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Pathology · Carcinogenesis: oncogenes
Sample itemWhich change converts a proto-oncogene into an oncogene?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Gain-of-function mutation or overexpression
Oncogenes arise from activated proto-oncogenes through gain-of-function mutation, amplification, or translocation, promoting growth with a dominant cellular effect. Tumor suppressors are generally inactivated by loss of function.
Option by option
A. Gain-of-function mutation or overexpression (correct)
Correct. Activation or overexpression drives oncogenic signaling.
B. Deletion of all cellular DNA
Deletion of all DNA is incompatible with cell survival.
C. Promoter methylation causing silencing only
Silencing a growth-promoting gene would not create an oncogene.
D. Loss of both alleles only
Biallelic loss is the usual pattern for tumor-suppressor gene inactivation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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