Human Pathology Neoplasia

Molecular Basis of Cancer: Oncogenes and Tumor Suppressor Genes​

Topic overview

Start with the big picture

Proto-oncogenes normally help regulate growth and differentiation. A gain-of-function change can convert one into an oncogene, producing a persistently active protein; a single altered allele may be sufficient. Examples include RAS and BRAF signaling changes, BCR-ABL fusion, and MYC or cell-cycle gene alterations. Tumor suppressor genes generally require loss of both functional copies to remove growth restraints. RB regulates the G1-to-S transition, TP53 coordinates responses to cellular damage, and APC limits β-catenin signaling. Other suppressors affect pathways such as PI3K/AKT, hypoxia signaling, and DNA repair. Together, these mechanisms show how cancer can develop through increased growth signals, weakened safeguards, or both.

Learning objectives

What you'll learn

  • Distinguish proto-oncogenes, oncogenes, and tumor suppressor genes by their mechanisms of action.
  • Explain why oncogenes can act dominantly while tumor suppressor gene loss typically requires two hits.
  • Relate selected oncogenes to their altered signaling mechanisms and associated cancers.
  • Describe key roles of RB, TP53, APC, and DNA repair tumor suppressors.
  • Connect loss of tumor suppressor function with selected inherited cancer syndromes.
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