Suffocating cancer hypoxia-associated epimutations as targets for cancer therapy 英文参考文献.docVIP
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Suffocating cancer hypoxia-associated epimutations as targets for cancer therapy 英文参考文献
Thirlwelletal.ClinicalEpigenetics2011,3:9
/content/3/1/9
REVIEW
OpenAccess
Suffocatingcancer:hypoxia-associated
epimutationsastargetsforcancertherapy
CThirlwell*,LKESchulz,HKDibraandSBeck
Abstract
Lowerthannormallevelsofoxygen(hypoxia)isahallmarkofallsolidtumoursrenderingthemfrequentlyresistant
tobothradiotherapyandchemotherapyregimes.Furthermore,tumourhypoxiaandactivationofthehypoxia
induciblefactor(HIF)transcriptionalpathwayisassociatedwithpoorerprognosis.Drivenbybothgeneticand
epigeneticchanges,cancercellsdonotonlysurvivebutthriveinhypoxicconditions.Detailedknowledgeofthese
changesandtheirfunctionalconsequencesisofgreatclinicalutilityandisalreadyhelpingtodetermine
phenotypicplasticity,histologicaltumourgradingandoverallprognosisandsurvivalstratificationinseveralcancer
types.Asepigeneticchanges-contrarytogeneticchanges-arepotentiallyreversible,theymayprovetobe
potenttherapeutictargetstoaddtothecancerphysicians’armorariuminthefuture.
Here,wereviewthetherapeuticpotentialofepigeneticmodifications(includingDNAmethylation,histone
modificationsandmiRNAs)occurringinhypoxiawithparticularreferencetocancerandtumourigenesis.
Keywords:Hypoxia,Hypoxiainduciblefactor(HIF),DNAmethylation,histonemodification,micro-RNA
Introduction
Tumour hypoxia -aregulatory factor intumour growth
Cellularhypoxiaistoxic,andwhensevereleadstocell
deathinbothnormalandcancerouscells.However,can-
Controlofcellular oxygenconcentration isunderstrict cercellshavedevelopedmechanismsthrough(epi)genetic
regulationashyperoxiacausesdamagesecondarytoreac- modifications whichallowthemtosurviveandinsome
tiveoxygenspeciesandhypoxialeadstoactivation ofa casesthriveinhypoxicconditions[3].Preclinicalstudies
diverse array of downstream transcriptional pathways havedemonstrated thattheselective pressure oftissue
includingangiogenesis,glucosemetabolismandapoptosis.
hypoxiadrivestheselectiveoutgrowthofmoreaggressive
Itiswellunderstoodthattumourigenesisisdependent tumoursub-clones[4].Inearlystagelun
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