癌症病因学与进展中的表观遗传调节剂、修饰剂和介质

Epigenetic modulators, modifiers and mediators in cancer aetiology and progression.

作者信息

Feinberg Andrew P, Koldobskiy Michael A, Göndör Anita

机构信息

Center for Epigenetics, Johns Hopkins University School of Medicine, 855 N. Wolfe Street, Rangos 570, Baltimore, Maryland 21205, USA.

Department of Microbiology, Tumour and Cell Biology, Nobels väg 16, Karolinska Institutet, S-171 77 Stockholm, Sweden.

出版信息

Nat Rev Genet. 2016 May;17(5):284-99. doi: 10.1038/nrg.2016.13. Epub 2016 Mar 14.

Abstract

This year is the tenth anniversary of the publication in this journal of a model suggesting the existence of 'tumour progenitor genes'. These genes are epigenetically disrupted at the earliest stages of malignancies, even before mutations, and thus cause altered differentiation throughout tumour evolution. The past decade of discovery in cancer epigenetics has revealed a number of similarities between cancer genes and stem cell reprogramming genes, widespread mutations in epigenetic regulators, and the part played by chromatin structure in cellular plasticity in both development and cancer. In the light of these discoveries, we suggest here a framework for cancer epigenetics involving three types of genes: 'epigenetic mediators', corresponding to the tumour progenitor genes suggested earlier; 'epigenetic modifiers' of the mediators, which are frequently mutated in cancer; and 'epigenetic modulators' upstream of the modifiers, which are responsive to changes in the cellular environment and often linked to the nuclear architecture. We suggest that this classification is helpful in framing new diagnostic and therapeutic approaches to cancer.

摘要

今年是本期刊发表一篇提出“肿瘤祖基因”存在的模型的十周年。这些基因在恶性肿瘤的最早阶段,甚至在发生突变之前,就会发生表观遗传破坏,从而在肿瘤发展过程中导致分化改变。过去十年在癌症表观遗传学方面的发现揭示了癌症基因与干细胞重编程基因之间的一些相似之处、表观遗传调节因子中的广泛突变,以及染色质结构在发育和癌症中的细胞可塑性中所起的作用。鉴于这些发现,我们在此提出一个癌症表观遗传学框架,涉及三种类型的基因:“表观遗传介质”,对应于早期提出的肿瘤祖基因;介质的“表观遗传修饰因子”,它们在癌症中经常发生突变;以及修饰因子上游的“表观遗传调节剂”,它们对细胞环境的变化有反应,并且常常与核结构相关联。我们认为这种分类有助于构建新的癌症诊断和治疗方法。

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