appearance of new antigens (viral or cellular in

    origin)Biochemical properties Loss of fibronectin

    Reduced cAMP

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    Viruses Cancer Strength of

    association

    Viral genome

    in cancer cells

    Cofactor

    Epstein-Barr

    virus

    Burkitt's

    lymphoma

    ++ + Malaria

    Nasopharyngealcarcinoma

    ++ + Nitrosamines

    Hodgkin's

    disease

    - - -

    Human

    papillomavirus

    Cervical cancer ++ + ? cigarettes

    ? HSV2

    Skin cancer + ? UV light

    Hepatitis B

    virus

    Liver cancer ++ + ? Aflatoxin

    Hepatitis C

    virus

    Liver cancer ++ - ?

    Hepatocyteregeneration

    HTLV1 T-cell leukemia ++ + -

    HSV2 Cervical cancer -

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    Tumor Viruses

    Genome all viral proteins

    Replication Lysis Progeny virions

    Lytic Life Cycle

    For most viruses:

    Non-structural and structural proteins made

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    Tumor VirusesVirus

    Cell

    Integration (often)

    Transformation

    Latent Life Cycle

    Some virus-specific proteins expressed (early functions) - No

    mature virus

    Viral structural proteins are not expressed

    Changes in the properties of host cell - TRANSFORMATION

    Sometimes latency may terminatecell must be infected by

    complete virus

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    Tumor VirusesTransformation:

    Loss of growth control

    Reduced adhesion

    Motility

    Invasion

    Ability to form tumors - viral genes interfere with control o

    cell replication and other aspects of the cell phenotype

    Transformed cells frequently exhibit chromosomalaberrations

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    TRANSFORMATION

    VIRAL TRANSFORMATION

    The changes in the biological functions of a cell that result fromREGULATION

    of the cells metabolism by viral genes and that confer on the

    infected cell certain properties characteristic of

    NEOPLASIA

    Tumor Viruses

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    Two Major Classes of Tumor Viruses

    DNA Tumor VirusesDNA viral genome

    Host RNA

    polymerase

    Viral mRNA

    Viral protein

    DNA-dependent

    DNA polymerase

    (Host or viral)

    Similar to host cell!

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    RNA Tumor VirusesViral RNA genome

    Reverse transcriptase (Virus-encoded

    Viral DNA genome (integrated)

    DNA-dependent RNA polymerase (Ho

    RNA pol II)

    Viral genomic RNA

    Splicing (Host splicing enzymes)

    messenger RNA

    viral protein

    Virus

    Important: UseHOST

    RNA polymerase

    to make its genome

    An enzyme that

    normally

    makes mRNA

    IMPORTANT

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    DNA Tumor VirusesDNA genome

    mRNA

    protein

    virus

    Host RNA

    polymerase II

    Host enzymes

    OR TRANSFORMATION

    In transformation usually only EARLYfunctions are expressed

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    DNA Tumor Viruses In

    Human Cancer

    Papilloma Viruses

    cause natural cancers in animals

    cause benign warts

    ubiquitous

    epitheliotropic - most human tumors are malignancies of epithelialcells

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    DNA Tumor Viruses In

    Human Cancer

    Papilloma Viruses

    Epidermodysplasia verruciformis

    wart malignant

    skin squamous cell carcinoma

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    DNA Tumor Viruses In

    Human CancerEpidermodysplasiaverruciformis

    Papilloma virus

    2008

    DermatologyOnline Journa

    DNA T Vi I

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    DNA Tumor Viruses In

    Human Cancer

    Papilloma Viruses

    urogenital cancer

    wart malignant squamous cell carcinoma

    Squamous cell carcinoma:

    Larynx

    Esophagus All histologically similar

    Lung

    10% of human cancers may be HPV-linked

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    DNA T Vi I

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    DNA Tumor Viruses In

    Human Cancer

    Polyoma VirusesSimian virus 40 - juvenile hamster sarcomas, transformation

    Polyoma - mouse leukemia, in vitro transformation

    Human polyomas (JC and BK) - monkey sarcoma, transformatio

    Early functions are necessary - ONCOGENES

    JC:PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY (PM

    Possible association of BK with human prostate cancer

    Polyoma vi rus transforms cells when the genome is incomplete

    DNA T Vi I

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    DNA Tumor Viruses In

    Human Cancer

    Adenoviruses

    Highly oncogenic in animals

    Only part of virus integrated

    Always the same part

    Early functions

    E1A region: 2 T antigensE1B region: 1 T antigen

    E1A and E1B = Oncogenes

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human Cancer

    Common pattern

    Early functions (non-structural) proteins are involved

    in transformation

    Papilloma: E6 and E7

    Polyoma: Large T and small T antigen

    Adenovirus: E1A and E1B

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human Cancer

    ONCOGENE

    A gene that codes for a protein that potentially can transform

    a normal cell into a malignant cell

    An oncogene may be transmitted by a virus in which case it

    known as a VIRAL ONCOGENE

    v-onc

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human Cancer

    Herpes Viruses

    Considerable evidence for role in human cancer

    Some very tumorigenic in animals

    Integrated viral DNA found in small proportion of tumor cells:

    hit and run

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human Cancer

    Burkitts Lymphoma

    Nasopharyngeal cancer

    Infectious mononucleosis (glandular fever)

    Transforms human B-lymphocytes in v i t ro

    Burkitts lymphoma: malarial infested regions

    Nasopharyngeal cancer: China, SE Asiadiet?

    Epstein-Barr Virus

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human Cancer

    Human herpes virus8Kaposis Sarcoma Herpes Viru

    Hematologic malignancies

    Primary effusion lymphomaMulticentric Castleman's disease (MCD)a rare

    lymphoproliferative disorder (AIDS)

    MCD-related immunoblastic/plasmablasticlymphoma

    Various atypical lymphoproliferative disorders

    Kaposis sarcoma

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human Cancer

    Hepatitis B Virus

    DNA genome

    RNA polymerase II

    RNA Provirus

    Reverse transcriptase

    DNA genome

    Host enzym

    Viral enzyme

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    Hepatocellular Carcinoma (HCC)

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human CancerHepatitis B continued

    Vast public health problem

    10% of population in underdeveloped countries are chronic carrie

    Long latency

    DNA Tumor Viruses In

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    DNA Tumor Viruses In

    Human CancerHepatitis B continued

    Epidemiology:

    Strong correlation between

    HBV and hepatocellular

    carcinoma

    China: 500,000 - 1 million newcases of hepatocellular carcinoma

    per year

    Taiwan: Relative risk of getting

    HCC is 217 x risk of non-carriers

    DNA Tumor Viruses In

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    DNA Tumor Viruses InHuman Cancer

    Summary

    These viruses can transform cells or have lytic life cyc

    Often integrate into host genome

    In transformation often ONLY early genes

    (non-structural) are transcribed

    These are genes that are also necessaryfor a

    PRODUCTIVE infectionTrue viral genes

    RNA T Vi

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    RNA Tumor VirusesRNA Genome - Retroviruses

    RNA-dependent DNA Polymerase encoded by virus

    REVERSE TRANSCRIPTASE

    RNA genome

    Reverse transcriptase

    DNA genome

    Integrase

    Integrates

    Host RNA polymerase II

    RNA genome

    virus

    virus

    host

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    RNA Tumor

    Viruses

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    RNA Tumor Viruses

    POL: Enzymes

    Reverse transcriptaseRNase HIntegrase

    Protease

    A normal retrovirus has:

    3 genes

    GAG: internal proteins

    ENV: Envelope glycoproteins

    RNA Tumor Viruses

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    RNA Tumor VirusesRNA is:

    Diploid Capped and polyadenylated

    Positivesense (same as mRNA)

    Viral RNA cannot be read as mRNA

    (even though same sense)

    New mRNA must be made

    Virus must make negative sense DNAbefore proteins ar

    madeTherefore virus must carry REVERSE TRANSCRIPTASE

    into the cell

    RNA T Vi

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    RNA Tumor Viruses

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    RNA Tumor Viruses

    Groups of RetrovirusesOncovirinae

    Tumor viruses and similar

    Lentiviruses

    Long latent period

    Progressive chronic disease

    Visna HIV

    important

    important

    RNA T Vi

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    RNA Tumor VirusesRetroviruses known to cause human cancer

    Human T cell lymphotropic virus -1 (HTLV-1)

    Adult T cell leukemia, Sezary T-cell leukemia

    Africa, Caribbean

    S. America (Peru, Bolivia)

    Some Japanese Islands

    Okinawa, Kiyushu, Shikoku (12 - 16% infection rate)

    RNA T Vi

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    RNA Tumor Viruses

    Also causes: Tropical spastic paraparesis

    (affects the gray and white matter of the spinal

    cord - myelopathy)

    1-4% of infected people

    Human T cell lymphotropic virus -1 (HTLV-1)

    UNITED STATES AND OTHER WESTERN COUNTRIESIV DRUG USERS

    US rate of infection about one tenth of that of HIV

    BUT half as prevalent as HIV in IV drug users

    Immunosuppression

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    RNA Tumor Viruses

    Human T cell lymphotropic virus -2 (HTLV-2)

    Hairy cell leukemia

    Americas, particularly in native American populations

    New Mexico (Navajo and Pueblo Indians)

    Florida (Seminole Indians)

    Retroviruses known to cause human cancer

    HIV ?

    Seroprevalence in these populations > 20%

    Women over 50: seroprevalence - up to 50% in some populations

    RNA Tumor Viruses

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    RNA Tumor VirusesRetrovirus Life Cycle

    Endocytosis

    Fusion of membranes

    Release of nucleocapsid to cytoplasm

    Nucleus

    Bind tosurface receptor

    RNA Tumor Viruses

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    RNA Tumor VirusesParental RNA

    RNA/DNA Hybrid

    Linear DNA/DNA duplex

    Circular Duplex DNA

    Integration Replication (DNA genome in c

    Transcription Viral RNA genome mRNA protein

    Reverse transcriptase

    Reverse

    transcriptase

    Integrase

    Host RNA pol II

    Host DNA

    polymerase

    Host splicing

    enzymes

    RNA Tumor Viruses

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    RNA Tumor Viruses

    Drawback to this lifestyle

    Genomic RNA

    DNA

    Genomic RNA

    HostRNA pol II

    Reverse transcriptase

    Pol II is a host enzymethat, in the uninfected cell, makes mRNA

    When making mRNA, pol II does not copyentire gene to RNA

    Problem of using RNA pol II to copy a gene

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    primer

    Viral

    genomicRNA

    Reversetranscriptase

    dsDNA

    promotor

    RNA synthesis

    initiation site

    RNA pol IIRNA synthesis termination

    site

    Result: New copy of viral RNA is shorter - lacks control sequences

    RT

    RNA Tumor Viruses

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    ?

    RNA Tumor Viruses

    Perhaps virus could integrate dow nstream of a promotor etc so

    that the cel l provides sequences

    RNA polymerase II will not copy

    Upstream sequences from transcription initiation site

    Promotors / Enhancers

    Down stream sequences from transcription termination site

    Enhancers / Poly A site / termination site

    OR

    Virus provides i ts own prom otors etc

    BUT not copied!

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    RNA Tumor Viruses

    Clue: Difference in the two forms

    RNA

    R U5 GAG POL ENV U3 R

    LTR

    Repeat

    region

    Repeat

    region

    DNA

    U3 R U5 GAG POL ENV U3 R U5

    LTR

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    promotor

    Viral RNA

    Reversetranscriptase

    R U5 U3 R

    U3 R U5 U3 R U5

    Long terminal repeats are formed

    RNA initiation site RNA termination site

    POLIIPOLII

    Retroviruses can have only one

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    Retroviruses can have only one

    promotor region

    LTR LTR

    U5

    RNA initiation site RNA termination site

    Therefore only one long RNA can be made

    Therefore mRNA requires processing

    Explains why RNA has to be positive sense

    POLIIPOLII

    Contained in U3

    Some retroviruses have an

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    R U5 GAG POL ENV U3 R

    Rous Sarcoma Virus

    R U5 GAG POL ENV U3 R

    extra gene

    typical retrovirus

    SRC

    Some retroviruses have an oncogene

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    Feline Sarcoma Virus (FSV)

    R U5 dGAG FMS dENV U3 R

    Avian Myelocytoma Virus (MC29)

    R U5 dGAG MYC dENV U3 R

    Avian MyeloblastosisVirus

    R U5 GAG POL MYB U3 R

    g

    instead of their regular genes

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    RNA Tumor Viruses

    Viral Oncogene

    V-onc

    Cellular Proto-oncogene

    C-onc

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    RNA Tumor Viruses

    Proto-oncogene

    A cellular (host) gene that is homologous with a

    similar gene that is found in a transforming virus

    A cellularoncogene can only induce

    transformation after

    mutation

    some other change in the cells genome

    RNA Tumor Viruses

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    RNA Tumor Viruses

    The discovery of the acutely transforming

    retrovirusesthat containv-oncs explains how cancers may arise as a resu

    of infection

    These viruses cause rapid cancer in animals in

    the laboratory

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    RNA Tumor Viruses

    In contrast:Chronically transforming retroviruses

    cause tumors inefficiently after prolonged period of tim

    No oncogene!How does it cause atumor?

    R U5 GAG POL ENV U3 R

    Avian Leukosis Virus (causes lymphomas)

    RNA Tumor Viruses

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    RNA Tumor Viruses

    Suggests tumor arose from one cell

    Something must be important about this site fo

    transformation

    Crucial event must be rare

    ALV can integrate into the host cell genome at

    MANYlocations

    but in tumor it is always at the SAMEsite (or

    restricted number of sites)

    RNA Tumor Viruses

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    RNA Tumor Viruses

    What is special about this site?

    Myelocytoma tumors from several birds allhave

    the oncogene close to this site

    It is close to

    C-myc!

    Oncogenesis by promotor insertion

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    RNA Tumor Viruses

    Could C-oncs be involved in NON-VIRAL cancers

    RNA Tumor Viruses

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    What do oncogenes encode?

    Proteins that are involved in growth control and

    differentiation

    Growth factors

    Growth factor receptors

    Signal transduction proteins

    Transcription factors

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    DNA Tumor VirusesHow they tumors depended on

    our knowledge of RNA tumorviruses

    DNA Tumor Viruses

    Herpes

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    Herpes

    Genes can be

    assigned to

    sites on

    specific

    chromosomes

    mos and myc :

    chromosome 8

    fes: chromosome 15fes

    mosmyc

    myb

    Cancers often result from genetranslocations

    B kitt L h

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    Burkitts Lymphoma

    8:14 translocation

    Break in chromosome14 at q32

    Acute myelocytic leukemi7:15

    9:18

    11:15:17

    myc

    Oncogenesis by rearrangement

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    Tumor c-onc new promotorBurkitts lymphoma myc (8) Ig heavy (8 to 14)

    Ig light (8 to 2)

    B-cell chronic lymphocytic bcl-1 Ig heavy (11 to 14)leukemia bcl-2 Ig heavy (18 to 14)

    T cell chronic lymphocytic tcl-1 T cell receptor

    leukemia (14 inversion)

    T cell chronic lymphocytic myc T cell receptor (8 to 14)

    leukemia

    Oncogenes

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    gMutations in a proto-oncogene are dominant gain

    of function mutations

    However other oncogenic genes show recessive

    mutations

    Anti-Oncogenes

    Loss of function mutations

    Retinoblastoma

    p53

    Proto-oncogenes

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    Heterozygote Homozygote

    Allele 1 Allele 2 Allele 1 Allele 2

    Normal Mutant Mutant Mutant

    Function gained Function gained

    Dominant

    mutations

    Binds under

    special

    circumstances

    Mutant

    always

    binds

    Mutant

    always

    binds

    Mutant

    always

    binds

    Always binds Always binds

    Anti-Oncogenes

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    Rb Gene Mutant Rb Mutant Rb

    Rb

    Rb

    Rb protein

    Binds and controls cell cycleTurns off DNA replication

    No binding - Growth continues

    Mutant Rb

    Recessive mutations

    Function lost

    Mutation growth

    Heterozygote Homozygote

    Anti Oncogenes

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    Anti-Oncogenes

    Retinoblastoma genehas normalregulatory function in many cells

    Involved in

    Retinoblastoma

    Lung carcinomasBreast carcinomas

    Anti Oncogenes

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    Anti-Oncogenes

    P53

    Inactivated by

    deletion

    point mutation

    DNA Tumor Viruses

    Oncogenes

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    Oncogenes

    Adenovirus E1A region 2SV 40 Large T

    Polyoma Large T

    BK virus Large T

    Lymphotropic virus Large T

    Human papilloma Virus-16 E6, E7

    All have a sequence in common

    Mutations in this region abolish transformation capacity

    Anti-Oncogenes

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    g

    Rb Gene

    RbRb

    protein

    Rb

    Stops replication

    Rb

    Adenovirus E1A

    Cell cycle continues

    Retinoblastoma

    105kD

    Anti-Oncogenes

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    p53

    P53 gene P53 gene P53 gene

    P53

    P53 DNA

    Stops replication

    Hepatitis C

    P53

    replication replication

    Papilloma

    proteolysi

    P53

    Papilloma

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    Bacteria and Human Cancer

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    Helicobacter pylori

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    Helicobacter pylori

    Associated with:

    Gastric and duodenal cancer

    Gastric mucosa-associated lymphoid tissue

    (MALT) lymphoma Inflammatory reaction to H. pylorichronic

    atropic gastritis (CAG) metaplasiadysplasia

    carcinoma

    Other factor (?)genetic or environmental

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