Review Sheet, Exam 3
                                                   BISC301/311  Spring, 2000
 

I.    Major Players in Translation
    A.    messenger RNA (eukaryotes)
        1.    Cap at 5' end
        2.    5' untranslated region
        3.    AUG start codon
        4.    open reading frame (coding region)
        5.    3' untranslated region
        6.    poly A tail
    B.    transfer RNA
        1.    stem-loop structures
        2.    anticodon-loop
            a.    codon-anticodon base pairing
            b.    wobble position
            c.    conncection between wobble and the degeneracy of the genetic code
        3.    amino acid attachment to 3'end
    C.    amino-acyl-tRNA synthetase
        1.    catalyzes attachment of amino acid to either the 2' or 3' carbon of the ribose of the adenine
                at the 3' end of tRNA molecule.
        2.    two step reaction
            a.    Pyrophosphate removed from ATP; AMP attached to amino acid through COOH
                    group.
            b.    AMP removed and amino acid attached to the tRNA.
        3.    Specificity of the enzyme assures the correct attachment.
    D.    Ribosomes
        1.    Two subunits, large and small
        2.    Consist of ribosomal RNAs and ribosomal proteins.
        3.    Contain the enzymatic activity needed during protein synthesis.
        4.    Function in the cytoplasm.

II.    The Translation Mechanism
    A.    Initiation
        1.    Sets the reading frame.
        2.    Small subunit, initiator tRNA, eIF2- GTP, and other initiation factors interact.
        3.    Other initiation factors bind to the Cap on mRNA and to the 5' untranslated region
        4.    complex (step 2) interacts with factors at the Cap.
        5.    Factors at the cap and at the 5' untranslated region melt any stem-loop in the
               5'untranslated region. Requires ATP.
        6.    Small subunit complex scans along until it finds the first AUG. This is called
                ribosome scanning.
        7.    Initiator tRNA anticodon binds to AUG codon.
        8.    Large ribosomal subunit joins creating the functional ribosome with a P, A and E site.
        9.    eIF2-GDP is released and binds to eIF2B. GDP is displaced and GTP binds. This
                can now interact with initiator tRNA and start another cycle of initiation.
        10.    If eIF2-GDP is phosphorylated, it cannot be displaced and this inhibits
                 translation initiation and is an example of control at the level of translation.
        11.    Efficiency of translation is increased by Kozak's sequences surrounding the AUG
                 start codon, facilitating the recognition of AUG by the initiation complex.
        12.    Internal Ribosome Entry can occur on some eukaryotic mRNAs that are under
                 tight control of translation (for example growth factors, etc.).
                a.    IRES sequences just upstream of an AUG are recognized by the initiation
                      complex which then moves to the AUG and initiates there.
    B.    Elongation
        1.    eEF1 bound to GTP binds to tRNA.
        2.    This complex moves to the A site of the ribosome.
        3.    If the anticodon on the tRNA is correct for the codon, it is held there long enough for
        4.    GTP to be hydrolyzed to GDP causing the eEF1 to disconnect from the tRNA and leave
        5.    The energy released in step 4 stably attaches the tRNA to the A site.
        6.    Peptidyl transferase activity (probably rRNA in the ribosome) catalyzes the breaking of
                the bond holding methionine to the initiator tRNA and using the energy released to
                attach the methionine to the amino acid attached to the tRNA at the A site by a
                peptide bond.
        7.    With the help of eEF2 and GTP, the ribosome moves one codon along the mRNA so
                that the tRNA is now at the P site and the A site awaits another tRNA complex.
                This is called translocation.
        8.    The process repeats itself over and over until a stop codon is at the A site.
        9.    The eEF1 bound to GDP (see step 1) is regenerated to the GTP bound form by
                eEF1b binding to the GDP bound form, causing its displacement and allowing the GTP
                to bind. It can now interact with another tRNA.
        10. This mechanism provides a kinetic proofreading that insures that only the correct tRNA
               will remain at the A site long enough to allow the above events to happen before a
               peptide bond is made.
    C.    Termination
        1. When a stop codon is at the A site of the ribosome, release factors (RF1 or RF2 bind
            there. They interact directly with the stop codon.
        2.    Peptidyl transferase breaks the attachment between the polypeptide and the tRNA at the
               P site.
        3.    The polypeptide is released with an intact COOH terminus; the tRNA at the P site exits
               and with the help of RF3-GTP, hydrolyzing GTP to GDP, the entire ribosomal complex
              comes apart.
    D.     Additional Considerations (E site, etc,)
        1.    The ribosome also has an E site where the exiting tRNA moves during translocation.
        2.    The tRNA orientation with the ribosome during translation begins with P/P.
        3.    Then a tRNA enters the A site first with its anticodon (A/T orientation)
        4.    Then the amino acid side binds (A/A orientation)
        5.    After peptide bond formation, both tRNAs lean over such that the P site tRNA has its
               3' end at the E site (P/E orientation) and the A site tRNA has its amino acid end at the
               Psite (A/Porientation).
        6. Following translocation, the previous P site tRNA is now attached to the E site only by its
            3' end and will soon leave completely. (E orientation). And at the P site now is the tRNA
            that had been at the A site, completely attached (the P/P orientation).
    E.    Additional events of note
        1.    Efficiency of translation is increased because the poly A tail of the mRNA binds
           poly-Abinding protein 1 (PAB1). This interacts directly with the eukaryotic initiation factor
           at theCap, facilitating the entry of the small ribosome initiation complex onto the mRNA to
            start a new round of initiation.
        2.    Another eIF binds to the large ribosomal subunit, preventing it from reuniting with the
               small subunit until initiation has been completed.
    F.    Prokaryotic Differences
        1.    Initiation and setting of the reading frame can occur in more than one place (polycistronic)
            a.    uses Shine-Delgarno interactions between mRNA codons before the AUG interacting
                    with ribosomal RNA sequences.
    G.    Control at the level of translation
            a.    The ferritin mRNA translation is controlled at the level of initiation.
                -The stem-loop in the 5'UTR contains an Iron Response Element that can be bound by
                the IRE binding protein if concentrations of iron are low in the cell.
                -This prevents the small subunit inititation complex from scanning along to find AUG after
                the Cap.
                -Translation cannot be initiated.
                -If, however, iron concentrations are high, the ferritin should be made to store the excess
                  iron and the IRE binding protein will not be able to bind and the stem-loop can be
                  melted. Translation can be initiated.
        b.    Another translational control involves eIF2 which can be phosphorylated to prevent
                it from becoming active (bound to GTP).
                -The eIF2B protein cannot displace the bound GDP if eIF2 is phosphorylated.
                -since eIF2-GTP is needed to make the ternary complex that is used during
                  translation initiation, this prevents initiation.

III.    Protein Function
    A.    Chaperones and Chaperonins
        1.    Chaperone proteins bind to exposed hydrophobic side chains on proteins to prevent
               their aggregation until the protein is fully translated.
            a.    They then use the energy of ATP to release from the protein which then can
                   fold correctly.
            b.    They also function to help denatured proteins refold correctly.
        2.    Chaperonins are needed to help some proteins fold correctly.
            a.    They sequester the partially folded protein inside a barrel-like structure until
                   the protein is correctly folded.
            b.    They then release it, using the energy of ATP.
    B.    Protein degredation
        1.    Some short-lived proteins are marked for degredation by sequences that are recognized
               by ubiquitinylating enzymes.
            a.    These enzymes attach a polymer of repeating ubiquitins to the amino group attached
                   to the side chain of lysine residues in the protein.
            b.    Other factors then bind these ubiquitins and bring the protein to a proteosome.
            c.    Within the core of the proteosome, the protein is degraded by proteases.
        2.    Short-lived proteins versus longer-lived proteins have different amino acids at their
               amino terminal.
        3.    Also, some short-lived proteins often contain PEST sequences (proline, glutamic acid,
               serine, threonine).
    C.   Importance of 3-D structure to protein function
        1.    The 3D structure of proteins allows the proper chemistry at the bindins site or active
               site of proteins.
        2. Our example was the cyclic-AMP dependent protein kinase.
            a.    When bound by cAMP, the two regulatory subunits disengage from the catalytic
                   subunits.
            b.    The catalytic subunits catalyze the attachment of phosphate to proteins on a serine
                   or threonine.
            c.    Only proteins with a specific recognition sequence for the catalytic subunit will be
                   phosphorylated.
            d.    The active site of the enzyme binds both ATP and the polypeptide.
            e.    This causes an induced fit, bringing the polypeptide closer to the ATP. (Closed)
            f.    Also causes a glycine lid to move over the ATP binding pocket to keep it there.
                   (Closed conformation)
            g.    The chemistry at the active site allows for the creation of a pentavalent gamma
                   phosphate transition state. This is achieved because the phosphate group
                  electrons are dispersed by attraction to either lysine side chains or Mg+2
                  cofactors at the active site. One Mg+2 is held by interaction with an
                  aspartic acid at the active site. Also, a very important aspartic acid at the active site
                   pulls the H from the OH group of the serine or threonine, causing the O to interact
                   with the gamma phosphate, leading to the transition state. See page 72. The
                   beta-gamma phosphate bond breaks ate the gamma phosphate remains attached
                   to the serine or threonine side chain.
            h.    Upon formation of the products, the conformation of the enzyme returns to its
                   original shape (Open), allowing ADP to be released and the phosphorylated
                   polypeptid to leave.
    D.    Allosteric regulation
        1.    Allosteric enzymes have both regulatory and catalytic subunits.They exist in either
               active (R) or inactive (T) configurations that are in equilibrium unless bound by regulators.
        2.    When regulators bind to the regulatory subunits of one form, that form is stabilized.
        3.    Example: aspartate transcarbamoylase.
            a.   Works early in the pathway leading to pyrimidine synthesis.
            b.    Can be bound by CTP, a negative regulator.
            c.    When the inactive form is bound, it is stabilized and cannot revert to an active form.
            d.    This decreases the number of active forms thus decreasing the rate of the reaction
                   catalyzed by the enzyme.
            e.    CTP is an end-product of pyrimidine biosynthesis and therefore can feedback and
                   regulate the pathway that produced it. Called feedback inhibition.
    E.    Other controls
        a.    Proteins that are multi-subunits and have symmetry can show cooperativity of ligand
               binding. The binding of one ligand induces a conformational change in the other
               symmetrical sites, allowing subsequent ligans to bind to them more easily.

IV.    Signal Transduction
    A.    Three overall types
        1.    Endocrine: hormone made far away and brought through blood to target cell.
        2.    Paracrine:  Cells are adjacent. Signal secreted from cell or part of its membrane. Then
                interacts with target cell next to it.
        3.    Autocrine: Cell that makes the signal has receptors itself for that signal.
    B.    G stimulatory system
        1.    Receptor changes shape upon activation by signal.
        2.    Binds to G stimulatory.
        3.    Causes alpha subunit (bound to GDP) to disengage form beta-gamma subunit.
        4.    Causes GDP to leave and it is replaced by GTP.
        5.    Allows alpha subunit to bind and activate adenylate cyclase.
        6.    Adenylate cyclase catalyzes formation of cyclic AMP from ATP.
        7.    When hormone no longer bound to receptor, alpha subunit hydrolyzes GTP to GDP
                causing reversal of the above events and a return to the beginning.
        8.    Cyclic ATP binds cyclic AMP-dependent protein kinase.
        9.    Causes regulatory subunits to displace from catalytic subunits, activating them.
        10.    Phosphorylation of substrates alters their activities, transducing signals.
        11.    G inhibitory is similar to G stimulatory with the difference being that the alpha
                subunit inhibits adenylate cyclase activity thus lowering cyclic AMP levels.
    C.    Gp system (phosphatadyl inositol system)
        1.    Receptor binds signal and activates phospholipase C.
        2.    Phospholipase C cleaves PIP2 in the membrane.
        3.    Produces Diacylglycerol (DAG) which remains in the membrane and activates
                protein kinase C.
        4.    Also produces InP3 which is released into the cytoplasm and binds to calcium channel
                in the ER membrane, causing the release of calcium into the cytoplasm from the lumen.
        5.    InP3 will recycle back to PIP2. Some cells use an alternate pathway that phosphorylates
                it to a tetraphosphate intermediate that can bind calcium channels in the cell membrane
                and allow extracellular calcium to enter the cell.
        6.     Calcium binds to calmodulin. This complex binds to other proteins and alters their
                activity, transducing the signal.
    D.    Receptor tyrosine kinase system
        1.    Receptor tyrosine kinases are transmembrane proteins that are single proteins until
                activated by a signalling ligand.
        2.    When bound, they dimerize with identical receptor tyrosine kinase.
        3.    They autophosphorylate their cytoplasmic catalytic domains at tyrosines (each on the
                other).
        4.    Proteins with SH2 domains bind to the phosphotyrosines.
        5.    Proteins with SH3 domains bind these or, alternatively, the SH2 domain protein may
                itself have an SH3 domain.
        6.    SH3 domains bind other proteins activating them and transducing the signal.
        7.    Ras is one protein that is so activated.
        8.    Ras bound to GDP is inactive. When a GEF protein binds it the GDP is displaced.
        9.    GTP binds and ras can then bind other proteins and activate them.
        10.    Ras binds to GAP which accelerates ras's GTPase activity and GTP is hydrolyzed.
    E.    Epidermal Growth Factor system
        1.    EGF binds EGF receptor (a receptor tyrosine kinase).
        2.    The receptor dimerizes and autophosphorylates.
        3.    GRB2 binds the receptor through its SH2 domain (has both SH2 and SH3 domains).
        4.    Sos binds to the SH3 domain and is activated.
        5.    Sos (a GEF) binds ras causing it to displace GDP, thus actiavating ras (see above).
        6.    Ras activates raf by binding to it.
        7.    Raf (a serine-threonine kinase) phosphorylates MEK, activating it.
        8.    MEK (a serine-threonine and a tyrosine kinase) phosphorylates MAP Kinase.
        9.    MAP Kinase moves into the nucleus and activates the transcription of growth-regulatory
                genes.

V.    Apoptosis
    A.    2 types of cell-death.
        1.    Necrosis: due to trauma.
            a.    cells lyse and die
        2.    Apoptosis
            a.    programmed cell-death
            b.    cells commit suicide
    B.    Trophic Factors
        1.    Survival signals that must be present to prevent apoptosis
        2.    Examples: Nerve growth factor in the developing nervous system
            a.    called a neutrophin
            b.    activates a receptor tyrosine kinase called Trk
    C.    Apoptosis Mechanism
        1.    Identified proapoptotic factors (CED 3, 4) and anti-apoptotic factors (CED 9) in
                elegans
        2.    Human equivalent of CED 9 is bcl-2
            a.    protein locted in the outer mitochondrial membrane, nuclear membrane, and ER
                    membrane.
    D.    Effectors of the apoptosis pathway
        1.    Caspases
            a.    cysteine proteases that cleave to the COOH side of aspartic acid residues in target
                    proteins.
    E.    Pro-Apoptotic Factors
        1.    Bax
            a.    in the bcl2 family but promotes apoptosis rather than inhibiting it.
    F.    Cytochrome c involvement
        1.   Usually located between the inner and outer mitochondrial membranes.
        2    Released to cytoplasm during apoptosis.
        3.   Binds Apaf-1 (mammalian equivalent of CED-4).
        4.   Initiates a caspase cascade.
    G.    Bax/Bax homodimers in the outer mitochondrial membrane form an ion channel allowing
            influx of ions. Bax/Bcl2 or Bcl2/Bcl2 heterodimers do not.
        1.    Could cause the release of cytochrome 3 into the cytoplasm.
    H.    Trophic Factors induce inactivation of the pro-apoptotic regulator, Bad.
        1.    Induce its phosphorylation (probably by P1-3 kinase activating Akt kinase).
        2.    Phosphorylated Bad binds to 14-3-3 (a phosphoserine binding protein) in the cytoplasm.
        3.    Therefore it cannot bind to the Bcl2/Bclxl dimer in the outer mitochondrial membrane.
        4.    If Bad does not bind, the Bcl2/Bclxl dimer can inhibit the Bax/Bax formation of the ion
                channel.
        5.    This prevents release of cytochrome c and the apoptotic events outlined below.
    I.    The apoptotic pathway
        1.    Bad is bound to bcl2/bclxl dimer.
        2.    The dimer cannot inhibit the Bax/Bax homodimer
        3.    It forms an ion channel and ions enter
        4.    cytochrome c is released into the cytoplasm
        5.    cytochrome c binds to Apaf1
        6.    Apaf1 activates procaspase 9
        7.    Procaspase cleaves itself forming caspase 9
        8.    Caspase 9 cleaves procaspase 3 forming caspase 3
        9.    Caspase 3 cleaves multiple substrates ultimately causing cell death.

VI.    Cancer
    A.    Oncogenes
        1.    Formed from proto-oncogenes
            a.    Normal cellular proteins that have become deregulated in some way.
            b.    Are dominant, gain-of-function mutations or changes.
        2.    Originally studied in retroviruses that were oncogenic.
            a.    viral src protein loses a tyrosine that usually becomes phosphorylated to turn the kinase
                    activity of the src protein off.
            b.    SH2 domain of c-src binds this phosphorylated tyrosine and causes a shape change
                    in thekinase site.
            c.    viral src was transduced from a host cell during retroviral replication.
            d.    Retroviruses usually have gag (capsid protein), pol (reverse transcriptase), and env
                    (spike proteins in the lipid envelope) genes but oncogenic forms have an onc
                    gene also. For example, v-src.
            e.    Retroviruses are RNA viruses that go through a ds DNA intermediate that integrates
                    into the host cell's chromosomes.
        3.    Human counterparts and other human proto-oncogenes identified by transfection assays
                using normal mouse cells.
            a.    DNA from human cancer is transfected into the mouse cells and transformed foci are
                    allowed to develop if possible.
            b.    Foci DNA is extracted and used for a second round of transfection.
            c.    Foci DNA from second round is shotgun cloned into a phage library that is used to
                    infect bacteria.
            d.    Plaques are relica plated and probed with human Alu sequences
            e.    These spacer sequences flank all human genes and itentify the presence of human DNA
                    in the phage.
            f.    These phage are the source of DNA to study the human oncogene identified.
            g.    Mutant ras identified in this way. Cannot hydrolyze its GTP and is therefore always on.
        4.    Seven categories of growth-control proteins can be involved in malignant transformation if
               altered.
            a.    Category I is growth-factors. Rare. sis oncogene is a truncated version of PDGF that
                    interacts with incorrect receptors.
            b.    Category Ia are viral proteins that can activate receptors they should not interact with.
            c.    Category II are intracellular receptors that can activate transcription even in the absence
                    of the soluble signalling hormone binding to them and cell-membrane receptors that are
                    constitutively active.
                -example: Her-2 receotor has a valine to glutamine point mutation, creting the
                  neu oncogene that activates its receptor tyrosine kinase activity by causing dimerization
                    and autophosphorylation on tyrosine.
                -example: EGF receptor can be truncated, forming the erbB oncogene. Truncation causes
                  the removal of the extracellular domain, constitutively activating the kinase
                   domain causing dimerization and autophosphorylation on tyrosines.
            d.    Category III is a large category of all intracellular signalling molecules. (Ras and src are
                    in this category). Can also include some tumor-suppressor proteins as well as proto-
                    oncogenes.
                - anothere example is the tyrosine kinase c-abl. Becomes oncogenic when it fuses with the
                   bcr gene due to a reciprocal translocation between chromosomes 9 and 22.
                -creates the Philadelphia chromosome, containing the abl gene from 9 attached to the bcr
                  gene on 22. abl kinase activity is activated.
                -causes chronic myelogenous leukemia in children.
            e.    Category IV are transcription factors
                -examples are fos and jun which are activators of transcription initiation.
                -another example is myc which is a transcription factor that is often deregulated by
                  gene amplification.
                    --detected by the presence of HSR or double-minutes on chromosome
                    spreads indicating  multiple copies of the gene.
                    --can also be activated by translocation between chromosomes 8 (myc) and 14
                        (antibody genes). The powerful antibody gene enhancers abnormally activate
                        the translocated myc.
            f.    Category V are anti-apoptosis factors
                -examples are survival factor receptors that get constitutively activated. Example: trk
                    --trk is activated by a translocation that replaces its amino-terminal region with
                       sequences from the non-muscle tropomyosin protein.Causes it to dimerize and
                       autophosphorylate on tyrosines, transducing the survival signals that activate
                       anti-apoptotic factors.
                -others are proteins like bcl2 which inhibit bax homodimers from opening ion channels.
                -any anti-apoptotic protein that is abnormally active is in this category.
             g.    Category VI are Cell-cycle control proteins that promote movement through the cell-
                    cycle. Examples: cyclins, cdks, mdm-2. Tumor-suppressors like p16, p27, and
                    p21 also work at this level.
            h.    Category VII are tumor-suppressor protein involved in DNA repair mechanisms.
            i.    Although the categories contain tumor-suppressors also, these are not oncogenes (see
                  below).
            j.    Telomerase is another potential oncogene in that its continual expression is correlated
                  with maintaining the normal lengths of telomeres in cancer cells.
                -Could extend and immortalize the cell
                -Normal cells have not telomerase and undergo senescence (stop dividing).
                -mouse models do not support this idea however but it could be different in humans.
            k.    Oncogenes can also become activated by insertional mutagenesis whereby a retrovirus
                   integrates near one of the growth promoting genes and activates it due to the powerful
                   enhancers it carries. (Example: int gene should only be active in development but is
                    activated by retroviral integration).
    B.    Tumor-Suppressor Proteins
        1.    Are recessive.
        2.    Must lose both copies to have an effect.
        3.    Involved in inhibiting growth signals, inhibiting progression of the cell-cycle, in DNA repair,
               in inducing apoptosis, and in causing cell-cycle arrest.
        4.    Some are in Category III.
            a.    NF1 is a mutated GAP that cannot help ras hydrolyze GTP. The GAP therefore is a
                    tumor-suppressor protein.
            b.    PTEN is a protein phosphatase that removes phosphates from serine, threonine, and
                   tyrosines, thereby shutting off growth signals.
        5.    Many are Category VI proteins.
            a.    p16, p27, and p21 all bind to cyclin/cdk complexes and thereby prevent them from
                   phosphorylating their target proteins.
            b.    One target is the RB (retinoblastoma) protein which when not-phosphorylated binds to
                   a transcription factor family called E2F and prevents the activation of genes involved
                   in further cell-cycle progression, usally from G1 into S.
                    -Cdk4/cyclinD and Cdk6/cyclinD phosphorylate Rb in mid-G1; cdk2/cyclinE in
                       late G1. These cyclins are activated in response to mitogenic stimuli.
            c.    RB itself is a tumor-suppressor protein since it prevents cell-cycle progression when
                   bound to E2F.
            d.    A receptor protein, TGF-beta is a tumor-suppressor that can regulate cell-cycle
                   progression by phosphorylating Smads at serines and threonines.
                -Smad2 or Smad3 will be activated by this and can bind Smad4.
                -The complex moves to the nucleus and activates genes that inhibit proteases (PAI-1),
                  preventing metastasis or genes that inhibit cell-cycle progression (e.g. p15).
                -The Smads are also considered to be tumor-suppressor proteins.
            e.    p53 is a tumor-suppressor protein involved in multiple ways.
                -when induced by events that cause damage to DNA, e.g. irradiation, it can cause the
                cell-cycle to arrest by inducing the transcription of p21, a cyclin-cdk inhibitor.
            f.    It also can induce apoptosis in cells alternatively, especially if the DNA damage is
                   extensive.
            g.    It therefore helps maintain the integrity of the genome of the cell, preventing the
                   accumulation of genetic damage that would occur if cells were allowed to divide in the
                   presence of such damage.
            h.    Some p53 mutations are dominant negative, causing a loss of p53 function even in
                   the presence of one functional allele.
                 -due to the fact that p53 functions as a tetramer and some mutant subunits can cause
                   the tetramer to misfunction.
            i.    mdm-2 is a proto-oncogene product that binds to and inactivates p53.
                 -p53 becomes phosphorylated by several protein kinases in response to DNA
                   damage.
                 -mdm-2 can no longer bind. This releases active p53.
                -p53 activates transcription of mdm-2 gene, thus autoregulating its own activity.
        6.    Some are Category VII proteins that are directly involved in DNA repair mechanisms.
                a.    nucleotide-excision repair proteins and mismatch-repair proteins have
                       been identified as lost in many cancers.
        7.    Some are Category V proteins that are in the pathway that leads to apoptosis. This can
               also include p53.
        8.    Several DNA Tumor Viruses bind to these tumor-suppressor proteins to inactivate them
               when the virus transforms cells.
                a.    Example:    SV40 which binds both to p53 and to Rb through its large T antigen.
                b.    Example:    Adenovirus which binds p53 through its E1b antigen and Rb through its
                                        E1a antigen.
                c.    Example:    Human Papilloma Virus (HPV) which binds to Rb through its E7 antigen
                                        and binds to and causes the degredation of p53 through its E6 antigen.
    C.    Other Cancer-related events in the cell
        1.    Angiogenesis contributes to tumor-growth
            a.    This formation of new blood vessesls to feed the tumor is promoted by factors secreted
                    from the tumor. Example: VEGF
            b.    Anti-angiogenic factors show promise of inhibiting this blood-vessel formation, thus
                   starving the tumor. example: endostatin
            c.    Primary tumors secrete inhibitors of angiogenesis around secondary tumor sites!
        2.    Cancer is a multi-step process.
            a.    Roughly 5-6 genetic changes in growth-control pathways must occur to form a highly
                   aggressive cancer in humans.
            b.    Both oncogene activation and tumor-suppressor loss must occur.
            c.    The latest stages involve metastasis-related mechanisms that are poorly understood but
                   allow transformed cells to break free from their tissues and move to other sites.