2020
DOI: 10.3390/ijms21155500
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Epigenetic Mechanisms in Gastric Cancer: Potential New Therapeutic Opportunities

Abstract: Gastric cancer (GC) is one of the deadliest malignancies worldwide. Complex disease heterogeneity, late diagnosis, and suboptimal therapies result in the poor prognosis of patients. Besides genetic alterations and environmental factors, it has been demonstrated that alterations of the epigenetic machinery guide cancer onset and progression, representing a hallmark of gastric malignancies. Moreover, epigenetic mechanisms undergo an intricate crosstalk, and distinct epigenomic profiles can be shaped under differ… Show more

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Cited by 38 publications
(33 citation statements)
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References 156 publications
(185 reference statements)
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“…The epigenetic modifications in modulating expressions of many cancerrelated genes have played essential roles in GC initiation and progression and formed novel epigenetic signature (42)(43)(44). Targeting key epigenetic drivers would notably suppress cancer progression for GC (45). As is well known, PRC1 and PRC2 co-operate to regulate epigenetics via histone modification incorporating the methylation of histone H3K27 and monoubiquitination of histone H2AK119 (46,47).…”
Section: Discussionmentioning
confidence: 99%
“…The epigenetic modifications in modulating expressions of many cancerrelated genes have played essential roles in GC initiation and progression and formed novel epigenetic signature (42)(43)(44). Targeting key epigenetic drivers would notably suppress cancer progression for GC (45). As is well known, PRC1 and PRC2 co-operate to regulate epigenetics via histone modification incorporating the methylation of histone H3K27 and monoubiquitination of histone H2AK119 (46,47).…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, understanding the pathological mechanisms, especially proliferation and metastasis, is critical to direct GC therapy. Although non-coding RNAs have important contributions to cell–cell communication, revealing the complex interactions between tumor cells, tumor microenvironment cells and immune cells, and analyzing their content in body fluids have become mainstream in biomarker identification [ 20 ], increasing evidence suggests that alterations in epigenetic mechanisms can guide cancer onset and progression, such as DNA methylation, histone methylation modifications and histone acetylation [ 21 ]. In recent years, researchers identified m6A RNA modifications as epigenetic regulators involved in the dynamic and reversible control of RNA structure and function in tumors, including colorectal, liver, breast, nasopharyngeal and gastric cancers [ 22 , 23 , 24 ].…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, CDH1 hypermethylation could be a potential novel drug target for developing personalized therapies [ 34 , 35 ]. However, further studies on a larger number of patients with GC of different histotypes are necessary to confirm our results and to deeply understand the role of enhancer methylation in the regulation of CDH1 gene.…”
Section: Discussionmentioning
confidence: 99%