Here are the essential concepts you must grasp in order to answer the question correctly.
Tumor Suppressor Genes and the RB1 Gene
Tumor suppressor genes, like RB1, regulate cell growth and prevent uncontrolled division. A mutation in one copy of RB1 impairs its function, but cancer usually requires both copies to be inactivated. The inherited mutated copy predisposes cells to cancer by reducing tumor suppression.
Recommended video:
Knudson's Two-Hit Hypothesis
This hypothesis explains that both alleles of a tumor suppressor gene must be mutated for cancer to develop. In retinoblastoma, inheriting one mutated RB1 allele is the first 'hit,' and a second somatic mutation in the other allele triggers tumor formation, making cancer highly likely.
Recommended video:
Translation:Wobble Hypothesis
Dominant Predisposition vs. Dominant Mutation
A dominant predisposition means inheriting one mutated gene increases cancer risk but does not directly cause cancer. Unlike dominant mutations that cause disease outright, the RB1 mutation acts recessively at the cellular level but appears dominant in inheritance due to high cancer risk.
Recommended video: