Suffocating cancer: hypoxia-associated epimutations as targets for cancer therapy.

Abstract:

: Lower than normal levels of oxygen (hypoxia) is a hallmark of all solid tumours rendering them frequently resistant to both radiotherapy and chemotherapy regimes. Furthermore, tumour hypoxia and activation of the hypoxia inducible factor (HIF) transcriptional pathway is associated with poorer prognosis. Driven by both genetic and epigenetic changes, cancer cells do not only survive but thrive in hypoxic conditions. Detailed knowledge of these changes and their functional consequences is of great clinical utility and is already helping to determine phenotypic plasticity, histological tumour grading and overall prognosis and survival stratification in several cancer types. As epigenetic changes - contrary to genetic changes - are potentially reversible, they may prove to be potent therapeutic targets to add to the cancer physicians' armorarium in the future.Here, we review the therapeutic potential of epigenetic modifications (including DNA methylation, histone modifications and miRNAs) occurring in hypoxia with particular reference to cancer and tumourigenesis.

journal_name

Clin Epigenetics

journal_title

Clinical epigenetics

authors

Thirlwell C,Schulz L,Dibra H,Beck S

doi

10.1186/1868-7083-3-9

subject

Has Abstract

pub_date

2011-12-05 00:00:00

pages

9

eissn

1868-7075

issn

1868-7083

pii

1868-7083-3-9

journal_volume

3

pub_type

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