表观遗传调节和骨转移:不断发展的治疗策略
Mahmoud Zhra1, Jasmine Hanafy Holail2, Khalid S Mohammad1
1Department of Anatomy and Genetics, College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia.
Pharmaceuticals (Basel, Switzerland)
|August 28, 2025
概括
在晚期癌症中,表观遗传变化导致骨转移. 通过表观遗传疗法准这些变化提供了一个有前途的策略来破坏瘤细胞和骨微环境的相互作用,从而改善患者的治疗结果.
科学领域:
- 癌症学
- 表观遗传学
- 癌症转移
背景情况:
- 在晚期乳腺癌,前列腺癌和肺癌中,骨转移显著影响患者的生活质量.
- 可逆表观遗传变化越来越多地被认为是癌细胞骨殖民的关键驱动因素.
研究的目的:
- 审查表观遗传修饰在骨转移中的机制性作用.
- 评估骨转移的表观遗传疗法.
- 概述利用表观遗传科学进行治疗的转化挑战.
主要方法:
- 对骨转移的表观遗传机制的当前文献的综述.
- 对表观遗传变化的分析,包括DNA甲基化,基因组修饰,染色质重塑和非编码RNA.
- 对表观遗传药物和新型治疗方法的临床前和临床数据的评估.
主要成果:
- 像促进剂高甲基化和全球低甲基化这样的表观遗传变化会影响癌细胞的可塑性和表皮细胞转化为介质细胞 (EMT).
- 基因组修饰剂和染色质重塑剂调节骨和转移性位.
- 非编码RNA通过RANKL/OPG轴调节骨微环境.
- 表观遗传疗法,包括DNA甲基转移酶和基因素脱乙酶抑制剂,
- 针对性抑制剂和新的方法如表观基因组编辑正在临床试验中取得进展.
结论:
- 表观遗传调节是骨转移级联中的关键因素.
- 表观遗传疗法是精确瘤治疗骨转移的一个有希望的途径.
- 克服转化挑战对于表观遗传策略的临床成功至关重要.
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