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    Subjects/Pathology/Carcinogenesis and Oncogenes
    Carcinogenesis and Oncogenes
    easy
    microscope Pathology

    Which of the following oncogenes, when activated, primarily functions as a growth factor receptor tyrosine kinase?

    A. MYC
    B. RAS
    C. TP53
    D. HER2 (ERBB2)

    Explanation

    Oncogene Classification by Function

    Key Point
    Oncogenes are classified based on their cellular function. Growth factor receptor tyrosine kinases (RTKs) are a major class of proto-oncogenes that, when activated, drive proliferation through ligand-independent or ligand-dependent signaling.
    HER2 (ERBB2) — Growth Factor Receptor

    HER2 is a transmembrane receptor tyrosine kinase belonging to the EGFR family. When overexpressed or mutated:

    • Constitutively active or hypersensitive to growth factors
    • Drives proliferation in ~20% of breast cancers
    • Targetable by trastuzumab (Herceptin)
    Comparison of Oncogene Types
    Table
    OncogeneClassFunctionExample Cancer
    HER2Growth factor receptorRTK signalingBreast cancer
    MYCTranscription factorGene transcriptionBurkitt lymphoma
    RASSignal transductionGTPase/relay proteinPancreatic cancer
    TP53Tumor suppressor (not oncogene)Cell cycle checkpointLi-Fraumeni syndrome
    High-YieldNEET PG
    HER2 and EGFR are the prototypical RTK oncogenes tested in NEET PG. Remember: RTKs have extracellular ligand-binding domains and intracellular kinase domains.
    Clinical Pearl
    HER2 testing (IHC or FISH) is mandatory in breast cancer diagnosis because HER2-positive tumors have different prognosis and respond to targeted therapy.

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