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    2.Deletions in Cancer

    2.Deletions in Cancer

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    1. Big Idea — What a deletion is

    • A deletion = a segment of DNA is missing from a chromosome.
    • It is a type of chromosomal abnormality.
    • Tumors frequently show deletions that remove tumor suppressor genes (these normally act as brakes on cell growth).

    2. Why deletions cause cancer — the “two-hit” rule

    Tumor suppressor genes require both alleles to work.

    Cancer develops when both copies are lost:

    • Hit 1: a point mutation damages one allele
    • Hit 2: a deletion removes the second allele

    This produces:

    • biallelic inactivation (both alleles lost)
    • → functional loss of the tumor suppressor gene
    • → cells grow without control → cancer progression

    Memory hook:

    • One snip, one clip
      • snip = mutation
      • clip = deletion

    3. Key named examples & loci (“addresses”)

    RB gene

    • Chromosome locus: 13q14
      • 13 = chromosome number
      • q = long arm
      • 14 = band
    • Classic in retinoblastoma

    TP53 gene

    • Chromosome locus: 17p
      • 17 = chromosome number
      • p = short arm
    • Loss of p53 → central to many cancers
    • p53 = “guardian of the genome”

    4. Quick analogy

    Think of two brakes on a bicycle:

    • First brake cracks → mutation damages first allele
    • Second brake is removed → deletion of second allele
    • Now the bike can’t stop → unchecked cell proliferation

    5. Compact exam-style phrasing

    • Deletions = loss of chromosomal material, common in tumors.
    • Often remove tumor suppressor genes, requiring two hits (mutation + deletion) for complete functional loss.
    • Named loci to know:
      • RB – 13q14
      • TP53 – 17p
    • p53 = most important tumor suppressor.

    6. Optional but helpful term

    Loss of heterozygosity (LOH)

    • After a deletion, the remaining normal allele is lost.
    • The cell is no longer heterozygous (good + bad copy).
    • Now it has only the abnormal genotype → functional loss of tumor suppressor activity.

    Summary Table — All Concepts Integrated

    Subtopic
    Core Concept
    Key Terms
    Examples / Loci
    Exam Trigger
    Deletion definition
    Missing DNA on chromosome
    chromosomal abnormality; tumor suppressor loss
    —
    Deleted DNA segment
    Two-hit rule
    Both alleles lost for tumor suppressor failure
    point mutation + deletion; biallelic inactivation
    —
    “two hits disable brakes”
    Memory hook
    Mutation + deletion kills suppressor
    “one snip, one clip”
    —
    quick recall
    Named examples
    classic deletion loci
    RB; TP53
    RB: 13q14; TP53: 17p
    must know numbers
    Mechanistic endpoint
    tumor suppressor gone → cancer risk rises
    genomic instability
    p53 loss most important
    tumor progression
    LOH
    loss of remaining normal allele after deletion
    heterozygosity lost
    —
    LOH = allele gone

    If you want next:

    • MCQs based only on this note
    • flashcards
    • white-text answer tables
    • map of all mutation types (deletion, amplification, translocation, point mutation)