Glioma epigenetics: From subclassification to novel treatment options.
Details
Serval ID
serval:BIB_9E5B01C5CAAC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Glioma epigenetics: From subclassification to novel treatment options.
Journal
Seminars in cancer biology
ISSN
1096-3650 (Electronic)
ISSN-L
1044-579X
Publication state
Published
Issued date
08/2018
Peer-reviewed
Oui
Volume
51
Pages
50-58
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
Gliomas are the most common malignant primary brain tumors, of which glioblastoma is the most malignant form (WHO grade IV), and notorious for treatment resistance. Over the last decade mutations in epigenetic regulator genes have been identified as key drivers of subtypes of gliomas with distinct clinical features. Most characteristic are mutations in IDH1 or IDH2 in lower grade gliomas, and histone 3 mutations in pediatric high grade gliomas that are also associated with characteristic DNA methylation patterns. Furthermore, in adult glioblastoma patients epigenetic silencing of the DNA repair gene MGMT by promoter methylation is predictive for benefit from alkylating agent therapy. These epigenetic alterations are used as biomarkers and play a central role for classification of gliomas (WHO 2016) and treatment decisions. Here we review the pivotal role of epigenetic alterations in the etiology and biology of gliomas. We summarize the complex interactions between "driver" mutations, DNA methylation, histone post-translational modifications, and overall chromatin organization, and how they inform current efforts of testing epigenetic compounds and combinations in preclinical and clinical studies.
Keywords
Animals, Biomarkers, Tumor/genetics, DNA Methylation, Epigenesis, Genetic, Gene Expression Regulation, Neoplastic, Glioma/classification, Glioma/genetics, Glioma/therapy, Humans, Biomarker, Driver mutation, Epigenetic, Epigenetic drug, Glioma
Pubmed
Web of science
Create date
30/11/2017 19:28
Last modification date
20/08/2019 15:04