Minireview: epigenetic changes in ovarian cancer.

Abstract:

:Epigenetic aberrations, including DNA methylation, histone modifications, and micro-RNA dysregulation, are now well established in the development and progression of ovarian cancer, and their gradual accumulation is associated with advancing disease stage and grade. Epigenetic aberrations are relatively stable, associated with distinct disease subtypes, and present in circulating serum, representing promising diagnostic, prognostic, and pharmacodynamic biomarkers. In contrast to DNA mutations and deletions, aberrant gene-repressive epigenetic modifications are potentially reversible by epigenetic therapies, including inhibitors of DNA methylation or histone-modifying enzymes. Although epigenetic monotherapies have not shown activity against solid tumors, including ovarian cancer, preclinical studies suggest they will be effective when used in combination with one another or with conventional chemotherapeutics, and combinatorial epigenetic therapy regiments are being examined in cancer clinical trials. A greater understanding of the role of epigenetics in ovarian neoplasia will provide for improved interventions against this devastating malignancy.

journal_name

Endocrinology

journal_title

Endocrinology

authors

Balch C,Fang F,Matei DE,Huang TH,Nephew KP

doi

10.1210/en.2009-0404

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

4003-11

issue

9

eissn

0013-7227

issn

1945-7170

pii

en.2009-0404

journal_volume

150

pub_type

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