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Multiple Choice
Which of the following accurately describes the genetic change(s) leading to malignancy?
A
Single mutation in a housekeeping gene
B
Accumulation of mutations in proto-oncogenes and tumor suppressor genes
C
Temporary changes in gene expression without DNA mutation
D
Loss of mitochondrial DNA only
Verified step by step guidance
1
Understand the context of the question: Malignancy refers to the development of cancer, which is typically caused by genetic changes that disrupt normal cell growth and division.
Review the types of genes involved in cancer development: Proto-oncogenes are genes that promote cell growth and division, while tumor suppressor genes regulate and inhibit excessive cell growth. Mutations in these genes can lead to uncontrolled cell proliferation.
Clarify the role of mutations: Cancer is not caused by a single mutation but rather by the accumulation of multiple mutations over time. These mutations can activate proto-oncogenes (turning them into oncogenes) or inactivate tumor suppressor genes, leading to malignancy.
Eliminate incorrect options: A single mutation in a housekeeping gene is unlikely to cause malignancy, as these genes are involved in basic cellular functions. Temporary changes in gene expression without DNA mutation (epigenetic changes) may influence cancer progression but are not the primary cause. Loss of mitochondrial DNA alone does not lead to malignancy.
Conclude with the correct answer: The accumulation of mutations in proto-oncogenes and tumor suppressor genes is the primary genetic change leading to malignancy, as it disrupts the balance of cell growth and division.