Cancer Genetics and Epigenetics, Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, CRB1, Baltimore, Maryland, USA.
Curr Opin Oncol. 2024 Mar 1;36(2):82-92. doi: 10.1097/CCO.0000000000001020. Epub 2024 Jan 17.
This review emphasizes the role of epigenetic processes as incidental changes occurring during aging, which, in turn, promote the development of cancer.
Aging is a complex biological process associated with the progressive deterioration of normal physiological functions, making age a significant risk factor for various disorders, including cancer. The increasing longevity of the population has made cancer a global burden, as the risk of developing most cancers increases with age due to the cumulative effect of exposure to environmental carcinogens and DNA replication errors. The classical 'somatic mutation theory' of cancer cause is being challenged by the observation that multiple normal cells harbor cancer driver mutations without resulting in cancer. In this review, we discuss the role of age-associated epigenetic alterations, including DNA methylation, which occur across all cell types and tissues with advancing age. There is an increasing body of evidence linking these changes with cancer risk and prognosis.
A better understanding about the epigenetic changes acquired during aging is critical for comprehending the mechanisms leading to the age-associated increase in cancer and for developing novel therapeutic strategies for cancer treatment and prevention.
目的综述:本文强调了表观遗传过程在衰老过程中作为偶然发生的变化的作用,而这些变化又促进了癌症的发展。
最近发现:衰老是一个复杂的生物学过程,与正常生理功能的逐渐恶化有关,使年龄成为各种疾病(包括癌症)的重要危险因素。随着人口寿命的延长,癌症已成为全球的负担,因为大多数癌症的发病风险随着年龄的增长而增加,这是由于暴露于环境致癌物和 DNA 复制错误的累积效应所致。癌症病因的经典“体细胞突变理论”正受到挑战,因为观察到多个正常细胞携带有致癌驱动突变,但并未导致癌症。在这篇综述中,我们讨论了与年龄相关的表观遗传改变的作用,包括在所有细胞类型和组织中随年龄增长而发生的 DNA 甲基化。越来越多的证据将这些变化与癌症风险和预后联系起来。
总结:更好地了解衰老过程中获得的表观遗传变化,对于理解导致与年龄相关的癌症发病率增加的机制以及开发癌症治疗和预防的新治疗策略至关重要。