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Published on: August 25, 2023
Targeting Oncogenic Transcriptional Networks in Neuroblastoma: From N-Myc to Epigenetic Drugs
Roberto Ciaccio1, Piergiuseppe De Rosa1, Sara Aloisi1
1Department of Pharmacy and Biotechnology, University of Bologna, 40126 Bologna, Italy.
Abstract:
Neuroblastoma (NB) is one of the most frequently occurring neurogenic extracranial solid cancers in childhood and infancy. Over the years, many pieces of evidence suggested that NB development is controlled by gene expression dysregulation. These unleashed programs that outline NB cancer cells make them highly dependent on specific tuning of gene expression, which can act co-operatively to define the differentiation state, cell identity, and specialized functions. The peculiar regulation is mainly caused by genetic and epigenetic alterations, resulting in the dependency on a small set of key master transcriptional regulators as the convergence point of multiple signalling pathways. In this review, we provide a comprehensive blueprint of transcriptional regulation bearing NB initiation and progression, unveiling the complexity of novel oncogenic and tumour suppressive regulatory networks of this pathology. Furthermore, we underline the significance of multi-target therapies against these hallmarks, showing how novel approaches, together with chemotherapy, surgery, or radiotherapy, can have substantial antineoplastic effects, disrupting a wide variety of tumorigenic pathways through combinations of different treatments.
Insights
Neuroblastoma (NB) development hinges on gene expression dysregulation, driven by genetic and epigenetic changes. Targeting key transcriptional regulators offers promising multi-modal therapeutic strategies for this childhood cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Neuroblastoma (NB) is a common childhood cancer originating from nerve cells.
- Gene expression dysregulation, driven by genetic and epigenetic alterations, is central to NB development.
- NB cells depend on specific transcriptional regulators for their identity and function.
Purpose of the Study:
- To review the role of transcriptional regulation in NB initiation and progression.
- To unveil oncogenic and tumor suppressive regulatory networks in NB.
- To highlight the potential of multi-target therapies for NB treatment.
Main Methods:
- Comprehensive literature review of transcriptional regulation in neuroblastoma.
- Analysis of genetic and epigenetic alterations impacting gene expression.
- Evaluation of therapeutic strategies targeting transcriptional regulators.
Main Results:
- Transcriptional dysregulation is a key driver of NB initiation and progression.
- Complex oncogenic and tumor suppressive regulatory networks govern NB.
- Key master transcriptional regulators are crucial for NB cell survival and function.
Conclusions:
- Understanding transcriptional regulation is vital for neuroblastoma research.
- Targeting master transcriptional regulators presents a promising therapeutic avenue.
- Combination therapies, including novel approaches, show potential for treating NB.
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