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A specialized division of chromosomes called meiosis occurs during the formation of the reproductive cells, or gametes, of sexually reproducing organisms. Gametes such as ova, sperm, and pollen begin as germ cells, which, like other types of cells, have two copies of each gene in their nuclei. The chromosomes composed of these matching genes are called homologs. During DNA replication, each chromosome duplicates into two attached chromatids. The homologous chromosomes are then separated to opposite poles of the meiotic spindle by microtubules similar to those of the mitotic spindle. At this stage in the meiosis of germ cells, there is a crucial difference from the mitosis of other cells. In meiosis the two chromatids making up each chromosome remain together, so that whole chromosomes are separated from their homologous partners. Cell division then occurs, followed by a second division that resembles mitosis more closely in that it separates the two chromatids of each remaining chromosome. In this way, when meiosis is complete, each mature gamete receives only one copy of each gene instead of the two copies present in other cells.

Controlled proliferation

Several studies have identified the transition from the G₁ to the S phase as a crucial control point of the cell cycle. Stimuli are known to cause resting cells to proliferate by inducing them to leave G₁ and begin DNA synthesis. These stimuli, called growth factors, are naturally occurring proteins specific to certain groups of cells in the body. They include nerve growth factor, epidermal growth factor, and platelet-derived growth factor. Such factors may have important roles in the healing of wounds as well as in the maintenance and growth of normal tissues. Many growth factors are known to act on the external membrane of the cell, by interacting with specialized protein receptor molecules. These respond by triggering further cellular changes, including an increase in calcium levels that makes the cell interior more alkaline and the addition of phosphate groups to the amino acid tyrosine in proteins. The complex response of cells to growth factors is of fundamental importance to the control of cell proliferation.

Failure of proliferation control

Cancer can arise when the controlling factors over cell growth fail and allow a cell and its descendants to keep dividing at the expense of the organism. Studies of viruses that transform cultured cells and thus lead to the loss of control of cell growth have provided insight into the mechanisms that drive the formation of tumours. Transformed cells may differ from their normal progenitors by continuing to proliferate at very high densities, in the absence of growth factors, or in the absence of a solid substrate for support.

Major advances in the understanding of growth control have come from studies of the viral genes that cause transformation. These viral oncogenes have led to the identification of related cellular genes called protooncogenes. Protooncogenes can be altered by mutation or epigenetic modification, which converts them into oncogenes and leads to cell transformation. Specific oncogenes are activated in particular human cancers. For example, an oncogene called RAS is associated with many epithelial cancers, while another, called MYC, is associated with leukemias.

An interesting feature of oncogenes is that they may act at different levels corresponding to the multiple steps seen in the development of cancer. Some oncogenes immortalize cells so that they divide indefinitely, whereas normal cells die after a limited number of generations. Other oncogenes transform cells so that they grow in the absence of growth factors. A combination of these two functions leads to loss of proliferation control, whereas each of these functions on its own cannot. The mode of action of oncogenes also provides important clues to the nature of growth control and cancer. For example, some oncogenes are known to encode receptors for growth factors that may cause continuous proliferation in the absence of appropriate growth factors.

Loss of growth control has the added consequence that cells no longer repair their DNA effectively, and thus aberrant mitoses occur. As a result, additional mutations arise that subvert a cell’s normal constraints to remain in its tissue of origin. Epithelial tumour cells, for example, acquire the ability to cross the basal lamina and enter the bloodstream or lymphatic system, where they migrate to other parts of the body, a process called metastasis. When cells metastasize to distant tissues, the tumour is described as malignant, whereas prior to metastasis a tumour is described as benign.