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Published on: April 5, 2018
Epigenetic deregulation of the COX pathway in cancer
Inês Cebola1, Miguel A Peinado
1Institute of Predictive and Personalized Medicine of Cancer, Badalona, Catalonia, Spain.
Abstract:
Inflammation is a major cause of cancer and may condition its progression. The deregulation of the cyclooxygenase (COX) pathway is implicated in several pathophysiological processes, including inflammation and cancer. Although, its targeting with nonsteroidal antiinflammatory drugs (NSAIDs) and COX-2 selective inhibitors has been investigated for years with promising results at both preventive and therapeutic levels, undesirable side effects and the limited understanding of the regulation and functionalities of the COX pathway compromise a more extensive application of these drugs. Epigenetics is bringing additional levels of complexity to the understanding of basic biological and pathological processes. The deregulation of signaling and biosynthetic pathways by epigenetic mechanisms may account for new molecular targets in cancer therapeutics. Genes of the COX pathway are seldom mutated in neoplastic cells, but a large proportion of them show aberrant expression in different types of cancer. A growing body of evidence indicates that epigenetic alterations play a critical role in the deregulation of the genes of the COX pathway. This review summarizes the current knowledge on the contribution of epigenetic processes to the deregulation of the COX pathway in cancer, getting insights into how these alterations may be relevant for the clinical management of patients.
Insights
Epigenetic alterations in the cyclooxygenase (COX) pathway are linked to cancer development and progression. Understanding these epigenetic changes offers new therapeutic strategies for cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Inflammation is a key driver of cancer initiation and progression.
- The cyclooxygenase (COX) pathway is frequently dysregulated in various cancers.
- Current treatments targeting the COX pathway have limitations due to side effects and incomplete understanding.
Purpose of the Study:
- To review the role of epigenetic modifications in the deregulation of the COX pathway in cancer.
- To explore the potential of targeting epigenetic alterations in the COX pathway for cancer therapy.
Main Methods:
- Literature review of studies investigating epigenetic regulation of COX pathway genes in cancer.
- Analysis of evidence linking aberrant gene expression in the COX pathway to epigenetic mechanisms.
- Synthesis of current knowledge on the clinical implications of these findings.
Main Results:
- Epigenetic alterations, rather than mutations, are frequently observed in COX pathway genes in cancer cells.
- Aberrant gene expression of COX pathway components is a common feature across different cancer types.
- Epigenetic dysregulation significantly contributes to the altered functionality of the COX pathway in malignancy.
Conclusions:
- Epigenetic mechanisms are critical in controlling the COX pathway's role in cancer.
- Targeting epigenetic alterations in the COX pathway presents a promising avenue for novel cancer therapeutics.
- Further research into these epigenetic modifications could lead to improved clinical management strategies for cancer patients.
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