Advances in epigenetics of gastric cancer.

IF 4 Q2 ONCOLOGY
Oncology Reviews Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI:10.3389/or.2026.1656621
Rihua Zeng, Jianning Chen
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引用次数: 0

Abstract

Gastric cancer (GC) persists as a leading cause of global cancer morbidity and mortality, with its pathogenesis intricately linked to epigenetic dysregulation. Emerging research specifies the novelty of these mechanisms-including DNA methylation, histone modifications, non-coding RNAs (ncRNAs), and RNA modifications-in GC initiation, progression, and therapeutic resistance. This review systematically examines key epigenetic mechanisms in GC, dissect the therapeutic implications as diagnostic biomarkers and therapeutic targets. Key insights include (1) aberrant methylation of tumor suppressor genes (e.g., CDH1, RUNX3): in early carcinogenesis; (2) histone lactylation and acetylation modulating immune evasion (3) ncRNAs (e.g., miR-21, HOTAIR); as promising biomarkers; and (4) m6A RNA modification in chemotherapy resistance. We further discuss translational applications of epigenetic biomarkers in liquid biopsies and targeted therapies (e.g., DNMT/HDAC inhibitors). Integrating multi-omics and epigenetic editing technologies may advance precision medicine in GC.

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胃癌表观遗传学研究进展。
胃癌(GC)一直是全球癌症发病率和死亡率的主要原因,其发病机制与表观遗传失调错综复杂。新兴研究明确了这些机制的新颖性——包括DNA甲基化、组蛋白修饰、非编码RNA (ncRNAs)和RNA修饰——在GC的起始、进展和治疗耐药性中。这篇综述系统地研究了GC的关键表观遗传机制,剖析了作为诊断生物标志物和治疗靶点的治疗意义。关键见解包括:(1)肿瘤抑制基因(如CDH1, RUNX3)的异常甲基化:在早期癌变中;(2)组蛋白乳酸化和乙酰化调节免疫逃避(3)ncRNAs(如miR-21, HOTAIR);作为有前景的生物标志物;(4) m6A RNA修饰在化疗耐药中的作用。我们进一步讨论了表观遗传生物标志物在液体活检和靶向治疗中的转化应用(例如,DNMT/HDAC抑制剂)。多组学与表观遗传编辑技术的结合,将推动GC精准医学的发展。
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来源期刊
Oncology Reviews
Oncology Reviews ONCOLOGY-
CiteScore
6.30
自引率
0.00%
发文量
9
审稿时长
9 weeks
期刊介绍: Oncology Reviews is a quarterly peer-reviewed, international journal that publishes authoritative state-of-the-art reviews on preclinical and clinical aspects of oncology. The journal will provide up-to-date information on the latest achievements in different fields of oncology for both practising clinicians and basic researchers. Oncology Reviews aims at being international in scope and readership, as reflected also by its Editorial Board, gathering the world leading experts in both pre-clinical research and everyday clinical practice. The journal is open for publication of supplements, monothematic issues and for publishing abstracts of scientific meetings; conditions can be obtained from the Editor-in-Chief or the publisher.
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