Epigenetic modifications in colorectal cancer: molecular insights and therapeutic challenges

Aristeidis G Vaiopoulos1, Kalliopi Ch Athanasoula1, Athanasios G Papavassiliou1

  • 1Department of Biological Chemistry, University of Athens Medical School, 11527 Athens, Greece.

Insights

Epigenetic mechanisms significantly influence colorectal cancer development and progression. Understanding these changes offers new avenues for personalized diagnostics and treatments.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Colorectal cancer is a major global health concern.
  • It arises from genetic and epigenetic alterations.
  • Epigenetic changes are crucial throughout tumor development.

Purpose of the Study:

  • To review the role of epigenetic mechanisms in colorectal cancer.
  • To explore their implications in tumor biology.
  • To discuss their translational applications from research to clinical practice.

Main Methods:

  • Literature review of epigenetic mechanisms in colorectal cancer.
  • Analysis of DNA methylation, histone modifications, chromatin remodeling, and non-coding RNAs.
  • Examination of cancer stem cell promotion and epigenetic dysregulation.

Main Results:

  • Epigenetic aberrations impact all stages of colorectal cancer, including initiation and metastasis.
  • These mechanisms are involved in cancer stem cell promotion.
  • The complex interplay of epigenetic factors drives colorectal carcinogenesis.

Conclusions:

  • Elucidating epigenetic crosstalk provides insights into colorectal cancer pathogenesis.
  • Epigenetic mechanisms open new possibilities for personalized therapies.
  • Novel diagnostic, prognostic, and therapy-assessment markers can be developed based on epigenetic alterations.

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