1
ionizing radiation, carcinogens, mutagens
2
normal cell (p53 is normal)
3
DNA damage
4
hypoxia
5
p53 activated and binds to DNA
6
transcription dependent and independent effects on targets
7
p21 (CDK inhibitor)
8
G1 arrest
9
GADD45 (DNA repair)
10
successful repair
11
normal cells
12
BAX (apoptosis gene)
13
repair fails
14
apoptosis
15
cell with mutations or loss of p53
16
DNA damage
17
p53-dependent genes not activated
18
no cell cycle arrest
19
no DNA repair, no senescence
20
mutant cells
21
expansion and additional mutations
22
malignant tumor
What are the causes of neoplasia?
carcinogens and germ line mutations
What are mutagens?
something that causes DNA damage