Epigenetics and Cancer
INTRODUCTION
Epigenetics is a rapidly evolving study of molecular genetics and biological research. The advancement in the understanding of different biological activity like DNA methylation, chromatin structure, transcriptional activity and histone modification has resulted in the development of epigenetics. Epigenetics changes influence gene transcription without alteration in the DNA sequence. The term '' epigenetics was first used by Conrad Waddington in 1939 to describe ' the causal interaction between the genes and their products, which bring the phenotype into being.'' In present era the term epigenetics has broadened to include heritable and transient / reversible changes in gene expression that is not accompanied by a change in the DNA sequence. There are two type of major of major epigenetic modification: those occurring at the DNA level (DNA methylation) and those occurring at the chromatin level ( chromatin remodeling). DNA Methylation is an enzyme driven chemical change to the DNA sequence that most commonly occurs at CpG dinucleotides. Chromatin remodeling occurs via modification of the histone residues by enzymes primarily on the N- terminal tails and ultimately effects the interaction of DNA with chromatin modifying proteins. Both DNA methylation and histone modification are associated with silencing critical tumor suppressor genes and activating oncogones involved in cancer.
Most of the traditional molecular studies on cancer are on identifying the genetic mutation or on tumor suppressor gene. Recently, more studies are now focused in discovering new biomarkers that are epigenetically silenced in early carcinogenesis. It is also seen that almost half of the tumor suppressor genes that causes familial cancer through mutations can also get inactivated with promoter hypermethylation in sporadic cancer. Increasing evidence suggests that epigenetic changes play a key role in cancer development.
The various genetic markers has been used for the early tumor detection, prognostic prediction and explaining the genetic pathway of carcinogenesis. But the epigenetics marker has gained popularity in recent year particularly the promoter hypermethylation which has various advantages over a genetic marker. First promoter hypermethylation is much more common than genetic alteration in cancer. Second promoter hypermethylation occur in the same defined region of that gene in all form of cancer in comparison to wide range of mutational variations occur within a specific gene. Thus epigenetic detection of promoter hypermethylation will be both efficient and
cost- effective method of tumor detection.
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