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The epigenetics of oral cancer
1Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, UK. freedna@gmail.com
Abstract:
Whilst genetic alterations in oral cancer have long been documented, the appreciation of epigenetic changes is more recent. Epigenetic changes alter expression of tumour suppressor genes without changes in DNA sequence. Epigenetic mechanisms such as DNA methylation, histone methylation and deacetylation have been shown to silence key genes involved in cell proliferation, differentiation and genome integrity, and clearly have a central role in oral cancer. The pattern of hypermethylation in any individual tumour can now be accurately determined, which may find application in molecular staging. In addition, current trials are evaluating the safety and efficacy of agents affecting epigenetic changes in cancer patients which hold some therapeutic promise.
Insights
Epigenetic changes, like DNA methylation, silence crucial genes in oral cancer development. Understanding these epigenetic alterations offers potential for molecular staging and new cancer therapies.
Area of Science:
- Oncology
- Epigenetics
Background:
- Genetic alterations in oral cancer are well-known.
- Epigenetic changes, which modify gene expression without altering DNA sequence, are increasingly recognized in oral cancer.
Purpose of the Study:
- To highlight the role of epigenetic mechanisms in oral cancer.
- To discuss the potential applications of understanding epigenetic patterns in oral cancer management.
Main Methods:
- Review of epigenetic mechanisms including DNA methylation, histone methylation, and deacetylation.
- Analysis of how these mechanisms silence genes involved in cell proliferation, differentiation, and genome integrity.
Main Results:
- Epigenetic mechanisms play a central role in oral cancer.
- The specific pattern of DNA hypermethylation in tumors can be determined.
- Agents targeting epigenetic changes are under investigation for therapeutic use.
Conclusions:
- Epigenetic alterations are critical in oral cancer pathogenesis.
- Accurate determination of hypermethylation patterns may aid in molecular staging.
- Epigenetic therapies show promise for oral cancer treatment.
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