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癌症发生、诊断与治疗中的表观遗传学

Epigenetics in cancer development, diagnosis and therapy.

机构信息

Center for Biomedicine and Community Health, International School, Vietnam National University, Hanoi, Vietnam; Faculty of Applied Sciences, International School, Vietnam National University, Hanoi, Vietnam.

Center for Biomedicine and Community Health, International School, Vietnam National University, Hanoi, Vietnam.

出版信息

Prog Mol Biol Transl Sci. 2023;198:73-92. doi: 10.1016/bs.pmbts.2023.01.009. Epub 2023 Feb 24.

Abstract

Cancer is a dangerous disease and one of the leading causes of death in the world. In 2020, there were nearly 10 million cancer deaths and approximately 20 million new cases. New cases and deaths from cancer are expected to increase further in the coming years. To have a deeper insight into the mechanism of carcinogenesis, epigenetics studies have been published and received much attention from scientists, doctors, and patients. Among alterations in epigenetics, DNA methylation and histone modification are studied by many scientists. They have been reported to be a major contributor in tumor formation and are involved in metastasis. From the understanding of DNA methylation and histone modification, effective, accurate and cost-effective methods for diagnosis and screening of cancer patients have been introduced. Furthermore, therapeutic approaches and drugs targeting altered epigenetics have also been clinically studied and have shown positive results in combating tumor progression. Several cancer drugs that rely on DNA methylation inactivation or histone modification have been approved by the FDA for the treatment of cancer patients. In summary, epigenetics changes such as DNA methylation or histone modification are take part in tumor growth, and they also have great prospect to study diagnostic and therapeutic methods of this dangerous disease.

摘要

癌症是一种危险的疾病,也是世界上主要的死亡原因之一。2020 年,癌症死亡人数接近 1000 万,新发病例约 2000 万。预计未来几年癌症的新发病例和死亡人数将进一步增加。为了更深入地了解致癌机制,表观遗传学研究已经发表,并引起了科学家、医生和患者的广泛关注。在表观遗传学的改变中,许多科学家研究了 DNA 甲基化和组蛋白修饰。据报道,它们是肿瘤形成的主要因素,并参与转移。从对 DNA 甲基化和组蛋白修饰的认识中,已经引入了用于癌症患者诊断和筛查的有效、准确和具有成本效益的方法。此外,针对改变的表观遗传学的治疗方法和药物也在临床上进行了研究,并在对抗肿瘤进展方面显示出积极的结果。几种依赖于 DNA 甲基化失活或组蛋白修饰的癌症药物已被 FDA 批准用于治疗癌症患者。总之,DNA 甲基化或组蛋白修饰等表观遗传学变化参与肿瘤生长,它们在研究这种危险疾病的诊断和治疗方法方面也有很大的前景。

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