Epi-Drugs and Epi-miRs: Moving Beyond Current Cancer Therapies
Reza Salarinia, Amirhossein Sahebkar, Mostafa Peyvandi
1Department of Medical Genetics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. r_salehi@med.mui.ac.ir.
Abstract:
Epigenetic modifications determine phenotypic characteristics in a reversible, stable and genotype-independent manner. Epigenetic modifications mainly encompass CpG island methylation and histone modifications, both being important in the pathogenesis of malignancies. The reversibility of epigenetic phenomenon provides a suitable therapeutic option that is reactivation of epigenetically silenced tumor-suppressor genes. Inhibition of DNA methyltransferase, histone deacetylase and Aurora B kinase, individually or collectively, could feasibly prevent or reverse the impact of epigenetic silencing. MicroRNAs [miRNAs] are an important layer of epigenetic controlling of gene expression, and serve as diagnostic and prognostic biomarkers as well as treatment targets for several types of cancer. miRNAs are involved inepigenetically silencing or activation of genes, tumor suppressor genes and oncogenes, and their modulation opens new horizons for designing novel cancer therapeutic agents.
Insights
Epigenetic modifications like DNA methylation and histone changes influence cancer. Reversing these epigenetic changes offers a promising therapeutic strategy for cancer treatment.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Epigenetic modifications, including DNA methylation and histone alterations, regulate gene expression and are implicated in cancer development.
- These modifications are reversible, offering potential therapeutic targets for cancer treatment.
Purpose of the Study:
- To explore the role of epigenetic modifications in cancer pathogenesis.
- To discuss the therapeutic potential of targeting epigenetic mechanisms, including DNA methyltransferase, histone deacetylase, and Aurora B kinase.
- To highlight the significance of microRNAs (miRNAs) as epigenetic regulators and potential biomarkers/therapeutic targets in cancer.
Main Methods:
- Review of current literature on epigenetic modifications in cancer.
- Analysis of the mechanisms underlying DNA methylation and histone modifications.
- Investigation of the role of miRNAs in epigenetic gene regulation and cancer.
Main Results:
- Epigenetic modifications are crucial in cancer development and progression.
- Inhibition of key epigenetic enzymes can reverse gene silencing and impact cancer.
- MicroRNAs play a significant role in epigenetic control and represent valuable diagnostic and therapeutic targets.
Conclusions:
- Epigenetic modifications are key drivers in cancer and offer reversible therapeutic targets.
- Targeting epigenetic machinery, including miRNAs, presents a promising avenue for novel cancer therapies.
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