Gene expression and cancer - AL only (3.8.2.3)
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Tumours are abnormal growths that can be either benign (non-cancerous) or malignant (cancerous).

Cancer often develops due to a mutation which occurs during mitosis. This can mutate proto-oncogenes, producing oncogenes.
Proto-oncogenes cause the cell to undergo mitosis when a growth factor binds to a cell receptor. A mutated oncogene can disrupt this process, causing a cell to divide rapidly.
Tumour suppressor genes cause any errors in DNA replication to be repaired during mitosis. Tumour suppressor genes slow down the process of mitosis.
Tumour suppressor genes also tell cells when to die, this is called programmed cell death (apoptosis).
If a tumour suppressor gene becomes mutated and is switched off, this leads to increased cell division and a lack of DNA repair, leading to tumour formation.
Hypermethylation is an abnormal increase in methylation, which can lead to cancer. Hypermethylation of a promoter region of a tumour suppressor gene can lead to the tumour suppressor gene being switched off.
Hypomethylation of oncogenes can lead to the oncogenes being expressed more frequently. This leads to increased cell division and can lead to tumour formation.
After menopause, the risk of breast cancer increases due to changes in oestrogen levels.
While systemic oestrogen levels drop, breast tissue produces more oestrogen locally. This causes an increase in oestrogen which can bind to transcription factors, including a gene which controls cell division.
If a tumour begins to form, white blood cells will be attracted to the area. The increase in white blood cells causes more oestrogen to be produced locally. This increases the growth of the tumour.


