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Super-enhancers in cancer
1Department of Pathology, New York University School of Medicine, New York, NY 10016, USA; Laura & Isaac Perlmutter Cancer Center, New York University School of Medicine, New York, NY 10016, USA.
Abstract:
Cancer is fueled by the aberrant activity of oncogenic and tumor suppressive pathways. Transcriptional dysregulation of these pathways play a major role both in the genesis and development of cancer. Dysregulation of transcriptional programs can be mediated by genetic and epigenetic alterations targeting both protein coding genes and non-coding regulatory elements like enhancers and super-enhancers. Super-enhancers, characterized as large clusters of enhancers in close proximity, have been identified as essential oncogenic drivers required for the maintenance of cancer cell identity. As a result, cancer cells are often addicted to the super-enhancer driven transcriptional programs. Furthermore, pharmacological inhibitors targeting key components of super-enhancer assembly and activation have shown great promise in reducing tumor growth and proliferation in several pre-clinical tumor models. This article reviews the current understanding of super-enhancer assembly and activation, the different mechanisms by which cancer cells acquire oncogenic super-enhancers and, finally, the potential of targeting super-enhancers as future therapeutics.
Insights
Cancer cells rely on super-enhancers for survival. Targeting these critical transcriptional drivers offers a promising new therapeutic strategy for cancer treatment.
Area of Science:
- Molecular Biology
- Cancer Genetics
- Epigenetics
Background:
- Cancer development involves aberrant oncogenic and tumor suppressive pathways.
- Transcriptional dysregulation, driven by genetic and epigenetic alterations, is central to cancer genesis and progression.
- Super-enhancers, large clusters of enhancers, are crucial for maintaining cancer cell identity and driving oncogenic transcription.
Purpose of the Study:
- To review the current understanding of super-enhancer assembly and activation in cancer.
- To explore mechanisms by which cancer cells acquire oncogenic super-enhancers.
- To discuss the therapeutic potential of targeting super-enhancers.
Main Methods:
- Literature review of current research on super-enhancers in cancer.
- Analysis of genetic and epigenetic alterations affecting transcriptional regulation.
- Examination of pre-clinical data on super-enhancer inhibitor efficacy.
Main Results:
- Cancer cells exhibit addiction to super-enhancer driven transcriptional programs.
- Pharmacological inhibitors targeting super-enhancer components show promise in reducing tumor growth.
- Super-enhancers are essential oncogenic drivers critical for cancer cell maintenance.
Conclusions:
- Super-enhancers play a pivotal role in cancer by driving essential transcriptional programs.
- Targeting super-enhancer assembly and activation presents a viable therapeutic avenue.
- Further research into targeting oncogenic super-enhancers could lead to novel cancer treatments.
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