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- W95526918 abstract "Covalent epigenetic modifications such as DNA hypermethylation and histone posttranslational modifications are associated with transcriptional inactivation of many genes and are important during tumor development and progression. Genes involved in key DNA damage response pathways, such as cell cycle control, apoptosis signaling, and DNA repair, can frequently become methylated and epigenetically silenced in tumors. This may lead to differences in intrinsic sensitivity of tumors to chemotherapy, depending on the specific function of the gene inactivated. Furthermore, chemotherapy itself can exert a selective pressure on epigenetically silenced drug sensitivity genes present in subpopulations of cells, leading to acquired chemoresistance. Since the DNA sequences of epigenetically inactivated genes are not mutated but rather subject to reversible modifications via DNA methyltransferases (DNMTs) or histone modification, it is possible to reverse silencing using small molecule inhibitors. Such compounds show antitumor activity and can increase the sensitivity of drug-resistant preclinical tumor models. Clinical trials of epigenetic therapies are now underway. Epigenetic profiling, using DNA methylation and histone analysis, will provide guidance on optimization of these therapies with conventional chemotherapy and will help identify patient populations who may particularly benefit from such approaches." @default.
- W95526918 created "2016-06-24" @default.
- W95526918 creator A5045466257 @default.
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- W95526918 date "2007-11-08" @default.
- W95526918 modified "2023-10-14" @default.
- W95526918 title "CpG Island Methylation and Drug Resistance" @default.
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- W95526918 doi "https://doi.org/10.1007/978-1-59745-035-5_19" @default.
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