Epigenetic control of pancreatic cancer metastasis.

IF 7.7 2区 医学 Q1 ONCOLOGY Cancer and Metastasis Reviews Pub Date : 2023-12-01 Epub Date: 2023-09-02 DOI:10.1007/s10555-023-10132-z
Lukas Krauß, Carolin Schneider, Elisabeth Hessmann, Dieter Saur, Günter Schneider
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Abstract

Surgical resection, when combined with chemotherapy, has been shown to significantly improve the survival rate of patients with pancreatic ductal adenocarcinoma (PDAC). However, this treatment option is only feasible for a fraction of patients, as more than 50% of cases are diagnosed with metastasis. The multifaceted process of metastasis is still not fully understood, but recent data suggest that transcriptional and epigenetic plasticity play significant roles. Interfering with epigenetic reprogramming can potentially control the adaptive processes responsible for metastatic progression and therapy resistance, thereby enhancing treatment responses and preventing recurrence. This review will focus on the relevance of histone-modifying enzymes in pancreatic cancer, specifically on their impact on the metastatic cascade. Additionally, it will also provide a brief update on the current clinical developments in epigenetic therapies.

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胰腺癌转移的表观遗传学控制。
事实证明,手术切除结合化疗可显著提高胰腺导管腺癌(PDAC)患者的生存率。然而,这种治疗方法只对一部分患者可行,因为超过 50%的病例被诊断为转移瘤。转移的多方面过程仍未完全明了,但最近的数据表明,转录和表观遗传可塑性发挥了重要作用。干扰表观遗传重编程有可能控制导致转移进展和耐药性的适应过程,从而增强治疗反应并防止复发。本综述将重点讨论组蛋白修饰酶与胰腺癌的相关性,特别是它们对转移级联的影响。此外,它还将简要介绍目前表观遗传疗法的临床发展情况。
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来源期刊
CiteScore
17.00
自引率
0.00%
发文量
54
审稿时长
6-12 weeks
期刊介绍: Contemporary biomedical research is on the threshold of an era in which physiological and pathological processes can be analyzed in increasingly precise and mechanistic terms.The transformation of biology from a largely descriptive, phenomenological discipline to one in which the regulatory principles can be understood and manipulated with predictability brings a new dimension to the study of cancer and the search for effective therapeutic modalities for this disease. Cancer and Metastasis Reviews provides a forum for critical review and discussion of these challenging developments. A major function of the journal is to review some of the more important and interesting recent developments in the biology and treatment of malignant disease, as well as to highlight new and promising directions, be they technological or conceptual. Contributors are encouraged to review their personal work and be speculative.
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