Molecular pathways: the complexity of the epigenome in cancer and recent clinical advances

Mariarosaria Conte1, Lucia Altucci

  • 1Dipartimento di Patologia Generale, Seconda Università di Napoli, Vico L. De Crecchio, Napoli, Italy.

Insights

Epigenetic alterations drive human cancer by disrupting key cellular processes. Targeting these epigenetic changes offers novel therapeutic strategies for cancer treatment and prevention.

Area of Science:

  • Oncology
  • Epigenetics
  • Molecular Biology

Background:

  • Human cancers are linked to genomic and epigenomic dysregulation.
  • Epigenetic abnormalities in signaling pathways are critical for cancer progression.
  • Identifying epigenetic marks in tumors is key for new therapeutic strategies.

Purpose of the Study:

  • To address the interplay of known epigenetic mutations in cancer.
  • To optimize targeting strategies for epigenetic modifications.
  • To advance the exploitation of epigenetic targeting in cancer prevention and treatment.

Main Methods:

  • Review and analysis of existing literature on epigenetic alterations in cancer.
  • Discussion of the roles of chromatin modifiers (writers, readers, erasers).
  • Exploration of therapeutic strategies targeting DNA methylation and histone acetylation.

Main Results:

  • Epigenetic deregulation significantly impacts cancer development and progression.
  • Alterations in chromatin modifiers are crucial in tumorigenesis.
  • Current epigenetic therapies target DNA methylation and histone deacetylases, but further targets exist.

Conclusions:

  • Understanding epigenetic modifier alterations is vital for cancer therapy.
  • Epigenetic-based treatments may require distinct strategies from conventional targeted therapies.
  • Further research into novel epigenetic targets is crucial for effective cancer treatment and prevention.

Related Concept Videos

Epigenetic Regulation01:37

Epigenetic Regulation

Epigenetic changes alter the physical structure of the DNA without changing the genetic sequence and often regulate whether genes are turned on or off. This regulation ensures that each cell produces only proteins necessary for its function. For example, proteins that promote bone growth are not produced in muscle cells. Epigenetic mechanisms play an essential role in healthy development. Conversely, precisely regulated epigenetic mechanisms are disrupted in diseases like cancer.
X-chromosome...
Epigenetic Regulation01:46

Epigenetic Regulation

Epigenetic mechanisms play an essential role in healthy development. Conversely, precisely regulated epigenetic mechanisms are disrupted in diseases like cancer.
Epigenetic Regulation01:46

Epigenetic Regulation

Epigenetic mechanisms play an essential role in healthy development. Conversely, precisely regulated epigenetic mechanisms are disrupted in diseases like cancer.
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
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Tumor Progression02:07

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Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
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Tumor Progression02:07

Tumor Progression

Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...