Epigenetic mechanisms and therapeutic targeting across diverse malignancies

Akshara Harihar1, Rithika Venkataramanan1, Marina Alice Mathew1

  • 1Department of Biotechnology, School of Bioengineering, College of Engineering and Technology, SRM Institute of Science and Technology, Kattankulathur, India.

Epigenomics
|May 5, 2026
PubMed

Insights

Epigenetic alterations drive cancer development and treatment resistance. New epigenetic drugs offer potential for personalized cancer therapies by restoring normal gene expression and improving treatment efficacy.

Area of Science:

  • Oncology
  • Epigenetics
  • Molecular Biology

Background:

  • Cancer is a complex disease driven by genetic abnormalities, leading to uncontrolled cell growth, invasion, and metastasis.
  • Epigenetic modifications, such as DNA methylation and histone alterations, play a crucial role in cancer development, progression, and therapy resistance.
  • These reversible epigenetic changes can silence tumor suppressor genes without altering the DNA sequence.

Purpose of the Study:

  • To review the role of epigenetic alterations in cancer.
  • To discuss the development and potential of epigenetic drugs in cancer treatment.
  • To highlight the integration of epigenetics with precision oncology for improved patient outcomes.

Main Methods:

  • Review of current literature on cancer epigenetics and epigenetic therapies.
  • Analysis of epigenetic drug classes, including DNA methyltransferase inhibitors and histone deacetylase inhibitors.
  • Discussion of challenges and future directions in epigenetic cancer research.

Main Results:

  • Epigenetic markers are prevalent across various cancer types, impacting diagnosis, prognosis, and treatment.
  • Epigenetic drugs show promise in restoring normal gene expression and enhancing sensitivity to conventional and immunotherapies.
  • Despite challenges like tumor heterogeneity and toxicity, epigenetic profiling integrated with precision oncology offers personalized treatment strategies.

Conclusions:

  • Epigenetic modifications are key drivers in cancer and represent promising therapeutic targets.
  • Epigenetic therapies have the potential to revolutionize cancer treatment by enabling personalized, mechanism-based approaches.
  • Further research and clinical integration of epigenetics are essential for advancing cancer care and improving patient outcomes.

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