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Retired NBME 16 Answers

nbme16/Block 1/Question#13 (reveal difficulty score)
A 30-year-old woman with Li-Fraumeni syndrome ...
Impaired regulation of apoptosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: genetics pleio

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submitted by โˆ—cassdawg(1781)
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Li Fraumeni syndrome is associated with a loss of function mutation in p53 (FA2020 p224, p46)

p53 is a modulator at the G1/S restriction point. p53 activation in the presence of DNA damage, misfolded protein, and hypoxia leads to activation of BAK/BAX and subsequent activation of the apoptotic pathway (p208). Thus, loss of function of p53 will lead to impaired regulation of apoptosis and uninhibited cell division in cancer cells.

Li Fraumeni syndrome is associated with multiple tumors at a young age (SBLA - sarcoma, breast, leukemia, adrenal)

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cassdawg  ALSO REMEMBER: since it is a loss of function mutation that leads to cancer, p53 is a tumor suppressor gene NOT an oncogene. +5



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