TUMOUR SUPPRESSOR GENE

also called Anti-oncogene, any of a class of genes that are normally involved in regulating cell growth but that may become cancer-causing when damaged. Tumour suppressor genes encode for proteins that are involved in inhibiting the proliferation of cells, which is crucial to normal cell development and differentiation. Because of this ability, tumour suppressor genes can also act to stem the uncontrolled growth of cancer cells. Genetic damage, or mutation, that occurs to these genes contributes to the development of a cancerous tumour. Cancer research has led to the identification and characterization of many tumour suppressor genes. In 1971 Alfred Knudson, Jr., postulated that a rare form of eye cancer called retinoblastoma is caused by mutations in a gene called the RB gene. Subsequent research revealed that mutations in this gene also play a role in cancers of the bone, lung, breast, cervix, prostate, and bladder. A number of other tumour suppressor genes, such as p53, have been identified. The mutated form of p53 has been implicated in more than 50 percent of all cancers. Mutations in two other tumour suppressor genes, BRCA1 and BRCA2, are associated with an increased susceptiblity to breast cancers; they are found in 5 to 10 percent of all cases and in about 85 percent of all cases of inherited breast cancer. The tumour suppressor genes in a healthy cell work together with another class of genes, called proto-oncogenes, to control cell reproduction. Tumour suppressor genes code for proteins that restrain cell growth, and proto-oncogenes specify proteins that stimulate cell growth. Mutations in either type of gene can disrupt the delicate balance between inhibition and activation of the molecular processes that regulate a cell's life cycle, leading to the uncontrolled cell growth characteristic of cancer. A mutation in one gene alone does not cause a malignant tumour to develop; a number of genetic insults occurring in a few different genes over time are necessary for a cell to undergo transformation to a malignant state. For example, a proto-oncogene becomes a cancer-causing oncogene (q.v.) when mutated in a manner that increases the cell's propensity to divide excessively. In order for a cell to give rise to cancer, other mutations, such as damage to a tumour suppressor gene, must arise. Usually many decades are required for mutations leading to cancer to be accumulated. Cases do occur, however, in younger individuals, many of which are believed to result from a mutation passed from parent to child. Some forms of cancer are associated with an inherited mutation in a tumour suppressor gene. One such familial syndrome, called familial adenomatous polyposis, is a condition in which tumours of the colon arise due to an inherited mutation in the tumour suppressor gene APC.