Department of Pathology & Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USA.
Epigenomics. 2011 Dec;3(6):747-59. doi: 10.2217/epi.11.97.
Pancreatic cancer (PC) is a complex disease harboring a myriad of genetic and epigenetic changes. The dismal survival of patients diagnosed with PC is in part due to de novo and acquired resistance to conventional therapeutics, resulting from deregulated signaling including aberrant expression of small nc miRNAs. Emerging research in this area has lead to the identification and characterization of deregulated miRNAs, which have generated a renewed interest and hope in that novel targeting of miRNAs may lead to a better clinical outcome for patients diagnosed with PC. However, recent evidence suggests that miRNAs are also under a highly coordinated system of epigenetic regulation emphasizing the fact that the design of miRNAs as targeted therapy may not be as simple as originally anticipated. For a successful miRNA-based therapeutic regimen, a holistic integrated approach may be required to take into account because of these emerging epigenetic regulatory mechanisms. In this article, we will discuss miRNA epigenetics, it's significance in PC and the use of a systems science to identify these aberrant epigenetically groomed miRNAs, and we believe that such knowledge would likely benefit further research to realize the dream of miRNA-based targeted therapy for human malignancies.
胰腺癌(PC)是一种复杂的疾病,存在着无数的遗传和表观遗传变化。新诊断的 PC 患者的生存率令人沮丧,部分原因是由于信号失调,包括异常表达的小 nc miRNA,导致对常规治疗的新出现和获得性耐药。这一领域的新兴研究导致了失调 miRNA 的鉴定和特征描述,这为新的 miRNA 靶向治疗提供了新的兴趣和希望,可能为新诊断的 PC 患者带来更好的临床结果。然而,最近的证据表明,miRNA 也受到高度协调的表观遗传调控系统的控制,这强调了 miRNA 作为靶向治疗的设计可能并不像最初预期的那样简单。为了成功实施 miRNA 为基础的治疗方案,可能需要采用整体综合的方法,因为这些新兴的表观遗传调控机制。在本文中,我们将讨论 miRNA 的表观遗传学,它在 PC 中的意义,以及使用系统科学来识别这些异常的表观遗传修饰的 miRNA,我们相信这些知识可能会有助于进一步的研究,以实现 miRNA 为基础的针对人类恶性肿瘤的靶向治疗的梦想。