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病毒诱导肿瘤的表观遗传学:治疗靶点的展望。

Epigenetics of Virus-Induced Tumors: Perspectives for Therapeutic Targeting.

机构信息

NN Blokhin Russian Cancer Research Center, Moscow. Russian Federation.

出版信息

Curr Pharm Des. 2017;23(32):4842-4861. doi: 10.2174/1381612823666170822100627.

Abstract

About 15-20% of human cancers worldwide have viral etiology. Seven human DNA and RNA viruses are accepted to be oncogenic viruses or oncoviruses and contribute to the development of various cancer types. Human oncoviruses have developed multiple molecular mechanisms to interfere with specific cellular pathways to promote viral replication and viral life cycle maintenance in the host. Despite the diversity of oncogenic viruses, they use similar strategies for cancer development. Viral oncoproteins and viral non-coding RNAs are the key factors that can affect multiple cellular processes on both genetic and epigenetic levels. Epigenetics research allows better understanding of the complex interplay between oncoviruses and the host cells. This review highlights the importance of epigenetic reprogramming for virus-induced carcinogenesis. Recent progress in the development of pharmacological tools for targeting epigenetic mechanisms opens new perspectives for modulation of virus/host interaction and intervention of virus-induced cancer. Several clinical trials have been carried out or are on-going involving epigenetic drugs not only as single therapeutic but also in combination with other targeted agents against various virus-induced cancers.

摘要

全球约有 15-20%的人类癌症具有病毒病因。七种人类 DNA 和 RNA 病毒被认为是致癌病毒或肿瘤病毒,它们有助于多种癌症类型的发展。人类肿瘤病毒已经发展出多种分子机制,干扰特定的细胞途径,以促进病毒在宿主中的复制和病毒生命周期的维持。尽管致癌病毒种类繁多,但它们在癌症发展中使用相似的策略。病毒癌蛋白和病毒非编码 RNA 是能够在遗传和表观遗传水平上影响多种细胞过程的关键因素。表观遗传学研究使我们能够更好地理解肿瘤病毒与宿主细胞之间的复杂相互作用。本文强调了表观遗传重编程在病毒诱导的致癌作用中的重要性。针对表观遗传机制的药理学工具的最新进展为调节病毒/宿主相互作用和干预病毒诱导的癌症开辟了新的前景。已经开展或正在进行几项临床试验,涉及表观遗传药物,不仅作为单一治疗药物,而且还与针对各种病毒诱导癌症的其他靶向药物联合使用。

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