Neoplasia and Cancer Biology · USMLE Step 1

Which of these factors contributes to the genomic instability that facilitates cancer development?

  1. Overexpression of DNA repair genes
  2. Activation of caretaker genes
  3. Loss-of-function mutations in DNA-repair genes
  4. Increased cell adhesion molecules
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Correct answer: Loss-of-function mutations in DNA-repair genes

Caretaker genes maintain genomic integrity by DNA repair; when they are inactivated, mutations accumulate unchecked, increasing the risk of oncogene activation or tumor suppressor loss — fostering neoplasia.

Difficulty: Medium Question 18 of 20

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