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Updated: Sep 22, 2025

Induction of Mesenchymal-Epithelial Transitions in Sarcoma Cells
Published on: April 7, 2017
Epigenetic modulation in sensitizing metastatic sarcomas to therapies and overcoming resistance
Jeff Rytlewski1, Qierra R Brockman1, Rebecca D Dodd1,2
1Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, USA.
Abstract:
Sarcomas are a class of rare malignancies of mesenchymal origin with a heterogeneous histological spectrum. They are classically associated with poor outcomes, especially once metastasized. A path to improving clinical outcomes may be made through modifying the epigenome, where a variety of sarcomas demonstrate changes that contribute to their oncogenic phenotypes. This Perspective article identifies and describes changes in the sarcoma genome, while discussing specific epigenetic changes and their effect on clinical outcomes. Clinical attempts at modulating epigenetics in sarcoma are reviewed, as well as potential implications of these studies. Epigenetic targets to reverse and delay chemotherapy resistance are discussed. Future directions with primary next steps are proposed to invigorate the current understanding of epigenetic biomarkers to enact targeted therapies to epigenetic phenotypes of sarcoma subtypes. Modifications to prior studies, as well as proposed clinical steps, are also addressed.
Insights
Altering the epigenome offers a promising strategy to improve outcomes for patients with sarcoma, a rare cancer. Understanding epigenetic changes can guide targeted therapies and overcome chemotherapy resistance.
Area of Science:
- Oncology
- Epigenetics
- Genomics
Background:
- Sarcomas are rare, aggressive cancers originating from mesenchymal tissues.
- Metastatic sarcomas are associated with poor clinical outcomes.
- Epigenetic alterations are implicated in sarcoma development and progression.
Purpose of the Study:
- To review genomic and epigenetic changes in sarcomas.
- To discuss the impact of epigenetic modifications on clinical outcomes.
- To explore therapeutic strategies targeting the epigenome in sarcoma.
Main Methods:
- Review of existing literature on sarcoma epigenetics.
- Analysis of genomic and epigenomic data in sarcomas.
- Evaluation of clinical trials targeting epigenetic pathways.
Main Results:
- Sarcomas exhibit diverse epigenetic alterations contributing to oncogenesis.
- Epigenetic modifications influence treatment response and chemotherapy resistance.
- Targeting epigenetic mechanisms shows potential for reversing resistance.
Conclusions:
- Modulating the epigenome is a viable strategy to improve sarcoma treatment outcomes.
- Further research into epigenetic biomarkers is crucial for developing targeted therapies.
- Future clinical studies should focus on epigenetic phenotypes of sarcoma subtypes.
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